中华外科杂志最新文献

{"title":"[Clinical cohort study of non inflated subclavian approach,axillary approach,and traditional open surgery for unilateral thyroid cancer].","authors":"M C Li, X Fan, Z Chen, Y T Zhao, H Zhang, G Chen, J Lyu, W Tian, Q S Zhang","doi":"10.3760/cma.j.cn112139-20241030-00478","DOIUrl":"10.3760/cma.j.cn112139-20241030-00478","url":null,"abstract":"<p><p><b>Objective:</b> To compare surgical-related indicators between non-inflated subclavian endoscopic surgery and axillary and traditional open surgery for the treatment of right lobe thyroid cancer,as well as their effects on postoperative anterior cervical function and cosmetic outcomes. <b>Methods:</b> This retrospective cohort study analyzed 151 cases of thyroid cancer patients who underwent surgical treatment at the Department of Thyroid Surgery,Zhengzhou Central Hospital Affiliated to Zhengzhou University from June 2024 to October 2024. Based on the surgical approach,patients were divided into three groups:56 cases of traditional open surgery group, 44 cases of non-inflated axillary approach group,and 51 cases of non-inflated subclavian approach group. Comparative indicators included surgical time, parathyroid autotransplantation rate,complete exposure rate of central area, number of lymph node dissections, number of positive lymph nodes, anterior cervical function, and satisfaction with incision beauty. One-way analysis of variance,non-parametric test,Kruskal-Wallis test,Pearson <i>χ</i><sup>2</sup> test and Fisher's exact probability method were used to compare the results of the three groups and subsequent pairwise comparisons,respectively. <b>Results:</b> All laparoscopic surgeries were successfully completed without conversion to open surgery. (1) Surgical time:the traditional open surgery group had the shortest operative time (<i>M</i>(IQR))(71.5(16.0)minutes), significantly shorter than both endoscopic groups (both <i>P</i><0.01); among the endoscopic approaches, the non-inflated subclavian approach group (97.0(10.0)minutes) had a significantly shorter operative time than the non-inflated axillary approach group (115.0(11.0)minutes)(<i>P</i><0.01). (2) Parathyroid autotransplantation rate:the rates were 53.6%(30/56) in the traditional group, 70.5%(31/44) in the non-inflated axillary approach group, and 66.7%(34/51) in the non-inflated subclavian approach group, with no statistically significant differences (<i>P</i>>0.05). (3) Complete exposure rate of the central area:the exposure rate was 100%(56/56) in the traditional open surgery group, 86.4%(38/44) in the non-inflated axillary approach group, and 96.1%(49/51) in the non-inflated subclavian approach group. A significant difference was observed between the traditional open surgery group and the non-inflated axillary approach group (<i>χ</i>²=8.124,<i>P</i><0.01), but not observed between other groups. (4) Number of lymph node dissection:no significant difference was found among the three groups (8(6)(range:2 to 17) in the traditional open surgery group,7(3)(range:2 to 16) in the non-inflated axillary approach group,7(4)(range:2 to 16) in the non-inflated subclavian approach group)(<i>P</i>=0.078).(5) Number of positive lymph nodes:no significant differences were observed among the three groups(<i>P</i>=0.923). (6) Postoperative anterior cervical function:① Visual analogue scal","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"611-617"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Research status of rare metastases of pancreatic cancer and the exploration of therapies].","authors":"P R Wang, L Wang","doi":"10.3760/cma.j.cn112139-20241106-00493","DOIUrl":"10.3760/cma.j.cn112139-20241106-00493","url":null,"abstract":"<p><p>Early pancreatic cancer is often challenging to diagnose, and by the time it is definitively diagnosed, metastasis may have already occurred. The liver is the most common site for pancreatic cancer metastasis, while metastases to other sites are considered rare. This paper explores various rare metastatic sites of pancreatic cancer, analyzing the current status, treatment options, and prognosis for different metastatic locations, and provides a detailed explanation of the mechanisms underlying the relatively favorable prognosis of lung metastases. While patients with distant metastasis of pancreatic cancer are generally not considered candidates for surgical treatment, in cases of oligometastatic disease, a comprehensive treatment strategy centered on surgery can effectively improve patient prognosis. Given the complexity of the condition and the variability in prognosis among patients with rare metastases of pancreatic cancer, it is crucial to develop personalized treatment schemes to achieve the goal of precision treatment.