·會議紀要·

美國腹腔鏡內鏡外科醫(yī)師協會(SLS)2016年年會于2016年8月31日～9月3日在波士頓成功舉行

美國腹腔鏡內鏡外科醫(yī)師協會(Society of Laparoendoscopic Surgeons，SLS)2016年年會由SLS和美國微創(chuàng)外科研究所(American Institute of Minimally Invasive Surgery，AIMIS)、墨西哥腹腔鏡外科協會(La Asociación Mexicana de Cirugía Laparoscopíca,AMCE)、羅馬內鏡外科協會(Asociatia Romana pentru Chirurgie Endoscopica,ARCE)、《中國微創(chuàng)外科雜志》(ChineseJournalofMinimallyInvasiveSurgery，CJMIS)、美國臨床機器人外科協會(Clinical Robotic Surgery Association，CRSA)等19家學術組織共同舉辦。《中國微創(chuàng)外科雜志》(CJMIS)編輯部主任張小為教授為本次大會的榮譽主席。大會收到論文投稿196篇，其中中國大陸34篇?！吨袊?chuàng)外科雜志》編輯部組織了23位中國代表參會，其中15人做大會發(fā)言，報告18個題目，包括科學論文、視頻、壁報等多種形式。

SLS共同主席Jay A. Redan和2016年輪值主席Maurice K. Chung主持開幕式，SLS主席Paul Alan Wetter致開幕辭，《中國微創(chuàng)外科雜志》(CJMIS)編輯部主任張小為教授作為大會榮譽主席作了題為A Friendly 5 Years BetweenCJMISAnd SLS(CJMIS與SLS友好合作的5年)的報告，并代表我刊領取SLS合作伙伴證書。隨后，開幕式上頒發(fā)了優(yōu)秀論文獎，吉林省前衛(wèi)醫(yī)院名譽院長陳德興教授獲得最佳普外科論文獎(Best General Surgery Scientific Paper)，深圳羅湖醫(yī)院盆底?？婆撕晷奴@得最佳婦科論文獎(Best Gynecology Scientific Paper)，廣東省中醫(yī)院大學城醫(yī)院婦科主任肖靜獲得最佳住院醫(yī)論文獎(Best Scientific Paper by a Resident)，復旦大學附屬華山醫(yī)院(北院)婦產科主任劉彥教授獲得榮譽視頻獎(Video Honorable Mentions)，深圳羅湖醫(yī)院盆底專科潘宏信的壁報獲得最佳壁報第二名。

一、中國微創(chuàng)外科代表團發(fā)言內容

1.《中國微創(chuàng)外科雜志》編輯部主任張小為教授：①A Friendly 5 Years BetweenCJMISAnd SLS(CJMIS與SLS友好合作的5年)；②Medical Education in China(中國的醫(yī)學教育)

2.吉林省前衛(wèi)醫(yī)院名譽院長陳德興教授：①Laparoscopic Surgery in Resection of Hilar Cholangiocarcinoma(腹腔鏡肝門部膽管癌切除術)；②Injury of Ureter(輸尿管損傷，腹腔鏡下輸尿管吻合)

3.北京大學國際醫(yī)院外科主任、中國研究型醫(yī)院學會腹膜后腫瘤與盆底疾病專業(yè)委員會主任委員羅成華教授：Laparoscopic Resection of Primary Retroperitoneal Tumors(腹腔鏡原發(fā)性腹膜后腫瘤切除術)

4.廣東省佛山市第一人民醫(yī)院普外科鄧斐文：Pure Laparoscopic Right Hemihepatectomy via Anterior Approach(前入路全腹腔鏡右半肝切除術)

5.上海市嘉定區(qū)中心醫(yī)院外科郭潤生：Low Pressure Assist Suspended Gasless Laparoscopy Surgery for Cholecystectomy in Elderly Patients(低壓輔助懸吊式腹腔鏡在老年患者腹腔鏡膽囊切除術中的應用)

6.廣東省中醫(yī)院大學城醫(yī)院婦科主任肖靜：Acupoint Catgut-embedding Significantly Improve the Urinary Retention After Subredical Hysterectomy(穴位埋線顯著改善次廣泛子宮切除術后尿潴留)

