Evidence map›Paper›PMID 41848429›Full record

ArticleCancer biology & medicine2026

Chinese expert consensus on additional surgery following endoscopic resection for early colorectal cancer (2025 edition).

Zhipeng Qi, Fuqiang Zhao, Xuhua Hu, Yunshi Zhong, Qian Liu, Zhongtao Zhang, Guiying Wang, Digestive Tract Polyp and Precancerous Lesion Professional Committee, China Anti-Cancer Association Colorectal Surgery Group, Society of Surgery, Chinese Medical Association Colorectal Group, Society of Digestive Endoscopy, Chinese Medical Association Surgical Group, Colorectal Tumor Committee, Chinese Medical Doctor Association

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer biology & medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zhipeng Qi *Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Fuqiang Zhao *Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Xuhua Hu *Department of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China.
Yunshi ZhongEndoscopy Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China.ORCID 0000-0001-8382-3747
Qian LiuDepartment of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.ORCID 0000-0003-2510-3113
Zhongtao ZhangDepartment of General Surgery, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center of Digestive Diseases, Beijing 100050, China.ORCID 0000-0002-4718-6821
Guiying WangDepartment of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.ORCID 0000-0001-9601-8210
Digestive Tract Polyp and Precancerous Lesion Professional Committee, China Anti-Cancer Association Colorectal Surgery Group, Society of Surgery, Chinese Medical Association Colorectal Group, Society of Digestive Endoscopy, Chinese Medical Association Surgical Group, Colorectal Tumor Committee, Chinese Medical Doctor Association

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early colorectal cancer is often treated through endoscopic procedures to remove tumors. However, when initial removal is incomplete or shows high-risk features, further major surgery is required to ensure no cancer remains. This consensus provides a standard for surgeons to decide when and how to perform this additional surgery. A multidisciplinary group of Chinese medical experts reviewed global research and clinical evidence published between 2010 and 2024. The medical experts formulated key clinical recommendations, which were then discussed and finalized through expert voting to ensure high agreement. The consensus identifies specific high-risk factors necessitating additional surgery. The consensus recommends that these follow-up surgeries should ideally take place approximately 4 weeks after the first procedure. Furthermore, the consensus provides detailed protocols for marking the tumor location and selecting the best surgical approach. These consensuses offer a practical framework to improve the safety and effectiveness of treating early colorectal cancer. By standardizing surgical decisions, the consensus aims to help patients achieve better long-term recovery and quality of life.

Indexed as

Colorectal NeoplasmsReoperationChinaColorectal Surgical ProceduresEast Asian PeopleHumansRisk Factorsadditional surgeryChinese expert consensusEarly colorectal cancerendoscopic resectionrisk factors

Identifiers

PMID41848429
PMCPMC13326600

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.