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Expert Consensus on Pathological Diagnosis of Intrahepatic Cholangiocarcinoma(2022 version)

Journal of Clinical and Translational Hepatology 2023年第7期11卷 1553-1564页

作者： Han Wang Jun Chen Xin Zhang Xia Sheng Xiao-Yan Chang Jie Chen Min-Shan Chen Hui Dong Guang-Jie Duan He-Ping Hu Zhi-Yong Huang Wei-Dong Jia Xiao-Qing Jiang Dong Kuang Shan-Shan Li Zeng-Shan Li Chang-Li Lu Shu-Kui Qin Xue-Shan Qiu Li-Juan Qu Chun-Kui Shao Feng Shen Guo-Ming Shi Su-Sheng Shi Yu-Jun Shi Hui-Chuan Sun Xiao-Dong Teng Bin Wang Zhan-Bo Wang Tian-Fu Wen Jia-Mei Yang Qiao-Qiao Yang Sheng-Long Ye Hong-Fang Yin Zhen-Gang Yuan Jing-Ping Yun Feng-Lin Zang Hong-Qi Zhang Li-Hong Zhang Jing-Min Zhao Jian Zhou Wei-Xun Zhou Jia Fan Xiao-Ping Chen Wan Yee Lau Yuan Ji Wen-Ming Cong chinese society of Liver Cancer of chinese Anti-Cancer association Digestive Disease group of chinese society of Pathology,chinese medical association chinese society of Pathology of chinese Anti-Cancer association hepatic surgery group of chinese society of surgery,chinese medical association Biliary Tract Tumor Committee of China Anti-Cancer association chinese society of Clinical Oncology IDepartment of Pathology Eastern Hepatobilary Surgery HospitalNaval Medical UniversityShanghaiChina Department of Pathology the Affiliated Drum Tower HospitalNanjing University Medical SchoolNanjingJiangsuChina Department of Pathology Zhongshan HospitalFudan UniversityShanghaiChina Department of Pathology Minhang HospitalFudan Uni-versityShanghaiChina Department of Pathology Peking Union Medical College HospitalChinese Academy of Medical Sci-ences and Peking Union Medical CollegeBeijingChina Department of Liver surgery Sun Yat-Sen University Cancer CenterGuangzhouGuangdongChina Department of Pathology The First Affiliated HospitalArmy Medical UniversityChongqingChina Department of Hepatobiliary Medicine Eastern Hepatobiliary Surgery HospitalNaval Medical UniversityShanghaiChina hepatic surgery Center Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWu-hanHubeiChina Department of General surgery The First Affliated Hospital of USTCDivision of Life Science and Medi-cineUniversity of Science and Technology of ChinaHefeiAnhuiChina Department of Biliary surgery I Eastern Hepatobil-iary Surgery HospitalNaval Medical UniversityShanghaiChina Department of Pathology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubeiChina Department of Pathology The First Afiliated Hospital of Zhengzhou UniversityZhengzhou UniversityZhengzhouHenanChina Department of Pathology Xijing Hospi-talAir Force Medical UniversityXi'anShaanxiChina Department of Pathology West China HospitalSichuan UniversityChengduSichuanChina Cancer Center of Jinling Hospital Nanjing University of Chinese MedicineNanjingJiangsuChina Department of Pathology The First Affiliated HospitalChina Medical UniversityShenyangLiaoningChina Department of Pathology The 900 Hospital of the Chinese People's Liberation Army Joint Logistics TeamFuzhouFujianChina Department of Pathology The Third Affiliated HospitalSun Yat-Sen UniversityGuangz

Intrahepatic cholangiocarcinoma(iCCA)can originate from the large bile duct group(segment bile ducts and area bile ducts),small bile duct group(septal bile ducts and interlobular bile ducts),and terminal bile duct group(bile ductules and canals of Hering)of the intrahepatic biliary tree,which can be histopathological corresponding to large duct type iCCA,small duct type iCCA and iCCA with ductal plate malformation pattern,and cholangiolocarcinoma,*** challenge in pathological diagnosis of above subtypes of iCCA falls in the distinction of cellular morphologies,tissue structures,growth patterns,invasive behaviors,immunophenotypes,molecular mutations,and surgical *** these reasons,this expert consensus provides nine recommendations as a reference for standardizing and refining the diagnosis of pathological subtypes of iCCA,mainly based on the 5th edition of the World Health Organization Classification of Tumours of the Digestive System.

