RESUMEN
Laparoscopic radical resection of hilar cholangiocarcinoma (LRRHC), due to the existing state of affairs of complexity of the surgery and the poor prognosis of hilar cholangiocarcinoma, is extremely challenging and full of controversy. LRRHC is seriously lagged behind compared with the application of laparoscopic operation in hepatic, pancreatic and gastrointestinal surgery. This article reviewed the history, minimally invasiveness, indications, technical difficulties and other key points of the current development of LRRHC.
RESUMEN
Hospital cases were collected from 18 hospitals regarding their clinic facility layout optimization when they implement the National Healthcare Improvement Initiative.These data were used to learn the implementation at such hospitals,and summarize problems and experiences of the Initiative,for reference of sustained improvements.