</p>","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"633-636"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Molecular subtyping and clinical characteristics of patients with reoperated papillary thyroid carcinoma].","authors":"A Hu, Z Y Wang, Y Li, J H Tian, Z M Guo, Q L Li","doi":"10.3760/cma.j.cn112139-20241104-00490","DOIUrl":"10.3760/cma.j.cn112139-20241104-00490","url":null,"abstract":"<p><p><b>Objective:</b> To explore the reoperation cause and molecular classification of patients reoperated for papillary thyroid carcinoma (PTC). <b>Methods:</b> This is a retrospective case series study. Clinical data from 102 PTC patients who underwent reoperation at the Department of Head and Neck Surgery, Sun Yat-sen University Cancer Center were collected between February 2019 and December 2024. The cohort comprised 26 males (25.5%) and 76 females (74.5%), with initial age of (33.1±12.2) years (range: 9 to 67 years). At initial surgery, 25.5% (26/102) exhibited extrathyroidal extension, 52.0% (53/102) had multifocal tumors, and 19.6% (20/102) had metastatic lymph nodes with extranodal extension. AJCC staging classified 95.1% (97/102) as stage Ⅰ, 2.9% (3/102) as stage Ⅱ, and 2.0% (2/102) as stage Ⅲ. Standardized primary tumor resection was performed in 81.4% (83/102), prophylactic central compartment lymph node dissection (LND) in 89.2% (91/102), and therapeutic lateral LND in 47.1% (48/102). Data on recurrence, genetic alterations, reoperation intervals, and clinical features of multiple recurrent PTC cases were analyzed. <b>Results:</b> Among 102 patients, 81.4% (83/102) presented with lateral neck metastases, 48.0% (49/102) with central compartment metastases, and 22.6% (23/102) with residual thyroid lobe recurrence at reoperation. Reoperation occurred within 6 months postoperatively in 18.6% (19/102) and after 6 months in 81.4% (83/102). Genetic detection revealed <i>BRAF</i> mutation in 63.7% (65/102), <i>RET</i> fusions in 19.6% (20/102), and <i>TERT</i> promoter mutations in 8.8% (9/102). During reoperation, 88.2% (90/102) underwent therapeutic lateral LND, and 39.2% (40/102) required residual gland resection. Twelve patients received multiple surgeries, including 4 cases with <i>BRAF+TERT</i> mutations, 4 with <i>RET</i> fusions, and 4 with <i>BRAF</i> mutation alone. <b>Conclusions:</b> The reasons for the reoperation of PTC mainly include recurrence and complementary surgery. Genetic alterations such as <i>BRAF</i> mutation and <i>RET</i> fusion are common in PTC patients requiring reoperation.</p>","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"605-610"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Expert consensus on lymph node dissection for intrahepatic cholangiocarcinoma(2025)].","authors":"","doi":"10.3760/cma.j.cn112139-20250421-00213","DOIUrl":"10.3760/cma.j.cn112139-20250421-00213","url":null,"abstract":"<p><p>Intrahepatic cholangiocarcinoma (ICC) is a highly aggressive malignant tumor with poor prognosis, and lymph node metastasis constitutes one of the critical risk factors contributing to unfavorable patient outcomes. Lymph node dissection holds significant value in accurately staging ICC, guiding prognostic evaluation, and determining adjuvant therapeutic strategies. In recent years, both domestic and international scholars have conducted extensive research on lymph node metastasis and dissection in ICC. However, discrepancies persist among various research findings and consensus guidelines domestically and internationally regarding the understanding and recommendations for lymph node dissection in ICC. Furthermore, substantial variations exist in the extent of lymph node dissection, the minimum number of lymph nodes required for retrieval, and surgical dissection techniques, which have consequently led to divergent research conclusions. To standardize the clinical practice of lymph node dissection for ICC in China and enhance the level of ICC diagnosis and treatment, the Branch of Biliary Surgery, Chinese Society of Surgery, Chinese Medical Association and Working Group of Biliary Surgeons, Chinese College of Surgeons, Chinese Medical Doctor Association, convened relevant experts to develop this expert consensus. This consensus document has been formulated based on the latest evidence-based medical research and accumulated clinical experience.