Cochrane协作网结直肠癌组的结直肠肿瘤证据_《中国循证医学杂志》

作者：

 邓磊 , 汪晓东 , 周圣涛 , 李立

四川大学华西医院肛肠外科（成都 610041）;

关键词：

Cochrane 系统评价结直肠肿瘤临床证据

DOI：

10.7507/1672-2531.20080225

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

截至Cochrane 图书馆2008 年第2 期，Cochrane 协作网结直肠癌组目前已完成的25 篇与结直肠肿瘤相关的系统评价涉及结直肠肿瘤预防、镜检诊断、内外科治疗、预后、随访等方面。Cochrane 系统评价肯定了非甾体抗炎药的预防作用，染色内镜的诊断价值，腹腔镜手术的短期效果，全直肠系膜切除术辅助腹腔镜手术的疗效等；质疑了纤维素在结直肠肿瘤预防、结直肠癌术前机械肠道准备、术后常规引流的意义。某些课题如中药在化疗中的作用，由于所纳入的研究质量不高而未能得出非常可靠的证据。本文试图通过介绍Cochrane 协作网结直肠肿瘤的系统评价成果，向国内同行传递目前结直肠肿瘤的高级别临床证据，并提示结直肠肿瘤领域的研究方向。

引用本文： 邓磊,汪晓东,周圣涛,李立. Cochrane协作网结直肠癌组的结直肠肿瘤证据. 中国循证医学杂志, 2008, 08(11): 1024-1028. doi: 10.7507/1672-2531.20080225 复制

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.	蔡三军. 主编. 结直肠肛管癌. 第1版. 北京: 北京大学医学出版社, 2006, 21.
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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.	蔡三军. 主编. 结直肠肛管癌. 第1版. 北京: 北京大学医学出版社, 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.	蔡三军. 主编. 结直肠肛管癌. 第1版. 北京: 北京大学医学出版社, 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.	郑民华. 结直肠癌外科治疗的腹腔镜应用. 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.	张忠涛. 腹腔镜结直肠癌手术循证医学评价. 中国实用外科杂志, 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.	Güenaga 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. 腹腔镜手术与静脉血栓性并发症. 中华普通外科杂志, 1998, 13(5): 303-305.
35.	Wille-Jørgensen 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.	蔡三军. 主编. 结直肠肛管癌. 第1版. 北京: 北京大学医学出版社, 2006, 393.
44.	Pachler J, Wille-Jørgensen 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. 蔡三军. 主编. 结直肠肛管癌. 第1版. 北京: 北京大学医学出版社, 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. 蔡三军. 主编. 结直肠肛管癌. 第1版. 北京: 北京大学医学出版社, 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. 蔡三军. 主编. 结直肠肛管癌. 第1版. 北京: 北京大学医学出版社, 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. 郑民华. 结直肠癌外科治疗的腹腔镜应用. 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. 张忠涛. 腹腔镜结直肠癌手术循证医学评价. 中国实用外科杂志, 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. Güenaga 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. 腹腔镜手术与静脉血栓性并发症. 中华普通外科杂志, 1998, 13(5): 303-305.
35. Wille-Jørgensen 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. 蔡三军. 主编. 结直肠肛管癌. 第1版. 北京: 北京大学医学出版社, 2006, 393.
44. Pachler J, Wille-Jørgensen 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.

《中国循证医学杂志》

Cochrane协作网结直肠癌组的结直肠肿瘤证据

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《中国循证医学杂志》

Cochrane协作网结直肠癌组的结直肠肿瘤证据

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