中德脊柱外科手术全球直播

2022年10月28日无锡市第九人民医院张树军主任主刀的颈椎UBE手术全球直播一小时就完美收官。手术出血量小，速度快。世界微创脊柱大师Mayer教授给予了高度赞扬。张树军主任一再表示：感谢我的医院，感谢我的团队。张树军主任也一再表示王文军教授是他的恩师。他远赴美国攻读PhD博士学位五年，并获得了全额奖学金。2016年他以访问学者的身份远赴德国慕尼黑哈拉兴骨科医院学习微创脊柱手术。这是Mayer教授1998年创立的世界著名的骨科专科医院。此次全球直播AO Spine也在官网上做了全球转播。无锡市第九人民医院副院长靡菁熠教授亲临大会现场并致欢迎辞。庄胤医生担任大会主持人。

On October 28, a live UBE decompression surgery for cervical spine was performed by Director Zhang Shujun at Wuxi Ninth People's Hospital. The surgery was perfectly completed within one hour and with less blood loss. Prof. Mayer, the Worldwide Minimally Invasive Spine Master, gave high praise to Director Zhang's excellence in surgery. Director Zhang repeatedly expressed his great thankfulness to his hospital, to his team, and to his respected mentor, Prof. Wang Wenjun. Director Zhang had been to the United States for five years to pursue his PhD and obtained a full scholarship there. In 2016, he flew to Munich to study minimally invasive spine surgery techniques at Schön Klinik München Harlaching as a visiting fellow. This is a world-renowned orthopedic hospital founded by Prof. Mayer in 1998. The global live broadcast was also promoted on AO Spine platform. Prof. Mi Jingyi, Vice President of Wuxi Ninth People's Hospital, specially came to the site to deliver a welcome speech for the conference. Dr. Zhuang Yin was the moderator of the conference.

Mayer教授分享了《UBE/BESS当前作用及展望》的专题演讲。Mayer教授认为要深切了解UBE/BESS需要回顾一下脊柱减压技术的发展与转变，并分析了从70年代至今，从开放手术、微创手术、微创辅助内镜手术到全内镜手术的发展历程。UBE/BESS手术优点显著，术后疼痛和创伤少，VAS评分、出血量、住院时间等表现出色，深受全球脊柱外科医生推崇，特别是中国与韩国的脊柱同道，他们在UBE/BESS临床上的探索贡献突出。Mayer教授总结到UBE/BESS填补了全内镜手术和显微镜手术的空缺，未来有非常大的发展潜力，特别是运用在融合和重建技术上。

At the conference, Prof. Mayer shared a scientific lecture, titled "Current role and perspectives of Biportal Endoscopic Spine Surgery(BESS/UBE)". He said that a deeper understanding of UBE/BESS requires a retrospective of the development of spine decompression techniques. So then he showed us the technological transformation from 1970 to 2020 of lumbar (cervical) decompression techniques, which can be categorized as open surgery, micro surgery, micro-endo surgery and full endo surgery. The advantages of UBE/BESS are obvious. It is less invasive with less pain, less blood loss, lower hospital stay, etc. Its advantages make it popular among spine surgeons worldwide, especially the surgeons from China and Korea, who have contributed a lot to explore the application of UBE/BESS in clinical field. Prof. Mayer concluded that the UBE/BESS fills the gap between full-endoscopic and microscopic surgery, and has a great potential for lumbar fusion and reconstruction techniques. 

随后，彭伟博士介绍了无锡九院脊柱外科团队一年半以来应用UBE技术治疗颈椎疾病的经验分享，并点评到UBE术中水流要流畅，保持持续灌注和合适水压可降低术后头颈部疼痛的风险，一个通道可解决两个节段，并要注意热损伤。崔巍博士在手术直播环节也介绍了手术病人的基本情况：患者65岁男性，临床诊断为C4/5/6神经根型颈椎病并颈椎间盘突出，确定治疗目标为UBE镜下行C4/5/6减压进行椎管减压和神经根的松解，随后张树军主任联同韩晓飞医生共同完成此台精彩的手术直播。至此，中德脊柱外科手术全球直播完美落幕。

Later, Dr. Peng Wei shared the experience of Dept. of Spine Surgery of Wuxi Ninth People's Hospital in applying UBE technique for cervical diseases in the last 18 months. And their team commented that during UBE surgery, water flow should be easy and smooth; maintaining continuous irrigation and appropriate water pressure could decrease head and neck pain risk after surgery; one working portal for two segments could be realized, and thermal damage should be carefully considered. During the live surgery session, Dr. Cui Wei first introduced the patient's information: he is 65 years old, and is diagnosed with C4/5,5/6 cervical spondylotic radiculopathy and cervical disc herniation. Their surgical strategy is to do Unilateral Biportal Endoscopy for C4/5, 5/6 spinal canal decompression and nerve root release. Then this live surgery was perfectly completed by Director Zhang and Dr. Han Xiaofei in the OR. At this point, Sino-German Spine Surgery Global Live Broadcast came to a perfect conclusion.

张主任有一个梦想：希望他的科室，他的团队能走出无锡，走出中国，走向世界。向大师学习，让病人受益。他在我们的工作群里留言：“这是一份事业呀。”人才强，医疗才会强，医疗强，国家才会强。世界微创脊柱大师Mayer教授全新拍摄的健康宣教短片11月将首次在中国落户无锡市第九人民医院。我们会让更多中国病人通过世界脊柱大师Mayer教授真正了解脊柱疾病，增加该院脊柱团队在江苏省病人心目中的影响力。

Director Zhang always has a dream: his team, his department could be seen by the people in Wuxi City, and people all over China and all over the world. They desire to learn from the masters and to better serve the patients. He left a message in our Wechat group, "To be a good doctor is indeed a lifelong career." Only talents could build up a strong healthcare system, and only a strong healthcare system will nourish a strong country.  

In November, a series of healthcare talk videos specially recorded by Prof. Mayer will be released for the first time at Wuxi Ninth People's Hospital. We envision letting more Chinese patients to truly understand various spine diseases through Prof. Mayer's video and hope to increase the influence of the Dept. of Spine Surgery among the patients in Jiangsu Province.