结直肠肿瘤-浙江大学.pptVIP

2008年中国登记地区恶性肿瘤发病率 2010年，中国1.58亿人群分析 Colorectal cancer statistics, 2014CA: A Cancer Journal for CliniciansVolume 64, Issue 2, pages 104–117, March/April 2014 Conclusions While there has been dramatic progress in reducing colorectal cancer incidence and mortality rates over the past decade, striking racial and socioeconomic disparities remain. Vogelaar et al estimated that increasing the uptake of screening and other known interventions to reduce risk, in combination with expanding the use of chemotherapy to all appropriate patients, has the potential to reduce colorectal cancer mortality rates in the U.S. by 50% by 2020. The state of Delaware demonstrated that racial inequality in colorectal cancer mortality can be eliminated in less than a decade with universal access to screening and treatment. The CDCs Colorectal Cancer Control Program is attempting to increase screening rates through screening promotion and provision targeted at uninsured and underinsured populations; however, in 2013, only 25 states received funding for this program. Further reductions in the burden of colorectal cancer will require comprehensive implementation of known cancer control interventions across the nation and to all segments of the population, with a particular emphasis on those individuals who are economically disenfranchised. 谢 谢 手术治疗— 新进展 腹腔镜手术 全直肠系膜切除术（TME）已成为标准推广 全结肠系膜切除术(CME)新概念 低位保肛技术的发展 腹腔镜与开腹手术的比较 Lacy AM, Delgado S, Castells A, et al. Ann Surg 2008; 248:1. Clinical Outcomes of Surgical Therapy Study Group. N Engl J Med 2004; 350:2050. Fleshman J, Sargent DJ, Green E, et al. Ann Surg 2007; 246:655. Colon Cancer Laparoscopic or Open Resection Study Group, Buunen M, Veldkamp R, et al. Lancet Oncol 2009; 10:44. Liang JT, Huang KC, Lai HS, et al. Ann Surg Oncol 2007; 14:109. Leung KL, Kwok SP, Lam SC, et al. Lancet 2004; 363:1187. Jayne DG, Thorpe HC, Copeland J, et al. Br J Surg 2010; 97:1638. Bonjer HJ, Hop WC, Nelson H, et al. Arch Surg 2007; 142:298. Jackson TD