title: [Endoscopic surgery].
abstract: Endoscopic surgery of the stomach/gastrointestinal tract was developed in the 1990s in Japan as a minimally invasive method of removing early-stage tumours, using a gastro-/coloscope instead of open or laparoscopic surgery. Its advantages are obvious, in that the patient is spared more major surgery, the hospital saves on resources as well as admission to a ward, and society is spared the costs of days of sickness absence. Endoscopic submucosal dissection is considered the most difficult technique, but it allows for the accurate dissection of large tumours. In 1999, Japanese surgeon Takuji Gotoda and his team were the first to perform these types of dissections of early cancers in the rectum using a diathermic needle and a flexible scope.
authors.affiliation: Avdeling for gastrointestinal kirurgi Kirurgi, kreft og kvinnehelseklinikken Universitetssykehuset Nord-Norge.
authors.forename: Christian
authors.initials: C
authors.lastname: Rushfeldt
authors.affiliation: Seksjon for gastroenterologi Medisinsk avdeling Haukeland universitetssykehus.
authors.forename: Khanh Do-Cong
authors.initials: KD
authors.lastname: Pham
authors.affiliation: Klinikk for kreft, kirurgi og transplantasjon Oslo universitetssykehus, Rikshospitalet og Medisinsk fakultet Universitetet i Oslo.
authors.forename: Lars
authors.initials: L
authors.lastname: Aabakken
mesh_terms: D004724:Endoscopy / Q000009:adverse effects / Q000379:methods / Q000639:trends; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology / Q000601:surgery; D009369:Neoplasms / Q000473:pathology / Q000601:surgery