Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Nov 2016
[Recent advances and some consideration about the trans-oral laporascopic thyroidectomy].
Trans-oral laporascopic thyroidectomy is a innovative technique that incoporated the concept of natural orifice transluminal endoscopic surgery. Compare to other endoscopic thyroidectomy, trans-oral laporascopic thyroidectomy is characterised with no scar in the body surface, better cosmetic results and conforms to the concept of minimally invasive surgery. At present, trans-oral laporascopic thyroidectomy is still in the initial stages of clinical application and gains a great deal of attention from surgeons all over the world. ⋯ Proponents and researchers in this field have been attempting to use this technique for treatment of thyroid cancer and combine it with the robotics assisted surgical system. In the future, the indications and contraindications of trans-oral laporascopic thyroidectomy need to be further studied and evaluated. Complications and surgical procedures still have many issues need to be solved.
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Zhonghua Wai Ke Za Zhi · Nov 2016
[The possibility and feasibility of implementation of enhanced recovery after surgery program in pancreatic surgery].
Although the concept of enhanced recovery after surgery(ERAS)had been raised for nearly 20 years, the application of ERAS in pancreatic surgery is still restricted because of great trauma and high incidence of postoperative complications. ERAS have demonstrated significantly accelerated postoperative recovery in pancreatic resections. ⋯ Systemic standard operating procedure could improve executive ability of the ERAS system, including establishing multi-disciplinary team, making management processes, developing verification regime, guarding against medical risks, increasing patient engagement, setting discharge criteria, improving re-admission system. In conclusion, ERAS can be realized in pancreatic surgery and will get substantial development in future.