EDP Sciences 1776912875 20260423 fre

laboutique.edpsciences.fr-R002827 03 01 01 R002827 00 ED E107 00 01 01 Super Minimally Invasive Surgery: Gastrointestinal Endoscopy Section 01 eng 08 548 03 22 32869004 17 01 P15 EDP Sciences & Science Press 01 01 P15 EDP Sciences & Science Press 11 00 20260224 02 01 003000 03 9782759838424 15 9782759838424 03 01 D1 EDP Sciences 29 https://laboutique.edpsciences.fr/open_access_download/3000/2827 45 03 laboutique.edpsciences.fr-003000 03 01 01 003000 03 9782759838424 15 9782759838424 10 EA E107 10 00 01 R002827 ED E107 1 10 01 02 Current Natural Sciences 01 01 Super Minimally Invasive Surgery: Gastrointestinal Endoscopy Section 1 B15 01 A2437 Enqiang LINGHU LINGHU, Enqiang Enqiang LINGHU 01 eng 08 542 03 01 24 Izibook:Subject Médecine 24 Izibook:SubjectAndCategoryAndTags |Médecine| 20 anatomy-preserving therapeutic strategies;protocol;surgery;treatment;ablation;minimally invasive medicine 10 2011 MED085000 29 CLIL3169 01 610 05 06 03 00 <p>One of the Medicine’s greatest challenge lies in curing disease while preserving the evolutionary sophistication of the human body – a balance redefined by Super Minimally Invasive Surgery (SMIS). In this groundbreaking work, Dr. Enqiang LINGHU offers a comprehensive two-part exploration: a General Introduction to the foundational principles of SMIS (Chapters 1–7), followed by a Specific Discussion of its clinical applications (Chapters 8–14).</p><p>Part One establishes SMIS as a paradigm shift from traditional “remove-and-reconstruct” surgery to anatomy-preserving therapeutic strategies. It traces the origins of SMIS to innovations in gastrointestinal medicine and surgery, presents its four core pathways and hundreds of technical variations, and formalizes rigorous standards in terminology, instrumentation, and procedural protocols. At its heart, SMIS aims to eliminate pathology while preserving organ integrity and function – protecting, for example, the body’s finely tuned pH-graded digestive “assembly line.”</p><p>Part Two brings theory into practice, detailing SMIS techniques for more than 40 conditions affecting the esophagus, stomach, pancreas, and other organs. These include early cancer resections, obesity management procedures, and treatment of pancreatic cysts. The book highlights key advances such as organ-sparing tumor excision, functional restoration in motility disorders, and precision treatments like radiofrequency ablation.</p><p>Beyond its technical contributions, SMIS places strong emphasis on patient-centered outcomes: reduced complications, transparent informed consent, and stringent infection control. Carefully structured with surgical standards and case documentation guidelines, this book serves as both a manifesto and a practical manual.</p><p>Acknowledging SMIS as a dynamic and evolving field, the book calls for global collaboration to advance its frontiers. It challenges surgeons to redefine success – not simply by curing disease, but by doing so without compromising the integrity of the human body. Essential reading for innovators shaping the next era of minimally invasive medicine, this work is a tribute to healing that respects nature’s greatest design: the human body.</p> 02 00 <p>This book offers a comprehensive two-part exploration of Super Minimally Invasive Surgery (SMIS): a General Introduction to the foundational principles of SMIS (Chapters 1–7), followed by a Specific Discussion of its clinical applications (Chapters 8–14).</p> 04 00 <p>Preface: Embracing a New Era of “Super Minimally Invasive Surgery” . . . . . III</p><p>Preface: Pioneering the SMIS Philosophy . . . . . . . . . . . . . . . . . . . . . . . . . . . V</p><p>Super Minimally Invasive Surgery: An Inevitable Choice for Humanity . . . . . VII</p><p>Editorial Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI</p><p>PART ONE</p><p>General Introduction to Super Minimally Invasive Surgery . . . . . . . . . . . . . . 1</p><p>CHAPTER 1</p><p>The Birth and Significance of Super Minimally Invasive Theory . . . . . . . . . . 3</p><p>1.1 The Rapid Development of Gastrointestinal Surgery, the Emergence of the Super Minimally Invasive Theory . . . . . . . . . . . . . . . . . . . . . . . 