作者：袁玉杰1，杨东杰1，彭建军1，包勇2，戴伟钢1，侯洵1，陈剑辉1，陈创奇1，蔡世荣1，何裕隆1

单位：1. 中山大学附属第一医院 胃肠外科中心，广东 广州 510080； 2. 中山大学附属第一医院 放疗综合中心，广东 广州 510080

Authors:  YUAN Yujie1, YANG Dongjie1, PENG Jianjun1, BAO Yong2, DAI Weigang1, HOU Xun1, CHEN Jianhui1, CHEN Chuangqi1, CAI Shirong1, HE Yulong1

Unit:  1. Department of gastrointestinal surgery, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong, China;  2. Department of Radiotherapy, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong, China

摘要：

结直肠癌诊治经历了从早期的经验医学到现在的规范化多学科综合诊治过程。国内的结直肠癌诊治受到美国NCCN指南、欧洲ESMO指南以及日本大肠癌诊疗规范的影响。然而,同样作为东亚人群,日本大肠癌诊疗规范对于我国结直肠癌诊治工作则更具参考价值。近年来,随着结直肠癌诊治研究的不断深入,在此形势之下的结直肠癌诊疗规范也应根据相应研究结果做出调整。日本大肠癌研究会在2009年制定第7版规约之后的第7个年头再次进行更新并推出第8版规约。第8版《大肠癌诊疗规范》做出的一系列调整也会为我国的结直肠癌诊治带来新的启发和指导。本文解读新版日本《大肠癌诊疗规范》,试图从理论和技术上进一步认识新形势下结直肠癌外科实践的规范与转变。

关键词： 结直肠癌; 诊断; 治疗; 指南

Abstract：

The transformation of diagnosis and treatment of colorectal cancer from empirical medicine in early period to a standardized and multidisciplinary comprehensive diagnosis and treatment at present. The diagnosis and treatment of colorectal cancer in China was affected by the American NCCN guideline, the European ESMO guideline, and the Japanese guideline. However, as the East Asian population, the standard of diagnosis and treatment of colorectal cancer in Japan was of greater reference value for us. In recent years, with the deepening of the research on the diagnosis and treatment of colorectal cancer, the criteria for the diagnosis and treatment of colorectal cancer should be adjusted according to the results of the corresponding research. Japanese Society for Cancer of the Colon and Rectum has renewed and launched the eighth edition in 2016. The seventh edition was launched in 2009. A series of changes made in the new Japanese guideline will also bring new inspiration and guidance to the diagnosis and treatment of colorectal cancer in China. In this paper, the new Japanese guideline is interpreted in detail. We try to further understand the diagnosis and treatment of colorectal cancer in theory and technology.

Key Words:  Colorectal cancer; Diagnosis; Treatment; Guideline