The New Single-incision Laparoscopic Surgery of the Stomatological Hospital of GMU Was Demonstrated Successfully at the 48th AAGL Global Congress on Minimally Invasive Gynecologic Surgery (MIGS)

Zi Dan, Professor of Department of Obstetrics & Gynecology from the Affiliated Hospital of Guizhou Medical University (GMU) was invited to attend the global largest annual gynecological endoscopy event - the 48th AAGL Global Congress on Minimally Invasive Gynecologic Surgery (MIGS) and made an oral communication report on the single-incision laparoscopic surgery at the conference on November 9-13, 2019. The 48th Global Congress on MIGS was held at the Vancouver Convention Centre in Canada, with the participants of 4,000 gynecologists from more than 40 countries and regions including the United States, Canada, the United Kingdom, France, Germany, Switzerland, Chile, Japan, South Korea, India, Singapore, Hong Kong, France and the United Kingdom.

As the global largest association of endoscopic gynecologists, the American Association of Gynecologic Laparoscopists (AAGL) consists of 7,500 endoscopic gynecologists from more than 80 associations in 107 countries, including the Chinese Association of Gynecologic Laparoscopists. The 48th Global Congress on MIGS was attended by more than 40 domestic obstetricians and gynecologists who were led by Lang Jinghe, Academician of the Chinese Academy of Engineering, Honorary Fellow of the American College of Obstetricians and Gynecologists, Director of the Asia-Pacific Region of the American Association of Gynecologic Laparoscopists (AAGL), and Professor of the Department of Obstetrics & Gynecology, Peking Union Medical College Hospital.

The Chinese experts led by Academician Lang Jinghe took a group photo with Dr. Loffer, Father of American Hysteroscopy, the lifetime Executive Chairman of AAGL and Director of the Medical Department of AAGL

The conference was mainly involved in the topics of clinical and basic research in traditional laparoscopy, single-incision laparoscopy, hysteroscopy, robotic laparoscopy, and diagnosis and treatment of gynecological diseases such as gynecological tumors and endometriosis, which strongly promoted the extensive exchange and cooperation of global endoscopic technology and gynecological clinical and scientific research.

Professor Zi Dan made an oral communication report on Single-incision Laparoscopic Surgery for Removal of Ectopic IUD with Bladder Repair at the Gynecological Laparoscopy Sub-Forum of the 48th Global Congress on MIGS. This particular surgery is difficult and requires proficient single-incision laparoscopic surgical operation and knotting skills. The surgical operation links and key points demonstrated in the report attracted Chinese and foreign doctors who conducted live communication.

The new single-incision laparoscopic surgery demonstrated by Professor Zi Dan on the international stage represents that the Affiliated Hospital of GMU has reached the leading level in the world in terms of the technology, which not only expands the academic influence of the Affiliated Hospital of GMU at home and abroad, but also drives the further development of laparoscopy in the Department of Obstetrics & Gynecology of the Affiliated Hospital of GMU.

More and more international experts also demonstrated transumbilical and transvaginal single-incision laparoscopy at the conference. At present, these new technologies have become one of the most advanced minimally invasive surgeries in the world. Compared with traditional laparotomy and porous laparoscopic surgery, the single-incision laparoscopic surgery is characterized by various advantages such as small wound, fast recovery, micro and even no scar. This type of surgery has been fully developed in the global gynecological field, and gradually developed in operating departments such as gastrointestinal surgery, urology, anorectal surgery and thoracic surgery.

As the provincial leader in this technology, Zi Dan has accumulated much experience in the application of gynecological benign and malignant diseases and repeatedly participated in international and domestic academic exchange of single-incision laparoscopic surgery as a representative of Guizhou Province, since the Affiliated Hospital of GMU launched the first gynecological single-incision laparoscopic surgery in the province in 2012. She has also successfully held several Hand-in-hand Single-incision Laparoscopy Workshops" in the province. The trainees from different regions of Guizhou Province and some regions of Yunnan Province have also carried out the single-incision laparoscopy surgery after return from the Workshops, and more and more patients have benefited.

Dr. Loffer, an old friend of the Chinese people and the Father of American Hysteroscopy carried out further exchanges on single-incision laparoscopy at the conference with Professor Zi Dan and Professor Shen Yang, Vice President of Zhongda Hospital affiliated to Southeast University. He will attend the 9th Global Symposium on Minimally Invasive Gynecologic Surgery to be held in Beijing next month. Two Chinese professors will also participate and exchange ideas at the Symposium to demonstrate the latest transumbilical and transvaginal single-incision laparoscopic technologies.

Professor Zi Dan has said that as the largest tertiary first-class general hospital in the province, the Affiliated Hospital of GMU has the advantages of clinical application, teaching, and scientific research and a well-equipped laparoscopy training base. We will make more efforts to promote the single-incision laparoscopic surgery technology in the future, integrate medical resources, and plan to carry out Hand-in-hand Single-incision Laparoscopy Workshops on a regular basis, so that more gynecologists can master these new technologies and more and more female patients can benefit from the innovative surgical concepts.

[Further reading]

The traditional laparotomy has been transformed gradually into the traditional porous laparoscopic surgery after centennial surgical development. The transumbilical and transvaginal single-incision laparoscopic surgery has been the most cutting-edge minimally invasive technology in the world after continuous innovation and development. The surgical instruments and equipment enter the abdominal cavity via the umbilical foramen, and the umbilical wall can cover the surgical incision. The transumbilical single-incision laparoscopic surgery is transformed from the traditional laparoscopic surgery of four, three or two incisions, and the surgical scar is hidden in the umbilicus. The transvaginal single-incision laparoscopic surgery has the incision concealed in the vagina, with minimal trauma, fast recovery and no scar on the body surface. It poses new challenges to the surgeons experience and skills, and more and more hospitals around the world can proficiently master these techniques.

The Affiliated Hospital of GMU successfully hosted two LESS and v-NOTES Workshops at the Endoscopy and Minimally Invasive Laparoscopic Training Base in April and August, 2019. The training covered a brief history of the development of single-incision laparoscopy and further discussion and exchange of experiences in the single-incision laparoscopic surgery skills, single-incision laparoscopic approach, use of surgical instruments, suture skills, etc. We also utilized the simulator to perform the dry-type simulation experiments, hand-to-hand animal experiments (pigs), live surgery, observation at the operation site, intraoperative coordination, perioperative nursing, postoperative ERAS, etc.