3</p><p>1.2 Super Minimally Invasive Theory Has Profound Guiding Significance for Future Surgical Therapeutics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7</p><p>1.3 Guided by the Super Minimally Invasive Theory, Super Minimally Invasive Surgery is Booming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12</p><p>CHAPTER 2</p><p>The Super Minimally Invasive Theoretical System . . . . . . . . . . . . . . . . . . . . 17</p><p>2.1 The Definition and Implementation Principles of Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17</p><p>2.2 The Four Channels of Super Minimally Invasive Surgery . . . . . . . . . . . 19</p><p>2.3 The Techniques of Super Minimally Invasive Surgery . . . . . . . . . . . . . 29</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48</p><p>CHAPTER 3</p><p>Nomenclature in Super Minimally Invasive Surgery and Surgical</p><p>Record Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55</p><p>3.1 Rules of Surgical Nomenclature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55</p><p>3.2 Recording Rules for Super Minimally Invasive Surgery . . . . . . . . . . . . 64</p><p>3.2.1 SMIS Excision Methods and the Nomenclature of Endoscopic</p><p>Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65</p><p>3.2.2 Examples of SMIS Surgical Records . . . . . . . . . . . . . . . . . . . . . 66</p><p>3.3 Surgical Items and Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74</p><p>CHAPTER 4</p><p>Common Super Minimally Invasive Surgery Operations . . . . . . . . . . . . . . . . 75</p><p>4.1 Super Minimally Invasive Closure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75</p><p>4.1.1 SMIS Wound Closure Method . . . . . . . . . . . . . . . . . . . . . . . . . 75</p><p>4.1.2 Hot-Spot Issues and Progress in the Search for a Consensus . . . 84</p><p>4.2 Super Minimally Invasive Surgery for the Prevention and Therapy of Gastrointestinal Bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85</p><p>4.2.1 Endoscopic Common Super Minimally Invasive Hemostatic Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85</p><p>4.2.2 Hot-Spot Issues in the Consensus and Research Progress . . . . . 88</p><p>4.3 Super Minimally Invasive Auxiliary Traction Method . . . . . . . . . . . . . 89</p><p>4.3.1 Clip–Thread Combined Traction Method . . . . . . . . . . . . . . . . . 90</p><p>4.3.2 Clip–Elastic Ring Combined Traction Method . . . . . . . . . . . . . 90</p><p>4.3.3 Other Combinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91</p><p>4.3.4 Hot-Spot Issues in the Consensus and Research Progress . . . . . 92</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93</p><p>CHAPTER 5</p><p>Conditions for Performing Super Minimally Invasive Surgery . . . . . . . . . . . . 97</p><p>5.1 Site and Anesthesia Rules for Super Minimally Invasive Surgery . . . . . 97</p><p>5.1.1 Site Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97</p><p>5.1.2 Anesthesia Rules for Super Minimally Invasive Surgery . . . . . . 98</p><p>5.2 Manning and Requirements for Performing Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101</p><p>5.2.1 Surgeon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101</p><p>5.2.2 Anesthetist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101</p><p>5.2.3 Nurse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101</p><p>5.2.4 Operating Room Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101</p><p>5.2.5 Operating Room Head Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . 102</p><p>5.2.6 Cleaner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102</p><p>5.2.7 Operation Room Technician. . . . . . . . . . . . . . . . . . . . . . . . . . . 103</p><p>5.2.8 Pathologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103</p><p>5.3 Instruments and Parameters of Super Minimally Invasive Surgery . . . . 104</p><p>5.3.1 Electrosurgical Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105</p><p>5.3.2 Surgical Equipment for Endoscopic Therapy . . . . . . . . . . . . . . 109</p><p>5.4 Common Instruments and Articles for Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111</p><p>5.5 Standardized Operation and Management of the Cleaning and Disinfection of Gastroendoscopes . . . . . . . . . . . . . . . . . . . . . . . . . 115</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117</p><p>CHAPTER 6</p><p>Standard Process of Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . 119</p><p>6.1 Informed Consent Prior to Super Minimally Invasive Surgery . . . . . . . 