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

摘要：

虽然我国大多数医院均可收治结直肠癌病人，但由于社会经济发展的不平衡，我国结直肠癌诊疗水平参差不齐。2011-10-11，原国家卫生和计划生育委员会发布了我国首个结直肠癌诊疗规范，其对提高我国结直肠癌诊治水平起到了重要的促进作用，尤其是对于基层医院。目前，我国结直肠癌诊治中存在的主要问题是术前未对结直肠癌进行规范的分期。多个国际指南中均明确规定，局部进展期直肠癌应接受新辅助放化疗，而我国只有在一些中心城市的医院才应用这种治疗方法；另一方面，对于Ⅱ期结肠癌，则是具有低危因素的病人接受了过度治疗。本文聚焦《中国结直肠癌诊疗规范(2017年版)》中外科医生应该关注和容易被忽视的要点进行解读，希望为我国结直肠外科医生提供有益的知识和帮助。

关键词: 结直肠癌, 规范, 解读