美国腹腔镜内镜外科医师协会(SLS)2016年年会于2016年8月31日～9月3日在波士顿成功举行

·会议纪要·

美国腹腔镜内镜外科医师协会(SLS)2016年年会于2016年8月31日～9月3日在波士顿成功举行

美国腹腔镜内镜外科医师协会(Society of Laparoendoscopic Surgeons，SLS)2016年年会由SLS和美国微创外科研究所(American Institute of Minimally Invasive Surgery，AIMIS)、墨西哥腹腔镜外科协会(La Asociación Mexicana de Cirugía Laparoscopíca,AMCE)、罗马内镜外科协会(Asociatia Romana pentru Chirurgie Endoscopica,ARCE)、《中国微创外科杂志》(ChineseJournalofMinimallyInvasiveSurgery，CJMIS)、美国临床机器人外科协会(Clinical Robotic Surgery Association，CRSA)等19家学术组织共同举办。《中国微创外科杂志》(CJMIS)编辑部主任张小为教授为本次大会的荣誉主席。大会收到论文投稿196篇，其中中国大陆34篇。《中国微创外科杂志》编辑部组织了23位中国代表参会，其中15人做大会发言，报告18个题目，包括科学论文、视频、壁报等多种形式。

SLS共同主席Jay A. Redan和2016年轮值主席Maurice K. Chung主持开幕式，SLS主席Paul Alan Wetter致开幕辞，《中国微创外科杂志》(CJMIS)编辑部主任张小为教授作为大会荣誉主席作了题为A Friendly 5 Years BetweenCJMISAnd SLS(CJMIS与SLS友好合作的5年)的报告，并代表我刊领取SLS合作伙伴证书。随后，开幕式上颁发了优秀论文奖，吉林省前卫医院名誉院长陈德兴教授获得最佳普外科论文奖(Best General Surgery Scientific Paper)，深圳罗湖医院盆底专科潘宏信获得最佳妇科论文奖(Best Gynecology Scientific Paper)，广东省中医院大学城医院妇科主任肖静获得最佳住院医论文奖(Best Scientific Paper by a Resident)，复旦大学附属华山医院(北院)妇产科主任刘彦教授获得荣誉视频奖(Video Honorable Mentions)，深圳罗湖医院盆底专科潘宏信的壁报获得最佳壁报第二名。

一、中国微创外科代表团发言内容

1.《中国微创外科杂志》编辑部主任张小为教授：①A Friendly 5 Years BetweenCJMISAnd SLS(CJMIS与SLS友好合作的5年)；②Medical Education in China(中国的医学教育)

2.吉林省前卫医院名誉院长陈德兴教授：①Laparoscopic Surgery in Resection of Hilar Cholangiocarcinoma(腹腔镜肝门部胆管癌切除术)；②Injury of Ureter(输尿管损伤，腹腔镜下输尿管吻合)

3.北京大学国际医院外科主任、中国研究型医院学会腹膜后肿瘤与盆底疾病专业委员会主任委员罗成华教授：Laparoscopic Resection of Primary Retroperitoneal Tumors(腹腔镜原发性腹膜后肿瘤切除术)

4.广东省佛山市第一人民医院普外科邓斐文：Pure Laparoscopic Right Hemihepatectomy via Anterior Approach(前入路全腹腔镜右半肝切除术)

5.上海市嘉定区中心医院外科郭润生：Low Pressure Assist Suspended Gasless Laparoscopy Surgery for Cholecystectomy in Elderly Patients(低压辅助悬吊式腹腔镜在老年患者腹腔镜胆囊切除术中的应用)

6.广东省中医院大学城医院妇科主任肖静：Acupoint Catgut-embedding Significantly Improve the Urinary Retention After Subredical Hysterectomy(穴位埋线显著改善次广泛子宫切除术后尿潴留)

7.南京医科大学附属妇产医院(南京市妇幼保健院)妇科主任贾雪梅教授：Treatment Strategy of Complications in Minimally Invasive Gynecologic Surgery(微创妇科手术并发症的治疗策略)