</p>","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"541-545"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Research progress on the safety of paclitaxel drug-loaded devices].","authors":"Z H Zhang, J He, P Jiang, Y P Cui, J F Sun, J Xiong, F Mei","doi":"10.3760/cma.j.cn112139-20241224-00587","DOIUrl":"10.3760/cma.j.cn112139-20241224-00587","url":null,"abstract":"<p><p>In endovascular treatment of peripheral arterial disease, paclitaxel-coated device (PCD) have been widely used to reduce vascular restenosis, yet their safety remains controversial. Some scholars have suggested that PCD might increase long-term mortality, sparking widespread concern and debate. In recent years, a number of studies have provided support for the safety of PCD, believing that PCD have advantages in terms of re-intervention, patency rate, and reduction of amputation risk, and do not increase the risk of death. There is no direct relationship between the paclitaxel dose and mortality. Overall, the safety controversy primarily stems from methodological limitations in early studies. The latest research has provided safety evidence for their clinical application. However, further investigations are required to define the boundary conditions for their long-term safety, elucidate variations in responses across different patient populations, and clarify paclitaxel's mechanisms of action in vivo. Such efforts will facilitate optimal balancing of therapeutic efficacy and safety in clinical applications.</p>","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"637-641"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Application status of vagus nerve preservation and double-flap technique in laparoscopic proximal gastrectomy].","authors":"K K Sun, F L Weng, X J Shen, Y Y Wu","doi":"10.3760/cma.j.cn112139-20250211-00064","DOIUrl":"10.3760/cma.j.cn112139-20250211-00064","url":null,"abstract":"<p><p>Function-preserving gastrectomy has been gradually implemented in China. Under the premise of oncologic safety,such surgery is crucial for improving patients' postoperative quality of life. Although proximal gastrectomy is a classic surgical method for the adenocarcinoma of esophagogastric junction,no consensus exists on the vagus nerve preservation and digestive tract reconstruction. How to preserve the vagus nerve and pyloric function, and avoid postoperative gastroesophageal reflux after proximal gastrectomy has consistently been the focus of clinical research on proximal gastrectomy. This study introduces the application of laparoscopic proximal gastrectomy with nerve vagus preservation combined with double-flap anastomosis in proximal early gastric cancer. The hepatic branches and the celiac branches are both preserved during the surgical procedure,and the manufacture of double-flap is completed through auxiliary incisions. The anastomosis of the esophagus and the remnant stomach is performed under laparoscopy. It conforms to the physiological structure and preserved the functions of the stomach,which avoided weight loss and nutritional absorption disorder after total gastrectomy. Additionally, it reduces the incidence of reflux esophagitis following traditional esophagogastrostomy, thereby improving patients' postoperative quality of life.</p>","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"558-562"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Application research of endoscopic-laparoscopic regional gastric resection combined with sentinel lymph node basin dissection in patients with early gastric cancer].","authors":"Z Zheng, Z M Wang, R Xu, H Q Zhang, Z Zhang, G T Ruan, J Yin, X Y Liu, J Cai, G Y Chen, X J Sun, S T Zhu, P Li, J Zhang, S T Zhang","doi":"10.3760/cma.j.cn112139-20250117-00034","DOIUrl":"10.3760/cma.j.cn112139-20250117-00034","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To evaluate the short-term efficacy of endoscopic-laparoscopic regional gastric resection combined with sentinel lymph node basin dissection in patients with early-stage gastric cancer. &lt;b&gt;Methods:&lt;/b&gt; This is a retrospective case series study. Data of 17 consecutive early gastric cancer patients from a prospective cohort at Beijing Friendship Hospital,Capital Medical University were analyzed between August 2023 and August 