Further improve the result of treatment for colorectal cancer / 中国普通外科杂志

ABSTRACT

Objective To pay attention to further improving the result of treatment for colorectal cancer (CRC). Methods On the basis of reviewing the current literature, in view of the present situation of the surgical care for CRC patients the issues of improving the treatment of CRC were appraised. Results There is a great discrepancy in the results of surgical treatment for CRC from different hospitals and among different surgeons in terms of the rates of curative resection, operative mortality and morbidity, local recurrence, anastomotic leakage and overall survival. Surgical technique and the knowledge as well as the experience of the surgeons may have an impact on the outcome. Adjuvant chemotherapy and radiation therapy have contributed to the increase of resectability and survival reate and decrease of the recurrence rate after surgery. The availability of new cytostatic agents and other drugs may improve the resectability of liver metastases and prolong the survival in advanced disease. Conclusions Strengthening the specialty training of surgical personals and emphasizing the application of standard adjuvant therapy are the key points for further improving the result of treatment for CRC and other malignancies.