Preoperative anemia can increase the need for intraoperative blood transfusion and impact the short-term prognosis of customers. At present, the thought of standard remedy for perioperative anemia among intestinal surgeons in Hubei Province has to be enhanced.When stomach neoplasms originating through the pancreas or nearby organs locally involving the exceptional mesenteric artery (SMA), complete resection is still the actual only real hope for cure. Nonetheless, SMA resection and reconstruction is a complex medical procedure involving large postoperative morbidity and death. Intestinal autotransplantation has actually recently surfaced in clinical training as cure choice for selected customers with neoplasms involving the SMA. The original treatment involved en bloc removal of a tumor with the intestine, ex vivo resection and repair of intestinal system by an intestinal autograft. To help expand refine this complex process, a modified technique was created in which needle prostatic biopsy a segmental bowel autograft is chosen buy CC-99677 and harvested initially through the initial stage of the procedure, and radical resection of this neoplasm is carried out thereafter. The adjustment would better protect an excellent bowel autograft from prospective damage due to prolonged hot ischemia and enable the subsequent lengthy process of dissection to be carried out in an unrushed way. Furthermore, this alteration would better stick to the typical maxims of minimal tumor manipulation during operation and potentially reduce the dangers of tumor implantation during in vitro organ perfusion. Although abdominal autotransplantation has broadened qualifications for resection of otherwise unresectable lesions involving the SMA, its operative complexity, high dangers, and post-operative complications largely limit its clinical applications.Pancreatic disease is a malignant tumor with inadequate prognosis. In the past decade, the medical strategy made significant development, nonetheless it have not brought desired result in improving the success results of pancreatic cancer clients. Because of the growth of the idea of cancer tumors treatment while the introduction of accuracy medicine, the surgical centered multidisciplinary therapy and collaborative diagnosis and treatment mode has gradually get to be the main-stream. Accurate preoperative assessment of pancreatic disease became a breakthrough for further enhancing the prognosis of patients with pancreatic disease. From the perspective of accurate assessment, this paper holistic medicine mainly summarized the standing and development regarding the after four aspects the preoperative analysis and staging, the resectability assessment, the neoadjuvant treatment strategy and efficacy assessment of neoadjuvant therapy in pancreatic cancer, also discussed the shortcomings and difficulties in the area of accurate evaluation, finally to make the preoperative assessment of pancreatic cancer much more exact and standard, and also to provide helpful reference for future analysis work.Mixed truth is an innovative new three-dimensional presentation technology that integrates the virtual digital world aided by the real life, which has been initially applied in neuro-scientific hepatobiliary surgery. In contrast to digital reality, augmented reality and three-dimensional visualization technology, mixed reality technology features unique advantages in preoperative analysis and formula of surgical plan, real-time accurate navigation during procedure and three-dimensional virtual teaching. And it’s also a new generation of auxiliary tool for accuracy hepatobiliary surgery. This paper describes the application form and analysis development of blended reality technology in the field of hepatobiliary surgery, and covers its application potential and present limitations.Pancreatic cancer is one of the most malignant digestive tract tumors. Into the present decade, the effect of diagnosis and treatment of pancreatic disease has enhanced as a result of renewal of treatment idea together with popularization of effective therapy. Nonetheless, the general efficacy of pancreatic cancer tumors is still dismal together with 5-year survival rate is about 10%. Further improving the analysis and remedy for pancreatic cancer tumors could be the main priority of oncology study and clinical training. Based on past clinical and systematic research experience, the writers have actually recommended ten hot spots and future instructions for a reference, which focusing on very early avoidance, very early diagnosis, and very early treatment of pancreatic cancer, molecular typing and precise therapy, brand new medicine development and regimen combination, surgical technology and method modification, design institution and database development, also innovation of standard Chinese medicine and breakthrough of therapy idea. A breakthrough in the analysis and treatment of pancreatic cancer tumors within the next a decade is raising hope, when doctors can undoubtedly avoid and get a handle on pancreatic cancer.After significantly more than two decades of multidisciplinary integration of health science and technology,as well as research and rehearse in revolutionary analysis and treatment,digital medication 4.0 has made a profound and essential affect the development of conventional surgery. To mix old-fashioned surgery with digital medication 4.0 technology could be the path of surgery development later on.