2024. Sixteen cases were from the department of general surgery and 1 from the department of gastroenterology. The cohort included 9 males and 8 females,with a mean age of 61.4 years (range: 46 to 79 years). Clinical data,including demographics,pathological features,surgical procedures,and follow-up outcomes,were collected through medical records and databases. All patients were followed for over 3 months,with follow-up ending on December 5,2024. &lt;b&gt;Results:&lt;/b&gt; A total of 17 patients were involved. Among them, 5 patients underwent endoscopic submucosal dissection (ESD) combined with laparoscopic sentinel lymph node dissection (LSBD),and another 3 patients who underwent complete ESD resection received LSBD due to pathological stage meeting the expanded indications. 6 patients who underwent non-curative ESD resection received laparoscopic gastric regional resection (LRG) combined with LSBD,and another 3 patients directly received LRG combined with LSBD. The average number of sentinel lymph nodes dissected before surgery (&lt;i&gt;M&lt;/i&gt;(IQR)) was 8.9 (4.5) (range: 4 to 21),and the detection rate and accuracy rate were both 100%. Postoperative pathology confirmed that there was no metastasis in the sentinel lymph nodes of 5 patients who underwent ESD combined with LSBD and 3 patients who underwent LSBD after complete ESD resection. The vertical and horizontal margins of ESD were all negative. One patient was an absolute indication for ESD. For the 6 patients who underwent non-curative ESD resection combined with LRG and LSBD,the horizontal margins were all negative. Two patients showed 1 metastasis in each of the 21 and 9 sentinel lymph nodes during the operation,and additional distal gastrectomy was performed during the operation. Postoperatively,73 and 39 lymph nodes were retrieved respectively. The former had 1 additional metastasis,while the latter had no metastasis. Among the 3 patients who underwent direct LRG combined with LSBD,the horizontal margins were negative. One patient was confirmed as an absolute indication for ESD by postoperative pathology,and one patient had 1 metastasis in 8 sentinel lymph nodes during the operation,and additional distal gastrectomy was performed. Postoperatively,there was no metastasis in 54 lymph nodes. All patients had no complications such as infection,bleeding,perforation,or death after surgery. Among the 14 patients who did not receive additional radical surgery,they were able to pass gas and defecate within 3 days after surgery,with an average hospital stay of 6 days. T","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"587-596"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Advancements and prospects of minimally invasive surgery for gastric cancer].","authors":"L Chen, L Li","doi":"10.3760/cma.j.cn112139-20250128-00046","DOIUrl":"10.3760/cma.j.cn112139-20250128-00046","url":null,"abstract":"<p><p>With the advancement of diagnostic/therapeutic technologies and evolving treatment paradigms, the management of gastric cancer has progressively transitioned toward precision medicine and minimally invasive strategies. This review delineates cutting-edge developments in minimally invasive surgery for gastric cancer through a tumor stage-specific framework. For early-stage gastric cancer, therapeutic strategies are transitioning from standardized resection to precision-oriented, function-preserving gastrectomy. Endoscopic therapies, laparoscopy-endoscopy cooperative surgery, and various function-preserving procedures have been continuously refined. For locally advanced disease, minimally invasive surgery represented by laparoscopic and robotic-assisted surgery have achieved remarkable progress, synergizing with neoadjuvant therapies to establish multimodal collaborative treatment strategies. Although conversion therapy enables minimally invasive surgical opportunities for select patients with initially unresectable tumors, critical challenges persist in optimizing patient selection criteria, determining optimal surgical timing, and standardizing operative approaches. Looking forward, minimally invasive surgery for gastric cancer is poised to advance through multidimensional innovations, ultimately delivering enhanced therapeutic outcomes and improved long-term quality of life for patients.