7.南京醫(yī)科大學附屬婦產醫(yī)院(南京市婦幼保健院)婦科主任賈雪梅教授：Treatment Strategy of Complications in Minimally Invasive Gynecologic Surgery(微創(chuàng)婦科手術并發(fā)癥的治療策略)

8.南京醫(yī)科大學附屬婦產醫(yī)院(南京市婦幼保健院)婦科許鋒：Complications and Management of Hysteroscopy & Diagnosis and Treatment of Varying Degrees Intrauterine Adhesions in 200 Cases(宮腔鏡診治不同程度宮腔粘連的并發(fā)癥及處理200例)

9.復旦大學附屬華山醫(yī)院(北院)婦產科主任劉彥教授：Modified Open Trocar the First Puncture of 23,000 Cases (Multiple Centers Study)(改良套管第一穿刺方法23 000例報告：多中心研究)

10.廣東省佛山市婦幼保健院婦科宮腔鏡中心左越教授：Bottom-up Method for Hysteroscopic Resection of a Huge Submucous Uterine Myoma Inside the Pseudocapsule: A Case Report(巨大子宮黏膜下肌瘤宮腔鏡電切術1例報告)

11.深圳羅湖醫(yī)院盆底專科潘宏信：①Laparoscopic Peritoneal Vaginoplasty (Luohu Ⅱ Operation) in Patients With MRKH Syndrome: 8 Years Experience With 685 Patients(腹腔鏡腹膜陰道成形術(羅湖Ⅱ式)治療MRKH綜合征：8年685例經驗)；②Clinical Aspects of MRKH Syndrome in a Chinese Population: An Analysis 685 Patients(中國MRKH綜合征患者的臨床表現：685例分析)

12.深圳羅湖醫(yī)院盆底專科主任秦成路：A Long Term Study About the Outcomes of Treatment to Patient With Congenital Vaginal Atresia With Laparoscopic Peritoneal Vaginoplasty(腹腔鏡腹膜陰道成形術治療先天性陰道閉鎖的長期研究)

13.深圳羅湖醫(yī)院盆底?？评顚毱G主任：Laparoscopic Vaginal Reconstuction for Patient With Congenital And Complete Vaginal Atresia(腹腔鏡陰道重建術治療先天性完全性陰道閉鎖)

14.廣州醫(yī)科大學附屬第三醫(yī)院婦科主任劉娟教授：A Meta-analysis of Sacrocolpopexy as a Treatment of Pelvic Organ Prolapse(骶骨陰道固定術治療盆腔臟器脫垂的meta分析)

15.《中國微創(chuàng)外科雜志》編輯部編輯王惠群：Reproductive Outcome of Patients With Early Stage Cervical Cancer After Fertility-Sparing Surgery in Mainland China(中國大陸地區(qū)早期宮頸癌保留生育功能手術后的妊娠結局)

二、大會的主要內容

(一)大師課程MASTER CLASSES

#1 腹腔鏡、機器人、內鏡模擬技能操作訓練(Hands on Laparoscopic/Robotic/Endoscopic Simulation Skills Laboratory)：任何水平的微創(chuàng)外科醫(yī)生均可參加，有基礎、中級、高級技巧學習和實踐的機會，時間為4小時，內容包括腹腔鏡手術的手眼配合訓練，機器人手術的手眼配合訓練，內鏡手術的手眼配合訓練，微創(chuàng)外科縫合和打結的技巧訓練，技巧的維持與提高，降低手術錯誤的訓練。

#2 先進的腹腔鏡縫合方法訓練——婦科、泌尿科、普通外科和機器人外科醫(yī)生(Advanced Laparoscopic Suturing-for the Gynecologist,Urologist,and General and Robotic Surgeon)：時間為4小時。學習三角測量法腹腔鏡縫合的應用和局限性，婦科醫(yī)生學習子宮肌瘤切除術切口和陰道的橫行關閉方法，泌尿科醫(yī)生學習輸尿管-膀胱吻合和輸尿管-輸尿管吻合，外科醫(yī)生學習結腸和直腸橫行縫合。經過2小時訓練，90%的學員能在3分鐘內完成體內打結。

