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

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.

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

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

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

Combined Modality Therapy ; Humans ; Rectal Neoplasms ; therapy

Gastrointestinal stromal tumor (GIST) is a group of tumors which is independently derived from the mesenchymal stem cells of the digestive tract,and consists of undifferentiated or multi-functional spindle or epithelioid cells.Most of the rectal stromal tumor located at the middle or lower part of the rectum,and presented with exogenous growth outside of the rectum cavity.Rectal stromal tumor accounted for 5％ of GIST.Rectal stromal tumor is easily missed or misdiagnosed because of insidious onset and non-typical clinical manifestations.The diagnosis of rectal stromal tumor relies on immunohistochemical staining (CD117 and CD34) and pathological examination.Surgical resection is the first choice for the treatment of local primary rectal stromal tumor.Protection of the integrity of the tumor is important during operation,and routine lymph node dissection is not recommended.Molecular targeted drug mesylate imatinib is adopted in the pre-and postoperative adjuvant therapy.However,due to the rarity of rectal stromal tumor,the treatment strategies need further investigation.