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Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition) ›› 2026, Vol. 13 ›› Issue (01): 5-9. doi: 10.3877/cma.j.issn.2095-7157.2026.01.002

• Editorial Comment • Previous Articles    

Deconstruction and reconstruction of the human life view from the perspective of super minimally invasive surgery (SMIS) theory

Enqiang Linghu()   

  1. Department of Gastroenterology, The First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2026-01-17 Online:2026-02-15 Published:2026-03-26
  • Contact: Enqiang Linghu

Abstract:

Modern medicine is undergoing a profound paradigm shift from mechanical reductionism to organic holism.This article aims to deconstruct the traditional view of life, which is brain-centered and regards the human body as a "precise machine", and to reconstruct a distributed view of life based on the "organ federation" model.Using this as the philosophical and scientific cornerstone, it systematically elaborates the fundamental principles of super minimally invasive surgery (SMIS). We propose that the human body is a collaborative federation composed of numerous "quasi-living" organs possessing autonomous intelligence such as memory, regeneration, adaptation, and intrinsic rhythms.The advanced neural centers unify these autonomies into coherent individual consciousness and behavior through an exquisite mechanism of "integration and obscuration". The principle of SMIS is rooted precisely in a profound respect for this inherent life potential of organs.Its core lies in shifting medical intervention from the traditional logic of "lesion resection" to a "regulation and support" logic aimed at maximally preserving the structural and functional integrity of organs.This article will argue, from four aspects—the scientific evidence for organ autonomy, the obscuration mechanism of high-level control, the revelation of life continuity after control failure, and the reshaping of the surgical paradigm—how this new view of life provides a fundamental theoretical basis for SMIS and guides surgery towards evolving with function preservation as its core.

Key words: Super minimally invasive surgery(SMIS), View of life, Function preservation, Organ autonomy, Surgical Paradigm shift

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