关键词： Intrahepatic cholangiocarcinoma Pathology Histological type Immunohistochemistry Molecular variation

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chinese national clinical practice guidelines on prevention, diagnosis and treatment of early colorectal cancer

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中华医学杂志(英文版) 2024年第17期137卷 2024 Aug 6页

作者： Li Jingnan Yao Hongwei Lu Yun Zhang Shutian Zhang Zhongtao society of Digestive Endoscopy of the chinese medical association Colorectal surgery group of the chinese medical association chinese association of Gastroenterologist & Hepatologist National Clinical Research Center for Digestive Diseases chinese medical Journal Clinical Practie Guideline Collaborative Department of Gastroenterology Peking Union Medical College Hospital Chinese Academy of Medical Sciences Peking Union Medical College Beijing China Department of General surgery Beijing Friendship Hospital Capital Medical University National Clinical Research Center for Digestive Diseases Beijing China Department of General surgery The Affiliated Hospital of Qingdao University Qingdao Shandong China Department of Gastroenterology Beijing Friendship Hospital Capital Medical University National Clinical Research Center for Digestive Disease Beijing China

Background: The incidence and mortality of colorectal cancer (CRC) in China are increasing in recent years. The clarified pathogenesis and detectable precancerous lesions of CRC make it possible to prevent, screen, and diagnose CRC at an early stage. With the development of endoscopic and surgical techniques, the choice of treatment for early CRC is also worth further discussion, and accordingly, a standard follow-up program after treatment needs to be ***: This clinical practice guideline (CPG) was developed following the recommended process of the World Health Organization, adopting Grading of Recommendations Assessment, Development and Evaluation (GRADE) in assessing evidence quality, and using the Evidence to Decision framework to formulate clinical recommendations, thereby minimizing bias and increasing transparency of the CPG development process. We used the Reporting Items for practice Guidelines in HealThcare (RIGHT) statement and Appraisal of Guidelines for Research and Evaluation II (AGREE II) as reporting and conduct guides to ensure the guideline’s completeness and ***: This CPG comprises 46 recommendations concerning prevention, screening, diagnosis, treatment, and surveillance of CRC. In these recommendations, we have indicated protective and risk factors for CRC and made recommendations for chemoprevention. We proposed a suitable screening program for CRC based on the chinese context. We also provided normative statements for the diagnosis, treatment, and surveillance of CRC based on existing clinical evidence and ***: The 46 recommendations in this CPG are formed with consideration for stakeholders’ values and preferences, feasibility, and acceptability. Recommendations are generalizable to resource-limited settings with similar CRC epidemiology pattern as China.

关键词： Colorectal cancer Early detection of cancer Prevention Screening Diagnosis Treatment Follow-up Guideline

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chinese national clinical practice guidelines on the prevention,diagnosis,and treatment of early gastric cancer

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chinese medical Journal 2024年第8期137卷 887-908页

作者： Peng Li Ziyu Li Enqiang Linghu Jiafu Ji society of Digestive Endoscopy of the chinese medical association Colorectal surgery group of the chinese medical association chinese association of Gastroenterologists&Hepatologists National Clinical Research Center for Digestive Diseases chinese medical Journal Clinical Practice Guideline Collaborative Department of Gastroenterology Beijing Friendship HospitalCapital Medical UniversityNational Clinical Research Center for Digestive DiseaseBeijing 100050China Department of Gastrointestinal surgery Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education)Peking University Cancer Hospital and InstituteBeijing 100142China Department of Gastroenterology and Hepatology the First Medical CenterChinese People’s Liberation Army General HospitalBeijing 100853China 不详

