Shanghai experts use self-developed VBE endoscopic system to treat elderly patients with small incisions

On August 30, 72-year-old Grandma Gu had been troubled by "lumbar spinal stenosis" for many years. After undergoing an open surgery with an incision of 20 centimeters at a local hospital two years ago, her pain worsened. The reporter learned on the 30th that in Shanghai, spinal surgery experts used the VBE endoscope (V-shaped dual-channel spinal endoscope), a domestic instrument with completely independent intellectual property rights, to completely resolve the spinal canal problem through only a 1.5 cm incision, and the elderly man's scabies were cured.

It is understood that at present, this VBE endoscope and related technologies independently developed by the Spinal Surgery Department of Shanghai Tenth People's Hospital have been promoted and applied in nearly 100 hospitals across China; at the same time, the R&D team will set up training centers overseas, hoping to benefit more Many patients.

Ni Haijian, deputy chief physician of the Spine Surgery Department of Shanghai Tenth People's Hospital, told reporters that as China's population ages, the incidence of lumbar degenerative diseases increases year by year, especially multi-segment lumbar spinal canal stenosis. For patients with multiple segment degeneration on imaging, since it is difficult to determine the "responsible segment" that caused the symptoms, in the past, doctors would choose "open major surgery" in which multiple segments were treated together for diagnosis and treatment. However, the trauma is large, the bleeding is large, and the incidence of postoperative complications is high.

"New tools and technologies such as VBE endoscopy, a domestic device with independent intellectual property rights, allow minimally invasive spinal surgery to solve the above problems to a large extent." Ni Haijian said that preoperative doctors can accurately determine responsibility by adopting selective nerve blocks. segment, and then minimally invasive surgery can be completed under endoscopy, which greatly reduces surgical trauma and reduces the risk of surgical complications.

The expert said that after examination and reading of imaging data, combined with many years of clinical experience, he determined that Grandma Gu's problem was in the fourth and fifth lumbar vertebrae, and that local segmental instability and spinal stenosis were more likely. The doctor proved that Ni Haijian's prediction was accurate after performing a transforaminal nerve block on the left side of the lumbar spine at the suspected diseased segment. In the second (revision) surgery, Ni Haijian used VBE endoscope to avoid the original incision and approach from the side and rear. He completed the nerve decompression and intervertebral fusion with only a 1.5 cm surgical incision, avoiding the patient's pain. Extensive dissection of paravertebral muscles and unnecessary exposure of the dural sac can significantly reduce the incidence of complications such as intractable low back pain. On the third day after the operation, Grandma Gu could already walk. (over)