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Critical care medicine and safety management of high-risk surgical patients CHEN Erzhen Journal of Surgery Concepts & Practice    2023, 28 (05): 399-401.   DOI: 10.16139/j.1007-9610.2023.05.01 Abstract （53）   HTML （5）    PDF（pc） （755KB）（31）       Knowledge map    Save At present, although the mortality of most patients undergoing major surgery is very low, the increase of so-called high-risk surgery patients with high risk of postoperative complications and death brings new challenges to perioperative safety management. The efficient collaboration of multidisciplinary professional teams based on patient-centered and value-based medicine is a new measure to ensure perioperative safety. Among them, the critical care medical professional team plays a key role in risk assessment, perioperative organ protection, close monitoring and specific early intervention for high-risk patients, so as to achieve timely prevention, early identification and effective treatment of postoperative complications, and to reduce the risk of death and improve the postoperative quality of life. Reference | Related Articles | Metrics | Comments（0）

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The role of ERCP in the diagnosis and treatment of chronic pancreatitis ZHANG Ling, ZOU Duowu Journal of Surgery Concepts & Practice    2023, 28 (04): 283-287.   DOI: 10.16139/j.1007-9610.2023.04.002 Abstract （165）   HTML （2）    PDF（pc） （876KB）（87）       Knowledge map    Save Chronic pancreatitis (CP) is a chronic progressive disease that causes varying degrees of functional damage on pancreatic endocrine and exocrine, seriously affecting the quality of life of the patients. Endoscopic retrograde cholangio-pancreatography (ERCP) with minimal trauma, high safety, and good efficacy has become a first-line treatment method for CP. ERCP is a first-line treatment method for pancreatic duct stones and pancreatic duct stricture, and complications of CP. Reference | Related Articles | Metrics | Comments（0）

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Application experience of enteroscopy ERCP in benign biliary stricture after cholecystojejunostomy WENG Mingzhe, WANG Xuefeng Journal of Surgery Concepts & Practice    2023, 28 (04): 296-299.   DOI: 10.16139/j.1007-9610.2023.04.004 Abstract （113）   HTML （3）    PDF（pc） （3765KB）（73）       Knowledge map    Save Benign biliary stricture is a common complication of cholecystojejunostomy and is hard to handle. Ente-roscopy ERCP possesses the advantages such as repeatability, minimally invasive, and compliance with normal physiological structures in treatment. We shared our experiences of enteroscopy ERCP in benign biliary stricture after cholecystojejunostomy, hoping to improve the success rate of this treatment. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Laparoscopic colorectal surgery 30 years in China: what we learned ZHENG Minhua, MA Junjun Journal of Surgery Concepts & Practice    2023, 28 (03): 181-185.   DOI: 10.16139/j.1007-9610.2023.03.001 Abstract （409）   HTML （9）    PDF（pc） （882KB）（161）       Knowledge map    Save Since 1993, the first laparoscopic radical surgery for colon cancer was carried out in China, laparoscopic colorectal surgery in China has embarked on a new journey, and has now entered its 30th year. Looking back on the 30 years history of laparoscopic colorectal surgery, it is hoped that through the window of laparoscopic colorectal surgery, from the establishment of a series of key technologies in its initial stage, to the development of training systems, and even the further development of innovative technologies and technology platforms, to review the trajectory in the development of laparoscopic surgery in China, and to think from multiple dimensions, so as to gain experience, guide current practice, and look forward to the future development. Reference | Related Articles | Metrics | Comments（0）

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Function-preserving laparoscopic resection of pancreatic head and duodenal papilla tumors GAO Pan, CAI Yunqiang, PENG Bing Journal of Surgery Concepts & Practice    2023, 28 (03): 190-196.   DOI: 10.16139/j.1007-9610.2023.03.003 Abstract （179）   HTML （7）    PDF（pc） （7136KB）（130）       Knowledge map    Save In recent years, with the development of minimally invasive instruments,equipment and the progress of surgical techniques, minimally invasive pancreatic surgery has entered an era of rapid development. Function-preserving laparoscopic resection of pancreatic head and duodenal papilla tumors including laparoscopic duodenum-preserving pancreatic head resection (LDPPHR), laparoscopic pancreatic head tumor enucleation and laparoscopic transduodenal ampullary resection(LTDAR) have also been used in clinical practice. However, the anatomy and surgical procedures are extremely complicated. Many surgeons lack the experience in this field. So far, these procedures have rarely used in clinical practice. In this article, we introduced the current status, problems and countermeasures of these surgical procedures, to promote the development of function-preserving laparoscopic pancreatic head and duodenal papilla tumor resection surgery. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Factors related to intestine have a role in prevention and treatment for gallstone disease JIANG Zhaoyan, SHEN Weiyi, HU Hai Journal of Surgery Concepts & Practice    2023, 28 (02): 91-93.   DOI: 10.16139/j.1007-9610.2023.02.01 Abstract （446）   HTML （9）    PDF（pc） （764KB）（156）       Knowledge map    Save Gallstone is a common surgical disease. The factors which related to intestine during the process of gallstone formation have attracted increasing attention. The main factors affecting the formation of cholesterol gallstone including cholesterol absorption, bile acid concentration, gut microbiota changing, are all related to the intestine. A correct understanding of the factors related to intestine during gallstone formation is helpful for the prevention and treatment of gallstone disease. In future, different targets related to intestine may play an important role in both prevention of gallstone disease and post-cholecystectomy management. Reference | Related Articles | Metrics | Comments（0）

