We have seen a lot of discussions about the speed of surgery, so I would like to express a little bit of insight, so that those who are interested can discuss together for common progress. The length of surgery is not a criterion for evaluating good or bad surgery, especially for malignant tumor surgery, whether to achieve the standard standard radical treatment requirements and the long-term prognosis of patients is the gold standard. Surgical operation is a skill, as long as the perception is not bad, good at summing up and have a good platform, everyone can be skilled. We should not blindly pursue speed and worship a certain person, think that a day can do a few what kind of surgery seems to be called everyone, the domestic can be called everyone does not seem to be so many at present. There don’t seem to be many of them in China. Most of the country’s more famous professors and directors should have observed their surgical videos or actual combat, including the previous post inside the discussion of Peng Chenghong, Yue Shuqiang, Hu Xiangui and several other professors who have had the privilege of watching the video, objectively speaking, each has its own strengths and weaknesses, and there are places where improvements can be made. What I really appreciate is Prof. Cai Xiujun’s laparoscopic hepatectomy, which may be because I am not familiar with laparoscopic hepatectomy, so I think he did a very beautiful job, especially the anatomy of the hepatic portal duct. In addition, I think many of our surgeons prefer to worship the fame of big professors, followed by the actual surgery, which is actually the influence of herd mentality. In fact, some real surgical masters do that is standardized and skilled, but they are not very famous instead, such as Prof. Wang Ziqiang from Huaxi, I think his laparoscopic colon cancer is standardized radical treatment. Although many other professors boast that they are in laparoscopic or open-hearted radical treatment of stomach and colon cancer, in fact, they are all greatly discounted radical treatment. Many professors claim to have done radical treatment of gastric cancer for their whole life, but they are not even clear about the detailed information of lymphatic grouping, let alone being able to accurately remove each group of lymphatic metastases that may exist during actual operation, even if they are skilled enough to do 10 units a day. Even if such a professor is so skilled that he can do 10 units a day, it is not believed that he can do a good job of radical treatment of gastric cancer. Even some nationally known professors who are unwilling or unable to do the standard radical treatment themselves say that radical treatment or not has little effect on prognosis, find some low-level evidence to deny radical treatment, and even turn a blind eye to high-level evidence, and even make excuses to denigrate those physicians who insist on radical treatment, always saying that so-and-so needs how long and how long to do a certain operation, but they do not look at the quality of their operations. are above 6 hours, is it that people’s level is very poor? As we have been thinking like this for a long time, we all intentionally or unintentionally discount the radical treatment in order to pursue time or avoid risks, and those lymph or tumors that are not cleared will recur soon, which also causes confusion in medical oncology and always feel that a certain chemotherapy regimen is not effective. It is impossible to truly evaluate the effectiveness of a procedure and postoperative chemotherapy if the radical treatment required by the International Society of Oncology guidelines is not cleared in place. Therefore, it is suggested that we should not blindly create a god, but do a good job in each case according to the relevant guidelines, even if it takes a few more hours to standardize the surgery, it is more real than your blind pursuit of speed, so persist, sooner or later you will become a bull in the eyes of others. Finally, if we don’t know what is the real standard and criteria, then we can’t evaluate others’ surgical level, and we can never achieve the standard and criteria ourselves!