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Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

author:Orthopedics Online

On April 24, 2021, the 2021 Spring Spinal Endoscopic Fusion Summit Forum and the Second V-Shaped Dual-Channel Endoscopic System (VBE) Lumbar Fusion Symposium were held in Shanghai. The conference was jointly sponsored by Shandong Guanlong Medical Supplies Co., Ltd. and the Tenth People's Hospital Affiliated to Tongji University, and nearly 6,000 people watched the online live broadcast of Orthopedics Online.

At this meeting, the participating experts exchanged the application of various clinical spinal endoscopic assisted intervertebral fusion technologies, and especially shared the early experience of VBE technology. Through the exchanges, the experts are full of confidence in the application prospects of China's independent innovation of spinal endoscopic fusion technology.

A Hundred Flowers Bloom and Return to the Same Destination

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

A glimpse of the venue

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor He Shisheng delivered a speech

At the beginning of the conference, Professor He Shisheng, Director of the Department of Orthopedics and Director of the Spine Minimally Invasive Center of the Tenth People's Hospital affiliated to Tongji University, introduced the four chairmen of the conference to the guests: Professor Zhou Yue of Xinqiao Hospital of Army Military Medical University, Professor Yang Huilin of the First Affiliated Hospital of Soochow University, Professor Liu Xiaoguang of the Third Hospital of Peking University, and Professor Rong Limin of the Third Affiliated Hospital of Sun Yat-sen University.

The conference also featured five co-chairs, namely Professor He Shisheng, Professor Deng Zhongliang of the Second Affiliated Hospital of Chongqing Medical University, Professor Li Qingchu of the Third Affiliated Hospital of Southern Medical University, Professor Yin Heping of the Second Affiliated Hospital of Inner Mongolia Medical University, and Professor Yang Qun of the First Affiliated Hospital of Dalian Medical University.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Zhou Yue delivered an online speech

"Innovation is the source of national survival, and innovation is the driving force for national development." Only innovation can go to the world, and only innovation can lead the future. At the opening ceremony, Professor Zhou Yue, Chairman of the Conference, introduced the innovative technology of single-hole and two-channel non-coaxial spine endoscopic fusion developed by Professor He Shisheng in a video speech, which is different from single-hole single-channel spinal endoscopy and double-channel dual-channel coaxial spine endoscopy. He hoped that through this study and training, everyone would understand the indications and technical operation difficulties of this new technology, grasp the principles of handling complications, and better serve patients.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Liu Xiaoguang delivered a speech

"As minimally invasive techniques solve clinical problems more and more deeply and have a wider range of applications, the fusion technology of microscopic decompression has received more and more attention, especially the dual-channel technology is widely welcomed clinically, but this does not mean that the single-hole technology that mainly solves intervertebral disc herniation will be replaced." Professor Liu Xiaoguang pointed out in his speech that many techniques of minimally invasive spine surgery have finally achieved the same effect, and VBE, like dual-channel technology, can achieve fast, effective and safe under-the-mirror integration.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Yang Huilin delivered an online speech

Professor Yang Huilin was unable to attend the scene for some reason, and he had high hopes for the conference when he delivered his online speech: "Many minimally invasive spine surgery experts attended the meeting and discussed, which must be a valuable academic feast for the development of spinal endoscopic assisted intervertebral fusion technology in China." He hopes that through this symposium, the on-site and online participants will deeply understand and master the key points of this technology for the benefit of more patients.

Hundreds of schools of thought have their own advantages

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Liu Xiaoguang gave a lecture

The academic course of the day was kicked off by Professor Liu Xiaoguang. From the definition of minimally invasive spine surgery to the development trend of the current technology, he systematically reviewed and summarized the current situation of minimally invasive fusion of spine in a simple and simple way, believing that minimally invasive surgery is a technique that spinal surgeons should master, and should follow the basic principles of minimally invasive lumbar fusion surgical selection to provide better treatment for patients. At the same time, Professor Liu pointed out that there are still certain challenges in the current spinal endoscopic fusion, encouraging the innovation of medical devices with independent intellectual property rights, and better promoting the development of spinal endoscopic fusion technology.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor He Shisheng gave a lecture

Professor He Shisheng introduced the design principle and clinical application scenario of the V-shaped dual-channel endoscopic system (VBE) in detail, showed the technical characteristics and operation points of the VBE system in clinical practical application with pictures and texts, and discussed the application prospects and optimization schemes of the VBE system in lumbar intervertebral fusion with the participating experts.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Li Qingchu gave a lecture

