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Palliation of advanced gastrointestinal malignancies using minimally invasive strategies

机译：使用微创策略缓解晚期胃肠道恶性肿瘤

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摘要

Most surgeons are routinely involved in the management of patients with advanced malignancy. While the aim of surgical intervention is often cure, palliation of symptoms and improving patient's quality of life are equally important goals. Effective palliation requires recognition on the surgeon's part of the physical, psychological, social, and spiritual needs of the patient. In addition, effective palliation requires that the surgeon is aware of the latest minimally invasive techniques to treat patients with advance gastrointestinal malignancies. With the application of these minimal invasive techniques, the surgeon can better achieve the goal of surgical palliation - relief of symptoms and improved quality of life with minimization of the surgical burden. Recently, minimally invasive strategies, including laparoscopy, endoscopy, as well as catheter-based interventional radiology techniques have allowed for effective palliation while reducing risks associated with more extensive open surgical procedures. In this review, we highlight three specific gastrointestinal malignancies (i.e. pancreatic, colon, and neuroendocrine cancer) and how the application of minimally invasive techniques has benefitted patients. By highlighting these examples, we emphasize the role of surgery in palliative care, as well as demonstrate how the successful application of minimally invasive techniques has improved the quality of life of patients with advanced gastrointestinal malignancies.
机译：大多数外科医生通常都参与晚期恶性肿瘤的治疗。尽管外科手术的目的通常是治愈，但减轻症状和改善患者的生活质量同样重要。有效的缓解要求外科医生从患者的身体，心理，社会和精神需求方面进行认识。另外，有效的镇静要求外科医生了解用于治疗晚期胃肠道恶性肿瘤患者的最新微创技术。通过使用这些微创技术，外科医生可以更好地实现手术缓解的目的-减轻症状并改善生活质量，同时最大程度地减少手术负担。最近，包括腹腔镜检查，内窥镜检查以及基于导管的介入放射学技术在内的微创治疗策略已使患者得以有效缓解疾病，同时降低了与更广泛的开放式外科手术相关的风险。在这篇综述中，我们重点介绍了三种特定的胃肠道恶性肿瘤（即胰腺癌，结肠癌和神经内分泌癌）以及微创技术的应用如何使患者受益。通过突出这些例子，我们强调了手术在姑息治疗中的作用，并证明了微创技术的成功应用如何改善了晚期胃肠道恶性肿瘤患者的生活质量。

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  • 来源
    《Progress in Palliative Care》 |2009年第5期|250-260|共11页
  • 作者

    Augustine Mathew M.; Pawlik Timothy M.;

  • 作者单位

    Departments of Surgery and Oncology, Johns Hopkins Medical Institution, Baltimore, Maryland, USA;

    Departments of Surgery and Oncology, Johns Hopkins Medical Institution, Baltimore, Maryland, USA;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);美国《生物学医学文摘》(MEDLINE);
  • 原文格式 PDF
  • 正文语种 eng
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