Cochrane協作網結直腸癌組的結直腸腫瘤證據_《中國循證醫學雜志》

作者：

 鄧磊 , 汪曉東 , 周圣濤 , 李立

四川大學華西醫院肛腸外科（成都 610041）;

關鍵詞：

Cochrane 系統評價結直腸腫瘤臨床證據

DOI：

10.7507/1672-2531.20080225

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

截至Cochrane 圖書館2008 年第2 期，Cochrane 協作網結直腸癌組目前已完成的25 篇與結直腸腫瘤相關的系統評價涉及結直腸腫瘤預防、鏡檢診斷、內外科治療、預后、隨訪等方面。Cochrane 系統評價肯定了非甾體抗炎藥的預防作用，染色內鏡的診斷價值，腹腔鏡手術的短期效果，全直腸系膜切除術輔助腹腔鏡手術的療效等；質疑了纖維素在結直腸腫瘤預防、結直腸癌術前機械腸道準備、術后常規引流的意義。某些課題如中藥在化療中的作用，由于所納入的研究質量不高而未能得出非常可靠的證據。本文試圖通過介紹Cochrane 協作網結直腸腫瘤的系統評價成果，向國內同行傳遞目前結直腸腫瘤的高級別臨床證據，并提示結直腸腫瘤領域的研究方向。

引用本文： 鄧磊,汪曉東,周圣濤,李立. Cochrane協作網結直腸癌組的結直腸腫瘤證據. 中國循證醫學雜志, 2008, 08(11): 1024-1028. doi: 10.7507/1672-2531.20080225 復制

