Diseases that Harm Require Therapies that Harm Less

---Sir William Osler(1849-1919)
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Newsletter 2020Q2
Newsletter 2020 Q2
2020年第二季度简报
About Us 国际微无创医学会简介
The International Society of Minimally Invasive and Virtual Surgery (ISMIVS, previously known as International Society of Minimally Invasive and Noninvasive Medicine) was founded in July 2013 at the gala of the 1st Yangtze International Summit of Minimally Invasive and Noninvasive Medicine in Chongqing, China. ISMIVS envisions to accelerating progress in minimally invasive and noninvasive medicine by promoting research, education, communication, and international collaboration.
国际微无创医学会(ISMIVS)是在2013年7月在中国重庆召开的第一届国际微无创医学长江高峰论坛上宣布成立的,旨在通过学术研究、教育、交流以及国际合作加快微无创医学的发展。
Big Data 大数据发布
Data source: National Engineering Research Center of Ultrasound Medicine of China
数据来源:超声医疗国家工程研究中心(NERCUM)
As of December, 2019, the accumulative number of cases of US-guided Focused Ultrasound Ablation Surgery (FUAS) has reached 151,975 across the globe, including 137,766 benign cases and 14,209 malignant cases.
截至2019年12月,全球超声引导的聚焦超声消融手术(FUAS)治疗累计病例数达151,975例,其中良性肿瘤137,766例、恶性肿瘤14,209例。
News 新闻
APAGE - ISMIVS HIFU (AIH) Webinar 2020
亚太妇产科内视镜暨微创治疗医学会(APAGE)与国际微无创医学会(ISMIVS)联合会议
暨2020高强度聚焦超声消融技术手术(HIFU)线上系列研讨会
To foster academic exchanges in the new field of minimally invasive and noninvasive surgeries, the Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy (APAGE) and the International Society of Minimally Invasive and Virtual Surgery (ISMIVS) have been co-organizing an APAGE - ISMIVS HIFU (AIH) Webinar Series, which consists of 4 episodes starting from June 11, 2020 to July 23, 2020.
为促进微无创手术领域的学术交流,亚太妇产科内视镜暨微创治疗医学会(APAGE)与国际微无创医学会(ISMIVS)正携手举办联合会议暨2020高强度聚焦超声消融技术手术(HIFU)线上系列研讨会,总计4场学术盛宴,正于2020年6月11日至7月23日期间召开。
Chaired by Prof. LEE Keen Whye (Singapore), a Founding Member of APAGE, this Webinar features renowned OBGYNs in the Asia-Pacific region on their views of the management of uterine fibroids and adenomyosis as well as HIFU experts on their ideas of HIFU treatment.
本次线上系列研讨会由APAGE创始董事李建威教授(新加坡)担任会议主席,邀请了亚太地区众多妇产科名医以及HIFU专家参与,分享其对子宫肌瘤、子宫腺肌症、HIFU治疗的看法。
The first two episodes were successfully held in June and here are the links for your playback:
前两场会议已于6月成功召开,以下是会议视频回放链接:
Episode 1第一场: https://www.youtube.com/watch?v=UJlm-HFzqMI or http://live.99zigong.com/Html/video/775.html
Episode 2第二场: https://www.youtube.com/watch?v=SMhxXxCWRrw or http://live.99zigong.com/Html/video/787.html

And the next two episodes will kick off on July 9 and July 23 respectively. Please join us and register by clicking the following two links:
最后两场会议将分别于北京/新加坡时间2020年7月9日、7月23日晚上6:30召开,敬请各位关注!如有兴趣,欢迎点击下方链接提前进行会议注册:
HIFU and FIBROID Part 3 | APAGE – ISMIVS HIFU (AIH) 2020 Webinar
第三场主题:高强度聚焦超声(HIFU)与子宫肌瘤
会议注册链接Link:https://us02web.zoom.us/meeting/register/tZIqce6vrjwoGdXzHuqhitkTHIfLXnrCy_Ur
HIFU – Spotlight on Adenomyosis & Infertility | APAGE – ISMIVS HIFU (AIH) 2020 Webinar
第四场主题:高强度聚焦超声(HIFU)治疗子宫腺肌症与不育的亮点
会议注册链接Link:https://us02web.zoom.us/meeting/register/tZMocumtpj8iHdIFAHYPzREG13orDhcz4pKb
2020 HIFU Workshop-Bulgaria Postponed
2020年保加利亚聚焦超声肿瘤治疗技术国际培训班推迟举办
As the whole world is deeply affected by the COVID-19 pandemic, social distancing and safety measures have become priority for all nations. The Third International Training Workshop on Focused Ultrasound Therapy for Tumors (2020 HIFU Training Workshop-Bulgaria), which was scheduled on 10-24 Oct., 2020, will be postponed for further notice. For more updates about the 2020 HIFU Workshop-Bulgaria, please contact joanzhu@isminim.org.
