Objective To review the application status, clinical advantages, and complications of unilateral biportal endoscopy (UBE) technique and explore its future development direction. Methods By reviewing recent domestic and international literature, the evolution history of UBE technique, its surgical advantages, and its application effectiveness in various spinal diseases were analyzed, providing a comprehensive review. Results UBE technique, with its unique dual-channel design, provides a clearer surgical field and more flexible operating space, significantly reduces surgical trauma and postoperative recovery time. UBE technique has demonstrated high safety and effectiveness in the treatment of lumbar disc herniation, spinal stenosis, lumbar instability, and cervical spondylosis. Additionally, the complication incidence of UBE surgery is lower than that of traditional open surgery. Conclusion In recent years, UBE technique has shown good clinical application prospects and efficacy, but further technical optimization and large-scale clinical research are still needed to ensure the safety and effectiveness. In the future, the combination of UBE technique and intelligent medical and surgical robotics technology is expected to promote the further development of spinal surgery.
Cardiac rehabilitation can safely and effectively improve the quality of patient's life and reduce readmission rate and mortality after cardiac surgery. Early cardiac rehabilitation after cardiac surgery is an indispensable part of cardiac rehabilitation. It can speed up the recovery of patient's exercise endurance, prevention of postoperative complications, shorten the time of returning to the family, increase the confidence of sustained rehabilitation, and lay foundation and set rehabilitation targets for the later stage of cardiac rehabilitation. This paper reviews the development history of early cardiac rehabilitation after cardiac surgery, and summarizes the current status, problems and outlook of rehabilitation management in China.
Objective To systematically review and analyze the publication of clinical guidelines and consensuses on day surgery in Chinese-language journals, summarizing achievements, shortcomings, and future development directions. Methods A systematic literature search was conducted on China National Knowledge Infrastructure, Wanfang, SinoMed, and China Medical Journal Full-text Database to collect day surgery clinical guidelines and consensuses published up to December 31, 2025, followed by systematic summarization and analysis. Results A total of 55 clinical guidelines and consensuses were ultimately included, among which 4 were clinical guidelines. No day surgery clinical guidelines or consensuses were published before 2015, with the highest number of publications in 2019. Based on content coverage and professional fields, these day surgery clinical guidelines and consensuses included 7 comprehensive management categories, 32 specialty/specific surgical procedure categories, 13 anesthesia, rapid recovery, and nursing categories, and 3 medical record writing categories. By issuing institution/academic entity, these clinical guidelines or consensuses included 38 from national-level industry associations, 11 from large medical institutions, and 5 from provincial/municipal/county-level professional committees. Among them, 13 day surgery clinical guidelines and consensuses reported recommendation levels and strengths. Most guidelines and consensuses were formulated by referencing advanced day surgery practices abroad while integrating China’s national conditions and operational experiences of medical institutions. Conclusions Evidence from Chinese-language journals shows that clinical guidelines and consensuses building for day surgery in China have achieved certain results, forming a basic framework for guiding practice. However, there are still challenges in terms of system integrity, implementation effectiveness, and scientific research support.