The advent of minimally invasive surgery (MIS) brought a major deviation in trend from conventional surgery. Since the introduction of first laparoscopic cholecystectomy in 1985, many operations for gastrointestinal diseases adopted MIS technique in a relatively short period of time. These MIS operations yielded better outcomes when compared to their open counterparts: less pain, shorter hospital stay, faster recovery, and better cosmetics. More complex surgical procedures for benign and malignant diseases of gastrointestinal tract are currently being performed by MIS technique with the improvement in equipment, instrumentation, and surgical skills. At the forefront of MIS, lies robotics. This paper briefly reviews the current status of MIS in the field of gastrointestinal diseases.
Gastrointestinal Diseases/*surgery ; Humans ; Surgical Procedures, Minimally Invasive/trends

Medical robotics has played an increasingly important role in the recent years in robotics field. An overview of the minimally invasive surgery robots, rehabilitative robots and hospital service robots are offered here, and relevant tendencies are also referred to.
Minimally Invasive Surgical Procedures ; instrumentation ; Robotics ; instrumentation ; trends

The term "midlife crisis" was first described in the 1930s by the Swiss psychologist Jung Carl Gustav. He found that although many middle-aged people already had a successful career and a stable family, the crisis of values and beliefs started to appear. If the minimally invasive surgery was a person, he would be 30 years old since 1987 when the first laparoscopic cholecystectomy was successfully performed in the world, and he would be gradually entering the "middle-aged phase", of which the "midlife crisis" is shown as follows: the surgical technique is basically established. Although there are continuous improvements and innovations of surgical techniques, they are only gradual innovations essentially. How can we recognize ourselves and overcome this crisis successfully? Technological change is always spiraling upward, irreversibly, and getting better. Minimally invasive surgical techniques may continue for more than one hundred years. But in the process of the pursuit of minimally invasive surgical techniques development, we should never forget to remain true to our original aspiration, from beyond the technical level to examine the development of technology, because the need of diagnosis and treatment and the quality of life of patients is our ultimate concern. No matter how technology evolves, the patient is always the first. Only with such an original intention can we move forward bravely and overcome the "midlife crisis" in technology.
Digestive System Surgical Procedures ; trends ; Humans ; Minimally Invasive Surgical Procedures ; trends ; Quality of Life

Precise surgery is based on the integrated application of modern science and technology and integrated innovation of surgical technology revolution features. It is built in high-end digital medical bases. The purpose of precise surgery is to achieve accurate lesion resection, minimize injury, improve the quality of life and reduce the risk of surgery. In this paper we forward new concept of precise thoracic surgery. An overview was made on the development of precise surgery with great support of virtual reality technology, augmented reality technology and image acquisition technology. Finally the paper illustrated the prospect of precise of thoracic surgery from the following aspects: preoperative planning, the choice of surgical approach, precise tumor localization, postoperative immediate 3-dimension multi modality imaging evaluation.
Humans ; Minimally Invasive Surgical Procedures ; Quality of Life ; Thoracic Surgery ; trends ; Thoracic Surgical Procedures

History, 20th Century ; History, 21st Century ; Humans ; Minimally Invasive Surgical Procedures ; history ; trends ; Neurosurgery ; history ; trends

