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Objective To investigate the clinical application of additional surgery after non-curative endoscopic resection for early colorectal cancer. Methods A retrospectively descriptive cohort study was conducted. Inclusion criteria (1) pathologically confirmed primary colorectal adenocarcinoma;(2) receiving additional surgery after endoscopic resection; (3) semi-elective operation. Exclusion criteria familial adenomatous polyposis, appendiceal neoplasms, anal canal neoplasms, neuroendocrine tumors, and surgery because of perforation or bleeding