作为日本大肠癌临床治疗规范指南日本大肠癌治疗规约从2005年第一版以来经过了三次修订。这次修订内容的更新主要包括了：(1)EMR治疗的范围更加宽泛。(2)TEM可以应用于无法或不愿接受造口手术的直肠癌术后吻合口复发的治疗。(3)增加了对单孔腹腔镜和机器人手术的推荐。(4)对Ⅳ期大肠癌患者的治疗更加积极。从日本大肠癌规约发布十年的效果来看。这本规约的制定不仅规范了日本大肠癌的治疗。更为改善大肠癌患者生存期和提高生活质量起到了重要的作用。

This is the fourth edition of Japanese society for cancer of the colon and rectum guidelines(JSCCR Guidelines)since 2005, 2009 and 2010.The renewed parts of this 2014 JSCCR Guidelines contain 1.Wider indication of endoscopic submucosal dissection in the treatment of colorectal cancer(CRC); 2.Trans-anal endoscopic microsurgery can be applied to the person who is unable or unwilling to accept the colostomy operation of rectal cancer; 3.Single hole laparoscopic surgery and robotic surgery is commended for treatment of CRC; 4.More aggressive treatment for stageⅣCRC.This guideline has been published for ten years.It not only standardized treatment of colorectal cancer in japan, but also had an important role in improving the survival and quality of life of patients with CRC.