[Discussion of 2011 Tokyo Declaration on Japanese Acupuncture and Moxibustion]

The contents of 2011 Tokyo Declaration on Japanese Acupuncture and Moxibustion (Declaration for short) and its effect on development situation, current status, features, opportunities and challenges of Japanese acupuncture and moxibustion are introduced, some proposals brought up in the Declaration are analyzed as well. The Declaration summarizes six characteristics of Japanese acupuncture and moxibustion, including paying great attention to palpation techniques such as pulse and abdominal diagnosis, always selecting response point in the meridian during acupuncture treatment, etc. Also six proposals have been brought up to promote the development of Japanese acupuncture and moxibustion, such as being devoted to spread the latest knowledge of acupuncture and moxibustion to medical professionals and the public in order to get correct understanding and proper evaluation, etc. What's more, the Declaration makes a prospection of improving international academic exchange and promoting the globalization of acupuncture and moxibustion and so on. The Declaration is served as a link between past and future in the history and developing process of Japanese acupuncture and moxibustion, which has a great meaning to the development of Japanese acupuncture and moxibustion. We should have a clear understanding of weakness and strength in the development of acupuncture and moxibustion, seize the opportunity and develop science of acupuncture and moxibustion with our own characteristics, which makes more contribution to development of international acupuncture and moxibustion.

[The treatment of severe complications of laparoscopic cholecystectomy]

The treatment of 24 cases of severe complications of laparoscopic cholecystectomy (LC) in 1993-1998 is reported. Among them, 16 cases were from the other hospitals. The patients included 14 cases of bile duct injury, 3 cases of bile leak, 1 case of duodenal injury, 5 cases intraoperative hemorrhages, 1 case mediastinal emphysema. The data showed that bile duct injury was the most severe complication of LC. It is suggested that in order to prevent the complications a training of operators on adaptive exercise and standard intraoperative procedure should be undertaken. The diagnosis and treatment of severe complications are discussed and some useful advice is given in this paper.