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In recent years, the rising incidence of adenocarcinoma of esophagogastric junction (AEG) and the subsequent surge in early detections have transformed the surgical treatment of AEG into a topic of substantial interest. The anatomical positioning of AEG, combined with the unique nature of its tumor biology, which encompasses two distinct surgical domains, the thoracic and abdominal cavities, has sparked numerous debates regarding the selection of treatment strategies. The comprehensiveness of lymph node dissection and the safety of digestive tract reconstruction are instrumental in shaping these strategies. The laparoscopic abdominal transhiatal (TH) approach offers a balance of addressing both these conside-rations. It ensures the oncological safety of inferior mediastinal lymph node dissection, while simultaneously performing abdominal lymph node dissection. This approach becomes a prime choice for AEG when the esophageal invasion length is ≤ 4 cm.When implementing the TH approach, surgeons have the ability to either augment the inferior mediastinal space or establish a direct connection between the abdomen and the left thoracic cavity by performing a strategic opening of the left diaphragm. Such a maneuver circumvents the need for traditional thoracotomy, thus enlarging the operating space and enhancing the surgical field of view. This method reduces chest trauma and enables a clearer and more comprehensive removal of inferior mediastinal lymph nodes. Moreover, ample operating space and sufficient esophageal dissection make high digestive tract reconstruction in the mediastinum or left thoracic cavity safer and more feasible. Our center has dubbed this approach the abdominal-left diaphragmatic (ALD) approach. Functional digestive tract reconstructions such as side overlap esophagogastrostomy （SOFY） anastomosis and double-flap technique can be progressively applied to a higher anastomosis plane through the ALD approach. Consequently, the ALD approach expands the indications for digestive tract reconstruction, ensures operational safety, and maintains an effective anti-reflux effect simultaneously.

Using the data of listed agriculture-affiliated companies with customer-supplier association information, we examine the diffusion effect of the digitalisation of listed agricultural companies on the digital transformation of agriculture-affiliated enterprises from the perspective of supply chain. We show that the supply chain diffusion effect of digitalisation mainly exists in ‘customer enterprises-suppliers enterprises’ and ‘leading enterprises-other enterprises’. And the digital transformation of agriculture-affiliated customer enterprises forces suppliers to respond to customer innovation demands, thereby improving the digitalisation level of suppliers, while leading agriculture-affiliated enterprises improve the digitisation level of other agriculture-affiliated enterprises in the supply chain network through knowledge flow. Additionally, the supply chain diffusion effect of digital transformation is stronger under the conditions of smaller ‘digital divide’, lower geographic distance, the downstream consumer end and more government support of agriculture-affiliated enterprises. We provide theoretical and practical implications for promoting the digitalisation of the entire agricultural chain and improving the scale effect of digitalisation. [ABSTRACT FROM AUTHOR]

Aim: To systematically review and synthesize the findings of qualitative research on the unmet rehabilitation needs of colorectal cancer survivors (CRC) after surgery. Design: A qualitative meta‐synthesis registered with PROSPERO (CRD42022368837). Methods: CNKI, Wanfang Data, PubMed, Scopus, Embase, Cochrane, Medline, PsychINFO and CINAHL were systematically searched for qualitative studies on the rehabilitation needs of CRC survivors after surgery from the inception of each database to September 2022. Results: A total of 917 relevant reports were initially collected and 14 studies were finally included. A total of 49 needs were extracted and divided into 15 categories in 6 integrated findings: (1) the need to adopt healthy eating habits; (2) the need for exercise motivation and exercise guidance; (3) the conflicting needs to return to work; (4) unaddressed physiological needs; (5) spiritual needs; (6) the need for multi‐dimensional social support. Patient or Public Contribution: Not applicable. [ABSTRACT FROM AUTHOR]