Laparoscopic surgery for gastrointestinal tumors have been conducted in the Department of General Surgery of Nanfang Hospital since 2002. Within the past decade, the education and training courses of laparoscopic surgical techniques were given to over 2,000 gastrointestinal surgeons. From these experience, we believed that efficient and high quality laparoscopic surgical training program should combine the following philosophies: thorough understanding of anatomy under laparoscopic view was the cornerstone; skilled cooperation between surgeon, assistant and laparoscopist would ensure the safety and fluency of the surgery; training course should be designed according to the laparoscopic skills of the trainee. Based on these understandings of laparoscopic education and training, we would further perfect and standardize our training system so as to contribute to the future development and popularization of laparoscopic gastrointestinal surgery in China.
China ; Digestive System Surgical Procedures ; Laparoscopy ; education

Digestive System Surgical Procedures ; methods ; rehabilitation ; Humans

Perioperative patients usually suffer from metabolic response. This metabolic state is usually the result of some blend of response to partial starvation and to injury or specific diseases. Metabolic response to starvation and acute injury is inbuilt response to ensure maximal survival with a limited food intake. Yet, progressive loss of body tissue may have lethal consequences. Enhanced recovery after surgery is an optimized strategy of perioperative treatment based on variations of meta bolic state. It can reduce damage and acute injury, as well as facilitating early recovery after major surgery.
Digestive System Surgical Procedures ; Humans ; Stress, Physiological

China ; Digestive System Surgical Procedures ; trends ; Humans

Laparoscopic gastrointestinal surgery has experienced 30 years of development in China, and has now entered a high plateau stage at the technical level. Laparoscopic surgery, once an emerging technology, is gradually becoming a "traditional surgery". Meanwhile, laparoscopic gastrointestinal surgery is gradually moving towards a new situation of multi-disciplinary and multi-technical integration. High-quality clinical studies are constantly being reported, and new tools and techniques are emerging. In the next era, the development of laparoscopic gastrointestinal surgery will focus more on international research, digital surgery, high-tech operating rooms, etc. An urging requirement is to understand and face the current intensified involution and other practical problems, and to create another glorious innovation for Chinese laparoscopic gastrointestinal surgery in the next 30 years.
China ; Digestive System Surgical Procedures ; Humans ; Laparoscopy

Digestive System Surgical Procedures ; Humans ; Laparoscopy ; Robotic Surgical Procedures ; Robotics

Digestive System Surgical Procedures ; methods ; Humans ; Minimally Invasive Surgical Procedures

Magnetic compression anastomosis can compress tissues together and restore the continuity. Magnetic compression anastomosis mainly experienced three stages: magnetic ring, magnetic ring and column, and smart self-assembling magnets for endoscopy (SAMSEN). Nowadays, the magnetic compression anastomosis has been applied in vascular and different digestive tract surgeries, especially for complex surgery, such as anastomotic stenosis of biliary ducts after liver transplantation or congenital esophageal stenosis. Although only case reports are available at present, the advantages of the magnetic compression anastomosis includes lower cost, simplicity, individualization, good efficacy, safety, and minimally invasiveness. We are building a better technical platform to make magnetic compression anastomosis more advanced and popularized.
Anastomosis, Surgical ; methods ; Digestive System Surgical Procedures ; methods ; Humans ; Magnetics

Robotics are now being used in all surgical fields. Because of increased intra-abdominal articulations while operating through small incisions, robotics are increasingly being used in a large number of visceral and solid organ operations including surgery on the gallbladder, esophagus, stomach, intestines, colon, and rectum as well as for the endocrine organs. As a speciality, robotics should continue to grow. As the robotic era invades the field of general surgeon, more and more complex procedures would be able to be approached through small incision. As technology catches up with our imagination, robotic instruments and 3D monitoring will become routine, and continue to improve patient care by providing surgeons with most precise, least traumatic ways of treating surgical disease.
*Digestive System Surgical Procedures ; English Abstract ; Humans ; *Robotics

Laparoendoscopic single site surgery(LESS), which has been applied in gastrointestinal surgery domestically and abroad, is the most feasible "scarless" operation at present. Combined with our expierience the problems and strategies of laparoendoscopic single site surgery in gastrointestinal surgery are reviewed and discussed in this paper. Inline vision, chopsticks effect and equipment congestion are the difficulties in LESS, especially when it is used in gastrointestinal surgery. Improving skills, selecting appropriate apparatus, fixed operating team and flexible exposure method can ensure the safety of LESS. In order to ensure that LESS is accepted, the safety and effectiveness of LESS used in the operation of gastric and colorectal cancer need assessment. As a new surgical technique, the further development of LESS in gastrointestinal surgery is not possible without concept recognition, breakthrough of technical limitation and equipment innovation.
Digestive System Surgical Procedures ; Gastrointestinal Diseases ; surgery ; Humans ; Laparoscopy