1.	Benson AB 3rd. Epidemiology, disease progression, and economic burden of colorectal cancer. Journal of Managed Care Pharmacy, 2007, 13(6 Suppl C): S5-18.
2.	蔡三軍. 主編. 結直腸肛管癌. 第1版. 北京: 北京大學醫學出版社, 2006, 21.
3.	SUNY Downstate Medical Center. Guide to Research Methods: The Evidence Pyramid. Available From: URL: http://servers.medlib. hscbklyn.edu/ebm/2100.htm.
4.	Weingarten MA, Zalmanovici A, Yaphe J. Dietary calcium supplementation for preventing colorectal cancer and adenomatous polyps. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD003548. DOI: 10.1002/14651858.CD003548.pub4.
5.	Asano TK, McLeod RS. Dietary fibre for the prevention of colorectal adenomas and carcinomas. Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No.: CD003430. DOI: 10.1002/14651858. CD003430.
6.	Sturmer T, Glynn RJ, Lee IM, et al. Aspirin use and colorectal cancer: Post-trial follow-up datafrom the Physicians’ Health Study. Ann Intern Med, 1998, 128(9): 713-720.
7.	Asano TK, McLeod RS. Non steroidal anti-inflammatory drugs (NSAID) and aspirin for preventing colorectal adenomas and carcinomas. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD004079. DOI: 10.1002/14651858.CD004079.pub2.
8.	蔡三軍. 主編. 結直腸肛管癌. 第1版. 北京: 北京大學醫學出版社, 2006, 194.
9.	Hewitson P, Glasziou P, Irwig L, et al. Screening for colorectal cancer using the faecal occult blood test, Hemoccult. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD001216. DOI: 10.1002/14651858.CD001216.pub2.
10.	蔡三軍. 主編. 結直腸肛管癌. 第1版. 北京: 北京大學醫學出版社, 2006, 194.
11.	Brown SR, Baraza W, Hurlstone P. Chromoscopy versus conventional endoscopy for the detection of polyps in the colon and rectum. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD006439. DOI: 10.1002/14651858.CD006439.pub2.
12.	PD Collins, C Mpofu, AJ Watson, et al. Strategies for detecting colon cancer and/or dysplasia in patients with inflammatory bowel disease. Cochrane Database of Systematic Reviews 2006, Issue 2. Art. No.: CD000279. DOI: 10.1002/14651858. CD000279. pub3.
13.	Hughes ESR. Asepsis in large-bowel surgery. Ann Roy Coll Surg, 1972, 51(6): 347-356.
14.	Guenaga K, Atallah AN, Castro AA, et al. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database of Systematic Reviews 2005, Issue 1. Art. No.: CD001544. DOI: 10.1002/14651858.CD001544.pub2.
15.	Salvo GL De, Gava C, Lise M, et al. Curative surgery for obstruction from primary left colorectal carcinoma: Primary or staged resection?. Cochrane Database of Systematic Reviews 2008 Issue 2. Art. No.: CD002101. DOI: 10.1002/14651858.CD002101.pub2.
16.	W Schwenk, O Haase, J Neudecker, et al. Short term benefits for laparoscopic colorectal resection. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD003145. DOI: 10.1002/14651858. CD003145.pub2.
17.	鄭民華. 結直腸癌外科治療的腹腔鏡應用. 消化外科, 2003, 2(6): 385-387.
18.	Schwenk W, Haase O, Neudecker J, et al. Short term benefits for laparoscopic colorectal resection. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD003145. DOI: 10.1002/14651858. CD003145.pub2.
19.	Kuhry E, Schwenk WF, Gaupset R, et al. Long-term results of laparoscopic colorectal cancer resection. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD003432. DOI: 10.1002/14651858.CD003432.pub2.
20.	The Clinical Outcomes of Surgical Therapy Study Group. A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer. N Engl J Med, 2004, 350(20): 2050-2059.
21.	Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short term outcomes of a randomised trial. Lancet Oncol, 2005, 6(7): 477-484.
22.	Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet, 2005, 365(9472): 1718-1726.
23.	Kitano1 S, Inomata1 M, Sato A, et al. Randomized Controlled Trial to Evaluate Laparoscop ic Surgery for Colorectal Cancer: Japan Clinical Oncology Group Study JCOG 0404. Jpn J Clin Oncol, 2005, 35(8): 475-477.
24.	張忠濤. 腹腔鏡結直腸癌手術循證醫學評價. 中國實用外科雜志, 2008, 28(1): 53-55.
25.	Heald RJ, Husband EM, Ryall RDH. The mesorectum in rectal cancer surgery: the clue to pelvic recurrence? Br J Surg, 1982, 69(10): 613-616.
26.	Breukink S, Pierie J, Wiggers T. Laparoscopic versus open total mesorectal excision for rectal cancer. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD005200. DOI: 10.1002/14651858.CD005200.pub2.