119</p><p>6.1.1 Legal Basis and Moral Consideration of the Informed Consent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119</p><p>6.1.2 The Contents and Requirements of Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121</p><p>6.1.3 Practical Implementation of Informed Consent in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . 122</p><p>6.1.4 Postoperative Follow-Up Visit and Feedback . . . . . . . . . . . . . . 123</p><p>6.1.5 Difficulties and Strategy of Informed Consent in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . 124</p><p>6.2 Preoperative Conversation Skills in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125</p><p>6.2.1 Patient Psychological Profiling and Intervention of Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . 125</p><p>6.2.2 Doctor–Patient Communication in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126</p><p>6.2.3 Information About Super Minimally Invasive Surgery (Surgical Purpose, Surgical Risk and Special Condition Inform) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127</p><p>6.2.4 Example of Informational Conversation on Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128</p><p>6.2.5 Complication Management Principle . . . . . . . . . . . . . . . . . . . . 128</p><p>6.3 Standards for the Surgical Record of Clinical Cases. . . . . . . . . . . . . . . 129</p><p>6.3.1 Basic Requirements for the Surgical Record . . . . . . . . . . . . . . . 129</p><p>6.3.2 Specific Contents of the Surgical Record in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129</p><p>6.3.3 Postoperative Treatment and Medical Order . . . . . . . . . . . . . . 130</p><p>6.3.4 Notice and Follow-Up Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . 131</p><p>6.3.5 Writing Norm and Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131</p><p>6.3.6 Specific Writing Skills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131</p><p>6.4 Perioperative Diagnosis and Treatment Criteria . . . . . . . . . . . . . . . . . 132</p><p>6.4.1 Preoperative Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132</p><p>6.4.2 Intraoperative Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132</p><p>6.4.3 Postoperative Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133</p><p>6.4.4 Prevention of Complications . . . . . . . . . . . . . . . . . . . . . . . . . . 133</p><p>6.4.5 Management of Follow-Up Visits . . . . . . . . . . . . . . . . . . . . . . . 134</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134</p><p>CHAPTER 7</p><p>Preoperative Preparation and Treatment of Complications in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137</p><p>7.1 Preparation Before the Endoscopic Operation . . . . . . . . . . . . . . . . . . . 137</p><p>7.1.1 Preparation of the Endoscopic Operation of the Upper Digestive Tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137</p><p>7.1.2 Preparation of the Endoscopic Operation of the Lower Digestive Tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139</p><p>7.1.3 Preparation Before an Enteroscopic Operation . . . . . . . . . . . . . 141</p><p>7.1.4 Preparation Before an Operation by Duodenoscopy . . . . . . . . . 142</p><p>7.1.5 Preparation Before the Ultrasonic Endoscopy Examination . . . 142</p><p>7.1.6 Preparation Before the SpyGlass Operation . . . . . . . . . . . . . . . 143</p><p>7.1.7 Hot-Spot Issues in the Consensus . . . . . . . . . . . . . . . . . . . . . . . 143</p><p>7.2 Preoperative Preparation of the Patient for Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146</p><p>7.2.1 Medical Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146</p><p>7.2.2 Nursing Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146</p><p>7.2.3 Hot-Spot Issues in the Consensus . . . . . . . . . . . . . . . . . . . . . . . 148</p><p>7.3 Wound Pre-Treatment and Infection Prevention in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149</p><p>7.3.1 Wound Pre-Treatment Plan in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150</p><p>7.3.2 Antibiotic Application in Super Minimally Invasive Surgery . . . 152</p><p>7.3.3 Hot-Spot Issues in the Consensus . . . . . . . . . . . . . . . . . . . . . . . 156</p><p>7.4 Prevention and Treatment of Intraoperative Complications in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157</p><p>7.4.1 Complication Prevention and Treatment . . . . . . . . . . . . . . . . . 