摘要史无前例的2020年已经过去，在新型冠状病毒肺炎疫情阴影笼罩下，全世界的政治、社会、经济等格局发生巨变。我国迅速控制了疫情传播，医疗很快恢复正常状态，以腹腔镜为代表的微创胃肠外科手术已经完全恢复至正常水平。鉴于对疫情常态化防控，国内外人员及交通往来受到极大影响，许多学术会议取消或改为线上举行，疫情极大加速了微创手术线上传播方式的普及，而国内外在疾病谱、手术技术、微创技术热点、手术设备与器械等方面开始出现分化与区别。针对2020年发生的特殊情况，笔者对微创胃肠外科在手术技术平台、手术技术和手术理念方面的新热点与新进展作全面回顾与展望。

abstractsThe unprecedented year 2020 has passed. Under the shadow of the COVID-19 epidemic, the global political, social and economic patterns have changed dramatically. Due to the rapid control of epidemic spread in China, medical system soon returned to normal. Minimally invasive gastrointestinal surgery represented by laparoscopy has completely returned to normal level. In view of prevention and control of the epidemic, international communication and transportation have been greatly affected. Many academic conferences have been cancelled or changed to be held online. The epidemic has greatly accelerated the popularization of online transmission of minimally invasive surgery. However, there are some differentiation and differences in disease spectrum, surgical technology, minimally invasive technology, surgical equipment and instruments at home and abroad. In view of this special situation in 2020, this paper reviews and prospects the new hot spots and new developments of minimally invasive gastrointestinal surgery in terms of surgical technology platform, surgical technology and concept.