2020年,新冠病毒席卷全球,颠覆了人们的生活方式。各国都把社交隔离和安全措施放在首位,因此,原定于2020年10月10日至24日由中国科技部国际合作司主办的第三届聚焦超声肿瘤治疗技术国际培训班将推迟举办。欲了解培训班延期情况,请联系保加利亚HIFU培训班秘书处 joanzhu@isminim.org。
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HIFU Training Center Reopened!
高强度聚焦超声消融(FUAS)培训班重新开班啦!
On May 11, 2020, the HIFU Training Center of National Engineering Research Center of Ultrasound Medicine (NERCUM) was reopened about four months after the outbreak of the COVID-19 pandemic.
自新冠病毒疫情爆发以来,时隔四月,超声医疗国家工程研究中心(NERCUM)下辖的聚焦超声外科培训基地终于于2020年5月11日迎来疫情以来第一期培训班。
Now, doctors from different cities in China can come to NERCUM and receive HIFU training including hands-on courses, although some of them still wear masks as a precaution. The one-month course is shortened to one-week as the Center has just been back to normal. The broadcasting of live FUS surgeries and the simulation software enable the trainees to “perform” FUS surgery on virtual patient and dummy and have a better understanding of the clinical practice, even if they cannot enter into the HIFU therapy room to observe the operation for the time being.
如今,中国各大城市的医生都可报名参加包含实操在内的高强度聚焦超声消融培训班,为谨慎起见,部分医生受训期间一直戴着口罩。鉴于培训基地刚恢复,原来为期一个月的培训课程现缩短至一周。虽然目前受训的医生暂时不能进入到手术室观摩HIFU手术,但培训基地备有平行手术室、模拟软件、人体模型,可供医生们实时观看HIFU手术直播以及进行肿瘤定位、模拟治疗、牛肝实验等实操练习,以便对临床实践有更进一步的了解。
To date, 49 doctors have been trained since the pandemic in 2020 and 368 doctors from 21 countries and regions in 2019. 自2020年新冠病毒疫情爆发以来,聚焦超声外科培训基地已培训49名医生;2019年,共有来自21个国家与地区的368名医生接受了高强度聚焦超声消融培训。
Tech Update 微无创技术新进展
Tech Update: Single Port Robot-Assisted Laparoscopic Gynecologic Surgery
技术新进展:妇科机器人辅助单孔腹腔镜手术
A recent preliminary review of 31 procedures performed with the Da Vinci Single Port (SPTM) System for gynecologic surgery at a single institution in Seoul, South Korea shows feasibility and safety for various benign gynecologic procedures. The series includes hysterectomy, myomectomy, sacrocolpopexy and adnexal surgeries.
最近一项妇科机器人辅助单孔腹腔镜手术的初步报告,回顾了韩国首尔的一家机构应用达芬奇单孔(SPTM)妇科手术系统进行的31例手术,表明妇科机器人辅助单孔腹腔镜手术治疗各种妇科良性疾病的可行性和安全性。本研究纳入了子宫切除术、子宫肌瘤切除术、盆腔器官脱垂手术和子宫附件切除术四组病例。
In terms of operative outcomes, the mean docking time, operating time, estimated blood loss, and hospitalization time were 2.2 ± 2.1 min, 126.3 ± 61.6 min, 93.9 ± 76.9 mL, and 4.6 ± 0.7 days. There was no laparoconversion or major complication.
从手术结果来看,平均对接时间、手术时间、估计失血量和住院时间分别为2.2±2.1分钟、126.3±61.6分钟、93.9±76.9毫升、4.6±0.7天。无腹腔镜转化或严重并发症。
Additional studies are needed to ensure safety, efficacy and feasibility across procedures and pathologies. Randomized trials and long-term follow-up data are required to evaluate outcomes.