Background:Gastric cancer is one of the most common malignant tumors in the digestive system in *** comprehensive practice guidelines for early gastric cancer in China are currently ***,we created the chinese national clinical practice guideline for the prevention,diagnosis,and treatment of early gastric ***:This clinical practice guideline(CPG)was developed in accordance with the World Health Organization’s recommended process and with the Grading of Recommendations Assessment,Development,and Evaluation(GRADE)in assessing evidence *** used the Evidence to Decision framework to formulate clinical recommendations to minimize bias and increase transparency in the CPG development *** used the Reporting Items for practice Guidelines in HealThcare(RIGHT)statement and the Appraisal of Guidelines for Research and Evaluation II(AGREE II)as reporting and conduct guidelines to ensure completeness and transparency of the ***:This CPG contains 40 recommendations regarding the prevention,screening,diagnosis,treatment,and follow-up of early gastric cancer based on available clinical studies and *** provide recommendations for the timing of Helicobacter pylori eradication,screening populations for early gastric cancer,indications for endoscopic resection and surgical gastrectomy,follow-up interval after treatment,and other ***:This CPG can lead to optimum care for patients and populations by providing up-to-date medical *** intend this CPG for widespread adoption to increase the standard of prevention,screening,diagnosis,treatment,and follow-up of early gastric cancer;thereby,contributing to improving national health care and patient quality of life.

关键词： Early gastric cancer Prevention Screening Diagnosis Treatment Follow-up

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chinese national clinical practice guideline on diagnosis and treatment of biliary tract cancers

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中华医学杂志(英文版) 2024年第19期137卷 2024 Sep 4页

作者： Wang Xu’an Bai Yongrui Chai Ningli Li Yexiong Linghu Enqiang Wang Liwei Liu Yingbin society of Hepato-pancreatobiliary surgery of chinese Research Hospital association society of Digestive Endoscopy of the chinese medical association chinese medical Journal Clinical Practice Guideline Collaborative Department of Biliary and Pancreatic surgery Renji Hospital Shanghai Jiao Tong University School of Medicine State Key Laboratory of Systems Medicine for Cancers Shanghai Cancer Institute Shanghai Key Laboratory for Cancer Systems Regulation and Clinical Translation Shanghai China Department of Radiation Oncology Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai China Department of Gastroenterology and Hepatology the First Medical Center Chinese People’s Liberation Army General Hospital Beijing China State Key Laboratory of Molecular Oncology and Department of Radiation Oncology National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC) Beijing China State Key Laboratory of Oncogenes and Related Genes Shanghai Cancer Institute Department of Oncology Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai China

Background: Biliary tract carcinoma (BTC) is relatively rare and comprises a spectrum of invasive tumors arising from the biliary tree. The prognosis is extremely poor. The incidence of BTC is relatively high in Asian countries, and a high number of cases are diagnosed annually in China owing to the large population. Therefore, it is necessary to clarify the epidemiology and high-risk factors for BTC in China. The signs associated with BTC are complex, often require collaborative treatment from surgeons, endoscopists, oncologists, and radiation therapists. Thus, it is necessary to develop a comprehensive chinese guideline for ***: This clinical practice guideline (CPG) was developed following the process recommended by the World Health Organization. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to assess the certainty of evidence and make recommendations. The full CPG report was reviewed by external guideline methodologists and clinicians with no direct involvement in the development of this CPG. Two guideline reporting checklists have been adhered to: Appraisal of Guidelines for Research and Evaluation (AGREE) and Reporting Items for practice Guidelines in Healthcare (RIGHT).Results: The guideline development group, which comprised 85 multidisciplinary clinical experts across China. After a controversies conference, 17 clinical questions concerning the prevention, diagnosis, and treatment of BTC were proposed. Additionally, detailed descriptions of the surgical principles, perioperative management, chemotherapy, immunotherapy, targeted therapy, radiotherapy, and endoscopic management were ***: The guideline development group created a comprehensive chinese guideline for the diagnosis and treatment of BTC, covering various aspects of epidemiology, diagnosis, and treatment. The 17 clinical questions have important reference value for the management of BTC.

关键词： Biliary tract carcinoma Etiology Diagnosis Treatment surgery

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Expert Consensus on Laparoscopic Hepatectomy(2013 Version)

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Journal of Huazhong University of Science and Technology(medical Sciences) 2013年第6期33卷 791-797页

作者： National hepatic surgery group,society of surgery,chinese medical association National hepatic surgery group Society of SurgeryChinese Medical Association

Background： Laparoscopic hepatectomy has many advantages over open surgery, including minimiza- tion of local injury, reduced systemic reactions, and faster postoperative recovery. The aim of this ＂Consensus＂ is to provide guidance and reference to surgeons who perform, or are interested in per- forming laparoscopic liver surgeries. Methods： The National hepatic surgery group of the society of surgery, a professional society of the chinese medical association, gathered 60 expert hepatic surgeons in Wuhan, China in December 2012, and an ＂Expert Consensus on Laparoseopic Hepatectomy＂ was developed. Results： The types of hepatectomy, indications and contraindications, preoperative preparation, anes- thesia, patient position, insuffiation pressure, port position, control of hepatic inflow and outflow, indi- cations for conversion to open surgery, and surgical devices and equipment are reviewed. Techniques and procedures of various laparoscopic hepatectomies are also discussed.