#2 EXPERT 腹腔鏡和迷你腹腔鏡縫合的特殊專家訓練(Special Expert Course in Laparoscopic and Mini Laparoscopic Suturing for Vertical Zone Graduates)：適用于有基礎的醫(yī)生使用模擬標本提高縫合技巧，使用更細的針線和3 mm縫合器械，針對腸管、泌尿道、血管和其他部位發(fā)生問題的處理。

(二)全體會議GENERAL SESSION

1.最新進展Best of Updates

Fibroids/Abnormal Uterine Bleeding Committee: Fibroid Therapy - Where Have We Been and Where Are We Going?HerbertGoldfarb,MD

Core Competencies Committee: The Competencies,The American Board of Surgery and Your Hospital PrivilegesGustavoStringel,MD,MBA

Fertiloscopy/Transvaginal Endoscopy Committee: Transvaginal Endoscopy and Fertiloscopy: Seeing Everything I Didn’t KnowGeraldHarkins,MD

Women in MIS Committee: The Value of Finding a Mentor for Women in a Surgical SpecialtySusanKhalil,MD

2.多學科全體會議Multidisciplinary Plenary Session

Complications & Outcomes - Collateral Damage - Side Effects of ComplicationsMauriceK.Chung,RPh,MD,MonaOrady,MD

Credentialing & Training “Comments on Maintenance of Certification for Minimally Invasive Surgery”RaymondJ.Lanzafame,MD,MBA,JessicaYbanez-Morano,MD,MPH,RobertK.Zurawin,MD

Tools & Techniques - 3D Printing - Why You Should CareRichardM.Satava,MD-Bioprinting,RobertM.Sweet,MD

Robotic Olympics

Video Session: Surgical SurprisesCharlesH.Koh,MD,GustavoStringel,MD,MBA

(三)分組會議BREAKOUT SESSION(Bridging the Gap in the World of Medicine)

The Needed Practical EducationRobertK.Zurawin,MD

The Human Aspects of Surgical DisciplinesMichaelStark,ProfDr.Med

Does Robotic Surgery Improve Human Skills?FarrNezhat,MD(USA)

Practical and Scientific Relevance of Experimental and Mathematical Modeling for SurgeonsOspanMynbaev,MD,PhD(Russia)

The Usage of the Right Instruments for Optimal OutcomeLiselotteMettler,ProfDrMed(Germany)

Cultural Differences in Implementing Doctor-Patient RelationsNicholasPairaudeau,MD(Canada)

Achieving mastery: How can Technology Help us?RobertM.Sweet,MD(USA) &LeeRichstone,MD(USA)

Technology and the Future: Future of Robotic Surgery - Where do we go?JensRassweiler,ProfDrMed

Technology and the Future: Ultrasound Diagnosing of Adhesions and EndometriosMariusCraina,MD(SRCMIG)

Education: Medical Education in ChinaXiaoWeiZhang,MD,PhD(CJMIS)

Complications: ISGE Guidelines for Safe Abdominal EntryBrunoVanHerendael,ProfDrMed(ISGE)

Complications: Complications in MISEduardoMoreno-Paquentin,MD

Complications: Complications of Mini Laparoscopic SurgeryGustavoCarvalho,MD,PhD

Complications: Is Minilaparoscopy Really Better in the Prepreritoneal Approach for Hernias?GustavoCarvalho,MD,PhD

Adhesions: Ventral Hernia Mesh and Abdominal AdhesionsFlavioMalcher,MD(SOBRACIL)

Technology and the Future: New Technologies - Bariatric Robotic SurgeryCarlosDomene,MD,PhD(SOBRACIL)

Complications: Avoiding Complications during Complex Endometriosis ProceduresThiersSoaresRaymundo,MD(SOBRACIL)

Complications: Complications and How to Avoid ThemAntonioM.CuryFilho,MD(ALACE&SOBRACIL)

Adhesions: Controversies & Advances in Addressing Adhesions and SBO: The State of the ArtRaymondJ.Lanzafame,MD,MBA

Adhesions: Does Adhesion Cause Pain? Should Adhesiolysis be Performed?FranciscoGarcini,MD

Adhesions: Prevention and Management of Surgical Adhesive DiseaseSarahCohen,MD

Pain: Perioperative Interventions to Reduce Acute and Chronic Pelvic Pain After SurgeryErinCarey,MD(IPPS)