157</p><p>7.4.2 Hot-Spot Issues in the Consensus . . . . . . . . . . . . . . . . . . . . . . . 159</p><p>7.5 Prevention and Treatment of Postoperative Complications in Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160</p><p>7.5.1 Complication Prevention and Treatment . . . . . . . . . . . . . . . . . 160</p><p>7.5.2 Hot-Spot Issues in the Consensus . . . . . . . . . . . . . . . . . . . . . . . 164</p><p>7.6 Postoperative Nursing in Super Minimally Invasive Surgery . . . . . . . . 167</p><p>7.6.1 Peroral Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . 167</p><p>7.6.2 Psychological Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170</p><p>7.6.3 Health Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170</p><p>7.6.4 Transanal Super Minimally Invasive Surgery . . . . . . . . . . . . . . 171</p><p>7.6.5 Hot-Spot Issues in the Consensus . . . . . . . . . . . . . . . . . . . . . . . 174</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176</p><p>PART TWO</p><p>Specific Discussion of Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . 183</p><p>CHAPTER 8</p><p>Super Minimally Invasive Surgery of Esophageal Diseases . . . . . . . . . . . . . . . 185</p><p>8.1 Early Esophageal Carcinoma and Super Minimally Invasive Surgery . . 185</p><p>8.1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185</p><p>8.1.2 Peroral Super Minimally Invasive Surgery with Non-Full-Thickness Resection for the Treatment of Early Esophageal Carcinoma . . . . . . . . . . . . . . . . . . . . . . . . 187</p><p>8.1.3 Non-Full-Thickness Resection of Early Esophageal Carcinoma by Per-Tunnel Super Minimally Invasive Surgery . . 195</p><p>8.1.4 Esophageal Skin Grafting by Digestive Endoscopic Super Minimally Invasive Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . 201</p><p>8.2 Super Minimally Invasive Surgery of Esophageal Subepithelial Lesions . 205</p><p>8.2.1 General Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205</p><p>8.2.2 Peroral Super Minimally Invasive Resection of Esophageal Subepithelial Lesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206</p><p>8.2.3 Per-Tunnel Super Minimally Invasive Resection of Esophageal Subepithelial Lesions . . . . . . . . . . . . . . . . . . . . . 210</p><p>8.2.4 Super Minimally Invasive Resection Per-Multi Cavity of Esophageal Subepithelial Lesions . . . . . . . . . . . . . . . . . . . . . 215</p><p>8.3 Super Minimally Invasive Radiofrequency Ablation for Intraepithelial Neoplasia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217</p><p>8.3.1 Principle of Radiofrequency Ablation . . . . . . . . . . . . . . . . . . . . 217</p><p>8.3.2 Indications and Contraindications of Super Minimally Invasive RFA Surgery . . . . . . . . . . . . . . . . . . . . . . . 218</p><p>8.3.3 Preoperative Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219</p><p>8.3.4 Surgical Operation and Skills . . . . . . . . . . . . . . . . . . . . . . . . . . 220</p><p>8.3.5 Postoperative Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221</p><p>8.3.6 Postoperative Follow-Up Visit . . . . . . . . . . . . . . . . . . . . . . . . . 221</p><p>8.3.7 Hot-Spot Issues in the Consensus and Progress of the Study . . 221</p><p>8.4 Super Minimally Invasive Surgery for Esophageal Stricture . . . . . . . . . 222</p><p>8.4.1 Esophageal Stenosis Peroral Super Minimally Invasive Incision + Submucosal Injection . . . . . . . . . . . . . . . . . 223</p><p>8.4.2 Peroral Super Minimally Invasive Dilation of Esophageal Stenosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227</p><p>8.5 Super Minimally Invasive Surgery for Gastroesophageal Reflux Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231</p><p>8.5.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231</p><p>8.5.2 Peroral Super Minimally Invasive Radiofrequency Ablation to Cure Gastroesophageal Reflux Disease . . . . . . . . . . . . . . . . . 232</p><p>8.5.3 Peroral Incisionless Fundoplication for Gastroesophageal Reflux Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236</p><p>8.5.4 Peroral Super Minimally Invasive Mucosa Resection for Gastroesophageal Reflux Disease . . . . . . . . . . . . . . . . . . . . 238</p><p>8.5.5 Clip Band Ligation Anti-Reflux Therapy for Gastroesophageal Reflux Disease . . . . . . . . . . . . . . . . . . . . 240</p><p>8.6 Super Minimally Invasive Peroral Myotomy of Esophageal Diverticula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243</p><p>8.6.1 Diagnosis of Esophageal Diverticula . . . . . . . . . . . . . . . . . . . . . 