关键词： Expert Consensus on Laparoscopic Hepatectomy Version

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食管闭锁术后食管气管瘘复发诊疗的专家共识(2023)

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中华小儿外科杂志 2024年第1期45卷 10-19页

作者：中华医学会小儿外科分会新生儿外科学组中华医学会小儿外科分会普胸外科学组张旻中潘伟华王俊汪健曾骐不详上海交通大学医学院附属新华医院上海交通大学医学院附属新华医院儿普外科上海200092 苏州大学附属儿童医院外科苏州215025 首都医科大学附属北京儿童医院胸外科北京100045

先天性食管闭锁是儿童常见的先天性消化道畸形,超过90%的患儿食管闭锁合并食管气管瘘(esophageal atresia with tracheoesophageal fistula,EATEF)。在其术后并发症中,食管气管瘘复发(recurrent tracheoesophageal fistula,rTEF)的处理尤为困难,其发生率可达到5%~10%^([1,2])。目前外科手术仍是治疗rTEF最主要的方式,由于患儿往往涉及多个系统的合并症,故多学科协作团队(multidisciplinary team,MDT)诊疗模式在整个诊疗过程中发挥着重要协同作用^([3])。

关键词：食管气管瘘先天性食管闭锁诊疗模式外科手术诊疗过程术后并发症

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男童尿道损伤专家共识(2023)

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中华小儿外科杂志 2024年第4期45卷 289-295页

作者：中华医学会小儿外科分会泌尿学组张潍平许帅宋宏程不详国家儿童医学中心首都医科大学附属北京儿童医院泌尿外科北京100045 首都医科大学附属北京儿童医院新疆维吾尔自治区儿童医院

尿道损伤仅次于肾脏损伤,在泌尿生殖系统的损伤中发病率居第二位[1]。基于生理解剖的特点,儿童尿道损伤程度往往重于成人,尤其是骨盆骨折相关的尿道损伤(pelvic fracture-associated urethral injury,PFUI),其治疗更加复杂,并发症率更... 详细信息

尿道损伤仅次于肾脏损伤,在泌尿生殖系统的损伤中发病率居第二位[1]。基于生理解剖的特点,儿童尿道损伤程度往往重于成人,尤其是骨盆骨折相关的尿道损伤(pelvic fracture-associated urethral injury,PFUI),其治疗更加复杂,并发症率更高。目前儿童尿道损伤的诊治多借鉴成人诊治原则,在治疗上许多方面存在争议[1-3]。为了提高儿童尿道损伤的诊治水平,规范儿童尿道损伤的诊治流程,中华医学会小儿外科分会泌尿学组在结合国内外诊治现状及各专家意见的基础上制定了本共识,因男童比女童尿道损伤更多发,且处理原则和方法不同,本共识仅适用于男童尿道损伤。

关键词：尿道损伤泌尿生殖系统中华医学会小儿外科骨盆骨折诊治原则诊治现状生理解剖

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腹腔镜结直肠癌根治术操作指南(2023版)

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中华消化外科杂志 2024年第1期23卷 10-22页

作者：中华医学会外科学分会腹腔镜与内镜外科学组中华医学会外科学分会结直肠外科学组中国医师协会外科医师分会结直肠外科专家工作组中国抗癌协会腔镜与机器人外科分会中国医学装备协会腔镜与微创技术分会郑民华张忠涛叶颖江不详上海交通大学医学院附属瑞金医院普通外科胃肠外科、上海市微创外科临床医学中心上海200025 首都医科大学附属北京友谊医院普通外科、国家消化系统疾病临床医学研究中心北京100050 北京大学人民医院胃肠外科北京100044

