2022年10月28日無錫市第九人民醫(yī)院張樹軍主任主刀的頸椎UBE手術(shù)全球直播一小時(shí)就完美收官。手術(shù)出血量小，速度快。世界微創(chuàng)脊柱大師Mayer教授給予了高度贊揚(yáng)。張樹軍主任一再表示：感謝我的醫(yī)院，感謝我的團(tuán)隊(duì)。張樹軍主任也一再表示王文軍教授是他的恩師。他遠(yuǎn)赴美國(guó)攻讀PhD博士學(xué)位五年，并獲得了全額獎(jiǎng)學(xué)金。2016年他以訪問學(xué)者的身份遠(yuǎn)赴德國(guó)慕尼黑哈拉興骨科醫(yī)院學(xué)習(xí)微創(chuàng)脊柱手術(shù)。這是Mayer教授1998年創(chuàng)立的世界著名的骨科?？漆t(yī)院。此次全球直播AO Spine也在官網(wǎng)上做了全球轉(zhuǎn)播。無錫市第九人民醫(yī)院副院長(zhǎng)靡菁熠教授親臨大會(huì)現(xiàn)場(chǎng)并致歡迎辭。莊胤醫(yī)生擔(dān)任大會(huì)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 Sch?n 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當(dāng)前作用及展望》的專題演講。Mayer教授認(rèn)為要深切了解UBE/BESS需要回顧一下脊柱減壓技術(shù)的發(fā)展與轉(zhuǎn)變，并分析了從70年代至今，從開放手術(shù)、微創(chuàng)手術(shù)、微創(chuàng)輔助內(nèi)鏡手術(shù)到全內(nèi)鏡手術(shù)的發(fā)展歷程。UBE/BESS手術(shù)優(yōu)點(diǎn)顯著，術(shù)后疼痛和創(chuàng)傷少，VAS評(píng)分、出血量、住院時(shí)間等表現(xiàn)出色，深受全球脊柱外科醫(yī)生推崇，特別是中國(guó)與韓國(guó)的脊柱同道，他們?cè)赨BE/BESS臨床上的探索貢獻(xiàn)突出。Mayer教授總結(jié)到UBE/BESS填補(bǔ)了全內(nèi)鏡手術(shù)和顯微鏡手術(shù)的空缺，未來有非常大的發(fā)展?jié)摿Γ貏e是運(yùn)用在融合和重建技術(shù)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. 

隨后，彭偉博士介紹了無錫九院脊柱外科團(tuán)隊(duì)一年半以來應(yīng)用UBE技術(shù)治療頸椎疾病的經(jīng)驗(yàn)分享，并點(diǎn)評(píng)到UBE術(shù)中水流要流暢，保持持續(xù)灌注和合適水壓可降低術(shù)后頭頸部疼痛的風(fēng)險(xiǎn)，一個(gè)通道可解決兩個(gè)節(jié)段，并要注意熱損傷。崔巍博士在手術(shù)直播環(huán)節(jié)也介紹了手術(shù)病人的基本情況：患者65歲男性，臨床診斷為C4/5/6神經(jīng)根型頸椎病并頸椎間盤突出，確定治療目標(biāo)為UBE鏡下行C4/5/6減壓進(jìn)行椎管減壓和神經(jīng)根的松解，隨后張樹軍主任聯(lián)同韓曉飛醫(yī)生共同完成此臺(tái)精彩的手術(shù)直播。至此，中德脊柱外科手術(shù)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.

張主任有一個(gè)夢(mèng)想：希望他的科室，他的團(tuán)隊(duì)能走出無錫，走出中國(guó)，走向世界。向大師學(xué)習(xí)，讓病人受益。他在我們的工作群里留言：“這是一份事業(yè)呀?！比瞬艔?qiáng)，醫(yī)療才會(huì)強(qiáng)，醫(yī)療強(qiáng)，國(guó)家才會(huì)強(qiáng)。世界微創(chuàng)脊柱大師Mayer教授全新拍攝的健康宣教短片11月將首次在中國(guó)落戶無錫市第九人民醫(yī)院。我們會(huì)讓更多中國(guó)病人通過世界脊柱大師Mayer教授真正了解脊柱疾病，增加該院脊柱團(tuán)隊(duì)在江蘇省病人心目中的影響力。

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.