8.南京医科大学附属妇产医院(南京市妇幼保健院)妇科许锋：Complications and Management of Hysteroscopy & Diagnosis and Treatment of Varying Degrees Intrauterine Adhesions in 200 Cases(宫腔镜诊治不同程度宫腔粘连的并发症及处理200例)

9.复旦大学附属华山医院(北院)妇产科主任刘彦教授：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例报告：多中心研究)

10.广东省佛山市妇幼保健院妇科宫腔镜中心左越教授：Bottom-up Method for Hysteroscopic Resection of a Huge Submucous Uterine Myoma Inside the Pseudocapsule: A Case Report(巨大子宫黏膜下肌瘤宫腔镜电切术1例报告)

11.深圳罗湖医院盆底专科潘宏信：①Laparoscopic Peritoneal Vaginoplasty (Luohu Ⅱ Operation) in Patients With MRKH Syndrome: 8 Years Experience With 685 Patients(腹腔镜腹膜阴道成形术(罗湖Ⅱ式)治疗MRKH综合征：8年685例经验)；②Clinical Aspects of MRKH Syndrome in a Chinese Population: An Analysis 685 Patients(中国MRKH综合征患者的临床表现：685例分析)

12.深圳罗湖医院盆底专科主任秦成路：A Long Term Study About the Outcomes of Treatment to Patient With Congenital Vaginal Atresia With Laparoscopic Peritoneal Vaginoplasty(腹腔镜腹膜阴道成形术治疗先天性阴道闭锁的长期研究)

13.深圳罗湖医院盆底专科李宝艳主任：Laparoscopic Vaginal Reconstuction for Patient With Congenital And Complete Vaginal Atresia(腹腔镜阴道重建术治疗先天性完全性阴道闭锁)

14.广州医科大学附属第三医院妇科主任刘娟教授：A Meta-analysis of Sacrocolpopexy as a Treatment of Pelvic Organ Prolapse(骶骨阴道固定术治疗盆腔脏器脱垂的meta分析)

15.《中国微创外科杂志》编辑部编辑王惠群：Reproductive Outcome of Patients With Early Stage Cervical Cancer After Fertility-Sparing Surgery in Mainland China(中国大陆地区早期宫颈癌保留生育功能手术后的妊娠结局)

二、大会的主要内容

(一)大师课程MASTER CLASSES

#1 腹腔镜、机器人、内镜模拟技能操作训练(Hands on Laparoscopic/Robotic/Endoscopic Simulation Skills Laboratory)：任何水平的微创外科医生均可参加，有基础、中级、高级技巧学习和实践的机会，时间为4小时，内容包括腹腔镜手术的手眼配合训练，机器人手术的手眼配合训练，内镜手术的手眼配合训练，微创外科缝合和打结的技巧训练，技巧的维持与提高，降低手术错误的训练。

#2 先进的腹腔镜缝合方法训练——妇科、泌尿科、普通外科和机器人外科医生(Advanced Laparoscopic Suturing-for the Gynecologist,Urologist,and General and Robotic Surgeon)：时间为4小时。学习三角测量法腹腔镜缝合的应用和局限性，妇科医生学习子宫肌瘤切除术切口和阴道的横行关闭方法，泌尿科医生学习输尿管-膀胱吻合和输尿管-输尿管吻合，外科医生学习结肠和直肠横行缝合。经过2小时训练，90%的学员能在3分钟内完成体内打结。

#2 EXPERT 腹腔镜和迷你腹腔镜缝合的特殊专家训练(Special Expert Course in Laparoscopic and Mini Laparoscopic Suturing for Vertical Zone Graduates)：适用于有基础的医生使用模拟标本提高缝合技巧，使用更细的针线和3 mm缝合器械，针对肠管、泌尿道、血管和其他部位发生问题的处理。

(二)全体会议GENERAL SESSION

1.最新进展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.多学科全体会议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)分组会议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的机器人课程SRS ROBOTIC SESSIONS

1.结直肠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.妇科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.减重手术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.单一部位手术Single Site

