Implant-based breast reconstruction（IBBR）can reduce or avoid donor site injury and scarring in autologous breast reconstruction. IBBR has become the most common approach in breast reconstruction after mastectomy in recent ten years. With the progress of materials science and the development of breast surgery，mesh-assisted techniques has been widely used in IBBR，for the patients who need to implant larger volume prostheses，artificial materials which combined with pectoral muscles can “extend” muscle tissue and cover the prostheses without tension，and remodeling the fuller sub mammary folds. Matrices have been more applied in China in recent years，further reducing the surgical trauma and increasing the aesthetic outcomes of breast reconstruction. The investigation on the application of matrices in IBBR in China showed that the regional economic conditions and the economic conditions of patients are the main factors for the choice of breast reconstruction and matrices application. In addition，due to the different morphological characteristics of Chinese women's breasts，which is smaller than European and American women，matrices are less used for breast reconstruction with small breasts. The application of matrices in IBBR in China is more individual and regional.

The Chinese Medical Association's Clinical Practice Guide for Breast Surgery（2022）added a new chapter of clinical practice guideline about postoperative lymphedema of breast cancer. According to the Evidence-Based Medical evidences of diagnosis and treatment of postoperative lymphedema of breast cancer，referring to the GRADE standard and following the principle of clinical diagnosis and treatment accessibility，this guideline present recommendations on the high-risk population，diagnosis，staging，treatment and postoperative rehabilitation of postoperative lymphedema of breast cancer in grades. In this paper，combined with practical clinical experience，the key contents of the guideline are interpreted for the reference of relevant people.

The Trocars were laid out in a conventional five-port approach. A Kocher maneuver was performed at the beginning，the inferior margin of the pancreatic neck was then dissected and the tumor invasion to the superior mesenteric vein（SMV）was evaluated. The distal stomach was resected after assessment as resectable，and the common hepatic artery was dissected and suspended as No. 8 and 12 lymphadenectomy performed，and then the gastroduodenal artery（GDA）was isolated and ligated，the gallbladder was removed with the common bile duct divided. The proximal jejunum was divided distal to the ligament of Treitz and dissected. The pancreas was subsequently divided at the neck and the splenic vein was exposed and ligated. The proximal and distal ends of the invaded SMV segments were dissected and suspended. The uncinate process was freed from the right wall of superior mesenteric artery（SMA）（in arterial-first approach）. Finally，the specimen with the invaded SMV（approximately 3 cm in length）were removed during the blockage of both proximal and distal ends of the SMV. The proximal and distal ends of the SMV were then anastomosed and reconstructed using an artificial vessel with a diameter of 8 mm. The specimen was sent for pathological diagnosis. The pancreaticojejunostomy，choledochojejunostomy and gastrojejunostomy was preformed intracorporeally.

As an advanced technique of minimally invasive surgery, da Vinci robotic surgical system has been paid more and more attention. Compared to traditional laparoscopic surgery, da Vinci robotic radical surgery for gastric cancer has advantages such as less intraoperative bleeding and lower postoperative complications, as well as disadvantages of longer operation time and higher medical costs. With improvement of drawbacks, new-generation system and development of communication technology, robotic surgery system might have a wider application in the field of gastric cancer surgery.

Laparoscopic technology has been developed in colorectal surgery in China for 30 years. The key to the success of this technology is standardized technical practice and standardized technical promotion. The incidence of rectal cancer，especially mid and lower rectal cancer，is relatively high in China，and because of the special anatomical position，it is more involved in functional preservation. Therefore，the standardization of laparoscopic surgery is more important for radical resection of rectal cancer. This article elaborates on the standardized development of laparoscopic surgery for rectal cancer in China from the aspects of surgical indications，standardized promotion of technology，systematic training，and further standardization of technological innovation.

Laparoscopic surgery has been widely utilized in the treatment of rectal cancer. Considering the predominance of low and ultra-low rectal cancer in China，the rational selection of surgical approaches to achieve both tumor eradication and functional preservation is a clinically significant issue that warrants in-depth investigation. There is a wide range of laparoscopic techniques available for low rectal cancer，necessitating careful preoperative evaluation and precise determination of indications for neoadjuvant therapy. The fundamental objective should be achieving oncological clearance while ensuring appropriate selection of sphincter-preserving procedures. The choice of surgical approach should be personalized according to individual patient characteristics.

China is a large country of liver cancer in the world，with more than half of the cases of morbidity and death in the world. At present，surgical resection is still the first choice for the treatment of liver cancer. In recent years，with the progress of surgical instruments and the improvement of operational proficiency，surgical resection of liver cancer gradually shows a minimally invasive trend. Laparoscopic liver cancer surgery has been widely recognized for its effectiveness and safety because of its small abdominal incision and rapid postoperative recovery. However，due to the variability and complexity of liver cancer surgery，there are still many contents to be further standardized in the specific clinical application of laparoscopic liver cancer surgery. The problems that should be paid attention to laparoscopic liver cancer surgery include indication selection，process selection，perioperative management and so on. For laparoscopic liver cancer surgery，we must comprehensively consider many factors，such as patients' physical condition，treatment trauma，safety，effectiveness and cost，so as to complete the operating specifications of laparoscopic liver cancer surgery，make the surgery more safe and effective，and maximize the benefits of patients.

