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Updated: Jun 10, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
[Future perspective of gastrointestinal 'intelligent' endoscopy]
Kozo Konishi1, Makoto Hashizume
1Department of Future Medicine and Innovative Medical Information, Graduate School of Medical Sciences, Kyushu University.
This study introduces an intelligent endoscopic surgery system with micro arms, ultrasound, and HIFU capabilities to overcome limitations in natural orifice translumenal endoscopic surgery (NOTES). This advanced system aims to enhance therapeutic capabilities and enable innovative minimally invasive personalized therapies.
Area of Science:
- Minimally Invasive Surgery
- Medical Robotics
- Gastroenterology
Context:
- Flexible endoscopy is widely used but has limitations in therapeutic tasks.
- Natural orifice translumenal endoscopic surgery (NOTES) faces constraints in dexterity, navigation, and visualization.
- Miniature endolumenal robots offer potential solutions to these endoscopic limitations.
Purpose:
- To describe a high-functioned 'intelligent' endoscopic surgery system with navigation.
- To present a system with accurate master-slave manipulation micro arms compatible with conventional endoscopes.
- To highlight the integration of an ultrasound probe and high intensity focused ultrasound (HIFU) applicator.
Summary:
- The described system features accurate master-slave manipulation micro arms for dexterous control.
- It integrates an ultrasound probe for enhanced visualization and guidance.
- The system also incorporates a high intensity focused ultrasound (HIFU) applicator for therapeutic interventions.
Impact:
- The intelligent endoscopic surgery system aims to mitigate limitations in current flexible endoscopy and NOTES.
- It provides a stable platform for enhanced visualization and dexterous manipulation.
- Continued development may lead to innovative minimally invasive personalized therapies.
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