Provided is an integrated monitoring and management system for endoscopic surgery, in which the system simultaneously monitors and manages the surgical environment such as pressure, temperature, humidity, smoke, and the like inside the human body, and the type and access of surgical instruments used for surgery throughout the surgical procedure at the time of endoscopic surgery, such that an optimal surgical environment is maintained according to a monitoring result, and when an accident occurrence factor is monitored during the surgical procedure, it is possible to prevent an accident from occurring by informing of the accident occurrence factor, and it is possible to quantify a safe and successful surgical procedure by analyzing accumulated big data.