数智融合赋能研究型胃肠肿瘤中心建设

Digital‑intelligent integration empowers development of research-oriented gastrointestinal oncology center

  • 摘要: 胃肠道恶性肿瘤患者人群基数大、治疗链条长、复发风险高,且常伴营养不良、肌少症、躯体功能下降和生命质量受损等问题,传统以手术为中心、重院内轻院外的诊疗模式已难以满足患者长期获益需求。笔者中心基于数智融合理念,探索胃肠肿瘤中心建设路径,围绕精准外科、全病程营养康复、分层多学科诊疗与临床科研转化四大核心,构建了覆盖术前、术中、术后及院外随访的全程管理体系:以国产机器人和微创保功能手术为特色推动精准外科发展;以“筛‑评‑诊‑治‑随”为主线构建营养康复管理路径;通过分层多学科诊疗提升复杂病例综合决策和区域同质化诊疗能力;依托专病数据库和临床研究平台,推动诊疗数据向研究证据和转化工具转化,旨在为数智融合背景下研究型胃肠肿瘤中心建设提供参考。

     

    Abstract: Patients with gastrointestinal malignancies represent a large population and often experience a long treatment trajectory, a high risk of recurrence, and multiple challenges such as malnutrition, sarcopenia, physical function decline, and impaired quality of life. The traditional surgery-centered model, which places greater emphasis on in‑hospital treatment than on post-disch-arge management, is no longer sufficient to meet the need for long‑term patient benefit. Guided by the concept of digital‑intelligent integration, the Gastrointestinal Tumor Center of The First Affiliated Hospital of Wenzhou Medical University has explored a development pathway for a gastrointestinal oncology center. Focusing on four core areas‒precision surgery, whole‑course nutritional rehabilita⁃tion, stratified multidisciplinary treatment (MDT), and clinical research translation-the center has established a comprehensive management system covering the preoperative, intraoperative, postopera⁃tive, and out‑of‑hospital follow‑up stages. In precision surgery, the center has promoted the develop⁃ment of precise surgery through the application of domestic robotic systems and minimally invasive function‑preserving surgery. In nutritional rehabilitation, a structured management pathway has been developed around the process of "screening, assessment, diagnosis, treatment, and follow‑up".Stratified MDT has improved comprehensive decision‑making for complex cases and strengthened the capacity for regionally standardized diagnosis and treatment. Supported by disease‑specific databases and clinical research platforms, the center has further promoted the transformation of clinical data into research evidence and translational tools. It with the aims to provide a reference for the development of research‑oriented gastrointestinal oncology center in the context of digital-inte-lligent integration.

     

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