Objective To explore application of preoperative examination in the colorectal cancer patients. Methods The preoperative examination data of patients diagnosed definitely as colorectal cancer at West China Hospital of Sichuan University from November 2006 to June 2007 was retrospectively study, and the application situation and relationship among all preoperative examination in the colorectal cancer patients were analyzed. Results According to the inclusion criteria, 438 colorectal cancer patients were included which involved 260 males and 178 females. Preoperative examinations included two to sixteen items, with an average of 10.61 items. According to correlation analysis, positive correlation existed among lung function and blood type ( r =0.161, P =0.001), tumor marker ( r =0.118, P =0.014), chest X-ray ( r =0.113, P =0.018), routine electrocardiogram ( r =0.198, P =0.000) , while lung function and immune and stress reaction exhibit a negative correlation ( r =-0.106, P = 0.027) with preoperative examinations. At the same time, immune and stress reaction had positive correlation to CT examinations of abdomen ( r =0.151, P =0.001) as well as endorectal ultrasound ( r =0.330, P =0.000). Using univariate analysis, the influence of tumor location ( P =0.012) and operative method ( P =0.004) on the number of examination items was significant. Conclusion Preoperative examination of colorectal tumor surgery mainly includes routine examination, neoplasm-related examination and important organs function detection. And three levels of preoperative menu can be set up in early stage. Establishment of normalization preoperative combined examination may be helpful to consummate preoperative evaluation and improve medical quality.
Citation：
WANG Xiaodong,L Donghao,ZENG Tianfang,LIU Dan,ZHANG Lu,LI Li.. Preliminary Exploration to Clinical Application of Colorectal Preoperative Workup in Multi-Disciplinary Team. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(1): 70-74. doi:
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- 2. de Haas RJ, Wicherts DA, Flores E, et al . R1 resection by necessity for colorectal liver metastases: is it still a contraindication to surgery? [Ｊ] . Ann Surg, 2008; 248(4)： 626.
- 3. Low G, Tho LM, Leen E, et al . The role of imaging in the pre-operative staging and post-operative follow-up of rectal cancer [Ｊ] . Surgeon, 2008; 6(4)： 222.
- 4. Leu M, Reilly M, Czene K. Evaluation of bias in familial risk estimates: a study of common cancers using Swedish population-based registers [Ｊ] . J Natl Cancer Inst， 2008; 100(18)： 1318.
- 5. 刘展， 汪晓东， 李立. 在结直肠癌领域引入多学科协作管理模式的现状 [Ｊ] . 中国普外基础与临床杂志， 2007； 14(1) ∶ 114.
- 6. 吕东昊， 汪晓东， 阳川华， 等.结直肠肿瘤多学科协作诊治模式的数据库初期建设现状 [Ｊ] . 中国普外基础与临床杂志， 2007； 14(6)： 713.
- 7. 汪晓东， 王文凭， 李立. Cr-POSSUM评分系统在临床中的应用现状 [Ｊ] . 四川医学， 2008； 29(7)： 934.
- 8. 汪晓东， 李立. 结直肠肿瘤多学科协作诊治模式的数据体系构建与运作策略 [Ｊ] . 中国普外基础与临床杂志， 2007； 14 (4)： 474 9 NCCN Clinic Practice Guidelines in Oncology for Rectal Cancer (V.2.2008) http://www.nccn.org/professionals/physician_gls/PDF/rectal.pdf.
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