Inclusion Criteria:
- Informed consent
- Pathologically confirmed adenocarcinoma
- Pre-surgery image staging as (CT/MRI):T2-3,N0-2,M0,(TNM stage,AJCC,version of 2003)
- Single tumor locating at cecum, ascending colon, descending colon, sigmoid colon,
rectosigmoid junction, rectum(distance from anal verge more than 7cm)
- Tumor diameter less than 6cm
- Age 18-75 year
- ECOG 0-2
- Predicted survival longer than 6 months
- Normal liver, renal, bone marrow function: (GPT less than 2 ULN,total bilirubin less
than 1.5mg/dl,Cr less than 1.5 ULN,WBC more than 4×109/L,PLT more than 100×109/L)
- No previous history of gastrointestinal surgery
- No previous history of chemotherapy or radiotherapy
Exclusion criteria
- Severe and uncontrolled medical disease including unstable angina pectoris, cardiac
infarction and cerebral attack in 6 months
- Could not tolerant general anesthesia or surgery for other organ dis-function
- Allergy to chemotherapeutical agents in the protocol
- History of other malignant tumor within 5 years
- Severe mental disorder
- Continued systematic steroid therapy
- Woman during pregnancy or lactation
- Under study of other clinical trial
- No compliance of the protocol
- Discovery of distant metastasis during surgery
- Postsurgery stage of I or IV tumors