27.	Jesus EC, Karliczek A, Matos D, et al. Prophylactic anastomotic drainage for colorectal surgery. Cochrane Database of Systematic Reviews 2004, Issue 2. Art. No.: CD002100. DOI: 10.1002/14651858. CD002100.pub2.
28.	Gu?enaga KF, Lustosa SAS, Saad SS, et al. Ileostomy or colostomy for temporary decompression of colorectal anastomosis. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD004647. DOI: 10.1002/14651858.CD004647.pub2.
29.	Lustosa SAS, Matos D, Atallah AN, et al. Stapled versus handsewn methods for colorectal anastomosis surgery. Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD004320. DOI: 10.1002/14651858.CD004320.pub2.
30.	Gantt CL. Red cells for cancer patients. Lancet, 1981, 2(8242): 363.
31.	Burrows L, Tartter P. Effect of blood transfusions on colonic malignancy recurrent rate. Lancet, 1982, 2(8299): 662.
32.	Amato A, Pescatori M. Perioperative blood transfusions for the recurrence of colorectal cancer. Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD005033. DOI: 10.1002/14651858. CD005033.pub2.
33.	Al-asfoor A, Fedorowicz Z, Lodge M. Resection versus no intervention or other surgical interventions for colorectal cancer liver metastases. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD006039. DOI: 10.1002/14651858.CD006039.pub4.
34.	朱江帆. 腹腔鏡手術與靜脈血栓性并發癥. 中華普通外科雜志, 1998, 13(5): 303-305.
35.	Wille-J?rgensen P, Rasmussen MS, Andersen BR, et al. Heparins and mechanical methods for thromboprophylaxis in colorectal surgery. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD001217. DOI: 10.1002/14651858.CD001217.
36.	Moore F, Feliciano DV, Andrassy RJ, et al. Early Enteral Feeding. Compared wi th Parenteral Reduces Pos toperat ive Sept i c Complications. Ann Surg, 1992, 216(2): 172-183.
37.	Schroeder D, Gillanders L, Mahr K, et al. Effects of immediate postoperative enteral nutrition on body composition, muscle function, and wound healing. J Parenter Enteral Nutr, 1991, 15(4): 376-383.
38.	Andersen HK, Lewis SJ, Thomas S. Early enteral nutrition within 24h of colorectal surgery versus later commencement of feeding for postoperative complications. Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD004080. DOI: 10.1002/14651858. CD004080.pub2.
39.	Wong RKS, Tandan V, Silva S De, et al. Pre-operative radiotherapy and curative surgery for the management of localized rectal carcinoma. Cochrane Database of Systematic Reviews 2007, Issue 2. Art. No.: CD002102. DOI: 10.1002/14651858.CD002102.pub2.
40.	Best L, Simmonds P, Baughan C, et al. Colorectal Meta-analysis Collaboration. Palliative chemotherapy for advanced or metastatic colorectal cancer. Cochrane Database of Systematic Reviews 2000, Issue 1. Art. No.: CD001545. DOI: 10.1002/14651858.CD001545.
41.	Nelson R, Freels S. Hepatic artery adjuvant chemotherapy for patients having resection or ablation of colorectal cancer metastatic to the liver. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD003770. DOI: 10.1002/14651858.CD003770.pub3.
42.	Taixiang W, Munro AJ, Guanjian L. Chinese medical herbs for chemotherapy side effects in colorectal cancer patients. Cochrane Database of Systematic Reviews 2005. Art. No.: CD004540. DOI: 10.1002/14651858.CD004540.pub2.
43.	蔡三軍. 主編. 結直腸肛管癌. 第1版. 北京: 北京大學醫學出版社, 2006, 393.
44.	Pachler J, Wille-J?rgensen P. Quality of life after rectal resection for cancer, with or without permanent colostomy. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD004323. DOI: 10.1002/14651858.CD004323.pub3.
45.	Brown CJ, Fenech DS, McLeod RS. Reconstructive Techniques After Rectal Resection for Rectal Cancer. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD006040. DOI: 10.1002/14651858. CD006040.pub2.
46.	Jeffery M, Hickey BE, Hider PN. Follow-up strategies for patients treated for non-metastatic colorectal cancer. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD002200. DOI: 10.1002/14651858.CD002200.pub2.
47.	SUNY Downstate Medical Center. Guide to Research Methods: The Evidence Pyramid. Available From: URL: http://servers.medlib. hscbklyn.edu/ebm/2100.htm.

