To promote the standardized and safe implementation of day surgery for colorectal cancer in China, the Colorectal Cancer Committee of the Chinese Anti-Cancer Association and other organizations convened experts to develop this consensus by integrating domestic and international literature and clinical practice. The consensus was developed in accordance with international standards for guideline development and the GRADE evidence grading methodology, and recommendations were formulated through expert discussion, covering the definition of day surgery, team and ward development, patient selection, perioperative management, discharge criteria, and post-discharge follow-up. The consensus emphasizes that day surgery for colorectal cancer should be carried out under strict patient selection, standardized procedures, and multidisciplinary collaboration, so as to ensure the quality of care and patient safety and to provide a reference for relevant healthcare institutions.

Colorectal cancer is one of the most common malignant gastrointestinal tumors in China, and surgery remains its primary treatment modality. With the rapid development of laparoscopy and various novel surgical approaches, staplers are being increasingly used in digestive tract reconstruction during colorectal surgery. However, there is still a lack of unified standards for the scientific selection and standardized use of stapling instruments. To address this, the Colorectal Cancer Committee of the China Anti-Cancer Association organized domestic experts in relevant fields to formulate this consensus. The consensus systematically elaborates the standardized procedures for bowel transection, anastomosis, and reconstruction in colorectal cancer surgery from three dimensions: preoperative assessment of systemic conditions and local tissues, standards for bowel transection and anastomosis, and selection and usage specifications for staplers. It covers core contents including optimization of perioperative systemic status, assessment of local tissue blood supply and tension, tumor margin criteria, selection of anastomotic methods, intraoperative quality evaluation of the anastomosis, indications and techniques for hand-sewn reinforcement suturing, principles for selecting stapler types and cartridge sizes, and standardized operating techniques for powered staplers, forming a total of 9 recommendations. This consensus aims to provide evidence-based guidance for the standardized application of staplers in colorectal surgery, so as to reduce the risk of postoperative complications such as anastomotic leakage, bleeding, and stricture, and to improve surgical safety.

Endovascular treatment (EVT) has become the standard treatment for acute ischemic stroke caused by large vessel occlusion, and the field of neurointervention in China has achieved rapid development in the past decade. The publication of the "Chinese guidelines for endovascular treatment of acute ischemic stroke 2023" laid the evidence-based foundation for this field, while the publication of the "Chinese expert consensus on endovascular treatment techniques for acute ischemic stroke 2025" (hereinafter referred to as the "Consensus") marks a further step towards "technical refinement" and "operational standardization" in the field of EVT in China. Based on the core content of the Consensus and combined with the latest evidence, this article reviews and comments on six aspects: consensus highlights, vascular access selection, optimization of thrombectomy techniques, etiology-directed strategies, thrombectomy for medium vessel occlusion, and challenges and prospects, in order to clarify the practical value of the consensus and the future development direction of this field.

In recent years, with the deepening integration of medicine and engineering and advances in thermometry and temperature-control technologies, whole-body hyperthermia (WBH) has attracted increasing attention. Unlike local hyperthermia, WBH elevates the temperature of the entire body, thereby not only subjecting the lesion site to heat stress but also fully mobilizing the host’s immune responses at multiple sites and through multiple pathways, thus broadly regulating body metabolism to exert therapeutic effects. With its unique advantages, WBH has become a frontier hotspot in hyperthermia research. To date, a growing body of basic and clinical evidence has confirmed the therapeutic potential and efficacy of WBH in the treatment of both oncologic and non-oncologic conditions. Against this background, the expert consensus focuses on summarizing key points including the definition and classification of WBH, its antitumor mechanisms, clinical implementation techniques, complications, and management principles, with the aim of providing guidance for the clinical application and promotion of WBH.

