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

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

Humans ; Rectal Neoplasms ; therapy

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

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.

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.

Objective To assess the efficacy of surgical treatment and the prognostic factors predicting survival for patients with local recurrence of rectal cancer. Methods The clinical data of 43 rectal cancer patients who received reoperation at Beijing Cancer Hospital from November 1998 to April 2005 were retrospectively analyzed. The postoperative 5-year survival, incidence of complications, perioperative mortality were calculated. Postoperative survival was analyzed by Kaplan-Meier method and prognostic factors by univariate analysis and Cox proportional hazard regression model. Results Of all patients, 35 underwent radical resection, 8 underwent palliative resection or colostomy. The incidence of complications, perioperative mortality and postoperative 5-year survival were 26% (11/43), 2% (1/43) and 9% (4/43), respectively. Patients who received radical resec-tion, with primary tumor of TNM Ⅱ stage, with normal level of carcinoembryonic antigen, and with the time of recurrence within postoperative 24 months had better prognosis (χ~2 = 21.30, 14.17, 5.93, 5.53, P < 0.05). Modality of reoperation and TNM staging of primary tumor were the independent factors influcing the prognosis (χ~2 = 8.89, 6.96, P < 0.05). Conclusion Radical resection for patients with postoperative local recurrence of rectal cancer results in a favorable prognosis.

Communication ; Humans ; Physicians