1. Benson AB 3rd. Epidemiology, disease progression, and economic burden of colorectal cancer. Journal of Managed Care Pharmacy, 2007, 13(6 Suppl C): S5-18.
2. 蔡三軍. 主編. 結直腸肛管癌. 第1版. 北京: 北京大學醫學出版社, 2006, 21.
3. SUNY Downstate Medical Center. Guide to Research Methods: The Evidence Pyramid. Available From: URL: http://servers.medlib. hscbklyn.edu/ebm/2100.htm.
4. Weingarten MA, Zalmanovici A, Yaphe J. Dietary calcium supplementation for preventing colorectal cancer and adenomatous polyps. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD003548. DOI: 10.1002/14651858.CD003548.pub4.
5. Asano TK, McLeod RS. Dietary fibre for the prevention of colorectal adenomas and carcinomas. Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No.: CD003430. DOI: 10.1002/14651858. CD003430.
6. Sturmer T, Glynn RJ, Lee IM, et al. Aspirin use and colorectal cancer: Post-trial follow-up datafrom the Physicians’ Health Study. Ann Intern Med, 1998, 128(9): 713-720.
7. Asano TK, McLeod RS. Non steroidal anti-inflammatory drugs (NSAID) and aspirin for preventing colorectal adenomas and carcinomas. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD004079. DOI: 10.1002/14651858.CD004079.pub2.
8. 蔡三軍. 主編. 結直腸肛管癌. 第1版. 北京: 北京大學醫學出版社, 2006, 194.
9. Hewitson P, Glasziou P, Irwig L, et al. Screening for colorectal cancer using the faecal occult blood test, Hemoccult. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD001216. DOI: 10.1002/14651858.CD001216.pub2.
10. 蔡三軍. 主編. 結直腸肛管癌. 第1版. 北京: 北京大學醫學出版社, 2006, 194.
11. Brown SR, Baraza W, Hurlstone P. Chromoscopy versus conventional endoscopy for the detection of polyps in the colon and rectum. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD006439. DOI: 10.1002/14651858.CD006439.pub2.
12. PD Collins, C Mpofu, AJ Watson, et al. Strategies for detecting colon cancer and/or dysplasia in patients with inflammatory bowel disease. Cochrane Database of Systematic Reviews 2006, Issue 2. Art. No.: CD000279. DOI: 10.1002/14651858. CD000279. pub3.
13. Hughes ESR. Asepsis in large-bowel surgery. Ann Roy Coll Surg, 1972, 51(6): 347-356.
14. Guenaga K, Atallah AN, Castro AA, et al. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database of Systematic Reviews 2005, Issue 1. Art. No.: CD001544. DOI: 10.1002/14651858.CD001544.pub2.
15. Salvo GL De, Gava C, Lise M, et al. Curative surgery for obstruction from primary left colorectal carcinoma: Primary or staged resection?. Cochrane Database of Systematic Reviews 2008 Issue 2. Art. No.: CD002101. DOI: 10.1002/14651858.CD002101.pub2.
16. W Schwenk, O Haase, J Neudecker, et al. Short term benefits for laparoscopic colorectal resection. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD003145. DOI: 10.1002/14651858. CD003145.pub2.
17. 鄭民華. 結直腸癌外科治療的腹腔鏡應用. 消化外科, 2003, 2(6): 385-387.
18. Schwenk W, Haase O, Neudecker J, et al. Short term benefits for laparoscopic colorectal resection. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD003145. DOI: 10.1002/14651858. CD003145.pub2.
19. Kuhry E, Schwenk WF, Gaupset R, et al. Long-term results of laparoscopic colorectal cancer resection. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD003432. DOI: 10.1002/14651858.CD003432.pub2.
20. The Clinical Outcomes of Surgical Therapy Study Group. A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer. N Engl J Med, 2004, 350(20): 2050-2059.
21. Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short term outcomes of a randomised trial. Lancet Oncol, 2005, 6(7): 477-484.
22. Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet, 2005, 365(9472): 1718-1726.
23. Kitano1 S, Inomata1 M, Sato A, et al. Randomized Controlled Trial to Evaluate Laparoscop ic Surgery for Colorectal Cancer: Japan Clinical Oncology Group Study JCOG 0404. Jpn J Clin Oncol, 2005, 35(8): 475-477.
24. 張忠濤. 腹腔鏡結直腸癌手術循證醫學評價. 中國實用外科雜志, 2008, 28(1): 53-55.
25. Heald RJ, Husband EM, Ryall RDH. The mesorectum in rectal cancer surgery: the clue to pelvic recurrence? Br J Surg, 1982, 69(10): 613-616.
26. Breukink S, Pierie J, Wiggers T. Laparoscopic versus open total mesorectal excision for rectal cancer. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD005200. DOI: 10.1002/14651858.CD005200.pub2.
