Database research part <b>Ⅶ</b>: characteristics of colorectal cancer surgery (<b>Ⅲ</b>)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Xiaodong ¹ , Lü Xinyi ^1,2 , LIU Jianbo ^1,2 ,  LI Li ¹

1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. West China School of Medicine, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

LI Li, Email: drlili116@126.com

Keywords：

colorectal cancer; database; big data; type of operation; medical quality

DOI：

10.7507/1007-9424.202010035

Video：

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Objective To describe the difficulties and quality evaluation of colorectal cancer surgical procedures in the West China Colorectal Cancer Database (DACCA).Method We used the form of text description.Results The related content modules of DACCA operation in West China Hospital, included operator, operative duration, anatomy (anatomical difficulty), pelvis (pelvic stenosis), obesity (abdominal obesity), adhesion (adhesion in surgical area), mesentery (abnormal mesenteric status), hypertrophy (tissue hypertrophy or organ hypertrophy), intestinal quality, death (risk of death), injury (risk of tissue injury), recurrence (tumor recurrence), metastasis (tumor metastasis), anastomotic leakage (risk of anastomotic leakage), difficulty of operation, prognosis, and quality of operation, were elaborated. Then the surgical characteristics were detailed for their definition, label, structure, error correction, and update.Conclusion Through detailed description and specification of surgical difficulties and quality evaluation of colorectal cancer in DACCA in West China Hospital, it can provide a reference for standardized treatment of colorectal cancer and also provide experiences for the peers who wish to build a colorectal cancer database.

Citation： WANG Xiaodong, Lü Xinyi, LIU Jianbo, LI Li. Database research part Ⅶ: characteristics of colorectal cancer surgery (Ⅲ). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(12): 1568-1574. doi: 10.7507/1007-9424.202010035 Copy

