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 , YOU Yixian ^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; DACCA database; big data; operation type; medical quality

DOI：

10.7507/1007-9424.202010028

Video：

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Objective To analyze the tumor characteristics of colorectal cancer in the current version of Database from Colorectal Cancer (DACCA).Methods The DACCA version was the updated version on April 16, 2020. The data items including: procedure of anastomosis, shape of anastomosis, enhanced suture for anastomosis, stuffing, drainage, coverage of major omentum, anti-adhesion material, reconstruction of pelvic peritoneum, contaminate, and drug implants were analyzed for the characteristics of each selected data item.Results A total of 6 338 analyzable data rows were obtained by screening the DACCA database. Among the 6 338 pieces of data, the most common one was the double staple technique (58.1%), end-to-end anastomosis (69.4%), one-total-circle of enhancement (33.2%), and without stuffing (54.1%) in the items of procedure of anastomosis, shape of anastomosis, enhanced suture for anastomosis, stuffing, respectively; the ratio with drainage was higher (79.2%) in the term of drainage, the drainage time was (3.74±2.89) d and median drainage time was 3.00 d; the ratio with covering part of major omentum, without anti-adhesion material, with unilateral partial closure, without contaminate, and without drug implants were more higher, which was 41.1%, 79.8%, 58.7%, 73.9%, and 53.9% in the items of coverage of major omentum, anti-adhesion material, reconstruction of pelvic peritoneum, contaminate, and drug implants, respectively.Conclusion It might better explain the outcome of surgery associated with intraoperative operation by studying the features of surgery of DACCA and guide the operation in the future for better outcomes.

Citation： WANG Xiaodong, YOU Yixian, LIU Jianbo, LI Li. Database research part Ⅶ: characteristics of colorectal cancer surgery (Ⅲ). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(1): 104-110. doi: 10.7507/1007-9424.202010028 Copy

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2.	Pisano M, Zorcolo L, Merli C, et al. 2017 WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation. World J Emerg Surg, 2018, 13: 36.
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5.	Löffler T, Rossion I, Gooßen K, et al. Hand suture versus stapler for closure of loop ileostomy–a systematic review and meta-analysis of randomized controlled trials. Langenbecks Arch Surg, 2015, 400(2): 193-205.
6.	Ramage L, Mclean P, Simillis C, et al. Functional outcomes with handsewn versus stapled anastomoses in the treatment of ultralow rectal cancer. Updates Surg, 2018, 70(1): 15-21.
7.	Cong JC, Chen CS, Ma MX, et al. Laparoscopic intersphincteric resection for low rectal cancer: comparison of stapled and manual coloanal anastomosis. Colorectal Dis, 2014, 16(5): 353-358.
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11.	Kano M, Hanari N, Gunji H, et al. Is “functional end-to-end anastomosis” really functional? A review of the literature on stapled anastomosis using linear staplers. Surg Today, 2017, 47(1): 1-7.
12.	Prassas D, Ntolia A, Spiekermann JD, et al. Reversal of diverting loop ileostomy using hand-sewn side-to-side versus end-to-end anastomosis after low anterior resection for rectal cancer: A single center experience. Am Surg, 2018, 84(11): 1741-1744.
13.	Rubin F, Douard R, Wind P. The functional outcomes of coloanal and low colorectal anastomoses with reservoirs after low rectal cancer resections. Am Surg, 2014, 80(12): 1222-1229.
14.	Pucciarelli S, Del Bianco P, Pace U, et al. Multicentre randomized clinical trial of colonic J pouch or straight stapled colorectal reconstruction after low anterior resection for rectal cancer. Br J Surg, 2019, 106(9): 1147-1155.
15.	Balkarov AA, Ponomarenko AA, Alekseev MV, et al. Reinforcement of staple line of colorectal anastomosis for leakage prevention: a systematic review and metaanalysis. Khirurgiia (Mosk), 2019, (8): 53-58.
16.	Wang FG, Yan WM, Yan M, et al. Comparison of anastomotic leakage rate and reoperation rate between transanal tube placement and defunctioning stoma after anterior resection: A network meta-analysis of clinical data. Eur J Surg Oncol, 2019, 45(8): 1301-1309.
17.	Pedrazzani C, Moro M, Ghezzi G, et al. What should we intend for minimally invasive treatment of colorectal cancer? Surg Oncol, 2014, 23(3): 147-154.
18.	Nasser H, Ivanics T, Leonard-Murali S, et al. Risk factors for surgical site infection after laparoscopic colectomy: An NSQIP database analysis. J Surg Res, 2020, 249: 25-33.
19.	Yuan H, Zheng B, Tu S. Clinical research of intraperitoneal implantation of sustained-release 5-fluorouracil in advanced colorectal cancer. World J Surg Oncol, 2015, 13: 320.
20.	Zhang X, Wu Q, Hu T, et al. Laparoscopic versus conventional open abdominoperineal resection for rectal cancer: an updated systematic review and meta-analysis. J Laparoendosc Adv Surg Tech A, 2018, 28(5): 526-539.
21.	Li L, Li C, Zhou J. Effective sustained release of 5-FU-loaded PLGA implant for improving therapeutic index of 5-FU in colon tumor. Int J Pharm, 2018, 550(1-2): 380-387.