</p>","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"546-551"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Current status and prospects of surgical treatment for adenocarcinoma of the esophagogastric junction].","authors":"Z Xuan, L J Wang, Z K Xu","doi":"10.3760/cma.j.cn112139-20250314-00129","DOIUrl":"10.3760/cma.j.cn112139-20250314-00129","url":null,"abstract":"<p><p>Adenocarcinoma of the esophagogastric junction (AEG) has shown an increasing incidence in recent years. The treatment strategy for AEG differs from that of gastric and esophageal cancers due to its unique anatomical location and biological behavior. Surgical resection remains the cornerstone of AEG treatment, with the choice of surgical approach based on Siewert classification, esophageal invasion length, and individual patient factors. The extent of lymph node dissection is determined by tumor location, stage, and patterns of lymph node metastasis. Digestive tract reconstruction aims to maximize the preservation of digestive function and reduce postoperative complications while achieving radical tumor resection. In recent years, minimally invasive surgical techniques, including laparoscopic and robotic surgery, have been increasingly applied in AEG treatment, with preliminary validation of their safety and feasibility. Additionally, the application of neoadjuvant therapy, targeted therapy, and immunotherapy has brought new hope for AEG treatment. This article reviews the current status of surgical treatment for AEG, including surgical approaches, lymph node dissection, digestive tract reconstruction, and neoadjuvant therapy, and discusses future directions in AEG surgical treatment.</p>","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"568-574"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Construction and application of a quality control and improvement system for metabolic and bariatric surgery in Beijing].","authors":"P R Tian, M Y Li, J L Liu, R X Bai, J T Bi, G L Dong, Y M Du, J G Han, W Han, Y Jiang, Y X Li, Z F Li, H W Lin, D G Liu, Y Liu, F Q Meng, R G Ni, J H Song, Q Xu, W M Yan, N W Zhang, C H Zhong, P Zhang, Z T Zhang","doi":"10.3760/cma.j.cn112139-20250205-00052","DOIUrl":"10.3760/cma.j.cn112139-20250205-00052","url":null,"abstract":"<p><p><b>Objective:</b> To establish and assess the quality control and improvement system for metabolic and bariatric surgery in Beijing. <b>Methods:</b> Based on relevant documents from the National Health Commission and the Beijing Municipal Health Commission,and referencing the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) by the American Society for Metabolic and Bariatric Surgery,a quality control system was developed under the Beijing Quality Control and Improvement Center of Metabolic and Bariatric Surgery. The system incorporated on-site evaluations,data registration,and specialized training. From May to December 2023,on-site assessments were conducted at 21 hospitals in Beijing performing bariatric surgery,evaluating personnel qualifications,infrastructure,clinical workflows,and postoperative follow-up. A quality control database was created to collect real-time surgical data,and training was provided for data entry and professional skills. Assessment results were classified as excellent,qualified,or needing improvement,with rectification suggestions offered and follow-up visits conducted to track progress. <b>Results:</b> All 21 hospitals achieved a 100% compliance rate for surgical indications, 16 (76.2%) met standardized surgical operation criteria,and 14 (66.7%) had standardized postoperative management. However,only 5 (23.8%) achieved a 12-month postoperative follow-up rate of ≥60%,and 4 (19.1%) had established specialized databases. Key challenges included insufficient specialized staffing (19.1%), lack of multidisciplinary collaboration (47.6%), inadequate equipment (57.1%), and low follow-up rates (57.1%). The database collected data from over 2 000 patients across 111 fields. After rectification, specialized database coverage rose to 61.9% (13 hospitals). Multi-level training programs developed backbone physicians and specialized nurses,significantly addressing the shortage of specialized personnel. <b>Conclusion:</b> The quality control system established in this study,through the integration of on-site evaluation,data registration,and specialized training,effectively enhances the standardization of surgical practices and data management capabilities.</p>","PeriodicalId":60685,"journal":{"name":"中华外科杂志","volume":"63 7","pages":"624-629"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}