基于证据的策略，以改进大肠癌癌症手术中肿瘤分离技术的实施
Evidence-based strategies to improve implementation of tumor isolation techniques in colorectal cancer surgery.
摘要(中文译文)
本研究旨在制定结直肠癌（CRC）手术隔离技术的循证实施策略，并通过基线临床审查评估当前依从性，作为JBI证据转化项目的一部分。遵循PRISMA和PIPOST模型，共纳入8项研究并提取10条最佳证据条目。对上海某三级甲等医院的基线审查（n=242例患者、28名护士、13名外科医生）显示，10项审查指标中有7项依从性低于60%（如腹腔冲洗：45.45%；术中更换手套：45.87%），而两项高级别证据指标依从性达100%。主要障碍包括培训不足（依从性65.70%）和团队沟通不畅。促进因素包括员工培训意愿和充足的设备。本研究提出了针对系统、从业者和患者因素的多层次策略框架，以规范实践并提高肿瘤隔离技术的依从性。这些策略在减少医源性转移方面的有效性有待未来通过干预后再次审查进行评估。
Abstract
This study aimed to develop evidence-based implementation strategies for colorectal cancer (CRC) surgical isolation techniques and evaluate current compliance through a baseline clinical audit, as part of a JBI evidence translation project. Following PRISMA and the PIPOST model, 8 studies were included and 10 best evidence items were extracted. A baseline audit at a Shanghai Grade 3A hospital (n = 242 patients, 28 nurses, 13 surgeons) revealed compliance below 60% for 7 of 10 audit indicators (e.g., abdominal cavity flushing: 45.45%; intraoperative glove replacement: 45.87%), while two high-level evidence indicators achieved 100% compliance. Key barriers included insufficient training (65.70% compliance) and poor team communication. Facilitators included staff training willingness and adequate equipment. The study presents a multi-level strategy framework targeting system, practitioner, and patient factors to standardize practice and improve compliance with tumor isolation techniques. The effectiveness of these strategies in reducing iatrogenic metastasis requires future evaluation through post-intervention re-audit.
如何引用
AMA
Hailei Bian, Qingqing Du, Saishan Zhu, Mingsi Fan, Wenwen Tong, Li Ni. Evidence-based strategies to improve implementation of tumor isolation techniques in colorectal cancer surgery.. Frontiers in medicine. 2026; doi:10.3389/fmed.2026.1832674.
APA
Hailei Bian, Qingqing Du, Saishan Zhu, Mingsi Fan, Wenwen Tong, Li Ni (2026). Evidence-based strategies to improve implementation of tumor isolation techniques in colorectal cancer surgery.. Frontiers in medicine. https://doi.org/10.3389/fmed.2026.1832674
GB/T 7714
Hailei Bian, Qingqing Du, Saishan Zhu, Mingsi Fan, Wenwen Tong, Li Ni. Evidence-based strategies to improve implementation of tumor isolation techniques in colorectal cancer surgery.[J]. Frontiers in medicine, 2026 doi:10.3389/fmed.2026.1832674.
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