The present state and future of endoscopic surgery

Area of Science:

• Gastroenterology
• Surgical Endoscopy
• Minimally Invasive Surgery

Background:

• Endoscopic surgery has evolved significantly, becoming integral to modern surgical practice.
• Clinical experience from 1972-1994 provides a robust dataset for analysis.
• The study examines the role of endoscopic procedures across various surgical specialties.

Purpose of the Study:

• To analyze the current state and future prospects of endoscopic surgery.
• To evaluate the impact of endoscopic methods in clinical practice.
• To document the experience with a large cohort of diagnostic and surgical endoscopic procedures.

Main Methods:

• Retrospective analysis of data from 73,572 diagnostic endoscopies and 1,975 surgical procedures.
• Detailed review of specific endoscopic interventions including ERCP, sphincterotomy, and gastroscopy.
• Introduction and application of advanced techniques like endoscopic ultrasonography and manometry.

Main Results:

• Endoscopic procedures play a crucial role in stomach, duodenum, bile duct, pancreatic, and colorectal surgeries.
• Significant numbers of procedures performed include 9100 ERCPs, 1200 sphincterotomies, and 61,105 gastroscopies.
• Advanced endoscopic methods, including balloon dilation and laser recanalization, were successfully introduced for stricture treatment.

Conclusions:

• Endoscopic surgery has demonstrated a significant role and efficacy in various gastrointestinal and hepatobiliary procedures.
• The integration of modern endoscopic techniques with imaging and computer technology drives surgical progress.
• Future advancements in endoscopic surgery promise further improvements in patient care and treatment outcomes.