The 70th anniversary of the establishment of the Shanxi Cancer Hospital ｜ Longcheng colorectal cance

For 2022, for the Shanxi Cancer Hospital, it is an extraordinary year. Hospitals that have gone through the 70th anniversary, and we have ushered in the co -construction of the Cancer Hospital of the Chinese Academy of Medical Sciences. On June 9th, the "11th Dragon City colorectal Cancer Summit Forum and CACA Guide Tour and the 70th Anniversary Academic Activity of Shanxi Hospital of the Academy of Medical Sciences" was successfully held in Taiyuan.

At the opening ceremony, Professor Xing Nianzheng, chairman of the conference and the Cancer Hospital of the Chinese Academy of Medical Sciences, introduced that Shanxi Cancer Hospital is one of the earliest six tumor hospitals in the domestic hospital. This academic conference is also one of the 70th anniversary of the establishment of the hospital. The chairman of the conference and Professor Wang Xishan of the National Cancer Center/Chinese Academy of Medical Sciences said that allowing doctors to obtain homogeneous training is a key part of the level of prevention and control of grass -roots colorectal cancer. The meeting was coincided with this meeting. Professor Jiang Bo, Executive Chairman of the Conference and the Cancer Hospital of the Chinese Academy of Medical Sciences, said that the forum focuses on the cutting -edge technology of meal intestinal tumor surgery. It is expected that through exchanges and big coffee sharing to improve the level and standardization of colorectal tumors in Shanxi Province. Professor Xu Jun, the first chairman of the co -chair and the First Affiliated Hospital of Shanxi Medical University, said that this year, the Shanxi Cancer Hospital and the Cancer Hospital of the Chinese Academy of Medical Sciences cooperate to co -build the regional oncology medical center. opportunity.

The meeting was hosted by the China Essential Cancer Special Committee of the China Anti -Cancer Association, the Shanxi Anti -Cancer Association Large -intestinal Cancer Special Committee, and other Shanxi Cancer Hospital, and the "Medical Daily" as the only media support. The meeting passed live broadcasts through medical TV, doctor newspaper video number, medical reporting tumor channel video number, Weibo health, white coat, etc., and received more than 420,000 people to watch.

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academic talk

Noses is an inevitable development of surgery

Professor Wang Xishan, a colorectal surgery of the Cancer Hospital of the Chinese Academy of Medical Sciences, introduced in detail the technological development process, surgery, and conditions of development through Noses. He said that with the development of surgical technology, the progress of minimally invasive surgery, and the improvement of patients' requirements for surgical, Noses has become an inevitable product of surgical development, and has been welcomed by surgeons around the world since its birth. At present, many organs and lesions in the abdominal cavity can carry out Noses, including colon, stomach, small intestine, liver, urinary and gynecological tumors. The necessary conditions for launching NOSES include pre -surgery, surgical team cooperation, sterile -free tumor during surgery, fully master surgical skills, proper use of protective devices, and rational use of antibacterial drugs. Noses surgery Noses's sterile -free operation has been perfect. Indications: T2 ~ 3 staging is appropriate; circular diameter <5 cm (meridians); circular diameter 5 ~ 7 cm (vaginal vagina).

In short, Nose is a technology that benefits both doctors and patients, which has formed a complete theoretical and technical system, which is easy to develop and promote.

Professor Wang Juntian, Shanxi Hospital of the Academy of Medical Sciences, presided over this link.

Flowing CME

Professor Gong Jianping, Affiliated Hospital of Tongji Medical College of Huazhong University of Science and Technology, began to explain the three questions of why, why, and universality of the whole colon membrane (CME).

Professor Lianhong, Affiliated Heping Hospital of Changzhi Medical College, presided over this link.

Rectal cancer side cleaning: "Sweeping without sweeping" has knowledge

Professor Liu Yan of the Cancer Hospital of the Chinese Academy of Medical Sciences said that at present, whether to carry out side lymphatic cleaning on rectal cancer in clinical practice. Professor Liu Yan explained through clinical studies that side lymph node positive can also benefit through treatment methods such as neo -assisted radiotherapy. JCOG0212 Studies have shown that the risk of sidewalk cleansing on the side of the side of the lymph nodes can significantly reduce the recurrence of low rectal cancer. The team of Professor Wang Xishan and Liu Yan also conducted a series of explorations, and related academic associations also formulated relevant consensus and guidelines. However, there are still disputes on surgical indicators, cleaning range and surgical circuits of rectal cancer sidelines. It is recommended to clean the lymph nodes & 5cm or the degree of retreat after chemotherapy is recommended; if the degree of disappearance or retracting of lymph nodes disappears or retracting of chemotherapy, it is recommended to observe with the clinic; if the two need to be combined with other factors, comprehensive analysis.

