醫(yī)院培訓課件：《腫瘤外科學概論》

OverviewofSurgicalOncology

腫瘤外科學概論

腫瘤外科學的作用

Theroleofsurgicaloncology預(yù)防（prevention）診斷（diagnosis）分期（staging）治療（treatment）

腫瘤外科治療的原則（Principlesofsurgicaltreatmentforcancer）明確診斷DefinitivediagnosisPathologicaldiagnosisStaging制定合理的治療方案（Developareasonabletreatmentoption）選擇合理的手術(shù)方式（Chooseareasonablesurgicalprocedures）

Mustbebasedonavarietycharacteristicsofpathologicalandbiologicalselectedsurgicalprocedures

Ensureadequateresectionforsurgicalcure

Basedonpatientage,bodyconditionselectedsurgicalprocedures腫瘤外科治療的原則（Principlesofsurgicaltreatmentforcancer）避免醫(yī)源性腫瘤播散（Avoidiatrogenictumorspread）

1.Profilerfromfarandnear,gentlemovements2.Notintouch,isolationtechnology3.trysharpseparationoftissue,toavoidbluntdissection4.Firstblockoutputveinligation,andthentreatedarteryligation5.Firstdistantlymphnodedissection,andlymphnodedissectionneighboring6.Strictlyfollowtheprincipleofcontinuousradicalenblocresection,contraindicationsblockcutoutthetumor7.Specimenscutoutafterthereplacementofgloves,equipment,woundwithsteriledistilledwater各種術(shù)式的臨床應(yīng)用（Theclinicalapplicationofavarietyofsurgicalprocedures）診斷性手術(shù)（Diagnosticprocedures）FineneedleaspirationBiopsyIncisionalbiopsyExcisionalbiopsy各種術(shù)式的臨床應(yīng)用（Theclinicalapplicationofavarietyofsurgicalprocedures）治愈性手術(shù)（curativesurgery）

Cancer——radicalresection

Sarcoma——wideexcision各種術(shù)式的臨床應(yīng)用（Theclinicalapplicationofavarietyofsurgicalprocedures）姑息性手術(shù)（Palliativesurgery）

Partialortotalremovaloforgans

InnerbypassanastomosisOstomy——Gastrostomy&Colostomy

Vascularligation各種術(shù)式的臨床應(yīng)用（Theclinicalapplicationofavarietyofsurgicalprocedures）遠處轉(zhuǎn)移癌切除（Resectionofdistantmetastases）

Commonintheliver,lung,brain,etc.

Inthepast-notgood

Now-activetreatmentcangetgoodeffect各種術(shù)式的臨床應(yīng)用（Theclinicalapplicationofavarietyofsurgicalprocedures）激素依賴型腫瘤的內(nèi)分泌腺切除（Endocrinesurgeryforhormone-dependenttumors）

BreastCancer-ovariectomyProstateCancer-orchiectomy各種術(shù)式的臨床應(yīng)用（Theclinicalapplicationofavarietyofsurgicalprocedures）重建與康復(fù)手術(shù)（Reconstructionandrehabilitationsurgery）各種術(shù)式的臨床應(yīng)用（Theclinicalapplicationofavarietyofsurgicalprocedures）預(yù)防性手術(shù)（Prophylacticsurgery)微創(chuàng)外科（MinimallyInvasiveSurgery）Definition——

CarriedoutwithminimalsurgicaltraumaKeyFeatures

●smallincision,localtrauma

●surgerylessbleeding,shorter