Professor Li Qingchu reviewed the development history of spinal endoscopic fusion technology and surgical instruments, and praised the contributions of the older generation of experts to the development of the discipline and the training of medical students. Through a large number of minimally invasive cases of spine surgery, he explained to everyone the spinal endoscopic fusion surgery techniques such as endoscopic assisted lumbar anterior approach intervertebral fusion surgery, pointed out that the perfect combination of technology and instruments can achieve the best minimally invasive treatment effect, and affirmed the advantages of fusion technology under aqueous media such as VBE system.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Deng Zhongliang gave a lecture

Professor Deng Zhongliang gave a lecture on the problems faced by cervical percutaneous endoscopic surgery, and he taught many key issues of cervical endoscopic surgery one by one on how to ensure surgical safety, avoid related complications, and improve operational efficiency by showing the technical details of various endoscopic cervical spine surgery.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Zhou Yue gave a lecture

Professor Zhou Yue comprehensively and systematically reviewed the development history of percutaneous endoscopic lumbar fusion technology, and classified the current endoscopic technology according to the design principle and operation characteristics of spinal endoscopy. Through demonstration animation and other methods, he vividly and three-dimensionally displayed and compared the anatomical approaches and surgical operation characteristics of the current popular spinal endoscopic fusion technology. Professor Zhou affirmed the contributions made by many domestic teams to the development of minimally invasive spine surgery technology, and combined with the history and current situation of related technology development, made a prediction of future development direction.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Silver Heping teaches

Professor Yin Heping combined his unique discoscopic (MED) surgical techniques to share with everyone the experience of MED-assisted minimally invasive fusion surgery of the lower lumbar spine, compared and analyzed the advantages and disadvantages of BESS and MED surgery, and put forward profound insights on spinal endoscopic fusion.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Yan Zhengjian gave a lecture

Professor Yan Zhengjian of the Second Affiliated Hospital of Chongqing Medical University shared his preliminary experience in carrying out VBE-assisted lumbar intervertebral fusion, discussed the technical characteristics of VBE surgery, intraoperative operation difficulties, etc., and provided valuable experience for the development of spine endoscopic fusion technology such as VBE.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Yang Qun gave a lecture

Professor Yang Qun gave a special lecture on MIS-TLIF surgery under the fixed channel of using headpieces and ZISTA, and pointed out that the technical strategy is more convenient, efficient and easy to master, and has strong practicality and promotion value.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Rong Limin gave lectures

Professor Rong Limin gave a lecture on the selection strategy of spinal endoscopic fusion, he objectively analyzed the indications and technical characteristics of spinal endoscopic fusion, commented on different technical points such as transvertebral foraminal approach and posterior approach, and pointed out the problems existing in endoscopic fusion, believing that minimally invasive technology is a choice, depending on the patient's condition and the operator's own technical characteristics to make a choice, to provide the best treatment for patients.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Cheng Liang gave a lecture

Professor Cheng Liang of the Third Affiliated Hospital of Southern Medical University shared his experience in the treatment of spine-related pain through a large number of clinical cases, introduced the cutting-edge anatomical research progress of spinal pain, and believed that target technology is the core of spinal endoscopic technology.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Li Zhihong gave a lecture

Professor Li Zhihong of the Department of Human Anatomy of Shanghai Health Medical College, from an anatomical point of view, gave lectures on the human anatomy characteristics of the minimally invasive surgical operation area of the spine, whether it is the treatment of clinical diseases or the research and development of surgical instruments such as VBE, which has good guiding significance.

There is no best only fit

With the trend of minimally invasive surgical technology becoming more and more obvious, minimally invasive spine surgery technology has emerged in recent years. The application of minimally invasive technology in the fields of spinal decompression, fixation, fusion, orthopedics is in a situation of a hundred flowers blooming and a hundred schools of thought, but the same destination, no technology can cover the world. Participating experts reminded young doctors not to easily label themselves as a certain technology, let alone innovate for the sake of innovation.

In recent years, minimally invasive spine surgeons represented by Chinese doctors have continuously improved their tools and techniques, improved the standardization and safety of surgery, shortened the operation time, and enabled more doctors to master minimally invasive lumbar fusion technology. However, the emergence of new technologies does not mean that existing technologies will inevitably lose their advantages.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Professor Li Qingchu summarized the conference

Professor Li Qingchu reminded in summarizing this meeting that any kind of minimally invasive technology has its own advantages and disadvantages, as long as it is a technology that meets clinical needs is a good technology, so it is necessary to rationally look at the update and development of each technology, and choose the indications suitable for each person according to the actual situation of the patient, in order to give full play to the maximum advantages of technology.

Hands-on techniques are taught

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Practical training in VBE technology

After the expert lecture, Professor He Shisheng led the guests to the dissection room and conducted two and a half-days practical training in VBE technology. Professor He Shisheng's team taught the clinical technical points of VBE technology unreservedly, and the participants were full of rewards.

Independent innovation, Yongke difficulty - VBE microscopic integration of new technologies to add vitality to minimally invasive spine surgery

Some of the participants took a group photo