Healthy China: Everyone talks about | Zhao Jizong: Neurosurgery will enter the era of network neurosurgery in the future

In this issue of "Healthy China: Everyone Talks", Zhao Jizong, academician of the Chinese Academy of Sciences, neurosurgeon, and director of the National Clinical Research Center for Neurological Diseases, as a guest of the program, shared with you "Precision Treatment of Diseases and Training of Young Physicians".

Zhao Jizong believes that due to the large population and the largest number of patients admitted to brain diseases, Chinese doctors are ahead of foreign countries in clinical experience and surgical technology, but there are shortcomings in scientific research capabilities. Doctors can continuously explore new technologies by strengthening basic research and cooperating with scientific and technological personnel, thereby promoting the development of clinical work and narrowing the gap with international scientific research.

He interpreted the concept of "brain-heart co-treatment" proposed, taking a patient with two homologous diseases of cerebrovascular and cardiovascular diseases as an example, the past treatment method was to treat a disease, and there was no more connection between the diseases. The concept of "brain-heart treatment" advocates the coordination of chest pain centers and stroke greenways, and at the same time completes the treatment of brain and heart diseases.

At present, the construction of the composite operating room basically covers the provincial hospitals and affiliated hospitals of the medical school, which is enough to meet the hardware requirements of "brain-heart treatment". "Technically, we need to keep improving. Summarize some regular and empirical things, launch our country's guide, and then further promote it. ”

Referring to the development of Internet technology, he said that some patients with difficult diseases use remote video as a carrier to display their physical condition, and experts can solve most of the problems encountered in medical treatment by consulting, consulting materials, and discussing. The next stage of development of Internet medicine is remote guidance surgery, as far as neurosurgery is concerned, the future will move from classical neurosurgery, microsurgery, and minimally invasive neurosurgery to the fourth stage - network neurosurgery.

Compared with the previous neurosurgery that only required the removal of diseases, the current surgery requires both the treatment of diseases, the preservation of language, and the motor function of the limbs, which poses new challenges for physicians to implement precision treatment. Modern imaging technology can provide support for precision treatment for physicians, but there is still a lot of room for development in remote treatment surgery, that is, machine surgery.

Talking about the topic of education and training of medical talents, Zhao Jizong pointed out that it is not only necessary to teach young doctors the skills of operation, but also to cultivate them as compound talents, on the basis of all-round talents, "grow" and become a professional.

Finally, he emphasized that China's brain science program is "one body and two wings", "one body" is the understanding of the basic functions of the brain, and "two wings" is the study of "healthy brain" and "intelligent brain". Brain research needs to be interdisciplinary, for clinicians, in addition to completing clinical work, but also to understand the mechanism of the brain, and with mechanical, science and engineering and other fields of engineering and technical personnel cooperation, the use of medical devices to develop artificial intelligence and brain-computer interface, which is of great significance for paraplegic patients to complete more fine movements according to consciousness.