244</p><p>8.6.2 STESD’s Indication and Contraindication . . . . . . . . . . . . . . . . 244</p><p>8.6.3 Preoperative Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244</p><p>8.7 Super Minimally Myotomy for Achalasia . . . . . . . . . . . . . . . . . . . . . . . 249</p><p>8.7.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249</p><p>8.7.2 Per-Tunnel Super Minimally Myotomy for Achalasia . . . . . . . . 250</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258</p><p>CHAPTER 9</p><p>Super Minimally Invasive Surgery of Gastric Diseases . . . . . . . . . . . . . . . . . . 265</p><p>9.1 Super Minimally Invasive Surgery for Early Gastric Cancer. . . . . . . . . 265</p><p>9.1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265</p><p>9.1.2 Peroral Super Minimally Invasive Surgery by Non-Full-Thickness Resection for Early Gastric Cancer . . . . 266</p><p>9.1.3 Super Minimally Invasive Full-Thickness Resection for Early Gastric Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279</p><p>9.1.4 Early Gastric Cancer: Super Minimally Invasive Resection via the Tunnel Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285</p><p>9.1.5 Early Gastric Cancer Treated with Multi-Channel Super Minimally Invasive Resection . . . . . . . . . . . . . . . . . . . . . . . . . . 288</p><p>9.2 Super Minimally Invasive Surgery for Gastric Low-Grade Intraepithelial Neoplasia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292</p><p>9.2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292</p><p>9.2.2 Low-Grade Intraepithelial Neoplasia of the Stomach: Peroral Super Minimally Invasive Radiofrequency Ablation . . . . . . . . . 293</p><p>9.2.3 Low-Grade Gastric Intraepithelial Neoplasia: Super Minimally Invasive Argon Plasma Coagulation . . . . . . . . . . . . 297</p><p>9.2.4 Low-Grade Gastric Intraepithelial Neoplasia: Super Minimally Invasive Holmium Laser Therapy . . . . . . . . . . . . . . 298</p><p>9.3 Super Minimally Invasive Resection of Gastric Subepithelial Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299</p><p>9.3.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299</p><p>9.3.2 Super Minimally Invasive Resection of Gastric Subepithelial Tumors . . . .. . . . . . 302</p><p>9.3.3 Peroral Super Minimally Invasive Full-Thickness Resection of Gastric Subepithelial Tumors . . . . . . . . . . . . . . . . . . . . . . . . 307</p><p>9.3.4 Peroral Super Minimally Invasive Non-Full-Thickness Resection of Gastric Subepithelial Tumors . . . . . . . . . . . . . . . . 312</p><p>9.3.5 Trans-Multi-Cavitary Super Minimally Invasive Resection of Gastric Subepithelial Tumors . . . . . . . . . . . . . . . . . . . . . . . . 315</p><p>9.4 Super Minimally Invasive Surgery for Gastroparesis . . . . . . . . . . . . . . 317</p><p>9.4.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317</p><p>9.4.2 Super Minimally Invasive Tunnel Myotomy for Gastroparesis. . 318</p><p>9.4.3 Gastric Peroral Super Minimally Invasive Botulinum Toxin Injection (BoNT) .. . . . . . 324</p><p>9.4.4 Peroral Super Minimally Invasive Pyloric Stenting for Gastroparesis . . . .. . 325</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327</p><p>CHAPTER 10</p><p>Super Minimally Invasive Therapies for Duodenal Diseases . . . . . . . . . . . . . . 333</p><p>10.1 Peroral Super Minimally Invasive Resection for Early Duodenal Cancer . . . .. . . . . . . 333</p><p>10.2 Peroral Super Minimally Invasive Resection of Duodenal Papillary Adenomas . . . . .. . . . . 338</p><p>10.2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 338</p><p>10.3 Peroral Super Minimally Invasive Resection of Subepithelial Duodenal Tumors . . . . .. . . . . 342</p><p>10.4 Peroral Super Minimally Invasive Resection of Duodenal Polyps . . . . 348</p><p>10.4.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 348</p><p>10.4.2 Diagnosis of Duodenal Polyps . . . . . . . . . . . . . . . . . . . . . . . . 348</p><p>10.4.3 Indications and Contraindications . . . . . . . . . . . . . . . . . . . . . 349</p><p>10.4.4 Preoperative Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349</p><p>10.4.5 Surgical Procedure and Techniques . . . . . . . . . . . . . . . . . . . . 349</p><p>10.4.6 Hot-Spot Issues and Research Progress in the Consensus . . . . 