Esophageal cancer is one of the most common gastrointestinal malignancies in China. Surgery remains the cornerstone of curative-intent treatment for patients with resectable disease. However, postoperative recurrence and metastasis remain major causes of poor long-term survival. As an essential component of multidisciplinary treatment, postoperative adjuvant therapy aims to eradicate potential minimal residual disease (MRD), reduce the risk of recurrence, and improve survival outcomes. In recent years, perioperative treatment strategies for esophageal cancer, including chemoradiotherapy and immunotherapy, have evolved rapidly. Nevertheless, considerable controversy remains regarding the indications, treatment regimens, and management strategies for postoperative adjuvant therapy across different clinical settings, and standardized clinical practice is still lacking. To further standardize the clinical practice of postoperative adjuvant therapy for esophageal cancer in China, the Esophageal Cancer Committee of the Chinese Anti-Cancer Association convened a multidisciplinary panel of experts to develop the Chinese Expert Consensus on Postoperative Adjuvant Therapy for Esophageal Cancer (2026 Edition). This consensus addresses key issues, including the fundamental principles and management of postoperative adjuvant therapy, treatment strategies across different clinical scenarios, the application of biomarkers, and the management of special populations. A total of 18 recommendations are proposed to provide standardized and individualized guidance for clinical decision-making and to identify priorities for future clinical research.

With the widespread application of robotic-assisted surgical systems in gynecology, robotic-assisted vNOTES (R-vNOTES) has emerged as an important direction in minimally invasive gynecologic surgery. By improving instrument dexterity, establishing an optimal surgical triangulation, providing threedimensional visualization, and enabling precise manipulation, R-vNOTES effectively avoids abdominal wall trauma and enhances the safety and reproducibility of procedures in complex anatomical regions. This expert consensus systematically summarizes the relevant technical specifications, indications, contraindications, and clinical applications of R-vNOTES in procedures such as hysterectomy, adnexal surgery, myomectomy, endometriosis resection, pelvic floor reconstructive surgery, and selected malignant tumor surgeries. It also discusses future directions in artificial intelligence-assisted planning, 5G based remote operation, and standardized training, aiming to provide standardized guidance for the clinical practice of R-vNOTES.

To improve Chinese hysteroscopic surgeons′ awareness of fluid management risks and standardize the prevention and treatment of operative hysteroscopy intravascular absorption syndrome (OHIA), these expert recommendations summarize the pathogenic factors of OHIA, standardized management of uterine distension media, as well as unified diagnosis, treatment and prevention strategies. The recommendations propose adhering to the principle of minimum effective intrauterine distension pressure during hysteroscopy, clarify influencing factors and monitoring key points of fluid deficit, and conclude clinical manifestations, auxiliary examinations of OHIA-related fluid overload and acute dilutional hypokalemia/hyponatremia, alongside the standardized emergency management workflow for OHIA. This paper highlights that prevention is the priority for OHIA control, and puts forward the "4L" rule and "4E" rule for clinical prevention. Finally, it highlights the critical value of fully automated intraoperative hysteroscopic fluid management in reducing OHIA risk, and prospects future research and development directions in this field.

Ulcerative colitis (UC) is a chronic, non-specific inflammatory bowel disease of unknown etiology, characterized by a relapsing and remitting course. Long-term management of UC depends heavily on patients' disease knowledge, treatment adherence, and self-management capabilities. As an essential component of comprehensive UC management, systematic patient education is of no less importance than pharmacological therapy. To standardize and optimize patient education for UC in China, this consensus was developed by experts in gastroenterology and inflammatory bowel disease (IBD). Based on a review of the latest evidence-based medical literature combined with Chinese clinical practice, the consensus comprises 15 recommendation statements across four parts. Part Ⅰ addresses disease cognition education, including establishing correct disease perceptions, understanding the complexity of the diagnostic process, maintaining continuity of care with a fixed IBD team, individualized pharmacotherapy, and discernment of non-evidence-based therapies. Part Ⅱ covers treatment management education, encompassing disease self-monitoring skills, recognition of functional bowel symptoms during remission, promotion of the "Treat-to-Target" concept, and regular follow-up. Part Ⅲ provides lifestyle guidance, including individualized nutritional management and stage-specific exercise interventions. Part Ⅳ focuses on special population management, addressing pregnancy planning in women of childbearing age, recognition of extraintestinal manifestations, surveillance colonoscopy for colorectal neoplasia in long-standing UC, and psychological assessment and intervention. This consensus aims to help UC patients develop accurate disease perceptions, enhance treatment adherence and self-management abilities, achieve long-term stable disease control, and ultimately improve quality of life and long-term prognosis.