Pain: Updates in the Neurophysiology of Pelvic PainJanelleK.Moulder,MD,MSCR(IPPS)

Pain: The Evidence Behind Procedural Interventions (nerve blocks,neuroablative techniques and neuromodulation) in Chronic Pelvic PainDevonSchuchman,MD(IPPS)

Pain: Developments in the Surgical Management for the Conservative Treatment of Endometriosis and Fertility PreservationSarahFox,MD(IPPS)

Technology and the Future: Robotic Assisted and Image Guided Non Invasive Focused Ultrasound SurgeryAndreasMelzer,MD,DDS(iSMIT)

Technology and the Future: Bridging the Gap between Engineers,Companies and SurgeonsJorisE.N.Jasper,PhD,MSc(iSMIT)

(四)SRS的機器人課程SRS ROBOTIC SESSIONS

1.結直腸Colorectal

Robotic Right Colectomy with Complete Mesocolon ExcisionGiuseppeSpinoglio,MD,FACS

Left/Sigmoid Colectomy: Indications,Advantages,Technique (Splenic Flexure Mobilization and TME Trocar Placement,Docking,Vascular Control,Anastomosis)LarryPrabhakar,MD

Robotic LAR/ Intersphicteric Dissection for Low Rectal CancersAlessioPigazzi,MD,PhD

Fluorescent Technology: Use in Colorectal SurgeryAlessioPigazzi,MD,PhD

Robotic Transanal Approach for Endoluminal SurgeryMatthewAlbert,MD,FACS,FASCRS

2.婦科Gynecology

Robotic Hysterectomy: Indications,Advantages,Limitations,TechniqueGeraldHarkins,MD

Robotic Assisted Management of Stage Ⅳ EndometriosisGeraldHarkins,MD

Robotic Myomectomy: Indications,Advantages,Limitations,TechniqueMichaelPitter,MD

Role of Robotics in Complex Gyn SurgeryMonaOrady,MD

3.減重手術Bariatric Surgery

RYGB: Technique and Literature ReviewErikWilson,MD

Sleeve Gastrectomy: Technique and Literature ReviewAnthonyGonzalez,MD,FACS

Revisional Surgery: Maximizing the Advantages of RoboticsStephenScott,MD

4.腹壁疝Hernia - Abdominal Wall

Robotic Ventral Hernia: When,Advantages,HowClarkGerhart,MD,FACS

Component Separation Technique: When,Advantages,HowConradBallecer,MD

Robotic Inguinal Hernia Repair: When and HowClarkGerhart,MD,FACS

5.單一部位手術Single Site

Single Site Gallbladder Surgery: Indications and TechniquesGiuseppeSpinoglio,MD,FACS

Cholangiogram vs. ICG in Robotic Single Site: Technique and VideoAnthonyGonzalez,MD,FACS

6.內分泌/實質器官Endocrine/ Solid Organ

Robotic Hepatectomy: Indications,Advantages,Technique (Trocar Placement,Docking,Vascular Control)ErenBerber,MD

Right/Left/Bilateral Adrenalectomy: Indications,Advantages,Limitations Trocars/ Docking/ DissectionErenBerber,MD

7.食管Esophageal

Robotic AntiReflex ProceduresFaridGharagozloo,MD,FACS

Robotic Challenging Hiatal and Paraesophageal Surgery,Redo Nissen FundoplicationsCarlosGalvani,MD

Robotic Achalasia: Heller Myotomy and Redo Heller MyotomyCarlosGalvani,MD

Robotic Esophagectomy: Indications,TechniquesFaridGharagozloo,MD,FACS

(詳細會議內容請登錄http://sls.org/mis2016/)

(整理：王惠群 張小為)

張小為教授為大會榮譽主席

SLS主席Paul Alan Wetter和2016輪值主席Maurice K. Chung授予張小為教授榮譽主席證書和徽章

榮譽主席證書

SLS徽章

最佳科學論文獎獲獎名單(肖靜獲最佳住院醫(yī)論文獎，陳德興獲最佳普外科論文獎，潘宏信獲最佳婦科論文獎)

