Wang Jian-ping
Zhonghua Wei Chang Wai Ke Za Zhi. 2012 Oct;15(10):989-92.
There is a significant gap between China and the optimal international level in terms of the treatment outcomes of colorectal cancer. In recent years, progresses have been made while limitations still exist in the management of colorectal cancer. Advances are seen including use of multi-disciplinary therapy, neoadjuvant chemoradiation, laparoscopic surgery and management of liver metastasis. Individualized therapy is also applied in colorectal cancer. However, randomized controlled trials based on Chinese population are still lacking. Radiation therapy is inadequate and standardization of surgical technique is to be improved. Although standardization of management of colorectal cancer has gained attention from the government, there is a long way to go. The establishment of subspecialty training and practice has not been satisfactory. National efforts are needed to improve the treatment outcomes of colorectal cancer in China.
在结直肠癌的治疗效果方面，中国与国际最优水平之间存在显著差距。近年来，结直肠癌的管理虽取得了进展，但仍存在局限性。进展包括多学科治疗、新辅助放化疗、腹腔镜手术以及肝转移的管理等方面。结直肠癌也采用了个体化治疗。然而，基于中国人群的随机对照试验仍然缺乏。放射治疗不足，手术技术的标准化有待提高。尽管结直肠癌管理的标准化已受到政府关注，但仍有很长的路要走。亚专业培训和实践的建立并不令人满意。需要全国共同努力来提高中国结直肠癌的治疗效果。
