Endoluminal gastric surgery: the modern era of minimally invasive surgery.

Laparoendoluminal techniques are the next frontier in modern surgery. They provide a minimally invasive approach to gastric diseases that enables organ preservation while maintaining open surgical principles. Laparoscopic direct access to the stomach provides a magnified, high-resolution image for precise excision using widely available laparoscopic instrumentation. Further improvements in flexible endoscopic equipment, combined with the infusion of robotic instrumentation, will aid in overcoming the technical demands of this procedure and fuel the growth of endo-luminal gastric surgery. Based on the currently available data, inappropriately selected patients, endoluminal gastric surgery affords the patients a definitive surgical procedure with all the advantages of a minimally invasive approach.