No other location country for immigration offered similarly positive conditions. Maybe not a single dental practitioner decided to remigrate after 1945.The electrophysiological task Isolated hepatocytes for the intestinal area additionally the mechanical anti-reflux structure of the gastroesophageal junction would be the foundation for the anti-reflux purpose of the tummy. Proximal gastrectomy ruins the mechanical structure and regular electrophysiological channels regarding the anti-reflux. Consequently, the rest of the gastric function is disordered. Furthermore, gastroesophageal reflux the most serious complications. The introduction of various types of anti-reflux surgery through the device of reconstructing technical anti-reflux barrier and establishing buffer zone, together with preservation of, the pacing location and vagus neurological of the tummy, the continuity regarding the jejunal bowel, the original gastroenteric electrophysiological task of the intestinal area, and also the physiological purpose of the pyloric sphincter, are all crucial measures for gastric traditional businesses. There are many kinds of reconstructive methods after proximal gastrectomy. The design on the basis of the anti-reflux mechanism plus the functional repair of mechanical buffer, while the protection of gastrointestinal electrophysiological activities are important factors for the selected of reconstructive techniques after proximal gastrectomy. In medical practice, we must consider the concept of individualization as well as the safety of radical resection of tumor to select a rational reconstructive approaches after proximal gastrectomy.Early colorectal cancers make reference to invasive cancers which have infiltrated to the submucosa without invading muscularis propria, and more or less 10% of the patients have lymph node metastases that simply cannot be detected by main-stream imaging. According to the guidelines of Chinese Society of Clinical Oncology (CSCO) Colorectal Cancer, early colorectal disease instances with danger factors for lymph node metastasis (bad cyst differentiation, lymphovascular invasion, deep submucosal intrusion and high-grade tumefaction budding) should obtain salvage radical surgical resection; nonetheless, the specificity for this risk-stratification is insufficient, making many clients undergo unnecessary surgery. Firstly, this review targets this is, oncological influence importance and controversy of the above “risk aspects”. Then, we introduce the progress of the danger stratification system for lymph node metastasis during the early colorectal cancer, such as the recognition of the latest pathological threat aspects, the building of brand new risk quantitative designs predicated on pathological risk facets, synthetic cleverness and machine discovering local and systemic biomolecule delivery technology together with development of book molecular markers connected with lymph node metastasis centered on gene test or fluid biopsy. Aim to enhance clinicians’ comprehension of the danger evaluation of lymph node metastasis in early colorectal cancer; we suggest to use the patient’s private scenario, tumefaction location, anti-cancer intention along with other aspects into account in order to make individualized treatment strategies.Objective To systematically assess the medical effectiveness and safety of robot-assisted total rectal mesenteric resection (RTME), laparoscopic-assisted total rectal mesenteric resection (laTME), and transanal total rectal mesenteric resection (taTME). Practices A computer search was carried out on PubMed, Embase, Cochrane Library, and Ovid databases to spot English-language reports published between January 2017 and January 2022 that compared the clinical efficacy of the three surgical treatments of RTME, laTME, and taTME. The standard of the studies was evaluated making use of the NOS and JADAD machines for retrospective cohort scientific studies and randomized controlled trials, correspondingly. Direct meta-analysis and reticulated meta-analysis were carried out utilizing Review Manager computer software and roentgen software, correspondingly. Results Twenty-nine journals comprising 8,339 clients with rectal disease were ultimately included. The direct meta-analysis suggested that the length of hospital stay was longer after RTME than after taTME, whereas relating to the reticulated meta-analysis the length of hospital stay ended up being faster after taTME than after laTME (MD=-0.86, 95%CI -1.70 to -0.096, P=0.036). More over, the incidence of anastomotic drip was lower after taTME than after RTME (OR=0.60, 95%Cwe 0.39 to 0.91, P=0.018). The incidence of abdominal obstruction has also been reduced after taTME than after RTME (OR=0.55, 95%CI 0.31 to 0.94, P=0.037). Most of these see more distinctions had been statistically considerable (all P0.05). Moreover, we detected no significant total inconsistency between direct and indirect research. Conclusion taTME has actually advantages over RTME and laTME, in terms of radical and medical short-term results in clients with rectal cancer.Objective to evaluate the clinicopathological attributes and prognosis of customers with small bowel tumors. Practices it was a retrospective, observational research. We obtained clinicopathological data of clients with main jejunal or ileal tumors who had withstood tiny bowel resection within the Department of Gastrointestinal operation, West Asia Hospital, Sichuan University between January 2012 and September 2017. The inclusion criteria included (1) older than 18 many years; (2) had withstood small bowel resection; (3) primary area at jejunum or ileum; (4) postoperative pathological assessment verified malignancy or cancerous potential; and (5) complete clinicopathological and follow-up information.