Wang Y, Wang Y, Jin YY, Zhou YX, Wu J, Li Y. Precision and function preservation in gastrointestinal surgery: Integrating minimally invasive techniques, enhanced recovery, and metabolic interventions. World J Gastrointest Surg 2026; 18(8): 122136 [DOI: 10.4240/wjgs.122136]
Corresponding Author of This Article
Yan Li, Associate Chief Physician, Department of Gastrointestinal Surgery, The First Hospital of Jiaxing (Affiliated Hospital of Jiaxing University), No. 1882 South Middle Ring Road, Jiaxing 314000, Zhejiang Province, China. liyan202610647@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
review-article
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Wang Y, Wang Y, Jin YY, Zhou YX, Wu J, Li Y. Precision and function preservation in gastrointestinal surgery: Integrating minimally invasive techniques, enhanced recovery, and metabolic interventions. World J Gastrointest Surg 2026; 18(8): 122136 [DOI: 10.4240/wjgs.122136]
World J Gastrointest Surg. Aug 27, 2026; 18(8): 122136 Published online Aug 27, 2026. doi: 10.4240/wjgs.122136
Precision and function preservation in gastrointestinal surgery: Integrating minimally invasive techniques, enhanced recovery, and metabolic interventions
Yun Wang, Yang Wang, Yao-Yu Jin, Yu-Xuan Zhou, Jie Wu, Yan Li
Yun Wang, Yang Wang, Yao-Yu Jin, Yu-Xuan Zhou, Zhejiang Chinese Medical University, Jiaxing 314000, Zhejiang Province, China
Jie Wu, Yan Li, Department of Gastrointestinal Surgery, The First Hospital of Jiaxing (Affiliated Hospital of Jiaxing University), Jiaxing 314000, Zhejiang Province, China
Author contributions: Wang Y (the first author) was responsible for study design, experimental implementation, original manuscript writing, preliminary ethical document preparation, copyright collation, and regular follow-up; Li Y conceived the overall research framework, revised and finalized the manuscript, managed ethical approval, manuscript submission and revision, copyright administration, and overall academic supervision; Wang Y (the second author) collected raw data, applied for sub-project funds, and coordinated internal and external communications; Zhou YX, Jin YY, and Wu J performed statistical analysis and partial manuscript revision. All authors have read and approved the final manuscript.
AI contribution statement: The authors take full responsibility and accountability for all content of this manuscript, including any portions for which AI tools were used as assistive technologies. AI-assisted outputs were carefully reviewed, validated, and approved by the authors. AI tools were not used to generate original scientific data, perform independent scientific analyses, or draw scientific conclusions.
Supported by Public Welfare Research Program of Jiaxing Municipal Bureau of Science and Technology, No. 2024AD30031; TCM Science and Technology Plan of Zhejiang Province, China, No. 2023ZL699; and Jiaxing Peak Discipline-Oncology, No. 2025-JF-003.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Yan Li, Associate Chief Physician, Department of Gastrointestinal Surgery, The First Hospital of Jiaxing (Affiliated Hospital of Jiaxing University), No. 1882 South Middle Ring Road, Jiaxing 314000, Zhejiang Province, China. liyan202610647@163.com
Received: April 28, 2026 Revised: June 4, 2026 Accepted: June 29, 2026 Published online: August 27, 2026 Processing time: 110 Days and 15.8 Hours
Abstract
Gastrointestinal surgery is shifting from pursuing radical oncology to emphasizing precision, functionalization, and rapid recovery. How to integrate laparoscopic and robotic surgery, enhanced recovery after surgery protocols, and metabolic regulatory mechanisms of bariatric surgery is a key issue in optimizing patient outcomes. This review focuses on three areas: (1) Short- and long-term outcomes of minimally invasive techniques for colorectal and gastric cancer, as well as surgical strategies for special populations; (2) Perioperative management innovation, including refined enhanced recovery after surgery practice and postoperative complication risk prediction models; and (3) The cross-integration of surgery and metabolic regulation, exploring gut microbiota remodeling, bile acid signaling, glucose metabolism, and surgical timing after conversion therapy. By synthesizing this evidence, this article provides a framework for advancing gastrointestinal surgery from “radical resection” to the “radical-functional-rehabilitation” trinity goal, and looks forward to intraoperative navigation and artificial intelligence-assisted decision-making in future individualized treatment.
Core Tip: This review centers on the theme of precision and functionalization in gastrointestinal surgery, integrating current evidence from three dimensions: The ongoing advancement of minimally invasive techniques and the refined implementation of postoperative accelerated recovery protocols, and the regulatory mechanisms of bariatric metabolism. This article systematically compares the oncological outcomes of laparoscopic and robotic surgeries, summarizes the perioperative management optimization strategies guided by the enhanced recovery after surgery concept, and explores the regulatory effect of intestinal flora remodeling after bariatric surgery on the body’s metabolism, providing a theoretical basis for the transformation of modern gastrointestinal surgery from single radical cure to comprehensive functional preservation.