353</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 354</p><p>CHAPTER 11</p><p>Super Minimally Invasive Surgery for Biliary Diseases. . . . . . . . . . . . . . . . . . 357</p><p>11.1 Choledocholithiasis and Cholangitis – Super Minimally Invasive Surgery . . . . . .. . . . . . . 357</p><p>11.1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357</p><p>11.1.2 Endoscopic Super Minimally Invasive Retrieval of Choledocholithiasis via a Duodenal Papillary Supporter Under Direct Visualization of the Bile Duct Scope . . . . . . . . . 358</p><p>11.1.3 Peroral Super Minimally Invasive Papillotomy . . . . . . . . . . . . 363</p><p>11.1.4 Acute Suppurative Cholangitis and Peroral Super Minimally Invasive Drainage. . . .. . . . 366</p><p>11.2 Super Minimally Invasive Surgery of Biliary Strictures . . . . . . . . . . . 370</p><p>11.2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 370</p><p>11.2.2 Super Minimally Invasive Dilatation for Biliary Stricture at the Duodenal Papilla . . .. . . . . 371</p><p>11.2.3 Biliary Stricture: Super Minimally Invasive Endoscopic Stent Placement at the Duodenal Papilla . . . . . . . . . . . . . . . . 373</p><p>11.2.4 Biliary Stricture: Diagnosis and Treatment with Peroral Cholangiopancreatoscopy (POC) Under Direct Visualization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 378</p><p>11.3 Super Minimally Invasive Drainage for Biliary Fistulae . . . . . . . . . . . 382</p><p>11.4 Super Minimally Invasive Surgery for Gallbladder Stones and Cholecystitis . .. . . . . . . . . . 386</p><p>11.4.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 386</p><p>11.4.2 Gallbladder Stones: Super Minimally Invasive Stone Removal via the Duodenal Papilla . . . . . . . . . . . . . . . . . . . . . 387</p><p>11.4.3 Percutaneous Ultrasound-Endoscopic Guided Aspiration for Acute Suppurative Cholecystitis . . . . . . . . . . . . . . . . . . . . 391</p><p>11.5 Endoscopic Super Minimally Invasive Resection of Biliary Polyps . . . 395</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 398</p><p>CHAPTER 12</p><p>Super Minimally Invasive Surgery for Pancreatic Diseases . . . . . . . . . . . . . . . 405</p><p>12.1 Super Minimally Invasive Sclerotherapy with Polidocanol via Puncture Approach for Pancreatic Cystic Neoplasms. . . . . . . . . . . . . 405</p><p>12.1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405</p><p>12.1.2 Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 406</p><p>12.1.3 Indications and Contraindications for Endoscopic Polidocanol Ablation of Pancreatic Cystic Neoplasms. . . . . . . 407</p><p>12.1.4 Preoperative Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407</p><p>12.1.5 Surgical Procedure and Techniques (Figure 12.1) . . . . . . . . . . 408</p><p>12.1.6 Postoperative Management . . . . . . . . . . . . . . . . . . . . . . . . . . 410</p><p>12.1.7 Postoperative Follow-Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410</p><p>12.1.8 Hot-Spot Issues and Research Progress in the Consensus . . . . 410</p><p>12.2 Super Minimally Invasive Removal of Pancreatic Duct Stones . . . . . . 411</p><p>12.2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411</p><p>12.2.2 Endoscopic Super Minimally Invasive Removal of Pancreatic Duct Stones via the Duodenal Papilla + Extracorporeal Shockwave Lithotripsy (ESWL) . .. . . 412</p><p>12.2.3 Pancreatic Duct Stones and Super Minimally Invasive Stone Removal via Pancreatoscopy . . . . . . . . . . . . . . . . . . . . . . . . . 416</p><p>12.3 Pancreatic Fistula – Super Minimally Invasive Drainage via the Duodenal Papilla . .. . . . . . . . . . 419</p><p>12.3.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419</p><p>12.3.2 Diagnosis of Pancreatic Fistula . . . . . . . . . . . . . . . . . . . . . . . 419</p><p>12.3.3 Indications and Contraindications for Endoscopic Super Minimally Invasive Drainage of Pancreatic Fistula . . . . . . . . . 420</p><p>12.3.4 Surgical Methods and Procedures. . . . . . . . . . . . . . . . . . . . . . 420</p><p>12.3.5 Hot-Spot Issues in the Consensus . . . . . . . . . . . . . . . . . . . . . . 421</p><p>12.4 Pancreatic Walled-Off Necrosis: Super Minimally Invasive Drainage via Gastric Puncture Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422</p><p>12.4.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422</p><p>12.4.2 Diagnosis of WON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422</p><p>12.4.3 Indications and Contraindications . . . . . . . . . . . . . . . . . . . . . 