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

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

6.内分泌/实质器官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

(详细会议内容请登录http://sls.org/mis2016/)

(整理：王惠群 张小为)

张小为教授为大会荣誉主席

SLS主席Paul Alan Wetter和2016轮值主席Maurice K. Chung授予张小为教授荣誉主席证书和徽章

荣誉主席证书

SLS徽章

最佳科学论文奖获奖名单(肖静获最佳住院医论文奖，陈德兴获最佳普外科论文奖，潘宏信获最佳妇科论文奖)

SLS 2016年轮值主席Maurice K. Chung和2017年轮值主席Phillip P. Shadduck为肖静颁发最佳住院医论文奖

SLS主席Paul Alan Wetter和2016年轮值主席Maurice K. Chung、2017年轮值主席Phillip P. Shadduck为陈德兴教授颁发最佳普外科论文奖

SLS主席Paul Alan Wetter和2016年轮值主席Maurice K. Chung、2017年轮值主席Phillip P. Shadduck为潘宏信颁发最佳妇科论文奖

SLS 2016年轮值主席Maurice K. Chung在开幕式上介绍《中国微创外科杂志》(CJMIS)与SLS和JSLS的合作

《中国微创外科杂志》编辑部主任张小为教授大会发言：CJMIS与SLS友好合作的5年

《中国微创外科杂志》编辑部主任张小为教授大会发言：中国的医学教育

吉林省前卫医院名誉院长陈德兴教授和邢金大会发言：腹腔镜肝门部胆管癌切除术

吉林省前卫医院名誉院长陈德兴教授和邢金、深圳罗湖医院盆底专科潘宏信进行手术意外的视频讨论：输尿管损伤

北京大学国际医院外科主任、中国研究型医院学会腹膜后肿瘤与盆底疾病专业委员会主任委员罗成华教授大会发言：腹腔镜原发性腹膜后肿瘤切除术

广东省佛山市第一人民医院普外科邓斐文大会发言：前入路全腹腔镜右半肝切除术

上海市嘉定区中心医院外科郭润生大会发言：低压辅助悬吊式腹腔镜在老年患者腹腔镜胆囊切除术中的应用

广东省中医院大学城医院妇科主任肖静大会发言：穴位埋线显著改善次广泛子宫切除术后尿潴留

南京医科大学附属妇产医院(南京市妇幼保健院)妇科主任贾雪梅教授大会发言：微创妇科手术并发症的治疗策略

南京医科大学附属妇产医院(南京市妇幼保健院)妇科许锋大会发言：宫腔镜诊治不同程度宫腔粘连的并发症及处理200例

复旦大学附属华山医院(北院)妇产科主任刘彦教授大会发言：改良套管第一穿刺方法23 000例报告：多中心研究

广东省佛山市妇幼保健院妇科宫腔镜中心左越教授大会发言：巨大子宫黏膜下肌瘤宫腔镜电切术1例报告

深圳罗湖医院盆底专科潘宏信大会发言：腹腔镜腹膜阴道成形术(罗湖Ⅱ式)治疗MRKH综合征：8年685例经验

深圳罗湖医院盆底专科潘宏信的壁报展示获得第二名：中国MRKH综合征患者的临床表现：685例分析

深圳罗湖医院盆底专科主任秦成路大会发言：腹腔镜腹膜阴道成形术治疗先天性阴道闭锁的长期研究

深圳罗湖医院盆底专科李宝艳主任大会发言：腹腔镜阴道重建术治疗先天性完全性阴道闭锁

广州医科大学附属第三医院妇科主任刘娟教授大会发言：骶骨阴道固定术治疗盆腔脏器脱垂的meta分析

《中国微创外科杂志》编辑部编辑王惠群大会发言：中国大陆地区早期宫颈癌保留生育功能手术后的妊娠结局

会场一角

大会上踊跃与热烈提问、讨论

主会场

中国微创外科代表团在会场

中国微创外科代表团在会场

中国微创外科代表团与SLS 2016年轮值主席Maurice K. Chung和前主席Gustavo Stringel合影