摘要以腹腔镜为平台的微创手术经过30年的发展取得了长足进步,特别是在胃肠外科领域,手术数量不断提高,腹腔镜手术率稳步提升.然而,唯有创新才能进一步发展.微创胃肠外科近期的创新包括设备平台和手术技术两方面.前者包括3D腹腔镜、4K或6K高清、以及虚拟现实等视觉系统的创新发展,全维度运动能力的手术机械臂设计与研发,机器人手术系统,内镜治疗设备的发展等;后者包括手术入路、经肛门人路直肠全系膜切除以及消化道重建等方面的创新发展.无论是技术层面上,还是设备平台上的创新发展,均提示中国未来的微创胃肠外科将面临更多挑战与机遇.

abstractsLaparoscopic surgery has got a brilliant progress in the past 30 years,especially in the field of gastrointestinal and colorectal surgery,which has a continuous increase in volume and frequency.However,for minimally invasive surgery,innovation is the only way to get further development.The innovation of minimally invasive gastrointestinal and colorectal surgery includes devices and techniques.The innovative devices include vision system of minimally invasive surgery such as 3D laparoscopy,4K/6K high definition displayer or VR system,all dimensions surgical arms,robotic surgery system,and therapeutic endoscopy.The innovative techniques include new approaches of laparoscopic surgery for gastrointestinal and colorectal diseases,transanal total mesorectal excision and reconstruction of gastrointestinal tract in laparoscopic surgery.The rapid progress of innovation and development in devices and techniques implies more challenges and opportunities for the minimally invasive gastrointestinal and colorectal surgery in the near future.