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.	汪晓东, 安丽珉, 李立. 数据库研究第二部分: 结直肠癌的住院流程管理. 中国普外基础与临床杂志, 2019, 26(4): 469-475.
2.	汪晓东, 陈梦然, 曾渝, 等. 数据库研究第五部分: 结直肠癌的肿瘤特征. 中国普外基础与临床杂志, 2020, 27(2): 196-208.
3.	汪晓东, 李立. 数据库建设第一部分: 个人数据的标签与结构化. 中国普外基础与临床杂志, 2019, 26(3): 335-342.
4.	汪晓东, 林容若, 刘健博, 等. 数据库建设第七部分: 结直肠癌手术特征的标签与结构化 (二). 中国普外基础与临床杂志, 2020, 27(10): 1295-1300.
5.	汪晓东, 刘健博, 安丽珉, 等. 数据库建设第四部分: 结直肠癌的术前专科检查与评估的标签与结构化. 中国普外基础与临床杂志, 2019, 26(11): 1337-1341.
6.	汪晓东, 刘健博, 安丽珉, 等. 数据库研究第四部分: 结直肠癌的术前专科检查与评估. 中国普外基础与临床杂志, 2019, 26(10): 1230-1238.
7.	汪晓东, 刘健博, 何欣林, 等. 数据库研究第六部分: 结直肠癌的分期策略. 中国普外基础与临床杂志, 2020, 27(6): 739-746.
8.	汪晓东, 刘健博, 李立. 数据库建设第三部分: 结直肠癌内外科合并症及术前体质状态的标签与结构化. 中国普外基础与临床杂志, 2019, 26(9): 1110-1115.
9.	汪晓东, 刘健博, 李立. 数据库建设第六部分: 结直肠癌分期的标签与结构化. 中国普外基础与临床杂志, 2020, 27(7): 873-879.
10.	汪晓东, 刘健博, 李立. 数据库建设第五部分·结直肠癌的肿瘤特征—模块的设计 (二). 中国普外基础与临床杂志, 2020, 27(4): 483-488.
11.	汪晓东, 刘健博, 李立. 数据库建设第五部分: 结直肠癌的肿瘤特征—模块的设计 (一). 中国普外基础与临床杂志, 2020, 27(3): 345-349.
12.	汪晓东, 刘健博, 张诗, 等. 数据库研究第三部分: 结直肠癌的内外科合并症及术前体质状态. 中国普外基础与临床杂志, 2019, 26(8): 985-991.
13.	汪晓东, 吕炘沂, 黄明君, 等. 数据库建设第二部分: 结直肠癌住院流程管理的标签与结构化. 中国普外基础与临床杂志, 2019, 26(7): 852-855.
14.	汪晓东, 刘健博, 由屹先, 等. 数据库研究第七部分: 结直肠癌手术的特征 (一). 中国普外基础与临床杂志, 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.	朱晓明, 楼征, 张卫. 极限保肛手术—从解剖基础到临床实践. 中华胃肠外科杂志, 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.	汪晓东, 李希, 何欣林, 等. 数据库研究第一部分: 区域性医疗中心的结直肠癌与人群特征. 中国普外基础与临床杂志, 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.	万学红, 卢雪峰. 诊断学. 第 9 版. 北京: 人民卫生出版社, 2018: 169.
32.	步宏, 李一雷. 病理学. 第 9 版. 北京: 人民卫生出版社, 2018: 8.
33.	叶颖江, 申占龙, 王杉. 直肠癌手术质量控制. 中国实用外科杂志, 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, 汪晓东, 陈珊珊, 等. ACPGBI 结直肠癌术后风险评估模型临床应用的初步探索. 中国普外基础与临床杂志, 2008, 15(9): 646-651, 655.
37.	汪晓东, 方智, 李姣, 等. POSSUM 评分系统在外科手术中的应用现状. 重庆医学, 2008, 37(15): 1747-1749.
38.	Perez RO, São Julião 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.	中华人民共和国卫生和计划生育委员会医政医管局, 中华医学会肿瘤学分会. 中国结直肠癌诊疗规范 (2015 版). 中华普通外科学文献 (电子版), 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. 汪晓东, 安丽珉, 李立. 数据库研究第二部分: 结直肠癌的住院流程管理. 中国普外基础与临床杂志, 2019, 26(4): 469-475.
