如何把握好胃肠微创外科的盛年时代

Prime of life for minimally invasive gastrointestinal and colorectal surgery

我国胃肠微创外科经过20余年的发展,从第一个10年的艰辛起步期、到第二个10年的快速成长期,目前进入了高位平台期,步入了“盛年时代”。然而盛年之下,为避免盛极而衰,我们必须迎接新的挑战。随着5G时代及人工智能时代的到来,加之一系列内外环境的变化,对胃肠微创外科,乃至整个外科都将产生重大影响:包括治疗模式的改变,强调多学科参与的综合治疗模式;疾病谱的改变,除肿瘤外,更多良性疾病、功能性疾病可能需要微创外科的治疗;靠“手艺”吃饭的胃肠外科专科医师将可能被人工智能手术系统取代。面对这些挑战,我们应不忘初心,勤于反思,坚持以患者为中心的微创治疗理念;深入基层,进一步构建规范的培训体系;继续保持创新思维,与时俱进。如此,才能把握好胃肠微创外科的盛年时代。

With the development in the past 20 years, minimally invasive gastrointestinal and colorectal surgery is now in its prime of life, with a high level in terms of surgical technique, surgical standardization, innovative technology and technical training. However, in the prime of life, in order to avoid the decline, we must meet new challenges. With the advent of the era of 5G and artificial intelligence, plus a series of changes in the internal and external environment, minimally invasive surgery, and even the entire surgery will have a major impact, including changes in treatment patterns, emphasis of multidisciplinary comprehensive treatment, changes in disease spectrum, and except neoplasms, more benign and functional diseases may require minimally invasive surgery. The gastrointestinal surgery specialist relying on "craft" will likely be replaced by an artificial intelligence surgical system. In the face of challenges, we should not forget our initial intentions, and should diligently reflect on ourselves, keeping the patientcentered minimally invasive treatment concept. Meanwhile, we should go to the basic hospitals to further establish a standardized training system, continue to maintain innovative thinking and keep pace with the times, so that we can grasp the prime of life for minimally invasive gastrointestinal and colorectal surgery.