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How to do minimally invasive tumor surgery and the greatest benefit for patients? At this summit, listen to academicians and watch skill competitions

On May 26, Zhejiang Cancer Hospital, one of the 60th anniversary celebration activities, the 2023 International Minimally Invasive Cancer Surgery Mid-Levels Summit was held in Hangzhou.

Academician forum, big coffee lecture hall, tumor minimally invasive surgery video competition, more than 20 live surgery teaching... The three-day summit was exciting: there were academic discussions and technical hands-on. Medical professionals from the field of oncology from all over the country gathered on the shores of Xizi Lake to discuss the current situation and latest progress in technology and concepts at home and abroad in the field of minimally invasive diagnosis and treatment of tumors, and look forward to future development and planning.

"We hope to take advantage of this summit to further promote the standardized, minimally invasive and multidisciplinary comprehensive treatment model of tumor with professional consensus, promote academic exchanges in the field of minimally invasive tumor, and ultimately benefit more cancer patients." Cheng Xiangdong, Secretary of the Party Committee of Zhejiang Cancer Hospital, said.

How to do minimally invasive tumor surgery and the greatest benefit for patients? At this summit, listen to academicians and watch skill competitions

Three small goals were set four years ago

The 2023 International Summit on Minimally Invasive Tumor Surgery is hosted by Zhejiang Anti-Cancer Association and Zhejiang Medical Doctor Association, hosted by Zhejiang Cancer Hospital, and organized by Zhejiang Minimally Invasive Tumor Surgery Alliance.

The Zhejiang Minimally Invasive Tumor Surgery Alliance was led by Zhejiang Cancer Hospital in 2019, which was rare in the country at that time.

Talking about the original intention of the establishment of the alliance, Secretary Cheng Xiangdong said that minimally invasive tumor surgery technology has little trauma, fast postoperative recovery, and can also reduce the psychological burden and mental pressure of patients, but the level of minimally invasive diagnosis and treatment of tumors in various regions is uneven, some places new technologies can quickly play a role, some places are slow to develop, and some places have not yet carried out minimally invasive tumor diagnosis and treatment, or the standardization is not enough, "This has a consequence: the same technology in different regions, different hospitals, the effect is completely different." ”

When the alliance was first established, it had three small goals: to build a platform for medical staff dedicated to minimally invasive tumor surgery in the province to conduct academic exchanges, learn from each other and improve each other, so as to achieve the standardization, homogeneity and standardization of minimally invasive tumor treatment in the province; Cooperate with experts in minimally invasive tumor surgery in the province and the Yangtze River Delta region for cooperation, innovation and sharing; More talents in the training of the younger generation of surgical oncology. Finally, it will promote the improvement of the level of cancer diagnosis and treatment in the province.

How to do minimally invasive tumor surgery and the greatest benefit for patients? At this summit, listen to academicians and watch skill competitions

Early stage tumors, minimally invasive accounted for 95%

In the past 4 years since its establishment, Zhejiang Minimally Invasive Tumor Surgery Alliance has achieved good results: every year it carries out live broadcast of tumor surgery, online and offline workshop training, small-scale technical skills training, special training and learning plans, and lectures in various places. So far, the audience has exceeded 700,000, visiting 11 prefectures and cities in the province, and even entering surrounding counties and cities.

"After four years of development, our original intention has not changed, and the alliance has basically achieved the goal of the original establishment. The number of special committees of the alliance has expanded to 11, covering common oncology surgery and related disciplines, and the coverage of the alliance has also expanded to more than 300. The development of minimally invasive surgery for tumors in Zhejiang Province is also remarkable. "Secretary Cheng Xiangdong took Zhejiang Cancer Hospital as an example, at present, the proportion of minimally invasive surgery for early tumors of the lung, intestine and urinary system has reached 95% or even higher, and the proportion of minimally invasive surgery for gastric tumors has reached about 60%. Not only the proportion of minimally invasive, but also the standardization, standardization and safety of minimally invasive have come to the forefront of the country. ”

In this regard, Xu Zhiyuan, chief physician of the Department of Gastric Surgery of Zhejiang Cancer Hospital, has a deep experience, "We can provide patients with the most standardized treatment, and when performing minimally invasive surgical treatment for patients who meet the indications, the entire surgical process and every step are standardized." For eligible patients, minimally invasive treatment is no worse than open surgery, or even better, because with the help of high-end medical equipment, such as robots, doctors can see better. ”

For cancer patients, thanks to standard minimally invasive surgery, the quality of life after surgery is also greatly improved.