2. 汪晓东, 陈梦然, 曾渝, 等. 数据库研究第五部分: 结直肠癌的肿瘤特征. 中国普外基础与临床杂志, 2020, 27(2): 196-208.
3. 汪晓东, 李立. 数据库建设第一部分: 个人数据的标签与结构化. 中国普外基础与临床杂志, 2019, 26(3): 335-342.
4. 汪晓东, 林容若, 刘健博, 等. 数据库建设第七部分: 结直肠癌手术特征的标签与结构化 (二). 中国普外基础与临床杂志, 2020, 27(10): 1295-1300.
5. 汪晓东, 刘健博, 安丽珉, 等. 数据库建设第四部分: 结直肠癌的术前专科检查与评估的标签与结构化. 中国普外基础与临床杂志, 2019, 26(11): 1337-1341.
6. 汪晓东, 刘健博, 安丽珉, 等. 数据库研究第四部分: 结直肠癌的术前专科检查与评估. 中国普外基础与临床杂志, 2019, 26(10): 1230-1238.
7. 汪晓东, 刘健博, 何欣林, 等. 数据库研究第六部分: 结直肠癌的分期策略. 中国普外基础与临床杂志, 2020, 27(6): 739-746.
8. 汪晓东, 刘健博, 李立. 数据库建设第三部分: 结直肠癌内外科合并症及术前体质状态的标签与结构化. 中国普外基础与临床杂志, 2019, 26(9): 1110-1115.
9. 汪晓东, 刘健博, 李立. 数据库建设第六部分: 结直肠癌分期的标签与结构化. 中国普外基础与临床杂志, 2020, 27(7): 873-879.
10. 汪晓东, 刘健博, 李立. 数据库建设第五部分·结直肠癌的肿瘤特征—模块的设计 (二). 中国普外基础与临床杂志, 2020, 27(4): 483-488.
11. 汪晓东, 刘健博, 李立. 数据库建设第五部分: 结直肠癌的肿瘤特征—模块的设计 (一). 中国普外基础与临床杂志, 2020, 27(3): 345-349.
12. 汪晓东, 刘健博, 张诗, 等. 数据库研究第三部分: 结直肠癌的内外科合并症及术前体质状态. 中国普外基础与临床杂志, 2019, 26(8): 985-991.
13. 汪晓东, 吕炘沂, 黄明君, 等. 数据库建设第二部分: 结直肠癌住院流程管理的标签与结构化. 中国普外基础与临床杂志, 2019, 26(7): 852-855.
14. 汪晓东, 刘健博, 由屹先, 等. 数据库研究第七部分: 结直肠癌手术的特征 (一). 中国普外基础与临床杂志, 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. 朱晓明, 楼征, 张卫. 极限保肛手术—从解剖基础到临床实践. 中华胃肠外科杂志, 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. 汪晓东, 李希, 何欣林, 等. 数据库研究第一部分: 区域性医疗中心的结直肠癌与人群特征. 中国普外基础与临床杂志, 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. 万学红, 卢雪峰. 诊断学. 第 9 版. 北京: 人民卫生出版社, 2018: 169.
32. 步宏, 李一雷. 病理学. 第 9 版. 北京: 人民卫生出版社, 2018: 8.
33. 叶颖江, 申占龙, 王杉. 直肠癌手术质量控制. 中国实用外科杂志, 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, 汪晓东, 陈珊珊, 等. ACPGBI 结直肠癌术后风险评估模型临床应用的初步探索. 中国普外基础与临床杂志, 2008, 15(9): 646-651, 655.
37. 汪晓东, 方智, 李姣, 等. POSSUM 评分系统在外科手术中的应用现状. 重庆医学, 2008, 37(15): 1747-1749.
38. Perez RO, São Julião 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. 中华人民共和国卫生和计划生育委员会医政医管局, 中华医学会肿瘤学分会. 中国结直肠癌诊疗规范 (2015 版). 中华普通外科学文献 (电子版), 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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