A few days ago, the Department of Spine Orthopedics of the First People's Hospital of Hefei City successfully relieved the patient's pain by carrying out the hospital's first single-channel full-endoscopic posterior spinal decompression surgery (Endo-ULBD). The minimally invasive incision was only 12mm. The successful development of this operation, together with the intervertebral foramen endoscopy and UBE technology carried out in advance, indicates that the spinal surgery of the hospital has entered the era of endoscopic treatment.

Grandma Chen in Hefei is 84 years old this year. In recent years, she has repeated low back and leg pain and has difficulty sleeping at night. Her quality of life has been greatly affected. Her children have taken her to many hospitals and tried various treatment methods such as taking medicine, injections, massage, and physical therapy, but the results are not very satisfactory. "Recently, the waist and leg pain has become worse, and the legs are not strong at all. I have to rest several times when I go to the vegetable market to buy vegetables." Grandma Chen learned from the patients that the spine surgery department of Hefei First People's Hospital is good at minimally invasive treatment of spine diseases. Accompanied by her family, she went to Hefei First Hospital to hang up the expert clinic of Liu Yiming, chief physician of spine surgery.

"Through the patient's medical history, signs and influencing manifestations, the patient's responsible segment was confirmed to be L4/5 disc herniation with spinal stenosis." Liu Yiming said that Grandma Chen's condition requires surgical treatment, but the patient is older and the physical foundation is poor. It is the most important issue to help the elderly solve the pain while ensuring the safety of the operation. At this time, the operation center of the new complex building of Hefei First People's Hospital was opened. The large-channel full-endoscopic system equipped with spinal surgery can provide a "God's perspective" for surgery. It is easy to operate and has sufficient decompression. It has unparalleled advantages over traditional open surgery in minimally invasive treatment of spinal stenosis.

After detailed and careful preparation before the operation, Grandma Chen was pushed into the operating room in the early morning of March 12. With the full assistance and cooperation of the anesthesiology department, nursing department and equipment engineering personnel, Liu Yaming was on the stage to guide the operation, and Ma Li, deputy chief physician, performed single-channel full endoscopic spinal canal decompression (Endo-ULBD) for Grandma Chen. The operation was very smooth, the incision was only 12mm, and the amount of bleeding was even less. Six hours after the operation, the patient's preoperative pain and numbness disappeared, and he could get out of bed after 8 hours. The elderly who had been tortured by the pain for several years showed a long-lost smile.

Liu Yiming, an expert in spinal orthopedics, said that spinal diseases are more common in elderly patients. Elderly patients are often not in good physical condition and can't stand major surgery. Minimally invasive surgery is a better choice. Large channel endoscopic spinal decompression in the treatment of lumbar spine diseases not only reduces the surgical trauma and operation time, reduces the risk of surgery, but also lays the foundation for the future development of ENDO-TLIF, Endo-PLIF and other endoscopic fusion surgery, so that the hospital's spinal surgery in minimally invasive treatment to a new level. It is understood that the hospital is currently planning to build a Hefei Municipal Spine Minimally Invasive Treatment Center. Doctors will work hard to optimize the original surgical procedures and continue to try to develop cutting-edge surgical techniques to protect the spine health of patients. (Ni Zhihao)