1.	汪曉東, 安麗珉, 李立. 數據庫研究第二部分: 結直腸癌的住院流程管理. 中國普外基礎與臨床雜志, 2019, 26(4): 469-475.
2.	汪曉東, 陳夢然, 曾渝, 等. 數據庫研究第五部分: 結直腸癌的腫瘤特征. 中國普外基礎與臨床雜志, 2020, 27(2): 196-208.
3.	汪曉東, 李立. 數據庫建設第一部分: 個人數據的標簽與結構化. 中國普外基礎與臨床雜志, 2019, 26(3): 335-342.
4.	汪曉東, 林容若, 劉健博, 等. 數據庫建設第七部分: 結直腸癌手術特征的標簽與結構化 (二). 中國普外基礎與臨床雜志, 2020, 27(10): 1295-1300.
5.	汪曉東, 劉健博, 安麗珉, 等. 數據庫建設第四部分: 結直腸癌的術前專科檢查與評估的標簽與結構化. 中國普外基礎與臨床雜志, 2019, 26(11): 1337-1341.
6.	汪曉東, 劉健博, 安麗珉, 等. 數據庫研究第四部分: 結直腸癌的術前專科檢查與評估. 中國普外基礎與臨床雜志, 2019, 26(10): 1230-1238.
7.	汪曉東, 劉健博, 何欣林, 等. 數據庫研究第六部分: 結直腸癌的分期策略. 中國普外基礎與臨床雜志, 2020, 27(6): 739-746.
8.	汪曉東, 劉健博, 李立. 數據庫建設第三部分: 結直腸癌內外科合并癥及術前體質狀態的標簽與結構化. 中國普外基礎與臨床雜志, 2019, 26(9): 1110-1115.
9.	汪曉東, 劉健博, 李立. 數據庫建設第六部分: 結直腸癌分期的標簽與結構化. 中國普外基礎與臨床雜志, 2020, 27(7): 873-879.
10.	汪曉東, 劉健博, 李立. 數據庫建設第五部分·結直腸癌的腫瘤特征—模塊的設計 (二). 中國普外基礎與臨床雜志, 2020, 27(4): 483-488.
11.	汪曉東, 劉健博, 李立. 數據庫建設第五部分: 結直腸癌的腫瘤特征—模塊的設計 (一). 中國普外基礎與臨床雜志, 2020, 27(3): 345-349.
12.	汪曉東, 劉健博, 張詩, 等. 數據庫研究第三部分: 結直腸癌的內外科合并癥及術前體質狀態. 中國普外基礎與臨床雜志, 2019, 26(8): 985-991.
13.	汪曉東, 呂炘沂, 黃明君, 等. 數據庫建設第二部分: 結直腸癌住院流程管理的標簽與結構化. 中國普外基礎與臨床雜志, 2019, 26(7): 852-855.
14.	汪曉東, 劉健博, 由屹先, 等. 數據庫研究第七部分: 結直腸癌手術的特征 (一). 中國普外基礎與臨床雜志, 2020, 27(8): 1005-1011.
15.	Yao Q, Han X, Ma XK, et al. Cloud-based hospital information system as a service for grassroots healthcare institutions. J Med Syst, 2014, 38(9): 104.
16.	Anadol AZ, Topgül K. Santulli enterostomy revisited: indications in adults. World J Surg, 2006, 30(10): 1935-1938.
17.	Cheng H, Chen BP, Soleas IM, et al. Prolonged operative duration increases risk of surgical site infections: a systematic review. Surg Infect (Larchmt), 2017, 18(6): 722-735.
18.	Leong G, Wilson J, Charlett A. Duration of operation as a risk factor for surgical site infection: comparison of English and US data. J Hosp Infect, 2006, 63(3): 255-262.
19.	Simpao AF, Rehman MA. Anesthesia information management systems. Anesth Analg, 2018, 127(1): 90-94.
20.	朱曉明, 樓征, 張衛. 極限保肛手術—從解剖基礎到臨床實踐. 中華胃腸外科雜志, 2015, 18(7): 730-732.
21.	Adams SD, Stanton MP. Malrotation and intestinal atresias. Early Hum Dev, 2014, 90(12): 921-925.
22.	Neville JJ, Sharma E, Al-Muzrakchi A, et al. Congenital intestinal malrotation presenting in octogenarians: a report of two cases. Ann R Coll Surg Engl, 2020, 102(1): e12-e14.
23.	Karl AP, Leebmann H, Zorger N. Abdominal cocoon syndrome. Dtsch Arztebl Int, 2019, 116(27-28): 486.
24.	Singh D, Chawla A. The “abdominal cocoon”. Abdom Radiol (NY), 2016, 41(8): 1668-1669.
25.	Kim EH, Larson JA, Andriole GL. Management of benign prostatic hyperplasia. Annu Rev Med, 2016, 67: 137-151.
26.	Curtis AH. Hypertrophy of the uterus. Am J Obstet Gynecol, 1945, 50: 748-752.
27.	Sun WM, Peck RJ, Shorthouse AJ, et al. Haemorrhoids are associated not with hypertrophy of the internal anal sphincter, but with hypertension of the anal cushions. Br J Surg, 1992, 79(6): 592-594.
28.	汪曉東, 李希, 何欣林, 等. 數據庫研究第一部分: 區域性醫療中心的結直腸癌與人群特征. 中國普外基礎與臨床雜志, 2019, 26(2): 212-220.
29.	Aquina CT, Rickles AS, Probst CP, et al. Visceral obesity, not elevated BMI, is strongly associated with incisional hernia after colorectal surgery. Dis Colon Rectum, 2015, 58(2): 220-227.
30.	Cakir H, Heus C, Verduin WM, et al. Visceral obesity, body mass index and risk of complications after colon cancer resection: a retrospective cohort study. Surgery, 2015, 157(5): 909-915.
31.	萬學紅, 盧雪峰. 診斷學. 第 9 版. 北京: 人民衛生出版社, 2018: 169.
32.	步宏, 李一雷. 病理學. 第 9 版. 北京: 人民衛生出版社, 2018: 8.
33.	葉穎江, 申占龍, 王杉. 直腸癌手術質量控制. 中國實用外科雜志, 2016, 36(1): 25-27.
34.	Laugesen MJ. The resource-based relative value scale and physician reimbursement policy. Chest, 2014, 146(5): 1413-1419.
35.	Tekkis PP, Prytherch DR, Kocher HM, et al. Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM). Br J Surg, 2004, 91(9): 1174-1182.
36.	曹霖, 汪曉東, 陳珊珊, 等. ACPGBI 結直腸癌術后風險評估模型臨床應用的初步探索. 中國普外基礎與臨床雜志, 2008, 15(9): 646-651, 655.
37.	汪曉東, 方智, 李姣, 等. POSSUM 評分系統在外科手術中的應用現狀. 重慶醫學, 2008, 37(15): 1747-1749.
38.	Perez RO, S?o Juli?o GP, Vailati BB, et al. Lateral node dissection in rectal cancer in the era of minimally invasive surgery: a step-by-step description for the surgeon unacquainted with this complex procedure with the use of the laparoscopic approach. Dis Colon Rectum, 2018, 61(10): 1237-1240.
39.	Arezzo A, Lo Secco G, Passera R, et al. Individual participant data pooled-analysis of risk factors for recurrence after neoadjuvant radiotherapy and transanal local excision of rectal cancer: the PARTTLE study. Tech Coloproctol, 2019, 23(9): 831-842.
40.	中華人民共和國衛生和計劃生育委員會醫政醫管局, 中華醫學會腫瘤學分會. 中國結直腸癌診療規范 (2015 版). 中華普通外科學文獻 (電子版), 2015, 9(6): 506-523.
41.	Kim SW, Shin HC, Kim IY, et al. CT findings of colonic complications associated with colon cancer. Korean J Radiol, 2010, 11(2): 211-221.
42.	Glynne-Jones R, Wyrwicz L, Tiret E, et al. Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol, 2017, 28(suppl_4): iv22-iv40.

