Why do overseas doctors come to Shanghai to learn surgical technology? Minimally invasive lithotripsy has won international acclaim
author: Yuan Huiyun (Translated and adapted from original Chinese newspaper article)
Recently, the pre-conference training course of the 4th Experts in Stone Disease (ESD) was held in Renji Hospital, Shanghai Jiaotong University School of Medicine. More than 50 senior doctors from Pakistan, the Philippines and other countries came to China to participate in a high-level theory and skills training.
The participants discussed and learnt about bladder hyperactivity, benign prostatic hyperplasia, urinary calculi, urinary tract infections and endourology through simulator training, case discussions and group meetings.
The executive chairmen of the conference were professor Hammad Ather, head of the department of urology at the Aga Khan university in Karachi/ Pakistan, and professor Chen Qi, vice director of the department of urology, Renji hospital.
Professor Noor Buchholz, the chairman of the meeting, based in Dubai and London, said: “When I saw professor Chen Qi using the superfine percutaneous nephroscopic lithotripsy (UMP) to treat kidney stones, I got impressed by his quick and accurate operation skills. Considering that UMP is technically difficult, and that besides stone surgery other clinical sub-groups have also quite an excellent reputation in urology, we decided to conduct this training course for urologists in the asia-pacific region at Renji hospital”.
This particular training course was mainly aimed at doctors from Pakistan, Dubai and the Philippines. In the future, this can be a diversified international training course, and a new milestone of both, ESD and the department of urology of Renji hospital.
Professor Xue Wei, director of the department of urology of Renji hospital, said that urolithiasis is a common disease worldwide with a high incidence, often recurring, and causing great pain and an economic burden to the patients: “In the past 30 years, the incidence of urinary calculi has been increasing year by year. For tertiary hospitals, the approach to calculi surgery can no longer be just ‘we can deal with ureteral or kidney stones’, but ‘we can deal with complex calculi quickly and effectively, and achieve minimally invasiveness’ “.
Professor Chen Qi said the superfine percutaneous nephrolithotomy (UMP) is suitable for renal and upper ureteral calculi less than 2.5 cm in diameter, and has the advantages of a non-invasive, safe, effective and repeatable treatment. Because the UMP channel is very thin, and the diameter of the optic is only 3 mm, there is no need for a postoperative drainage. The patient only stays one day in the hospital and recovers quickly, so the cost of medical treatment is greatly reduced. Renji hospital has been carrying out day surgery for urinary calculi for many years. Patients with ureteral calculi can be discharged the next day or even the same day. Patients with percutaneous nephrolithotomy can be discharged after one to two days. In both, the length of hospital stay and the turnover rate, Renji is amongst world leaders.
During this course, the delegates not only visited the ultra-efficient wards of the department of urology of Renji hospital, but also were taught many tricks of accurate and effective operations and techniques to deal with complex kidney stone cases such as scoliosis with kidney stones, single kidney with kidney stones, horseshoe kidney with kidney stones, obesity with kidney stones, kidney stones in children, kidney stones during pregnancy etc. The participants felt that they have learned a lot. Prof. Fawad from Pakistan said: “Participating in the training course showed me a lot. Now I know that Renji hospital’s technology of lithotripsy and of urinary incontinence diagnosis and treatment are world class. The facilities and quality of the training course and the equipments are also of world class standard “.