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我国结直肠癌治疗水平与国际先进水平仍有较大差距.近年来,我国在结直肠癌诊治方面取得了一些进步,但仍存在局限.多学科综合治疗的观念逐渐深入,新辅助放化疗的理念逐步推广,腹腔镜微创手术愈来愈普及,结直肠癌肝转移的治疗策略有新转变,个体化治疗紧跟国际方向.然而,结直肠癌治疗领域仍缺乏基于中国人群的大宗临床研究,直肠癌的放疗和标准的手术方式在中国仍未普及,结直肠癌诊疗的规范化虽得到政府重视,但仍任重而道远,专科化诊治进展缓慢.结直肠癌诊治水平的提高需要我们共同努力.

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 multidisciplinary 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.