As for this disclosure it regards the system because it is used at the time of surgical operating. The system includes with one which is connected to the image processing device and the image processing device which are connected to the image pickup device and the image pickup device which are connected to the endoscope and the endoscope management system at least, function of the management system, after the receiving, is automatically adjusted the communication from the image processing device at once. In addition, also the method of adjusting the picture of the operation region during surgical operating is disclosed.本開示は外科手術において用いられるためのシステムに関する。システムは、内視鏡と、内視鏡に接続された撮像装置と、撮像装置に接続された画像処理装置と、画像処理装置に接続された少なくとも1つの管理システムとを含み、管理システムの機能は、画像処理装置からの通信を受信後、直ちに自動調整される。また、外科手術中に手術部位の画像を調整する方法も開示される。