The long-term survival rate of patients with hilar cholangiocarcinoma could be improved by radical resection with negative histological margin. The key points to improve the radical resection is precise segmental resection of the liver, appropriate scope of lymphadenectomy and experienced vascular reconstruction skill. This article will introduce the options of radical operation and the measures to improve the radical resection rate of hilar cholangiocarcinoma.

Day surgery can save medical resources，reduce treatment related costs，which achieve a win-win result between hospital and patients. As a superficial organ，breast has particularly advantages to implement day surgery. Most of the breast surgical procedures are clean surgery and do not need complicated preparations. There is no significant interference on diet and activities after operation. However，there are still many problems in the day surgery for breast，such as indications，safety and surgical procedures. The consensus on the standardized management of day surgery for breast in China helps to guide the practice in this field. We intend to make a review on the point.

Clinical practice China guidelines on central venous vascular access for breast cancer（2022 edition）was made by the experts of the Chinese Society of Breast Surgery（CSBrS）of the Chinese Medical Association organized. The purpose of the guideline was to standardize application of CVA in the clinical practice of breast cancer patients. There has differences among different CVA when they used for breast cancer patients. We mainly interpret the indications and contraindications of different CVAs，channel selection，prevention and treatment of complications and maintenance of different CVAs in the guidelines.

In recent years，the concept of membrane anatomy has been widely applied in colorectal cancer surgery. The concept of "membrane" is associated with organ resection，radical tumor treatment，neurovascular anatomy and functional protection，which significantly promotes the further development of minimally invasive surgery for colorectal cancer. However，the definition of membrane structure，the establishment of membrane and surgical plane，especially for rectal cancer surgery，are still largely controversial.This study aims to investigate the concept and structure of low rectal cancer surgery related fascia，containing the fascia of low rectal cancer surgery，including proper fascia of rectum，pelvic fascia，Denonvilliers fascia，Waldeyer fascia and pelvicfascia，and discuss the principle of surgical plane for rectal cancer basing on fascia anatomy，to further standardize and improve the effect of minimally invasive surgery for low rectal cancer，and achieve the result of "radical tumor resection" and "function protection".

It is controversial to perform mesorectal excision（ME）combined with pelvic lateral lymph node dissection（LPLND）for low rectal cancer，and there are no definite indications for whether to perform prophylactic LPLND as well as therapeutic LPLND after neoadjuvant radiochemotherapy. In addition，intraoperative and postoperative complications of lateral pelvic lymph node dissection should be of concern，especially the occurrence of intraoperative hemorrhage and postoperative genitourinary dysfunction. Therefore，it is important to master the surgical indications for lateral pelvic lymph node dissection in low rectal cancer and to make a surgical strategy to improve the patient's survival and prognosis and to reduce intraoperative and postoperative complications.

This is the first report about Ligation-free radical resection of colon cancer in hepatic flexure with priority dissection of No. 206 and No. 204 lymph nodes. Firstly，LigaSure（LF1937）forceps was used to peel off the right gastroepiploic mesentery with the right hemi-colon and its mesentery from the cranial side to the caudal side，and to expose the right Toldt's fascia plane. Therefore，the anterior fascial plane of the pancreatico-duodenum and the confluence of the Henle trunk into the superior mesenteric vein are revealed clearly. Secondly，the membrane bridge on the surface of the ileo-mesocolon was incised along the infravascular fossa of the ileocolon. The fascial space was extended between the dorsal layer of the right mesocolon and the right Toldt’s fascia，then converged the cranial side of the Toldt’s fascial space. The right mesocolon was peeled off at the right edge of the superior mesenteric artery，and the breakwater technique of LigaSure（LF1937）was applied to coagulate and transect vessels as followed：the ileocolic vessels，the right colic vessels，and the middle colic vessels. Meanwhile，the No.203，No.213 and No.223 groups of lymph nodes are dissected sequentially.

With the development of the concept of minimally invasive surgery and the innovation of endoscopic instruments，laparoscopic surgery for pancreatic cancer has continuously made great breakthroughs in China，in which it has achieved similar results in comparison to open surgery in terms of safety and feasibility. However，pancreatic cancer is often accompanied by the infiltration of surrounding tissue and the invasion of peripheral lymph node or blood vessel that significantly increases the difficulty of operation，for which it is still remains controversial in terms of the efficacy of minimally invasive surgery. Therefore，in order to promote the standardization of laparoscopic surgery for pancreatic cancer on the whole，the author put forward some viewpoints from the aspects of selection of operation indication，radical resection of tumor and long-term outcome et al.