In the past 30 years, minimally invasive surgery has been greatly improved with the development of the energy platform, instrument platform, and imaging platform. Taking colorectal cancer surgery as an example, the five elements of surgical procedure have developed to a certain extent. The surgical approach has undergone a process from large to small. The range of resection ranges from simple bowel resection to radical resection/extended radical resection, and then to surgery that focuses on preserving organ function. With the recognition of the direction of normal lymphatic drainage and the characteristics of tumor lymphatic metastasis, lymph node dissection has been gradually standardized. The reconstruction of the digestive tract has changed from manual sutures to full endoscopic anastomosis, and then to the concept of functional anastomosis. The removal of the specimen has improved from large incision through the abdominal wall, to small laparoscopic incision, and then to the natural cavity. The evolution of these procedures depends on the advancement of technology platforms and equipment, and the recognition of new concepts. The development of minimally invasive platform must be in the direction of ensuring the implementation of the most optimized surgical approach. The platform is more secure, integrated, multifunctional, and intelligent. In the future, minimally invasive procedures must be aimed at maximizing the benefits of patients. The procedures are more scientific, functional, comfortable and diverse. Surgical innovation has promoted the development of the platform. The platform and the surgical procedure promote each other's development.
Anastomosis, Surgical/trends* ; Colorectal Neoplasms/surgery* ; Digestive System Surgical Procedures/trends* ; Forecasting ; Humans ; Laparoscopy/trends* ; Lymph Node Excision ; Lymphatic Metastasis ; Minimally Invasive Surgical Procedures/trends* ; Suture Techniques/trends*

Colorectal Neoplasms ; surgery ; Humans ; Minimally Invasive Surgical Procedures ; adverse effects ; trends

Surgery is the most important therapy for thymic malignances. The last decade has seen increasing adoption of minimally invasive surgery (MIS) for thymectomy. MIS for early stage thymoma patients has been shown to yield similar oncological results while being helpful in minimize surgical trauma, improving postoperative recovery, and reduce incisional pain. Meanwhile, With the advance in surgical techniques, the patients with locally advanced thymic tumors, preoperative induction therapies or recurrent diseases, may also benefit from MIS in selected cases.
Humans ; Minimally Invasive Surgical Procedures ; methods ; trends ; Retrospective Studies ; Thymoma ; surgery ; Thymus Neoplasms ; mortality ; pathology ; surgery

Colorectal surgery is rapidly developing in the direction of minimally invasive surgery and functional surgery. New technology and ideas are constantly emerging recently. Laparoscopic colon surgery has already been recommended by NCCN guideline. However, laparoscopic rectal cancer surgery still needs to wait for survival and recurrence rates of long-term follow-up data for verification. In recent years, with the rapid progression of imaging equipment of laparoscope, the new 3D laparoscopic system will process image more quickly, and surgeons can get space depth feeling like open surgery only with a pair of glasses. The new 3D laparoscopic system has many advantages, and can also shorten the learning curve of the beginners. But it does not mean the traditional 2D laparoscopy has been out of date. It is admitted that dialectical view on the development of the technology and equipment is still required. New things also need the accumulation of time and validation, and the deficiency of imaging system remains to be improved. At present, the robotic colorectal cancer surgery is still in its infancy, and its application is relatively common in colon surgery. In respect of robotic rectal cancer surgery, it still lacks of long-term follow-up survival results for verification. To reduce physical and psychological trauma for patients is the goal of the surgeon. Surgeons are experiencing the change from minimally invasion to non-invasion. Natural orifice translumenal endoscopic surgery (NOTES) and natural orifice specimen extraction surgery (NOSES) arise at the historic moment. Among them, transanal total mesorectal excision (taTME) incorporates the concepts of NOTES, anal minimally invasive surgery and total mesorectum excision, guaranteeing the radical cure and no scar of abdomen, but it still needs multicenter, large sample and long-term follow-up clinical data to prove its safety, efficacy and indication. Therefore, surgical procedure is transforming from conventional laparoscopic surgery to the NOTES and NOSES. The surgical principle is the eternal cornerstone to ensure the radical tumor resection and the safety of patients.
Abdomen ; surgery ; Biopsy ; Cicatrix ; Colon ; surgery ; Colorectal Neoplasms ; surgery ; Digestive System Surgical Procedures ; trends ; Humans ; Laparoscopy ; Minimally Invasive Surgical Procedures ; trends ; Natural Orifice Endoscopic Surgery ; Robotic Surgical Procedures

No abstract available.
Humans ; Laparoscopy/methods ; Minimally Invasive Surgical Procedures/*methods ; Periodicals as Topic ; Robotic Surgical Procedures/*methods ; Urolithiasis/diagnosis/therapy ; Urologic Surgical Procedures/*methods ; Urology/trends