Professor Pan Yifei, the First Affiliated Hospital of Wenzhou Medical University, presided over this link.

Discussion of colorectal lymphatic streaming and robotic lymphatic cleaning

Professor Yuan Weitang, the First Affiliated Hospital of Zhengzhou University, introduced that there are fewer research on the gut lymphadenopathy. The team of Professor Yuan used the green green to hit the anal skin (during the operation) for the trace of the colorectal lymph. The preliminary conclusion shows that the theoretical basis of the whole colorectal membrane resection is that the main pathway of the colorectal lymphatic influx is the direction of the membrane vascular (arteries), and the lymph nodes in the film are called the regional lymphotic flow. Lydesy lymphatic flow is multi -direction. This situation causes uncertainty to the scope of lymph nodes cleaning, and also provides a basis for regional radiotherapy and systemic chemotherapy.

Professor Yuan also introduced the advantages of lymphatic cleaning for application robots through the case.

Professor Hu Wenqing of the People's Hospital of Changzhi City presided over this link.

The colorectal doctors are afraid of the anastomotic fistula "defense"

Professor Bai Wenqi, Shanxi Hospital of the Chinese Academy of Medical Sciences, introduced a common and dangerous complications of rectal cancer surgery. The incidence of fistulating fistulas is 2.4%to 15.9%, and the mortality rate of patients with AL patients can be as high as 16%. The decrease in the number of abdominal perineal combination and the increase in the low (ultra -low) consistency of the abdominal cutting surgery has continued to become a hot issue in colorectal surgery. The risk factors of anastomotic fistula include patients and surgery. Professor Bai Wenqi team's research reminds that the use of pouring stabbing stitching to reinforce the anastomotic port and the bottom peritoneal reconstruction of the basin of the basin of the basin comparison of conventional consolidation patients (3.1%and 13.1%), the secondary surgery rate (0 and 6.9%), and the surgery The post -adhesive intestinal obstruction (1.5%and 13.8%) is excellent, which is worthy of clinical promotion and application. Professor Bai also introduced some experience and thinking of their team to carry out this type of art. Professor Huo Zhibin, Xingtai City People's Hospital affiliated to Hebei Medical University, presided over this link.

How can the rectal anal canal be described as "inch soil gold"?

Professor Wang Guiyu, the Second Affiliated Hospital of Harbin Medical University, introduced that in the treatment of low rectal cancer, anal aid surgery is particularly important. It is the requirements of many patients and family members. Normal intestinal walls and muscle tissues above the tooth line are anatomical basis for maintaining good anal function after surgery. Due to the limited length and irreplaceable physiological function, the rectal anal canal can be described as "inch -inch". With the continuous deepening of the theoretical research of far cut edge, the "Gold Standard" gradually transitions from the initial 5 cm to the current 1 cm, or even lower far cut edge. Essence Under the continuous progress of medical technology, rectal cancer anal preservation rates are increasing, and minimally invasive surgery such as Noses is possible, making extreme anal preservation possible.

Professor Wang Guiyu made a comprehensive explanation of several types of surgery of low rectal cancer, showing the techniques and wonderful videos and pelvic peritoneal reconstruction of the robot in Noses surgery. New understanding.

Professor Liu Haiyi of the Cancer Hospital of the Chinese Academy of Medical Sciences presided over this link.

Big data application digs the image characteristics of invisible to the naked eye

Professor Yang Xiaotang of Shanxi Hospital of the Academy of Medical Sciences Cancer Hospital introduced that with the development of scientific and technological development and the birth of new technologies, technologies such as artificial intelligence and machine learning have gradually been applied to imaging groups. The medical big data of clinical information is to excavate the deeper tumor characteristics that clinicians cannot see the naked eye, quantitatively the heterogeneity of tumors, reflect the physiological pathological information, and help doctors analyze the tumor definitation and evaluate the efficacy. Under this trend, imaging medicine must adapt to changes in the medical model, and develop from traditional forms and quantitative diagnosis to precise imaging groups and artificial intelligence directions. I look forward to the high -quality medical data of multiple disciplines and multi -units in the future. More tumor characteristics.

