[Recent advances in digestive surgery].

INTRODUCTION: Surgical practice in gastro-enterology is concerned by deep technological advances. In the past century, the technological advances were conducted by clinical challenges and strategies. The 21th century is clearly led by the inversion of the paradigms. Medical practice does not only depend on the access to the technologies, but it seems submitted to her. Should the physician follow the engineer ? Does the clinical data collection, depend on the computer ? Who decides ? The doctor, the patient or the Artificial Intelligence ? Materiel et Methods : The present essay that definitely does not answer all these questions, is achieved thanks the practical experience of our colleagues. We also collected the recent literature devoted to new and promising technologies. The PUBMED review is completed by several think tanks reports coming from the industry.

RESULTS: Among the multiple aspects of present and future progresses, 6 among them could be pointed out: the benefit of augmented reality, mini and micro invasive techniques, robotic, news energies, big data and artificial intelligence.

CONCLUSIONS: Progresses in data collection and treatment, imminent advances in micro mechanics, will completely change our clinical practice. The role of the doctor is in the center of this approach. We have to prepare young people to this human revolution.