关键词: 结直肠癌, 规范, 解读

Abstract:

Interpretation of main points for surgeons on Chinese Standard for Treatment of Colorectal Cancer (2017 edition)        GU Jin. Peking University Shougang Hospital，Beijing 100144，China
Abstract    In China，the majority of hospitals have possessed qualifications of providing medical care for the （Colorectal Cancer）CRC patients. Due to socioeconomic disparities，medical conditions and skill levels，there is a big difference in the treatment of colorectal cancer. In October 11，2011，Ministry of Health of the People’s Republic of China released the National Guideline for treatment of colorectal cancer. It had fully strengthen national standardization in colorectal cancer treatment and ensure that higher quality care is available for the rectal patients especially in rural areas. The most serious problem is that surgical resection for colorectal cancer has been carried out without standard preoperative clinical evaluation. In accordance with Chinese and international guidelines，systemic treatment of advanced rectal cancer should include neoadjuvant chemoradiotherapy. At present the concept of preoperative chemotherapy has been accepted among Chinese doctors，but standard preoperative treatment could only be implemented in some teaching hospitals and cancer hospitals in big cities. At the same time，another problem indicated over treatment for stage Ⅱ patients with low risk factors. In this paper，we focused on some misunderstandings in the field of colorectal cancer treatment in order to provide key points to surgeons based on our updated guideline.

Key words: colorectal cancer, standard, interpretation