27. Jesus EC, Karliczek A, Matos D, et al. Prophylactic anastomotic drainage for colorectal surgery. Cochrane Database of Systematic Reviews 2004, Issue 2. Art. No.: CD002100. DOI: 10.1002/14651858. CD002100.pub2.
28. Gu?enaga KF, Lustosa SAS, Saad SS, et al. Ileostomy or colostomy for temporary decompression of colorectal anastomosis. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD004647. DOI: 10.1002/14651858.CD004647.pub2.
29. Lustosa SAS, Matos D, Atallah AN, et al. Stapled versus handsewn methods for colorectal anastomosis surgery. Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD004320. DOI: 10.1002/14651858.CD004320.pub2.
30. Gantt CL. Red cells for cancer patients. Lancet, 1981, 2(8242): 363.
31. Burrows L, Tartter P. Effect of blood transfusions on colonic malignancy recurrent rate. Lancet, 1982, 2(8299): 662.
32. Amato A, Pescatori M. Perioperative blood transfusions for the recurrence of colorectal cancer. Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD005033. DOI: 10.1002/14651858. CD005033.pub2.
33. Al-asfoor A, Fedorowicz Z, Lodge M. Resection versus no intervention or other surgical interventions for colorectal cancer liver metastases. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD006039. DOI: 10.1002/14651858.CD006039.pub4.
34. 朱江帆. 腹腔鏡手術與靜脈血栓性并發癥. 中華普通外科雜志, 1998, 13(5): 303-305.
35. Wille-J?rgensen P, Rasmussen MS, Andersen BR, et al. Heparins and mechanical methods for thromboprophylaxis in colorectal surgery. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD001217. DOI: 10.1002/14651858.CD001217.
36. Moore F, Feliciano DV, Andrassy RJ, et al. Early Enteral Feeding. Compared wi th Parenteral Reduces Pos toperat ive Sept i c Complications. Ann Surg, 1992, 216(2): 172-183.
37. Schroeder D, Gillanders L, Mahr K, et al. Effects of immediate postoperative enteral nutrition on body composition, muscle function, and wound healing. J Parenter Enteral Nutr, 1991, 15(4): 376-383.
38. Andersen HK, Lewis SJ, Thomas S. Early enteral nutrition within 24h of colorectal surgery versus later commencement of feeding for postoperative complications. Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD004080. DOI: 10.1002/14651858. CD004080.pub2.
39. Wong RKS, Tandan V, Silva S De, et al. Pre-operative radiotherapy and curative surgery for the management of localized rectal carcinoma. Cochrane Database of Systematic Reviews 2007, Issue 2. Art. No.: CD002102. DOI: 10.1002/14651858.CD002102.pub2.
40. Best L, Simmonds P, Baughan C, et al. Colorectal Meta-analysis Collaboration. Palliative chemotherapy for advanced or metastatic colorectal cancer. Cochrane Database of Systematic Reviews 2000, Issue 1. Art. No.: CD001545. DOI: 10.1002/14651858.CD001545.
41. Nelson R, Freels S. Hepatic artery adjuvant chemotherapy for patients having resection or ablation of colorectal cancer metastatic to the liver. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD003770. DOI: 10.1002/14651858.CD003770.pub3.
42. Taixiang W, Munro AJ, Guanjian L. Chinese medical herbs for chemotherapy side effects in colorectal cancer patients. Cochrane Database of Systematic Reviews 2005. Art. No.: CD004540. DOI: 10.1002/14651858.CD004540.pub2.
43. 蔡三軍. 主編. 結直腸肛管癌. 第1版. 北京: 北京大學醫學出版社, 2006, 393.
44. Pachler J, Wille-J?rgensen P. Quality of life after rectal resection for cancer, with or without permanent colostomy. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD004323. DOI: 10.1002/14651858.CD004323.pub3.
45. Brown CJ, Fenech DS, McLeod RS. Reconstructive Techniques After Rectal Resection for Rectal Cancer. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD006040. DOI: 10.1002/14651858. CD006040.pub2.
46. Jeffery M, Hickey BE, Hider PN. Follow-up strategies for patients treated for non-metastatic colorectal cancer. Cochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD002200. DOI: 10.1002/14651858.CD002200.pub2.
47. SUNY Downstate Medical Center. Guide to Research Methods: The Evidence Pyramid. Available From: URL: http://servers.medlib. hscbklyn.edu/ebm/2100.htm.

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Cochrane協作網結直腸癌組的結直腸腫瘤證據

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《中國循證醫學雜志》

Cochrane協作網結直腸癌組的結直腸腫瘤證據

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