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The fifth edition of WHO classification of digestive system tumors: update and progress on biliary system tumors LUO Fangxiu, MA Qianchen, YUAN Fei Journal of Surgery Concepts & Practice    2023, 28 (02): 124-131.   DOI: 10.16139/j.1007-9610.2023.02.08 Abstract （655）   HTML （17）    PDF（pc） （3365KB）（1172）       Knowledge map    Save Overall, there was little change in biliary system tumors of the 5th edition of WHO classification of digestive system tumors after update. The three-tiered classification of biliary intraepithelial neoplasia changed to two-tiered system: high-grade and low-grade, in the section of benign tumors and precancerous lesions. And both intracholecystic and intraductal papillary tumors associated with invasive carcinoma were added. The classification of intrahepatic bile duct tumors introduced parts of bile duct adenoma and bile duct adenofibroma, which were mentioned previously in the differential diagnosis with bile duct carcinoma. Intrahepatic cholangiocarcinoma was divided into small bile duct subtype and large bile duct subtype in the 5th edition of WHO classification, and the names of cholangiocellular carcinoma and cholangiole cell carcinoma were no longer recommended to use. Extrahepatic cholangiocarcinoma was listed as a separate part for the first time, including squamous cell carcinoma, adenosquamous carcinoma and undifferentiated carcinoma in addition to common histological types. Some new contents of molecular pathology in the 5th edition of WHO classification were added, which provided the basis for precise classification and diagnosis of tumors in biliary system. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Progress and prospect of surgical comprehensive treatment of gastric cancer ZHU Zhenggang Journal of Surgery Concepts & Practice    2023, 28 (01): 1-6.   DOI: 10.16139/j.1007-9610.2023.01.01 Abstract （576）   HTML （19）    PDF（pc） （877KB）（195）       Knowledge map    Save Gastric cancer is one of the leading malignancies in China and in the world. Surgery is still the most important modality to cure gastric cancer. A series of clinical researches changed the traditional concept of surgery and avoided blindly expanding the scope of surgery. Laparoscopic surgery for both early and locally advanced gastric cancer achieved the same radical effect as open surgery. The key to further improve the efficacy of minimally invasive surgery is controlling indications, establishing a training system for surgical techniques and optimizing the relation between costs and benefits. The relationship between resection of organs and preservation of organ function should be balanced in the extended surgery for gastric cancer. Perioperative treatment of locally advanced gastric cancer would be advocated actively. Conversion therapy preoperatively for far-advanced gastric cancer is advocated. Palliative resection should be strictly controlled for the patients of far-advanced gastric cancer with extensive metastasis, and comprehensive treatment should be carried to prolong the life of patients. Reference | Related Articles | Metrics | Comments（0）

