Digestive System Surgical Procedures ; methods ; rehabilitation ; Humans

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

China ; Digestive System Surgical Procedures ; trends ; 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

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 ; methods ; Humans ; Minimally Invasive Surgical Procedures

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

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

China has a huge population and the number of patients with gastrointestinal cancer is extremely large. With the development of cancer research, the importance of clinical oncology database has been paid more and more attention. It has been 20 years since the Gastrointestinal Surgery Center of the First Affiliated Hospital of Sun Yat-sen University established the database of gastrointestinal cancer from 1994. In this paper, we summarized the composition, daily operation and the experience of construction of database based on multiple-position in one model in our center. We are expecting more units to spontaneously establish relevant databases and gradually move towards data sharing and thus promote the development of gastrointestinal surgery in China.
China ; Databases, Factual ; Digestive System Surgical Procedures ; Gastrointestinal Neoplasms ; Humans

The standardized training of residents and specialists has just been initiated, and the training for gastrointestinal surgeons also should be standardized. From my personal view, the following aspects should be addressed for standardization including basic theory, medical record, teaching ward-round, the ability of clinical skills and clinical research. After the establishment of systematic standard training and assessment, the sustained development of gastrointestinal surgery may be expected.
Clinical Competence ; Digestive System Surgical Procedures ; Education, Medical, Continuing ; Surgeons