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中华胃肠内镜电子杂志 ›› 2026, Vol. 13 ›› Issue (02) : 81 -92. doi: 10.3877/cma.j.issn.2095-7157.2026.02.003

论著

中国消化领域资深专家对超级微创手术(SMIS)理念的认知度与认可度及推广现状:一项全国性问卷调查
田帅1,3, 夏晓静2, 胡肖廷2, 原姚谦1, 周泇言1, 陈倩倩1,(), 令狐恩强1,()   
  1. 1100853 北京,解放军总医院第一医学中心消化内科医学部
    2250031 济南,解放军联勤保障部队第九六〇医院健康医学科
    3264002 烟台,解放军联勤保障部队第九七〇医院消化内科
  • 收稿日期:2026-01-23 出版日期:2026-05-15
  • 通信作者: 陈倩倩, 令狐恩强
  • 基金资助:
    国家重点研发计划(2022YFC2503600)

Awareness, acceptance, and dissemination status of the super minimally invasive surgery (SMIS) concept among senior experts in the digestive field in China: A national questionnaire survey

Shuai Tian1,3, Xiaojing Xia2, Xiaoting Hu2, Yaoqian Yuan1, Jiayan Zhou1, Qianqian Chen1,(), Enqiang Linghu1,()   

  1. 1Department of Gastroenterology, The First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
    2Department of Health Medicine, The 960th Hospital of the PLA Joint Logistic Support Force, Jinan 250031, China
    3Department of Gastroenterology, The 970th Hospital of the PLA Joint Logistic Support Force, Yantai 264002, China
  • Received:2026-01-23 Published:2026-05-15
  • Corresponding author: Qianqian Chen, Enqiang Linghu
引用本文:

田帅, 夏晓静, 胡肖廷, 原姚谦, 周泇言, 陈倩倩, 令狐恩强. 中国消化领域资深专家对超级微创手术(SMIS)理念的认知度与认可度及推广现状:一项全国性问卷调查[J/OL]. 中华胃肠内镜电子杂志, 2026, 13(02): 81-92.

Shuai Tian, Xiaojing Xia, Xiaoting Hu, Yaoqian Yuan, Jiayan Zhou, Qianqian Chen, Enqiang Linghu. Awareness, acceptance, and dissemination status of the super minimally invasive surgery (SMIS) concept among senior experts in the digestive field in China: A national questionnaire survey[J/OL]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2026, 13(02): 81-92.

目的

系统评估超级微创手术(SMIS)理念在全国消化领域资深专家中的认知度、认可度及临床推广现状,为SMIS的系统性推广提供实证依据。

方法

采用目的抽样方法,于2025年6~7月对全国31个省级行政区消化领域资深专家进行横断面问卷调查。

结果

SMIS核心理念(定义、目标、原则)的认知率均超过98%,超过97%的专家认同其价值取向。技术开展呈现显著梯度差异:经自然腔道非全层切除术开展率最高(87.2%),经穿刺通道技术最低(37.3%)。不同等级医院在理论接触深度及高难度技术开展方面存在显著差异(P<0.001),而不同科室及职称专家对核心理念的认知高度一致(P>0.05)。医保支付政策不配套被列为首要推广障碍,88.6%的专家呼吁建立标准化培训课程。99.7%的专家表示愿意继续推进SMIS相关工作。

结论

SMIS理念已获得消化领域资深专家的广泛认知与高度认同,但其临床推广面临技术门槛、医保政策、培训体系及多学科协作等多重挑战。未来需构建系统化推广策略,以推动SMIS从理论共识向临床实践的全面转化。

Objective

To systematically evaluate the awareness, acceptance, and clinical dissemination status of the super minimally invasive surgery (SMIS) concept among senior experts in the digestive field in China, and to provide evidence-based support for its systematic promotion.

Methods

A cross-sectional questionnaire survey was conducted from June to July 2025 using purposive sampling among senior experts in the digestive field across 31 provincial-level administrative regions in China.

Results

The awareness rates of the core SMIS concepts (definition, goal, principle) all exceeded 98%, and over 97% of the experts endorsed its value orientation.The implementation of SMIS techniques showed significant gradient differences: the application rate of natural orifice non-full-thickness resection was the highest (87.2%), while that of puncture channel techniques was the lowest (37.3%).Significant differences were observed in theoretical exposure and implementation of complex techniques across hospitals of different levels (P<0.001), whereas awareness of the core concepts remained highly consistent across different departments and professional titles (P>0.05). Inconsistent medical insurance payment policies were identified as the primary barrier to promotion, and 88.6% of the experts called for the establishment of standardized training courses. Notably, 99.7% of the experts expressed willingness to continue advancing SMIS-related clinical work.

Conclusion

The SMIS concept has gained broad awareness and strong acceptance among senior experts in the digestive field. However, its clinical dissemination faces multiple challenges, including technical complexity, medical insurance policies, training systems, and multidisciplinary collaboration.A systematic promotion strategy is urgently needed to facilitate the translation of SMIS from theoretical consensus to widespread clinical practice.

图1 调查问卷受访者全国省份分布图
表1 不同等级医院专家对SMIS理论的认知与实践分析[例(%)]
表2 不同科室专家对SMIS理论的认知与实践意愿分析[例(%)]
表3 不同职称专家对SMIS理论的认知与实践意愿分析[例(%)]
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