Eight successive gastric disease customers with postoperative recurrence of peritoneal metastasis who came across the above requirements at Department of Gastrointestinal Surgery of Ruijin Hospital from September 2015 to September 2016 were enrolled into the research. There have been 6 guys maining 7 instances underwent laparoscopy effectively therefore the recurrence of peritoneal metastasis had been clearly diagnosed. Two customers with ovarian metastasis underwent laparoscopic bilateral adnexectomy. The median follow-up time had been 17.5 (1.5 to 39.0) months, the median amount of BIPS chemotherapy course had been 11 (1 to 30), and also the median survival time (MST) after BIPS chemotherapy ended up being 17.0 months. The most important damaging effect in BIPS treatment had been mainly myelosuppression, of which level 3/4 leukopenia and neutropenia developed in 1 and 2 cases correspondingly. No BIPS-related demise happened. The MST of gastric disease after radical gastrectomy was 40.0 months. Conclusions Laparoscopy is a secure and possible means for diagnosing the recurrence of peritoneal metastasis of gastric cancer tumors. BIPS chemotherapy works well and safe for the therapy and deserves further research.Objective To investigate the clinical application of extra surgery after non-curative endoscopic resection for very early colorectal cancer tumors. Methods A retrospectively descriptive cohort study had been performed. Inclusion requirements Intrathecal immunoglobulin synthesis (1) pathologically confirmed major colorectal adenocarcinoma;(2) receiving extra surgery after endoscopic resection; (3) semi-elective procedure. Exclusion criteria familial adenomatous polyposis, appendiceal neoplasms, anal canal neoplasms, neuroendocrine tumors, and surgery due to perforation or bleeding after endoscopic resection. Indications of extra surgery (1) pathologically good lateral or basal resection margin; (2) submucosal intrusion depth ≥ 1000 μm; (3) lymphovascular invasion; (4) defectively differentiated, undifferentiated or mucinous adenocarcinoma; (5) a lot more than grade G2 in tumor budding; (6) incomplete resection or piecemeal specimen with margin impractical to assess; (7) patient’s consent because of undetermined pathology. According to the above criteria, cl were classified as TNM stage 0-I, 9 (9.8%) as TNM phase II-IV. One patient of phase IV with liver metastasis underwent concomitant hepatectomy. One patient of stage II received regular follow-up after procedure. Seven instances of stage III and 1 of phase IV received postoperative chemotherapy. Eighty-five patients (92.4%) had been followed up with a median period of 12.8 (IQR 8.1, 24.3) months. No recurrence or metastasis ended up being observed. Conclusions Surgery is an effective salvage measure for non-curative endoscopic resection of very early colorectal cancer tumors. Since surgery may have problems, indications of the additional surgery should be thought about very carefully. Preoperative endoscopic localization should always be done so that you can make sure the safety and efficacy of surgery.Objective To identify the aspects connected with ABBV-744 clinical trial successful transrectal specimen extraction after laparoscopic rectal cancer tumors resection. Practices A retrospective case-control research ended up being conducted. Medical data of rectal cancer patients just who performed or would not effectively undergo transrectal specimen extraction in Shanghai East Hospital between January 2017 and December 2017 were recovered through the rectal cancer database of Shanghai East Hospital. Case addition criteria (1) tumefaction size ≤7 cm by pelvic MRI; (2) human anatomy size index (BMI)≤ 30 kg/m(2); (3) no history of neoadjuvant chemoradiotherapy; (4) no rectal stenosis. Medical data including age, gender, BMI, tumefaction obstruction, length from tumor to anal verge, history of abdominal procedure, maximal diameter of tumor and circumference of mesorectum within the anteroposterior dimension assessed by pelvic MRI, etc. were collected. The χ(2) test was made use of to execute univariate evaluation. Multivariate logistic regression ended up being made use of to determine facets affecting transrectal specimen eive aspects for successful transrectal specimen extraction. Conclusion Preoperative evaluation of BMI, malignant obstruction, distance Medical face shields from tumefaction to the rectal brink, cyst size and anteroposterior width of mesorectum is beneficial to select appropriate patients with rectal cancer tumors to go through transrectal specimen extraction.Objective To assess the facets impacting their education of radical resection while the prognosis of customers with locally recurrent rectal cancer (LRRC). Practices A retrospective case-control study ended up being carried out. Clinical data of 111 patients with LRRC undergoing procedure at the General operation division of Peking University First Hospital from January 2009 to August 2019 were examined retrospectively. The “Peking University First Hospital F typing” had been done in accordance with the preoperative pictures regarding the pelvic participation. The pelvis was assigned into four directions the leading wall, lateral edges for the pelvic wall and also the sacrum. In accordance with the level of pelvic wall involvement, F typing included F0 type (no participation for the pelvic wall surface, the cancer tumors just included the adjacent body organs or invaded conteriorly the urinary system, vaginal organs or tiny bowel), F1 type (cancer involved the pelvic wall within one way, including the sacrum, or one region of the pelvic wall), F2 kind (cancer tumors involved the pelvicgical remedies must certanly be purely restricted. Analysis associated with fixation web site to your pelvic wall surface is helpful for enhancing the price of R0 resection. Lower preoperative CEA degree, radical resection and postoperative chemotherapy are defensive factors of prolonged overall survival period of clients with LRRC.Objective to research the effectiveness and prognosis of three surgical options for presacral recurrent rectal cancer (PRRC). Techniques A retrospective cohort research had been carried out.