The aging of the population is grim, and the functional disability of older adults is increasing, bringing heavy burden to society. Previous studies have shown that rehabilitation is beneficial to improve the various functional disorders of the functional disability of older adults, and help them recover their activities of daily living and improve their quality of life. However, the multi-disciplinary comprehensive management model is still in its infancy in China, and there is a lack of multi-disciplinary full-period comprehensive rehabilitation management exploration for the functional disability of older adults. Therefore, based on the relevant literature, this experts consensus summarizes the rehabilitation evaluation and intervention of the functional disability of older adults from nine functional dimensions: movement, vision, hearing, cognition, swallowing, cardiopulmonary, defecation, psychology and activities of daily life, in order to provide reference for the comprehensive rehabilitation management of the functional disability of older adults.
[Abstract]With the adoption of the surgical principles emphasizing minimally invasive, precise, and individualized procedures, the subxiphoid video-assisted thoracoscopic surgery with sternal elevation has become a pivotal approach for resecting anterior mediastinal masses. This approach significantly enhances surgical exposure, minimizes operative trauma, alleviates postoperative pain, and improves cosmetic outcomes. To establish a standardized framework and regulate the application of this approach, this consensus integrates practical experience from thoracic surgery centers in China alongside evidence from the literature. The core issues addressed in this consensus include surgical indications, preoperative assessment, anesthesia and intraoperative coordination, critical surgical techniques, postoperative management, complication prevention and treatment, as well as training and quality control systems. This consensus aims to provide a safer and more effective minimally invasive technique for patients with anterior mediastinal masses and to advance the innovation in minimally invasive anterior mediastinal surgery.