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Management of retroperitoneal sarcoma: rule, dilemma and perspectives-detailed interpretation of CSCO Guideline LIU Wenshuai, LU Weiqi, ZHOU Yuhong Journal of Surgery Concepts & Practice    2022, 27 (06): 483-489.   DOI: 10.16139/j.1007-9610.2022.06.01 Abstract （249）   HTML （47）    PDF（pc） （792KB）（182）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Diagnosis and treatment in early operable breast cancer: current status and prospect CHEN Xiaosong, SHEN Kunwei, Ll Hongwei Journal of Surgery Concepts & Practice    2022, 27 (05): 385-386.   DOI: 10.16139/j.1007-9610.2022.05.001 Abstract （311）   HTML （16）    PDF（pc） （210KB）（190）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Enlightenment of Chinese philosophic thinking on treatment of liver cancer TANG Zhaoyou Journal of Surgery Concepts & Practice    2022, 27 (02): 93-94.   DOI: 10.16139/j.1007-9610.2022.02.001 Abstract （241）   HTML （16）    PDF（pc） （253KB）（119）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Evaluation and technical key points of pancreaticojejunostomy XIE Xuehai, YANG Yinmo Journal of Surgery Concepts & Practice    2022, 27 (01): 1-5.   DOI: 10.16139/j.1007-9610.2022.01.001 Abstract （416）   HTML （6）    PDF（pc） （1030KB）（307）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Resectable pancreatic cancer: diagnosis criterion, treatment and controversy HE Min, LIU Yingbin Journal of Surgery Concepts & Practice    2022, 27 (01): 6-10.   DOI: 10.16139/j.1007-9610.2022.01.002 Abstract （273）   HTML （16）    PDF（pc） （603KB）（167）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Standardization in diagnosis and treatment of thyroid carcinoma YAO Jing, LI Chen, TIAN Wen Journal of Surgery Concepts & Practice    2021, 26 (06): 467-471.   DOI: 10.16139/j.1007-9610.2021.06.001 Abstract （296）   HTML （4）    PDF（pc） （646KB）（247）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Robotic thyroid surgery: breakthroughs in current technique and integration of future technology SUN Hanxing, YAN Jiqi Journal of Surgery Concepts & Practice    2021, 26 (06): 472-475.   DOI: 10.16139/j.1007-9610.2021.06.002 Abstract （355）   HTML （2）    PDF（pc） （508KB）（187）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Retrospect and prospect of Chinese laparoscopic colorectal surgery based on case registry database construction YANG Yingchi, FU Jianning, ZHANG Zhongtao Journal of Surgery Concepts & Practice    2021, 26 (04): 277-280.   DOI: 10.16139/j.1007-9610.2021.04.001 Abstract （351）   HTML （7）    PDF（pc） （462KB）（193）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Treatment and combined viscerectomy for locally advanced colorectal cancer GU Jin Journal of Surgery Concepts & Practice    2021, 26 (04): 290-296.   DOI: 10.16139/j.1007-9610.2021.04.004 Abstract （406）   HTML （13）    PDF（pc） （1732KB）（343）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Interpretation of the 5th edition WHO classification and staging of digestive system tumors: colorectal tumors YU Yingyan Journal of Surgery Concepts & Practice    2021, 26 (04): 312-317.   DOI: 10.16139/j.1007-9610.2021.04.008 Abstract （1014）   HTML （51）    PDF（pc） （589KB）（813）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Colorectal cancer incidence and mortality in Shanghai 2016 and trend analysis 2002—2016 WU Chunxiao, GONG Yangming, GU Kai, PANG Yi, BAO Pingping, WANG Chunfang, SHI Liang, XIANG Yongmei, DOU Jianming, FU Chen, SHI Yan Journal of Surgery Concepts & Practice    2021, 26 (04): 325-335.   DOI: 10.16139/j.1007-9610.2021.04.010 Abstract （394）   HTML （7）    PDF（pc） （1299KB）（173）       Knowledge map    Save Objective To investigate the colorectal cancer (CRC) incidence and mortality in 2016 Shanghai and trend change between 2002 and 2016. Methods Data of CRC incidence and death between 2002 and 2016 were collected from the population-based cancer registry and Vital Statistics System of Shanghai Municipal Center for Disease Control and Prevention. CRC incidence and mortality including year of incidence and mortality, gender, cancer site and age-group were analyzed. CRC incidence and mortality, and proportion, crude rate, age-specific rate, and age-standardized rate were also calculated. Trends of incidence and death of CRC, crude rate, age-specific rate and age-standardized rate were estimated. Trends of gender-standardized CRC incidence and death and the annual percent change(APC) were estimated by Joinpoint analysis. The incidence and proportion of new CRC cases with selected diagnostic character in different years were also calculated. Age-standardized incidence and mortality were calculated using Segi’s 1960 world standard population. Results CRC incidence and mortality were 9 337 and 4 599 in Shanghai 2016. Crude incidence was 64.48/105, and age-standardized rate was 24.64/105. Crude mortality was 31.76/105, and age-standardized rate was 10.13/105. Age-standar-dized incidence and mortality in males were higher than those in females. Age-specific case number and rate and age-specific death number and rate increased with aging. Age-specific case number and rate reached peak at age group both 60-64 years and 80-84 years, and age-specific death number and rate reached peak at age group more than 85 years. Overall, age-standardized CRC incidence between 2002 and 2016 increased 1.07% per year, and age-standardized CRC mortality was stable. Conclusions The current status and trends of CRC stratified by gender or age-group reflect the changes in risk factors, screening test use, and advances in diagnosis and treatment in Shanghai permanent population. Data of population-based cancer incidence and mortality can be used to decrease cancer burden. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Individualized treatment of esophagogastric variceal hemorrhage in portal hypertension and selection of surgical procedure ZHANG Bin, WU Zhiyong Journal of Surgery Concepts & Practice    2021, 26 (03): 185-188.   DOI: 10.16139/j.1007-9610.2021.03.001 Abstract （341）   HTML （5）    PDF（pc） （445KB）（187）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）