Table 1.
The First Decision Step | |
---|---|
1) Stage of the disease (TNM)* | T1 N0 M0 |
T2 N0 M0 | |
T3 N0 M0 | |
T4 N0 M0 | |
T1 N1 M0 | |
T2 N1 M0 | |
T3 N1 M0 | |
T4 N1 M0 | |
T1 N2 M0 | |
T2 N2 M0 | |
T3 N2 M0 | |
T4 N2 M0 | |
T1 N0 M1 | |
T2 N0 M1 | |
T3 N0 M1 | |
T4 N0 M1 | |
T1 N1 M1 | |
T2 N1 M1 | |
T3 N1 M1 | |
T4 N2 M1 | |
T1 N2 M1 | |
T2 N2 M1 | |
T3 N2 M1 | |
T4 N2 M1 | |
2) Location of the tumor | Lower |
Middle | |
Upper | |
3) Coexisting disease or pathology | Present |
•DMa | |
• DM+HTb | |
•DM+CADc | |
• DM+CAD+HT+Other | |
• DM+COPDd | |
•DM+COPD+HT | |
• HT | |
• HT+Other | |
• HT+CLFe | |
•CAD | |
• CAD +HT | |
• CKFf | |
• COPD | |
• COPD+HT | |
•COPD+CAD | |
• CLF | |
• Other | |
Absent | |
4) Invasion of adjacent organs | Present |
Absent | |
5) Surgeon’s experience | Lower than 20 |
Equal or upper than 20 | |
6) Presence of perforation | Absent |
7) Presence of obstruction | Absent |
8) Presence of fistula | Absent |
The Second Decision Step | |
1) Stage of disease | Upstage |
Stable | |
Downstage | |
2) Invasion of adjacent organs | Present |
Absent | |
3) Lymph invasion | Present |
Absent | |
Nonassessable | |
4) Perineural invasion | Positive |
Negative | |
Nonassessable | |
5) Vascular invasion | Present |
Absent | |
Nonassessable | |
6) Patient’s age | 0–80 |
Above 80 | |
7) Resection margin status | R0 |
R1 | |
R2 | |
8) Presence of perforation | Absent |
9) Presence of obstruction | Absent |
10) Availability of treatment | Accessible |
*TNM is an international staging system for cancer. The grade of T expresses tumor size and extensions, N stands for the level of nodal invasion, M stands for the presence or absence of metastases.
aDM: Diabetes mellitus;
bHT: Hypertension;
cCAD: Coronary artery disease;
dCOPD: Chronic obstructive pulmonary disease;
eCLF: Chronic liver failure;
fCKF: Chronic kidney failure;