无孔不入与见则治之内镜微创新理念在消化道肿瘤治疗中的应用

Application of new concepts of endoscopic minimally invasive surgery in the treatmentof gastrointestinal tumors

消化道肿瘤是严重威胁人类健康的公共问题,内镜微创治疗是实现消化道肿瘤早诊早治的重要途径。本文总结了内镜微创切除治疗消化道早期肿瘤的发展历史及现状,阐释了内镜微创基本要素(elements)、可保可切(reservation-resectio)、医患双方收益(bilateral-benefit)、指征扩大(expansion)、医工协同(collaboration)的ERBEC新理念在消化道肿瘤治疗中的应用,并提出消化道肿瘤内镜微创切除未来的发展方向。

Gastrointestinal tumors are a serious and threatening public health concern.Endoscopic minimally invasive treatment is an important way to achieve early diagnosis and treatment of gastrointestinal tumors.Here,we summarize the history and current status of endoscopic minimally invasive resection of early-stage gastrointestinal tumors,and explain the application of the new ERBEC concepts of endoscopic minimally invasive surgery for the treatment of gastrointestinal tumors,which include elements,reservation-resection,bilateral-benefit,expansion,and collaboration.We also discuss the future direction of endoscopic minimally invasive resection for gastrointestinal tumors.