Professor Kong Continental at Tianjin Medical University Cancer Hospital presided over this link.

Left intestinal arteries in the left half of the colorectal cancer

Professor Jiang Bo, Professor Jiang Bo of the Cancer Hospital of the Chinese Academy of Medical Sciences, said that patients with tumors are often encountered in clinical surgery. Many surgeons will wonder if the left colon artery needs to be removed during the root of the left half colon cancer. Professor Jiang Bo introduced the principles of the anatomical structure and the processing methods of various surgery in detail, and gave an explanation. According to the relevant consensus and clinical experience, there are three main cases in the left colon arterial treatment. For the left half of the intestinal colorectal or colon and spleen song cancer, 223 groups and 253 groups of lymph nodes were cleaned, and the left colon artery was broken. Simal colon and rectal cancer, cleaning 253 groups of lymph nodes, whether to break the left colon arteries depending on surgery and depending on person.

Professor Zhang Suyun, Chifeng County Hospital of Inner Mongolia presided over this link.

Moisture, general treatment and local treatment

Professor Xiong Bin of Wuhan University Central South Hospital introduced that peritoneal metastasis is the most common method of metastasis in rectal cancer. The incidence of metastasis is second only to liver metastasis and lung metastases. It is usually considered to be end -stage disease. The poor prognosis is the difficulty of treatment in surgery. Professor Xiong Bin comprehensively sorted out peritoneal metastasis therapy in terms of surgery selection, planning, and patient selection. He believes that the treatment of peritoneal metastasis is usually used for multi -disciplinary comprehensive treatment, emphasizing that systemic treatment and local treatment are equal. Generally, transformation treatment is usually performed. After success, you can perform cell reduction (CRS)+abdominal heat infusion chemotherapy (HIPEC), and then systemic treatment. At the same time, it is necessary to consider gender, age, primary stove stages, organizational types, biological characteristics, whether there are organs to transfer ascites, etc., and comprehensively evaluate the treatment plan.

Professor Zhang Wei of Shanghai Changhai Hospital presided over this link.

NGS may be a "one basket" solution

The best way to detect bowel cancer molecular logo

Professor Chen Gong of Sun Yat -sen University Tumor Prevention and Treatment Center introduced that in the era of precision treatment, guidelines at home and abroad recommend that patients with colorectal cancer should carry out individualized and precise treatment based on the benchmark detection logo. The best way to detect rectal cancer molecules can help tumor doctors in comprehensive judgment in prognosis judgment, immunotherapy selection, targeted drug selection and genetic screening, and consultation. Among them, the most important thing is to clarify the "three elements" of NGS scientific testing: grasp the correct testing timing, master the correct test content, and select authoritative testing agencies. It is believed that in the near future, with the development of more and more tumor markers and the continuous breakthrough of accurate treatment technology, it will bring more benefits to patients with colorectal cancer.

Professor Yu Bin of the Fourth Hospital of Hebei Medical University presided over this link.

Professor Jiang Bo Summary

Longcheng colorectal cancer summit forum has been the 11th session so far, and has become a brand conference in the colorectal field. 2022 is a fortunate year. The Shanxi Cancer Hospital and the Cancer Hospital of the Chinese Academy of Medical Sciences have been co -constructed to conduct in -depth cooperation. 2022 is a memorable year. Shanxi Cancer Hospital, one of the earliest six tumor hospitals in the domestic hospital, has been 70 years. 70 years too long, how many predecessors have been gathered; 70 years are too short, and their fingers have a wave. In 2022, the Longcheng colorectal cancer summit forum adheres to the concept of "cutting -edge, contention, standardization, and promotion". After the past, it has created a platform for experts at home and abroad. Leading the development of colorectal cancer in Shanxi Province and even the country, and promoting exchanges and progress, it has played an increasingly important role.

Please follow the meeting to pay attention to the medical newspaper live broadcast center

Capture: Li Hui

Edit: Wang Lina Guan Yanqing

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