Humans ; Lymph Node Excision ; Neoplasm Staging ; Rectal Neoplasms ; pathology ; surgery

Insufficient treatment and overtreatment in the management of colorectal cancer greatly influence patients' outcome. The clinicopathological stage of carcinoma located in colon and rectum is different for anatomical differences. The indication of adjuvant chemotherapy varies in colon or rectal cancer. Locally advanced rectal cancer should receive neoadjuvant treatment, however, the optimal regimen is still controversial.
Colorectal Neoplasms ; therapy ; Humans ; Neoadjuvant Therapy

Currently,specialized treatment for diseases is increasingly becoming the mainstream in clinical practice.Gastrointestinal surgery,as an important branch of general surgery,has increasingly developed specialized; however,our present gastrointestinal surgeon training system is not yet perfect.The article summarized the problems and challenges in gastrointestinal surgeon training in China based on the situations at home and abroad,and addressed some available gastrointestinal surgeon training protocols in future.We hope this article can be helpful on our country's gastrointestinal surgeon professional training.

With the development of national economics,colorectal cancer is a life-threatening malignancy and its incidence is increasing.In recent years,based on improvements of treatment concepts,medicine and surgical techniques,the treatment mode of colorectal cancer has turned from simple surgical resection to muhidisciplinary comprehensive treatment focused on surgery and combined chemoradiotherapy with targeted medicine.At present,there is a big gap in treatment of colorectal cancer between China and advanced world levels,and the differences of medical level exist in different domestic areas.Promotion of diagnosis and treatment of colorectal cancer and improvement of efficacy on colorectal cancer are imperative.

Humans ; Rectal Neoplasms ; therapy

Gastrointestinal cancers include gastric cancer, small intestinal cancer and colorectal cancer. In China, the majority of hospitals at central cities even at county hospitals are providing surgical intervention for patients with gastrointestinal cancer. However, the complications after gastrointestinal cancer surgery pose significant burden to the patients and their relatives because of increased hospital cost and law suit. Acute bleeding, obstruction, anastomotic leakage are major complications after gastrointestinal surgery. Therefore it is important to deal with complications after gastrointestinal surgery.
Digestive System Surgical Procedures ; adverse effects ; Gastrointestinal Neoplasms ; surgery ; Humans ; Postoperative Complications ; prevention & control ; therapy

Surgeon is sacred career. To cure patients by surgery is the surgeon's work, while the social responsibility is the surgeon's soul. To strengthen and promote the social responsibility is a demand of our age; thus, every surgeon should adhere to the supremacy of the patients' interests in clinical practice.
General Surgery ; Humans ; Physicians ; Social Responsibility

Colorectal Neoplasms ; diagnosis ; surgery ; Humans ; Neoplasm Staging ; Preoperative Care

Combined Modality Therapy ; Humans ; Neoplasms ; surgery ; therapy

Objective To study the surgical treatment strategy for elderly(aged at 80 years or over)colorectal cancer patients.Methods There were 65 cases of colorectal cancer undergoing Surgical treatment in Beijing Cancer Hospital from 1999 to 2006,and results were analyzed retrospectively.Results In this group of patients.the postoperative morbidity was 53.8%,but anastomotic leakage rate was only 3.9%,operative mortality was 1.5%.Postoperative 1-,3-and 5-year survival rate was 78.92%,27.79%,and 16.32%respectively.Kaplan-meier analysis and Cox regression analysis showed that:the TNM stage of the tumor and preoperative hemoglobin and WBC level were independent prognostic factors,but patients' age,gender,preoperative serum level of CEA and albumin,tumor differentiation,tumor size were not independent prognosis factors.Conclusion Elderly CRC patients have a higher risk of surgical treatment.But with the improvement of perioperative management,the anastomotic fistula and mortality rate were not increased significantly and the result is satisfactory.