422</p><p>12.4.4 Surgical Procedures and Techniques . . . . . . . . . . . . . . . . . . . . 423</p><p>12.4.5 Postoperative Management . . . . . . . . . . . . . . . . . . . . . . . . . . 425</p><p>12.4.6 A Classic Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 425</p><p>12.4.7 Hot-Spot Issues and Research Progress in the Consensus . . . . 426</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427</p><p>CHAPTER 13</p><p>Super Minimally Invasive Surgery of Colorectal Diseases . . . . . . . . . . . . . . . . 431</p><p>13.1 Resection of Early Colorectal Cancer by Super Minimally Invasive Surgery . . . .. . .. . . . . . 431</p><p>13.1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431</p><p>13.1.2 Transanal Super Minimally Invasive Non-Full-Thickness Resection for Early Colorectal Cancer . . . . . . . . . . . . . . . . . . 434</p><p>13.1.3 Transanal Super Minimally Invasive Full-Thickness Resection of Colorectal Cancer .. . . . 444</p><p>13.1.4 Early Rectal Cancer: Endoscopic Submucosal Tunnel Dissection . . . .. . . . . . 450</p><p>13.2 Super Minimally Invasive Resection of Colorectal Subepithelial Lesions . .. . . . 455</p><p>13.2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 455</p><p>13.2.2 Transanal Super Minimally Invasive Resection of Colorectal Submucosal Tumors . . . . . . . . . . . . 457</p><p>13.2.3 Neoadjuvant Therapy Followed by Transanal Super Minimally Invasive Resection of Rectal Stromal Tumors . . . . . 463</p><p>13.3 Super Minimally Invasive Resection of Laterally Spreading Tumors in the Colon and Rectum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 466</p><p>13.3.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 466</p><p>13.3.2 Endoscopic Super Minimally Invasive Resection of Laterally Spreading Tumors (LST) in the Rectum. . . . . . . . . . . . . . . . . 469</p><p>13.4 Appendiceal Diseases – Super Minimally Invasive Surgery . . . . . . . . . 474</p><p>13.4.1 Acute Appendicitis – Super Minimally Invasive Drainage via the Anus . . . .. . . . . . . 474</p><p>13.4.2 Super Minimally Invasive Trans-Rectal Removal of Appendicoliths using Endoscopic Retrograde Appendicitis Therapy (ERAT) . . . . . . . . . . . . . . . . . . . . . . . . 477</p><p>13.4.3 Periappendiceal Abscess – Super Minimally Invasive Trans-Rectal Drainage . . . . .. . . 479</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 483</p><p>CHAPTER 14</p><p>Super Minimally Invasive Surgery for Other Systemic Diseases . . . . . . . . . . . 489</p><p>14.1 Super Minimally Invasive Weight Loss Surgery for Obesity . . . . . . . . 489</p><p>14.1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 489</p><p>14.1.2 Intragastric Balloon Placement for Weight Loss . . . . . . . . . . . 491</p><p>14.1.3 Endoscopic Sleeve Gastroplasty (ESG) . . . . . . . . . . . . . . . . . . 495</p><p>14.1.4 Endoluminal Vertical Gastroplasty (EVG) . . . . . . . . . . . . . . . 498</p><p>14.1.5 Endoscopic Duodenojejunal Bypass Sleeve (EDJBS) . . . . . . . 501</p><p>14.1.6 Endoscopic Gastro-Duodenal-Jejunal Bypass Sleeve Surgery. . 505</p><p>14.2 Super Minimally Invasive Drainage of Mediastinal and Abdominopelvic Abscesses . . . . . 507</p><p>14.2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 507</p><p>14.2.2 Clinical Symptoms and Diagnosis . . . . . . . . . . . . . . . . . . . . . . 507</p><p>14.2.3 Indications and Contraindications of Super Minimally Invasive Drainage via Gastrointestinal Endoscopy . .. . . 508</p><p>14.2.4 Preoperative Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 508</p><p>14.2.5 Surgical Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 509</p><p>14.2.6 Postoperative Management . . . . . . . . . . . . . . . . . . . . . . . . . . 509</p><p>14.2.7 Hot-Spot Issues and Discussion in the Consensus . . . . . . . . . . 510</p><p>References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 511</p><p>Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 513</p> 21 00 06 01 https://laboutique.edpsciences.fr/produit/1553/9782759838424/super-minimally-invasive-surgery-gastrointestinal-endoscopy-section 01 00 03 02 https://laboutique.edpsciences.fr/system/product_pictures/data/009/983/555/original/9782759838363-Super_Minimally_Invasive_Surgery_couv-sofedis.jpg 17 14 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