Some time ago, a flight attendant in her 20s found early stomach cancer during a physical examination that required surgical removal.

"The patient is very young, and he wants to be cured without leaving too much scar on his abdomen." Xu Zhiyuan performed laparoscopic partial gastrectomy for him: the knife edge is at the bottom of the abdomen, which is very hidden, which does not affect the girl's summer beauty's dressing at all, "The knife edge is small, the recovery is fast, and you can be discharged from the hospital one week after the operation." ”

How to do minimally invasive tumor surgery and the greatest benefit for patients? At this summit, listen to academicians and watch skill competitions

Listen to academicians talk and watch skills competitions

This year marks the 60th anniversary of the establishment of Zhejiang Cancer Hospital, and the 2023 International Summit on Minimally Invasive Oncology Surgery has also been upgraded.

The summit on that day invited 3 academicians to give lectures: Academician Yang Huanming brought "Precision Medicine in DNA, HGP and Oncology", Academician Yuan Yingjin shared "Synthetic Genes and Applications", and Academician Dong Jiahong talked about "Construction and Practice of Precision Hepatobiliary Surgery Paradigm".

"This is also the feature of our summit, we invited academicians and experts in the fields of chemistry, biotechnology, nanomaterials and other fields to share in different fields." Secretary Cheng Xiangdong said that modern medicine emphasizes the integration and cross-development of medical and engineering, "The surgeon's vision should also be broadened, whether it is clinical medical technology or scientific research, such a deep intersection is required." ”

Not only academic seminars, but also during the summit, the 5th "Qianchao Cup" tumor minimally invasive surgery video elite competition and the 4th Zhejiang Province tumor minimally invasive surgery basic skills operation competition, the latter had more than 400 people registered, after layers of screening, more than 100 people finally entered the final.

"In recent years, through various competitions, exchanges and cooperation, we have also made a series of achievements in research and innovation, from clinical research to surgical technology, such as digestive tract reconstruction, lymph node dissection, perioperative treatment and other directions, and many results have been published and published in major international conferences and major international journals." Secretary Cheng Xiangdong said.

Get the most out of minimally invasive surgery

In addition, the summit also set up 11 special committee sub-venues, inviting well-known experts with a high reputation in the fields of minimally invasive diagnosis and treatment of tumors such as stomach, chest, colorectum, gynecological tumor, thyroid, hepatobiliary and pancreas, urinary, breast, ultrasound intervention, anesthesia and nursing at home and abroad, to interpret the current situation and progress at home and abroad, and look forward to future development and planning. At the same time, more than 20 surgeries were also arranged for live teaching.

Among the 11 sub-venues of the special committee, the sub-venues of ultrasound intervention, anesthesia and nursing are particularly special, why set up such sub-venues at the Summit on Minimally Invasive Tumor Surgery?

"That's one of the hallmarks of our alliance." Secretary Cheng Xiangdong explained that we are embedding common tumors and related technologies required for treatment into the alliance, "Taking anesthesia as an example, open surgery and laparoscopic surgery, the requirements for anesthesia are completely different, and the same is true for nursing. We include these auxiliary departments required for minimally invasive surgery, and everyone communicates with each other, which will make the future development more penetrating and vibrant. ”

In addition to standardization and minimally invasive, promoting the multidisciplinary comprehensive treatment mode of minimally invasive tumor surgery is also one of the purposes of this summit.

"We advocate multidisciplinary cooperation in the diagnosis and treatment of tumors, especially in minimally invasive surgery." Secretary Cheng Xiangdong said that it seems that minimally invasive surgery is only surgical treatment, but in fact, it requires multidisciplinary collaboration to achieve the best surgical results: the pain department helps patients reduce pain, the nutrition department formulates reasonable nutritional support for postoperative patients, and the psychological rehabilitation department helps patients psychotherapy, etc., "Only with these comprehensive technologies and concepts, patients can benefit the most from minimally invasive surgery." ”

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