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

With process optimization and technical innovation, laparoscopic gastrointestinal surgery has evolved dramatically over the last two decades and provided important improvement in the contemporary surgical practice and patients' recovery. With the emergence of many new minimally invasive technologies, including total laparoscopic surgery, single-incision laparoscopic surgery, and natural orifice specimen extraction, patents with gastrointestinal carcinomas may experience less pain and have lower perioperative complications, but the exact efficacy remains to be proven. Large-scale international multi-centre randomized controlled trial data have revealed that laparoscopic colorectal surgery is safe both in terms of short-term perioperative outcomes and long-term oncological efficacy. However, the question whether there is an equivalent oncological outcome compared to the open approach in gastric cancer is still unanswered by now and needs to be proven by future studies.
Digestive System Surgical Procedures ; methods ; Gastrointestinal Neoplasms ; surgery ; Humans ; Laparoscopy

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