关于儿童微创外科的几点反思OA北大核心CSTPCD

Mini-invasive surgery has been widely applied during pediatric surgery and it has achieved satisfactory outcomes.However,there are still such practical problems as emphasizing incisional appearance and neglecting functional recovery.There is also a lack of evaluation standards for pediatric mini-invasive surgery.Accurate preoperative decision-making,removing target lesions,intraoperative injury control and rational surgi-cal approaches should be strengthened.Measures and concepts of functional mini-invasive surgery,such as ac-celerated rehabilitation,effective nutrition management and perioperative psychological interventions,require re-fining.The concept of functional mini-invasive surgery must be integrated into the entire surgical management processes of preoperative diagnoses,evaluations,nutritional managements,surgical procedures and ERAS.Indi-vidualized protocols should be developed and the recovery of patient organs and overall functions adopted as the evaluation criteria.