结直肠癌术后并发症的营养预测指标研究进展

Research progress on nutritional predictive indicators for postoperative complications in colorectal cancer

  • 摘要: 结直肠癌(colorectal cancer,CRC)是全球常见的恶性肿瘤之一,其发病率和致死率均位于恶性肿瘤的前列。近年来,随着腹腔镜与机器人技术的成熟及新式吻合器的运用,CRC手术的效果及安全性日益提高,但其术后并发症仍严重影响患者的术后生存质量及生存时间。掌握营养预测指标,有助于早期识别高危患者,加强患者的个性化护理,提高患者围手术期管理的质量,降低CRC术后并发症发生率,改善患者短期及长期预后。本文就近年国内外CRC术后并发症营养预测指标有关文献进行综述,总结营养预测指标评估内容及效能,分析其优势与不足。旨在为制定易获得、低成本、术前可调理的CRC术后并发症营养预测指标提供参考。

     

    Abstract: Colorectal cancer (CRC) is one of the most common malignant tumors worldwide, and its incidence and fatality rates rank at the forefront of malignant tumors. In recent years, with the maturity of laparoscopic and robotic technology, and the application of new staplers, the efficacy and safety of surgery for CRC have improved; however, postoperative complications still seriously affect postoperative quality of life and survival time. Identification of nutritional predictors of CRC is conducive to the early identification of high-risk patients, reinforcement of individualized care, enhancement of the quality of peri-operative management, reduction in the incidence of postoperative complications, and improvement of the short- and long-term prognosis. In this paper, the literature on nutritional predictors of postoperative complications of CRC was reviewed, the evaluation contents and efficacy of nutritional predictors were summarized, and their advantages and disadvantages were analyzed. The aim is to provide a reference for identifying nutritional predictors of postoperative complications of CRC that are readily accessible, low-cost, and adjustable pre-operatively.

     

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