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Updated: Jun 13, 2025
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
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[The development, implementation principles and application of the endoscopic super minimally invasive surgery]
1Department of Digestive Endoscopy Super Minimally Invasive, Department of Gastroenterology, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China.
Zhonghua Yi Xue Za Zhi
|September 12, 2024
Summary
Endoscopic therapy evolved into super minimally invasive surgery (SMIS), preserving organs and functions. SMIS offers advanced gastrointestinal disease diagnosis and treatment through multiple channels, ensuring safety and effectiveness.
Area of Science:
- Gastroenterology and minimally invasive surgery.
Context:
- Traditional surgical methods for gastrointestinal diseases often involve organ resection and anatomical reconstruction, leading to significant morbidity.
- Endoscopic therapy has evolved through distinct stages, including intraluminal treatment, endoscopic tunneling, and the development of endoscopic super minimally invasive surgery (ESMIS).
Purpose:
- To highlight the evolution and principles of endoscopic super minimally invasive surgery (ESMIS) as a paradigm shift in gastrointestinal disease management.
- To emphasize the advantages of ESMIS over traditional surgical approaches in terms of organ and function preservation.
Summary:
- ESMIS represents the third and most advanced stage of endoscopic therapy, focusing on "curing diseases while preserving organs and functions."
- This approach utilizes four distinct channels for treatment: natural cavity, tunnel, puncture, and multi-cavity.
- ESMIS encompasses numerous diagnostic and therapeutic techniques for gastrointestinal conditions, with established implementation principles ensuring surgical safety and efficacy.
Impact:
- ESMIS offers a less invasive alternative to traditional surgery, potentially reducing patient recovery times and improving outcomes.
- The established principles of ESMIS facilitate its continued expansion into new diagnostic and therapeutic applications within gastroenterology.
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