Opinion Review
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 28, 2024; 30(12): 1676-1679
Published online Mar 28, 2024. doi: 10.3748/wjg.v30.i12.1676
New direction for surgery: Super minimally invasive surgery
En-Qiang Linghu
En-Qiang Linghu, Department of Gastroenterology, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
Author contributions: Linghu EQ is the sole author of this article and performed the writing and revision of the paper.
Supported by National Key R&D Programs of China, No. 2022YFC2503600.
Conflict-of-interest statement: The author has no conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: En-Qiang Linghu, PhD, Chief Physician, Director, Professor, Department of Gastroenterology, First Medical Center of Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China. linghuenqiang@vip.sina.com
Received: November 20, 2023
Peer-review started: November 20, 2023
First decision: December 7, 2023
Revised: December 20, 2023
Accepted: March 18, 2024
Article in press: March 18, 2024
Published online: March 28, 2024
Processing time: 129 Days and 4.5 Hours
Abstract

The top goal of modern medicine is treating disease without destroying organ structures and making patients as healthy as they were before their sickness. Minimally invasive surgery (MIS) has dominated the surgical realm because of its lesser invasiveness. However, changes in anatomical structures of the body and reconstruction of internal organs or different organs are common after traditional surgery or MIS, decreasing the quality of life of patients post-operation. Thus, I propose a new treatment mode, super MIS (SMIS), which is defined as “curing a disease or lesion which used to be treated by MIS while preserving the integrity of the organs”. In this study, I describe the origin, definition, operative channels, advantages, and future perspectives of SMIS.

Keywords: Super minimally invasive surgery; Minimally invasive surgery; Treatment mode; Traditional Surgery; New direction for surgery

Core Tip: The top goal of modern medicine is treating diseases without destroying organ structures and making patients as healthy as they were before their sickness. Minimally invasive surgery (MIS) has predominated among surgeries, but it fails to avoid some downsides of traditional surgery, as it still changes anatomical structures and leads to reconstruction of internal organs or different organs. In this study, I describe a new treatment mode, super MIS, which is defined as “curing the disease while preserving the integrity of the organs”.