1. 汪曉東, 安麗珉, 李立. 數據庫研究第二部分: 結直腸癌的住院流程管理. 中國普外基礎與臨床雜志, 2019, 26(4): 469-475.
2. 汪曉東, 陳夢然, 曾渝, 等. 數據庫研究第五部分: 結直腸癌的腫瘤特征. 中國普外基礎與臨床雜志, 2020, 27(2): 196-208.
3. 汪曉東, 李立. 數據庫建設第一部分: 個人數據的標簽與結構化. 中國普外基礎與臨床雜志, 2019, 26(3): 335-342.
4. 汪曉東, 林容若, 劉健博, 等. 數據庫建設第七部分: 結直腸癌手術特征的標簽與結構化 (二). 中國普外基礎與臨床雜志, 2020, 27(10): 1295-1300.
5. 汪曉東, 劉健博, 安麗珉, 等. 數據庫建設第四部分: 結直腸癌的術前專科檢查與評估的標簽與結構化. 中國普外基礎與臨床雜志, 2019, 26(11): 1337-1341.
6. 汪曉東, 劉健博, 安麗珉, 等. 數據庫研究第四部分: 結直腸癌的術前專科檢查與評估. 中國普外基礎與臨床雜志, 2019, 26(10): 1230-1238.
7. 汪曉東, 劉健博, 何欣林, 等. 數據庫研究第六部分: 結直腸癌的分期策略. 中國普外基礎與臨床雜志, 2020, 27(6): 739-746.
8. 汪曉東, 劉健博, 李立. 數據庫建設第三部分: 結直腸癌內外科合并癥及術前體質狀態的標簽與結構化. 中國普外基礎與臨床雜志, 2019, 26(9): 1110-1115.
9. 汪曉東, 劉健博, 李立. 數據庫建設第六部分: 結直腸癌分期的標簽與結構化. 中國普外基礎與臨床雜志, 2020, 27(7): 873-879.
10. 汪曉東, 劉健博, 李立. 數據庫建設第五部分·結直腸癌的腫瘤特征—模塊的設計 (二). 中國普外基礎與臨床雜志, 2020, 27(4): 483-488.
11. 汪曉東, 劉健博, 李立. 數據庫建設第五部分: 結直腸癌的腫瘤特征—模塊的設計 (一). 中國普外基礎與臨床雜志, 2020, 27(3): 345-349.
12. 汪曉東, 劉健博, 張詩, 等. 數據庫研究第三部分: 結直腸癌的內外科合并癥及術前體質狀態. 中國普外基礎與臨床雜志, 2019, 26(8): 985-991.
13. 汪曉東, 呂炘沂, 黃明君, 等. 數據庫建設第二部分: 結直腸癌住院流程管理的標簽與結構化. 中國普外基礎與臨床雜志, 2019, 26(7): 852-855.
14. 汪曉東, 劉健博, 由屹先, 等. 數據庫研究第七部分: 結直腸癌手術的特征 (一). 中國普外基礎與臨床雜志, 2020, 27(8): 1005-1011.
15. Yao Q, Han X, Ma XK, et al. Cloud-based hospital information system as a service for grassroots healthcare institutions. J Med Syst, 2014, 38(9): 104.
16. Anadol AZ, Topgül K. Santulli enterostomy revisited: indications in adults. World J Surg, 2006, 30(10): 1935-1938.
17. Cheng H, Chen BP, Soleas IM, et al. Prolonged operative duration increases risk of surgical site infections: a systematic review. Surg Infect (Larchmt), 2017, 18(6): 722-735.
18. Leong G, Wilson J, Charlett A. Duration of operation as a risk factor for surgical site infection: comparison of English and US data. J Hosp Infect, 2006, 63(3): 255-262.
19. Simpao AF, Rehman MA. Anesthesia information management systems. Anesth Analg, 2018, 127(1): 90-94.
20. 朱曉明, 樓征, 張衛. 極限保肛手術—從解剖基礎到臨床實踐. 中華胃腸外科雜志, 2015, 18(7): 730-732.
21. Adams SD, Stanton MP. Malrotation and intestinal atresias. Early Hum Dev, 2014, 90(12): 921-925.
22. Neville JJ, Sharma E, Al-Muzrakchi A, et al. Congenital intestinal malrotation presenting in octogenarians: a report of two cases. Ann R Coll Surg Engl, 2020, 102(1): e12-e14.
23. Karl AP, Leebmann H, Zorger N. Abdominal cocoon syndrome. Dtsch Arztebl Int, 2019, 116(27-28): 486.
24. Singh D, Chawla A. The “abdominal cocoon”. Abdom Radiol (NY), 2016, 41(8): 1668-1669.
25. Kim EH, Larson JA, Andriole GL. Management of benign prostatic hyperplasia. Annu Rev Med, 2016, 67: 137-151.
