Lohsiriwat Varut, Chaisomboon Nopdanai, Pattana-Arun Jirawat
Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Department of Surgery, Bhumibol Adulyadej Hospital, Bangkok, Thailand.
Ann Coloproctol. 2020 Apr;36(2):78-82. doi: 10.3393/ac.2020.01.07. Epub 2020 Jan 31.
This article aimed to summarize the current status of colorectal cancer (CRC) in Thailand. In brief, CRC is the third most common cancer and accounts for 11% of the cancer burden in Thailand. It is the only malignancy with an increased incidence in both sexes in Thailand. Over 10,000 new CRC cases occur annually, and about 40% are rectal cancer. Due to the lack of CRC screening and public awareness, nonmetastatic cancer accounts only for 60%-70% of overall cases. The demand for general or colorectal surgeons outmatches the supply at a ratio of 1 general surgeon to 35,000 individuals. There are about 70 board-certified colorectal surgeons serving Thailand's population of nearly 70 million. As a result, >25% of cancer patients wait more than 1 month before surgery. Regarding training for colorectal surgery, there are 3 major institutes in Bangkok providing a 2-year fellowship program. Cadaveric workshops are an important part of training - especially in laparoscopy for CRC. Recently, a population-based CRC screening program was launched using a fecal immunochemical test. The Ministry of Public Health of Thailand has established additional platforms for laparoscopy to support the potential detection of early CRC following implementation of this nationwide screening program.
本文旨在总结泰国结直肠癌（CRC）的现状。简而言之，结直肠癌是泰国第三大常见癌症，占泰国癌症负担的11%。它是泰国唯一一种在男女两性中发病率均上升的恶性肿瘤。每年有超过10000例新发结直肠癌病例，其中约40%为直肠癌。由于缺乏结直肠癌筛查和公众意识，非转移性癌症仅占所有病例的60%-70%。普通外科医生或结直肠外科医生的需求超过供给，比例为1名普通外科医生对应35000人。泰国约有70名获得委员会认证的结直肠外科医生，为近7000万人口服务。因此，超过25%的癌症患者在手术前等待超过1个月。关于结直肠手术培训，曼谷有3个主要机构提供为期2年的专科培训项目。尸体解剖研讨会是培训的重要组成部分——尤其是在结直肠癌腹腔镜手术方面。最近，泰国启动了一项基于人群的结直肠癌筛查项目，采用粪便免疫化学检测。泰国公共卫生部建立了更多腹腔镜手术平台，以支持在全国范围内实施这一筛查项目后对早期结直肠癌的潜在检测。