此外,需进行其他研究以确保各种手术和病理学的安全性、有效性和可行性;还需要随机试验和长期随访数据来评估结果。
Source
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Laparoendoscopic Single-site Radical Hysterectomy with Vaginal Closure and Without Uterine Manipulator for FIGO IB1 Cervical Cancer
结合阴道封闭术、不使用举宫器,单孔腹腔镜下行根治性子宫切除术治疗FIGO IB1期宫颈癌
A latest prospective clinical study demonstrated that LESS (laparoendoscopic single-site)-RH (radical hysterectomy) with vaginal closure and without manipulator was feasible and safe presented by a technical surgery video.
通过一段技术手术视频展示,一项最新的前瞻性临床研究表明,结合阴道封闭术且不使用举宫器,单孔腹腔镜(LESS)下行根治性子宫切除术(RH)治疗FIGO IB1期宫颈癌是可行、安全的。
Source
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Recurrent Pancreatic Cancer Patient Treated by Chemotherapy and Focused Ultrasound Surgery.
A Case Report
化疗和聚焦超声手术治疗复发性胰腺癌患者:病例报告
This study presents a case of recurrent pancreatic cancer diagnosed by computer tomography (CT) and positron emission tomography (PET), 7 months after Whipple radical surgery in a 61-year-old female patient. The patient was successfully treated by focused ultrasound surgery (FUS) by innovative high intensity focused ultrasound device. The patient had no complications. Multiple cycles of chemotherapy were done. Twelve months after FUS the new PET-CT showed no evidence of metabolite active zone in the area of ablation and no progression of disease. The presented case is unique according to the literature as a local recurrence after radical surgery for pancreatic cancer, successfully managed by local FUS ablation and adjuvant chemotherapy.
这项研究报告了一例复发性胰腺癌:患者为61岁女性,在接受惠普尔(Whipple)根治性手术7个月后,经计算机断层扫描(CT)和正电子发射断层扫描(PET)诊断为胰腺癌复发。医生通过创新的高强度聚焦超声设备实施聚焦超声手术(FUS)成功治疗患者。患者进行了多个周期的化疗。FUS手术12个月后,新的PET-CT显示在消融区没有代谢物活性区的证据,也无疾病进展。根据文献资料,该病例属于独特一例:胰腺癌根治性手术后,局部复发,然后通过FUS手术进行局部消融,再加以辅助化疗,成功实现胰腺癌的管理。
Source
International Guidelines on HIFU in OBGYN 国际妇科领域与HIFU相关的临床指南
HIFU included into the 2008 ACOG Practice Bulletin for Leiomyomas
HIFU进入美国妇产科医师协会(ACOG)2008临床实践指南《子宫肌瘤诊治中子宫切除术的替代品》
In August, 2008, the American College of Obstetricians and Gynecologists (ACOG) published the Practice Bulletin Number 96: Alternatives to Hysterectomy in the Management of Leiomyomas, introducing Magnetic Resonance Imaging-Guided Focused Ultrasound Surgery (MRIgFUS).
2008年8月,美国妇产科医师协会(ACOG)发布第96号实践指南《子宫肌瘤诊治中子宫切除术的替代品》,介绍了磁共振成像引导的聚焦超声外科手术(MRIgFUS)。
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HIFU included into the 2015 SOGC Clinical Practice Guideline for Uterine Leiomyomas
HIFU进入加拿大妇产科医师协会(SOGC)2015临床实践指南《子宫肌瘤的管理》
In February 2015, the Society of Obstetricians and Gynaecologists of Canada (SOGC) published SOGC Clinical Practice Guideline on the Management of Uterine Leiomyomas, introducing newer focused energy delivery methods, such as MR-guided focused ultrasound (MRg-FUS) or high frequency ultrasound-guided transcutaneous focused ultrasound ablation.
2015年2月,加拿大妇产科医师协会(SOGC)发布临床实践指南《子宫肌瘤的管理》,介绍了较新的聚焦能量输送方式,比如磁共振引导的聚焦超声 (MRg-FUS) 或高频超声引导的经皮聚焦超声消融。
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