26. Curtis AH. Hypertrophy of the uterus. Am J Obstet Gynecol, 1945, 50: 748-752.
27. Sun WM, Peck RJ, Shorthouse AJ, et al. Haemorrhoids are associated not with hypertrophy of the internal anal sphincter, but with hypertension of the anal cushions. Br J Surg, 1992, 79(6): 592-594.
28. 汪曉東, 李希, 何欣林, 等. 數據庫研究第一部分: 區域性醫療中心的結直腸癌與人群特征. 中國普外基礎與臨床雜志, 2019, 26(2): 212-220.
29. Aquina CT, Rickles AS, Probst CP, et al. Visceral obesity, not elevated BMI, is strongly associated with incisional hernia after colorectal surgery. Dis Colon Rectum, 2015, 58(2): 220-227.
30. Cakir H, Heus C, Verduin WM, et al. Visceral obesity, body mass index and risk of complications after colon cancer resection: a retrospective cohort study. Surgery, 2015, 157(5): 909-915.
31. 萬學紅, 盧雪峰. 診斷學. 第 9 版. 北京: 人民衛生出版社, 2018: 169.
32. 步宏, 李一雷. 病理學. 第 9 版. 北京: 人民衛生出版社, 2018: 8.
33. 葉穎江, 申占龍, 王杉. 直腸癌手術質量控制. 中國實用外科雜志, 2016, 36(1): 25-27.
34. Laugesen MJ. The resource-based relative value scale and physician reimbursement policy. Chest, 2014, 146(5): 1413-1419.
35. Tekkis PP, Prytherch DR, Kocher HM, et al. Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM). Br J Surg, 2004, 91(9): 1174-1182.
36. 曹霖, 汪曉東, 陳珊珊, 等. ACPGBI 結直腸癌術后風險評估模型臨床應用的初步探索. 中國普外基礎與臨床雜志, 2008, 15(9): 646-651, 655.
37. 汪曉東, 方智, 李姣, 等. POSSUM 評分系統在外科手術中的應用現狀. 重慶醫學, 2008, 37(15): 1747-1749.
38. Perez RO, S?o Juli?o GP, Vailati BB, et al. Lateral node dissection in rectal cancer in the era of minimally invasive surgery: a step-by-step description for the surgeon unacquainted with this complex procedure with the use of the laparoscopic approach. Dis Colon Rectum, 2018, 61(10): 1237-1240.
39. Arezzo A, Lo Secco G, Passera R, et al. Individual participant data pooled-analysis of risk factors for recurrence after neoadjuvant radiotherapy and transanal local excision of rectal cancer: the PARTTLE study. Tech Coloproctol, 2019, 23(9): 831-842.
40. 中華人民共和國衛生和計劃生育委員會醫政醫管局, 中華醫學會腫瘤學分會. 中國結直腸癌診療規范 (2015 版). 中華普通外科學文獻 (電子版), 2015, 9(6): 506-523.
41. Kim SW, Shin HC, Kim IY, et al. CT findings of colonic complications associated with colon cancer. Korean J Radiol, 2010, 11(2): 211-221.
42. Glynne-Jones R, Wyrwicz L, Tiret E, et al. Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol, 2017, 28(suppl_4): iv22-iv40.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Database research part Ⅶ: characteristics of colorectal cancer surgery (Ⅲ)

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