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Die Bedeutung der Endoskopie in der minimalinvasiven Chirurgie

The significance of endoscopy in minimally invasive surgery

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Der Gastroenterologe Aims and scope

Zusammenfassung

Das minimalinvasive Vorgehen hat sich im Bereich der Abdominalchirurgie in den letzten Jahren durchgesetzt. Die gastrointestinale Endoskopie kann durch den Einsatz und die stete Weiterentwicklung innovativer Resektionsverfahren und Behandlungsoptionen, mittlerweile sogar in vielen Bereichen wie der Behandlung komplexer Kolonpolypen, die minimalinvasive Chirurgie gleichwertig ersetzen. Neben resezierenden Verfahren, wie der endoskopischen Submukosadissektion (ESD) oder der Vollwandresektion, sind hier unter anderem die perorale endoskopische Myotomie (POEM) bei der Achalasie und die endoskopische Nekrosektomie bei der Pankreatitis zu nennen. Neben diesen konkurrierenden Verfahren können endoskopisch/laparoskopische Hybridtechniken, wie „natural-orifice transluminal endoscopic surgery“ (NOTES) oder „laparoscopic and endoscopic cooperative surgery“ (LECS) zu einer Verbesserung des Behandlungsergebnisses führen. Der Artikel gibt einen Überblick zu den Verfahren und ihrem gegenwärtigen Stellenwert in der Klinik.

Abstract

Minimally invasive procedures have become accepted in the field of abdominal surgery in recent years. Gastrointestinal endoscopy can replace minimally invasive surgery by the use and constant ongoing development of innovative resection procedures and treatment options, which are meanwhile used in many areas such as the treatment of complex colonic polyps. In addition to resecting procedures such as endoscopic submucosal dissection (ESD) or endoscopic full-thickness resection, peroral endoscopic myotomy (POEM) for the treatment of achalasia and endoscopic necrosectomy in pancreatitis are also mentioned. In addition to these competing procedures, endoscopic/laparoscopic hybrid techniques such as natural-orifice transluminal endoscopic surgery (NOTES) or laparoscopic and endoscopic cooperative surgery (LECS) can lead to an improvement in the treatment outcome. The article gives an overview of the procedures and their current status in the clinic.

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Authors and Affiliations

  1. Abteilung für Gastroenterologie, Hepatologie und Endokrinologie, Robert-Bosch-Krankenhaus, Auerbachstraße 110, 70376, Stuttgart, Deutschland

    M. D. Schneider &  J. G. Albert

  2. Abteilung für Pathologie, Robert-Bosch-Krankenhaus, Stuttgart, Deutschland

    P. Stahl

  3. Abteilung für Allgemein- und Viszeralchirurgie, Robert-Bosch-Krankenhaus, Stuttgart, Deutschland

    W. Steurer

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  1. M. D. Schneider
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  2. P. Stahl
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  3. W. Steurer
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  4. J. G. Albert
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Correspondence to J. G. Albert.

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Interessenkonflikt

M. D. Schneider, P. Stahl, W. Steurer und J.G. Albert geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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G. Gerken, Essen

S. Zeuzem, Frankfurt am Main

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Schneider, M.D., Stahl, P., Steurer, W. et al. Die Bedeutung der Endoskopie in der minimalinvasiven Chirurgie. Gastroenterologe 12, 477–483 (2017). https://doi.org/10.1007/s11377-017-0204-y

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