Author: He Shisheng, Ni Haijian
Hospital: Minimally Invasive Spine Center, Shanghai Tenth People's Hospital
introduction
In recent years, with the rapid development of spinal endoscopy technology, people's understanding of the concept of spinal endoscopy has also deepened. Traditional uniaxial endoscopy can be thought of as meeting the visualization needs of interventional procedures. Subsequently, when we wanted to use the endoscope to enter the spinal canal directly through the intervertebral foramen for decompression maneuvers, the TESS technique came into being. On this basis, the fully visual endoscopic technology that has emerged and is currently recognized by everyone changes the surgical operation thinking to "from the outside to the inside, entering layer by layer, and the whole process is visible", which is consistent with the operation sequence of our traditional spine surgery, which means that we can use endoscopy to replicate and complete more conventional surgeries of spine surgery, which is "endoscopy of spine surgery".
Based on this concept, spinal endoscopy has been rapidly applied to posterior decompression surgery of the lumbar, thoracic and cervical spine, as well as lumbar interbody fusion surgery. However, when using traditional single-axis endoscopes to replicate and complete these spine surgeries, people find that the convenience of operation, the efficiency of the instruments, and the safety of the operation are limited, which requires the improvement of the original endoscopic system or the design of a new endoscopic system or even the endoscopic mode to meet the above needs, which we call "the surgical of spinal endoscopic tools". Based on this concept, we designed and developed a V-shaped dual-channel spine endoscopy (VBE) system, and proposed to use this system to complete endoscopic TLIF surgery (VBE-TLIF), and follow-up studies found that it can achieve similar clinical efficacy to MIS-TLIF, but it is more minimally invasive and has a faster postoperative recovery.
Here, we introduce the two approaches to VBE-TLIF surgery to provide a reference for those who are about to undergo this technique or who are interested in this technique.
summary
Based on the concepts of "endoscopy of spine surgery" and "surgery of spine endoscopic tools", the VBE endoscopic system and VBE-TLIF technology came into being, and the two surgical approaches have their own advantages. I hope that interested colleagues will participate in improving and perfecting this technology, and work together to benefit more patients and promote the independent innovation of minimally invasive spine in China!
About the Author
He Shisheng
Ph.D., Chief Physician, Professor, Doctoral Supervisor, Postdoctoral Contact Supervisor.
Director of the Department of Orthopedics, Director of the Department of Spine Surgery, Director of the Minimally Invasive Spine Center, and Director of the Institute of Spine Pain Medicine, the Tenth People's Hospital Affiliated to Tongji University.
Director of the Asia-Pacific Minimally Invasive Spine Association, member of the Technical Expert Group on Spine Endoscopic Diagnosis and Treatment of the National Health and Family Planning Commission, member of the Orthopedic Surgeon Branch of the Chinese Medical Doctor Association, chairman of the Spine Pain Professional Committee of the Orthopedic Surgeon Branch of the Chinese Medical Doctor Association, vice chairman of the Cervical Spondylosis Professional Committee of the Chinese Rehabilitation Medical Association, vice chairman of the Spine Pain Professional Committee of the Pain Physician Branch of the Chinese Medical Doctor Association, deputy leader of the Spine Microscopy Group of the Orthopedic Surgeon Branch of the Chinese Medical Doctor Association, member of the Minimally Invasive Group of the Orthopedic Branch of the Chinese Medical Association, He is a member of the Minimally Invasive Spine Professional Committee of the Orthopedic Surgeon Branch of the Chinese Medical Doctor Association, a member of the Endoscopy Branch of the Chinese Medical Doctor Association, a standing member of the Spine Endoscopy Professional Committee of the Endoscopist Branch of the Chinese Medical Doctor Association, a member of the Spine and Spinal Cord Professional Committee of the Chinese Rehabilitation Medical Association, a standing member of the Orthopedic Professional Committee of the Chinese Association of Non-public Medical Institutions, a corresponding editorial board member of the Chinese Journal of Surgery, a corresponding editorial board member of the Chinese Journal of Orthopedics, an editorial board member of the Chinese Journal of Orthopaedics, and an editorial board member of the Chinese Journal of Spine and Spinal Cord.
So far, it has won a total of 7 awards from Shanghai and the military. Among them, "New Technology of Three-dimensional Orthopedic Orthopedic Technology and Application of Old Beds for Scoliosis" won the first prize of Shanghai Science and Technology Progress Award, and "Surgical Treatment and Related Basic Research of Troubled Spondylosis" won the second prize of military medical achievements. "Application and Related Research of Micro Innovative Technology in Spine Surgery" won the second prize of Shanghai Medical Science and Technology Progress, and "Key Technology and Application of Reducing Radiation Exposure and Rapid Positioning in Minimally Invasive Surgery of Chiropebrae" won the second prize of Shanghai Technology Invention. He has edited five monographs: Minimally Invasive Spine Surgical Techniques (2006), Minimally Invasive Lumbar Spine Fusion (2010), Minimally Invasive Treatment and Rehabilitation of Common Spine Diseases (2010), Transforaminal Spine Endoscopic Techniques (2015), and V-shaped Dual-channel Spine Endoscopic Techniques (2021), among which Minimally Invasive Spine Surgical Techniques is the first minimally invasive spinal monograph in China.
Ni Haijian
Doctor of Medicine, Deputy Chief Physician, Associate Professor, Deputy Director of the Spine Minimally Invasive Center of the Tenth People's Hospital of Tongji University (Shanghai Tenth Hospital).
Member of the Youth Committee of the Minimally Invasive Surgery Group of the Orthopaedic Branch of the Chinese Medical Association, Member of the Spine Minimally Invasive Group of the Youth Committee of the Orthopaedic Branch of the Chinese Medical Doctor Association, Member of the Spine Medicine Branch of the China Association for the Promotion of International Exchange in Health Care, Member of the Spine Disease Prevention and Control Professional Committee of the Chinese Preventive Medicine Association, Youth Member of the Spine Surgery Professional Committee of the Chinese Research Hospital Association, Member of the Spine Endoscopic Integration Group of the Orthopedic Minimally Invasive Committee of the Chinese Association of Integrative Medicine, Member of the Youth Committee of the Orthopedic Branch of the Shanghai Medical Association, He is a member of the Minimally Invasive Group of the Orthopaedic Branch of the Shanghai Medical Association, the deputy head of the Minimally Invasive Spine Group of the Spine and Spinal Cord Special Committee of the Shanghai Association of Rehabilitation Medicine, a member of the Spine Medicine Special Committee of the Shanghai Association of Integrative Traditional and Western Medicine, a member of the Minimally Invasive Orthopedic Professional Committee of the Shanghai Association of Integrative Traditional and Western Medicine, a member and secretary of the Spine Professional Committee of the Shanghai Community Health Association, and a member of the Minimally Invasive Spine Professional Committee of the Bethune Public Welfare Foundation.
He has been engaged in clinical work in spine surgery for nearly 15 years, proficient in the diagnosis and minimally invasive treatment of various common and difficult diseases in spine surgery, and has participated in and completed more than 4,000 cases of various spine surgeries so far.
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