SLS 2016年輪值主席Maurice K. Chung和2017年輪值主席Phillip P. Shadduck為肖靜頒發(fā)最佳住院醫(yī)論文獎

SLS主席Paul Alan Wetter和2016年輪值主席Maurice K. Chung、2017年輪值主席Phillip P. Shadduck為陳德興教授頒發(fā)最佳普外科論文獎

SLS主席Paul Alan Wetter和2016年輪值主席Maurice K. Chung、2017年輪值主席Phillip P. Shadduck為潘宏信頒發(fā)最佳婦科論文獎

SLS 2016年輪值主席Maurice K. Chung在開幕式上介紹《中國微創(chuàng)外科雜志》(CJMIS)與SLS和JSLS的合作

《中國微創(chuàng)外科雜志》編輯部主任張小為教授大會發(fā)言：CJMIS與SLS友好合作的5年

《中國微創(chuàng)外科雜志》編輯部主任張小為教授大會發(fā)言：中國的醫(yī)學教育

吉林省前衛(wèi)醫(yī)院名譽院長陳德興教授和邢金大會發(fā)言：腹腔鏡肝門部膽管癌切除術

吉林省前衛(wèi)醫(yī)院名譽院長陳德興教授和邢金、深圳羅湖醫(yī)院盆底?？婆撕晷胚M行手術意外的視頻討論：輸尿管損傷

北京大學國際醫(yī)院外科主任、中國研究型醫(yī)院學會腹膜后腫瘤與盆底疾病專業(yè)委員會主任委員羅成華教授大會發(fā)言：腹腔鏡原發(fā)性腹膜后腫瘤切除術

廣東省佛山市第一人民醫(yī)院普外科鄧斐文大會發(fā)言：前入路全腹腔鏡右半肝切除術

上海市嘉定區(qū)中心醫(yī)院外科郭潤生大會發(fā)言：低壓輔助懸吊式腹腔鏡在老年患者腹腔鏡膽囊切除術中的應用

廣東省中醫(yī)院大學城醫(yī)院婦科主任肖靜大會發(fā)言：穴位埋線顯著改善次廣泛子宮切除術后尿潴留

南京醫(yī)科大學附屬婦產醫(yī)院(南京市婦幼保健院)婦科主任賈雪梅教授大會發(fā)言：微創(chuàng)婦科手術并發(fā)癥的治療策略

南京醫(yī)科大學附屬婦產醫(yī)院(南京市婦幼保健院)婦科許鋒大會發(fā)言：宮腔鏡診治不同程度宮腔粘連的并發(fā)癥及處理200例

復旦大學附屬華山醫(yī)院(北院)婦產科主任劉彥教授大會發(fā)言：改良套管第一穿刺方法23 000例報告：多中心研究

廣東省佛山市婦幼保健院婦科宮腔鏡中心左越教授大會發(fā)言：巨大子宮黏膜下肌瘤宮腔鏡電切術1例報告

深圳羅湖醫(yī)院盆底?？婆撕晷糯髸l(fā)言：腹腔鏡腹膜陰道成形術(羅湖Ⅱ式)治療MRKH綜合征：8年685例經驗

深圳羅湖醫(yī)院盆底?？婆撕晷诺谋趫笳故精@得第二名：中國MRKH綜合征患者的臨床表現：685例分析

深圳羅湖醫(yī)院盆底?？浦魅吻爻陕反髸l(fā)言：腹腔鏡腹膜陰道成形術治療先天性陰道閉鎖的長期研究

深圳羅湖醫(yī)院盆底專科李寶艷主任大會發(fā)言：腹腔鏡陰道重建術治療先天性完全性陰道閉鎖

廣州醫(yī)科大學附屬第三醫(yī)院婦科主任劉娟教授大會發(fā)言：骶骨陰道固定術治療盆腔臟器脫垂的meta分析

《中國微創(chuàng)外科雜志》編輯部編輯王惠群大會發(fā)言：中國大陸地區(qū)早期宮頸癌保留生育功能手術后的妊娠結局

會場一角

大會上踴躍與熱烈提問、討論

主會場

中國微創(chuàng)外科代表團在會場

中國微創(chuàng)外科代表團在會場

中國微創(chuàng)外科代表團與SLS 2016年輪值主席Maurice K. Chung和前主席Gustavo Stringel合影