Innovations and New Technologies in Gastrointestinal Surgery

Keywords: Innovation in Healthcare, Minimally Invasive Surgery, Robotic Surgery, Advanced Endoscopy, Artificial Intelligence, Simulation

Abstract

Introduction. Innovations in surgery have advanced significantly in the last decade. The new technologies in minimally invasive surgery, including robotics, advanced endoscopy, and the progress in artificial intelligence and machine learning are impacting gastrointestinal surgery and medicine. These technologies have been available since 1956, and in the early 1970’s, they were implemented for first time with the Mycin system, which was developed to detect infectious diseases in blood. Objective. To describe the experiences of new technology innovations in surgery, in terms of novel interventions, development of devices, and the process of adopting these technologies in the clinical practice. Methodology. Personal reflections about the process of adopting new technologies in surgery and its future implications, documented from my perspective as an academic surgeon. Results and discussion. This article summarizes the most relevant advances in the field of gastrointestinal surgery during the last decade. Conclusions. Adopting a culture of innovation in surgery involves knowledge of the process, technical resources available to support initiatives, access to mentors or tutors, and support services.

References

Riskin DJ, Longaker MT, Gertner M, Krummel TM. Innovation in surgery: a historical perspective. Ann Surg [Internet]. 2006;244(5):686-693. doi: https://doi.org/10.1097/01.sla.0000242706.91771.ce

Pories WJ, Swanson MS, MacDonald KG, Long SB, Morris PG, Brown BM, et al. Who would have thought? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg [Internet]. 1995;222(3):339-50. doi: https://doi.org/10.1097/00000658-199509000-00011

Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med [Internet]. 2012;366(17):1567-76. doi: https://doi.org/10.1056/NEJMoa1200225

Arterburn DE, Olsen MK, Smith VA, Livingston EH, Scoyoc LV, Yancy WS, et al. Association between bariatric surgery and long-term survival. JAMA [Internet]. 2015;313(1):62-70. doi: https://doi.org/10.1001/jama.2014.16968

Reddy N, Rao P. Per oral transgastric endoscopic appendectomy in human. Abstract presented at 45th Annual Conference of the Society of Gastrointestinal Endoscopy of India, Jaipur, 28-29 February 2004.

Kroh M, Chalikonda S, Chand B, Walsh RM. Laparoscopic completion cholecystectomy and common bile duct exploration for retained gallbladder after single-incision cholecystectomy. JSLS [Internet]. 2013;17(1):143-7. doi: https://doi.org/10.4293/108680812X13517013317356

Bencsath KP, Falk G, Morris-Stiff G, Kroh M, Walsh RM, Chalikonda S. Single-incision laparoscopic cholecystectomy: do patients care? J Gastrointest Surg [Internet]. 2012;16(3):535-39. doi: https://doi.org/10.1007/s11605-011-1785-2

Kroh M, El-Hayek K, Rosenblatt S, Chand B, Escobar P, Kaouk J, et al. First human surgery with a novel single-port robotic system: cholecystectomy using the da Vinci Single-Site platform. Surg Endosc [Internet]. 2011;25(11)3566-73. doi: https://doi.org/10.1007/s00464-011-1759-1

Kaouk J, Bertolo R, Eltemamy M, Garisto J. Single-Port Robotic-Assisted Radical Prostatectomy: First Clinical Experience Using the SP Surgical System. Urology [Internet]. 2019;124:309. doi: https://doi.org/10.1016/j.urology.2018.10.025

Kilic A, Schuchert MJ, Pennathur A, Gilbert S, Landreneau RJ, Luketich JD. Long-term outcomes of laparoscopic Heller myotomy for achalasia. Surgery [Internet]. 2009;146(4):826-33. doi: https://doi.org/10.1016/j.surg.2009.06.049

Inoue H, Minami H, Kobayashi Y, Sato Y, Kaga M, Suzuki M, et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy [Internet]. 2010;42(4):265-71. doi: https://doi.org/10.1055/s-0029-1244080

Shlomovitz E, Pescarus R, Cassera MA, Sharata AM, Reavis KM, Dunst CM, et al. Early human experience with per-oral endoscopic pyloromyotomy (POP). Surg Endosc [Internet]. 2015;29(3):543-51. doi: https://doi.org/10.1007/s00464-014-3720-6

Rodriguez J, Strong AT, Haskins IN, Landreneau JP, Allemang MT, El-Hayek K, et al. Per-Oral Pyloromyotomy (POP) for Medically Refractory Gastroparesis: Short Term Results From the First 100 Patients at a High-Volume Center. Ann Surg. [Internet]. 2018;268(3):421-30. doi: https://doi.org/10.1097/SLA.0000000000002927

Greenberg CG, Byrnes ME, Engler TA, Quamme SP, Thumma JR, Dimick JB. Association of a Statewide Surgical Coaching Program With Clinical Outcomes and Surgeon Perceptions. Ann Surg [Internet]. 2021;273(6):1034-1039. doi: https://doi.org/10.1097/SLA.0000000000004800

How to Cite
1.
Kroh M. Innovations and New Technologies in Gastrointestinal Surgery. MedUNAB [Internet]. 2022 Dec. 20 [cited 2026 Mar. 8];25(3):461-9. Available from: https://revistasunabeduco.biteca.online/index.php/medunab/article/view/4623

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Published
2022-12-20

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