Online: August 22,2025 DOI: 10.7659/j.issn.1005-6947.250373
Abstract:Robotic surgery represents a major trend in the current surgical treatment of colorectal cancer. Based on the previous edition, the Robotic Surgery Group of the Colorectal Cancer Committee, Chinese Medical Doctor Association, convened national experts to discuss and reach a consensus on standardized practices for robotic colorectal cancer surgery, with the aim of facilitating its broader application and adoption.
Xu Jianmin , Gastrointestinal Surgery Group , Chinese Society of Surgery , Chinese Medical Association , Colorectal Surgery Group , Chinese Society of Surgery , Chinese Medical Association , Colorectal Cancer Committee , Chinese Anti-Cancer Association , Colorectal Oncology Committee , Chinese Medical Doctor Association , Expert Committee on Colorectal Cancer , Chinese Society of Clinical Oncology , Colorectal Surgery Committee , Chinese Society of Surgeons , Chinese Medical Doctor Association , Tumor Metastasis Committee , Coloproctology Society , Chinese Medical Doctor Association , Colorectal Oncology Group , Chinese Society of Oncology , Chinese Medical Association , Division of Metastatic Tumor Therapy , China International Exchange , Promotive Association for Medical , Health Care , Division of Colorectal Diseases , China International Exchange , Promotive Association for Medical , Health Care
Online: August 21,2025 DOI: 10.7659/j.issn.1005-6947.250402
Abstract:To further standardize and improve the management of colorectal liver metastases (CRLM) in China, the Chinese guidelines for the diagnosis and comprehensive treatment of colorectal cancer liver metastases (2025 edition) have been systematically updated based on previous versions and the latest international and domestic evidence. The updated guideline refines diagnostic pathways, strengthens multidisciplinary team collaboration, and comprehensively upgrades therapeutic strategies-including surgical resection, neoadjuvant and adjuvant treatments for patients eligible for no evidence of disease (NED) status, and systemic therapy for those who are not. It also expands the scope of genetic testing, incorporates innovative local ablative therapies, and emphasizes standardized follow-up and long-term management. The guideline aims to promote individualized and precision-based treatment, ultimately improving clinical outcomes and patient survival. It serves as a practical, evidence-based reference for healthcare providers managing CRLM across China.
Online: July 24,2025 DOI: 10.7659/j.issn.1005-6947.250233
Abstract:Most patients with biliary tract cancer are diagnosed at advanced stage and lose the opportunity for radical surgery resulting in dismal prognosis. In recent years, with advances in therapeutic approaches, conversion therapy has gradually been implemented in some cases of initially unresectable biliary tract cancer, enabling a subset of patients to achieve opportunities for radical surgery. To further standardize conversion therapy of biliary tract cancer and improve the overall efficacy, the Branch of Biliary Surgery, Chinese Society of Surgery, Chinese Medical Association and Working Group of Biliary Surgeons, Chinese College of Surgeons, Chinese Medical Doctor Association, based on the latest evidence-based medical evidence and specific practices in the treatment of biliary tract cancer in China, organized discussion among experts in the field. Following the discussion, the "Expert consensus on conversion therapy of biliary tract cancer (2025)" was developed. This consensus aims to address key issues in the field of biliary tract cancer conversion therapy, standardize diagnostic and therapeutic procedures and protocols,and lay the foundation for further advancing research and practice in this area.
Chinese Society of Coloproctology , Chinese Medical Doctor Association
Online: July 23,2025 DOI: 10.7659/j.issn.1005-6947.250357
Abstract:Low anterior resection syndrome (LARS) is a common bowel dysfunction syndrome following sphincter-preserving surgery for rectal cancer, characterized by stool storage dysfunction and evacuatory dysfunction. It has become a critical factor adversely affecting patients"" quality of life and long-term clinical outcomes. Currently, the pathogenic mechanisms of LARS remain incompletely elucidated, and high-quality evidence to guide clinical practice is still lacking. However, emerging evidence suggests that strategic optimization across the clinical management pathway—including precision oncology planning, surgical technique selection, multidimensional symptom profiling, proactive prevention protocols, and comprehensive symptom management—may effectively reduce LARS severity and improve survivorship outcomes. Given the absence of consensus guidelines for LARS management among clinicians across China, the Chinese Society of Coloproctology (Chinese Medical Doctor Association) organized domestic experts in relevant fields. Through systematic review of global research findings, integration of international expertise and guidelines, and adaptation to domestic clinical realities, we developed the Chinese expert consensus on the diagnosis and treatment of low anterior resection syndrome (2025 edition). This consensus elaborates on key aspects including the definition, clinical manifestations, risk factors, pathophysiological mechanisms, symptom assessment, treatment modalities, and prevention strategies for LARS, aiming to standardize the diagnosis and management of LARS in China.