腹腔镜技术目前已是结直肠癌根治手术治疗的重要手段。近年,随着我国腹腔镜结直肠癌根治手术的进一步发展与普及,手术技术及理念已发生较大变化和更新,全世界范围内不断有高质量临床研究开展和循证医学证据发布。腹腔镜结直肠癌根治手... 详细信息

腹腔镜技术目前已是结直肠癌根治手术治疗的重要手段。近年,随着我国腹腔镜结直肠癌根治手术的进一步发展与普及,手术技术及理念已发生较大变化和更新,全世界范围内不断有高质量临床研究开展和循证医学证据发布。腹腔镜结直肠癌根治手术在手术指征、腔镜显示系统、手术入路、全腔镜手术及腹腔镜下关键解剖标志和操作要点等方面均有较多进展。基于《腹腔镜结直肠癌手术操作指南(2018版)》,结合近年研究热点及高等级循证医学成果,以临床证据为基础,临床问题为导向,中华医学会外科学分会腹腔镜与内镜外科学组、中华医学会外科学分会结直肠外科学组、中国医师协会外科医师分会结直肠外科专家工作组、中国抗癌协会腔镜与机器人外科分会、中国医学装备协会腔镜与微创技术分会组织国内相关领域专家再次修订更新形成《腹腔镜结直肠癌根治术操作指南(2023版)》。

关键词：结直肠肿瘤根治手术腹腔镜检查指南

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结直肠癌腹壁侵犯转移外科诊治中国专家共识(2024版)

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中国实用外科杂志 2024年第6期44卷 601-609页

作者：中华医学会外科学分会疝与腹壁外科学组中华医学会外科学分会结直肠外科学组中国医师协会外科医师分会疝和腹壁外科专家工作组中国医疗保健国际交流促进会普通外科学分会腹壁修复与重建外科学组唐健雄张忠涛陈杰田文顾岩姚宏伟李航宇中华医学会外科学分会疝与腹壁外科学组中华医学会外科学分会结直肠外科学组中国医师协会外科医师分会疝和腹壁外科专家工作组中国医疗保健国际交流促进会普通外科学分会腹壁修复与重建外科学组

结直肠癌(colorectal cancer,CRC)是常见的恶性肿瘤之一,根据2024年国家癌症中心的最新统计数据显示,我国CRC发病率和死亡率在所有恶性肿瘤中分别位居第二位和第四位[1]。CRC侵犯与转移是其预后较差的最主要原因,肝、肺、腹膜是CRC转移... 详细信息

结直肠癌(colorectal cancer,CRC)是常见的恶性肿瘤之一,根据2024年国家癌症中心的最新统计数据显示,我国CRC发病率和死亡率在所有恶性肿瘤中分别位居第二位和第四位[1]。CRC侵犯与转移是其预后较差的最主要原因,肝、肺、腹膜是CRC转移的主要部位,但也可发生包括骨、脑、卵巢以及除腹膜以外的其他腹壁组织的侵犯转移[2-3]。

关键词：结直肠癌腹壁侵犯转移外科专家共识

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chinese expert consensus on evaluation of donor and donor liver for split liver transplantation

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Liver Research 2022年第2期6卷 59-65页

作者： Operative Surgical group,Branch of surgery of chinese medical association Transplantation group,Branch of surgery of chinese medical association Operative Surgical group Branch of Surgery of Chinese Medical Association Transplantation group Branch of Surgery of Chinese Medical Association

With the advent of the era of organ donation after citizen's death,split liver transplantation(SLT)can effectively increase the supply of donor livers and shorten the transplantation wait time for patients,especially pediatric *** recent years,SLT has been performed to varying degrees in many transplant centers in China,and varying levels of efficacy have been *** quality of donors and donor livers for SLT is an important factor affecting the outcome of the *** this stage,it is necessary to reach a consensus on the evaluation of SLT donor and liver donor that is suitable for the conditions in China by combining the well-established experience of the international community with advanced transplantation *** approach will aid in enhancing the efficacy of *** on the experience of experts,a consensus on the evaluation of donors and donor livers for SLT has been formulated in this study,which focuses on evaluation of donors and donor livers,evaluating the functional and anatomical aspects of the donor liver and donorerecipient matching.

关键词： Split liver transplantation(SLT) Organ donation after citizen's death Body mass index(BMI) hepatic steatosis Graft recipient weight ratio Anatomical variation Evaluation Guidelines

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