1. 李立. 结直肠癌外科应用技术的规范与创新(十五). 中国普外基础与临床杂志, 2008, 15(3): 215-217.
2. Pisano M, Zorcolo L, Merli C, et al. 2017 WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation. World J Emerg Surg, 2018, 13: 36.
3. 刘琪, 李心翔. 结直肠吻合技术的演变与展望. 中华胃肠外科杂志, 2018, 21(4): 470-475.
4. Ozben V, Aytac E, Liu X, et al. Does omental pedicle flap reduce anastomotic leak and septic complications after rectal cancer surgery? Int J Surg, 2016, 27: 53-57.
5. Löffler T, Rossion I, Gooßen K, et al. Hand suture versus stapler for closure of loop ileostomy–a systematic review and meta-analysis of randomized controlled trials. Langenbecks Arch Surg, 2015, 400(2): 193-205.
6. Ramage L, Mclean P, Simillis C, et al. Functional outcomes with handsewn versus stapled anastomoses in the treatment of ultralow rectal cancer. Updates Surg, 2018, 70(1): 15-21.
7. Cong JC, Chen CS, Ma MX, et al. Laparoscopic intersphincteric resection for low rectal cancer: comparison of stapled and manual coloanal anastomosis. Colorectal Dis, 2014, 16(5): 353-358.
8. Akiyoshi T, Ueno M, Fukunaga Y, et al. Incidence of and risk factors for anastomotic leakage after laparoscopic anterior resection with intracorporeal rectal transection and double-stapling technique anastomosis for rectal cancer. Am J Surg, 2011, 202(3): 259-264.
9. Lee SY, Kim CH, Kim YJ, et al. Anastomotic stricture after ultralow anterior resection or intersphincteric resection for very low-lying rectal cancer. Surg Endosc, 2018, 32(2): 660-666.
10. Dayal S, Battersby N, Cecil T. Evolution of surgical treatment for rectal cancer: a review. J Gastrointest Surg, 2017, 21(7): 1166-1173.
11. Kano M, Hanari N, Gunji H, et al. Is “functional end-to-end anastomosis” really functional? A review of the literature on stapled anastomosis using linear staplers. Surg Today, 2017, 47(1): 1-7.
12. Prassas D, Ntolia A, Spiekermann JD, et al. Reversal of diverting loop ileostomy using hand-sewn side-to-side versus end-to-end anastomosis after low anterior resection for rectal cancer: A single center experience. Am Surg, 2018, 84(11): 1741-1744.
13. Rubin F, Douard R, Wind P. The functional outcomes of coloanal and low colorectal anastomoses with reservoirs after low rectal cancer resections. Am Surg, 2014, 80(12): 1222-1229.
14. Pucciarelli S, Del Bianco P, Pace U, et al. Multicentre randomized clinical trial of colonic J pouch or straight stapled colorectal reconstruction after low anterior resection for rectal cancer. Br J Surg, 2019, 106(9): 1147-1155.
15. Balkarov AA, Ponomarenko AA, Alekseev MV, et al. Reinforcement of staple line of colorectal anastomosis for leakage prevention: a systematic review and metaanalysis. Khirurgiia (Mosk), 2019, (8): 53-58.
16. Wang FG, Yan WM, Yan M, et al. Comparison of anastomotic leakage rate and reoperation rate between transanal tube placement and defunctioning stoma after anterior resection: A network meta-analysis of clinical data. Eur J Surg Oncol, 2019, 45(8): 1301-1309.
17. Pedrazzani C, Moro M, Ghezzi G, et al. What should we intend for minimally invasive treatment of colorectal cancer? Surg Oncol, 2014, 23(3): 147-154.
18. Nasser H, Ivanics T, Leonard-Murali S, et al. Risk factors for surgical site infection after laparoscopic colectomy: An NSQIP database analysis. J Surg Res, 2020, 249: 25-33.
19. Yuan H, Zheng B, Tu S. Clinical research of intraperitoneal implantation of sustained-release 5-fluorouracil in advanced colorectal cancer. World J Surg Oncol, 2015, 13: 320.
20. Zhang X, Wu Q, Hu T, et al. Laparoscopic versus conventional open abdominoperineal resection for rectal cancer: an updated systematic review and meta-analysis. J Laparoendosc Adv Surg Tech A, 2018, 28(5): 526-539.
21. Li L, Li C, Zhou J. Effective sustained release of 5-FU-loaded PLGA implant for improving therapeutic index of 5-FU in colon tumor. Int J Pharm, 2018, 550(1-2): 380-387.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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

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