Xuan Scalpel Society - ERCP Jingdian Launches in Chongqing, VMC Powers Integrated Online Surgical Education Cloud Platform

At a medical conference in 1996, three independent laparoscopic surgeries were successfully transmitted via the internet from a healthcare institution in California to Buenos Aires, thereby opening the door to live surgical demonstrations for educational purposes.

With the advent of the 5G era and the development of digital healthcare, surgical demonstration has made significant progress compared to the traditional “see one, do one, teach one” model.

Live surgical demonstrations are increasingly becoming the foundation for various video-based applications, including expert consultations, advisory guidance, and medical seminars. The development of live surgical demonstrations will contribute to surgical education and training, facilitate the dissemination of high-quality medical resources to grassroots levels, and help address the uneven distribution of healthcare resources. Therefore, establishing an operational system for live surgical demonstrations has become a top priority.

On July 24, 2021, in Chongqing, the “City of Mountains and Rivers,” the Editorial Board of the Chinese Journal of Digestive Surgery, in collaboration with Philips and with strong support from the innovative medical collaboration platform Yishi Cloud, officially launched the online live surgical event “Digestive Surgery Xuan Dao Hui – ERCP Highlights” for remote clinical guidance in surgery. The launch took place at a satellite session of the “11th National Academic Conference on Digestive Surgery in China,” providing thousands of surgeons across China with a one-stop cloud-based online education platform integrating live broadcasting, rebroadcasting, video-on-demand, and authoritative training.

The industry leaders and experts attending the project kickoff meeting included: Professor Chen Min, Deputy Editor-in-Chief of Chinese Journal of Digestive Surgery; Professor Yang Yongsheng, Department of Hepatobiliary and Pancreatic Surgery, The Second Hospital of Jilin University; Professor Tueragan Aili·Aji, Center for Digestive and Vascular Surgery, The First Affiliated Hospital of Xinjiang Medical University; and Mr. Li Fenghua, Marketing Director, Diagnostic X-ray Division, Philips Greater China.

The entire event was broadcast live online, hosted by Professor Tuerangan Aili·Aji, with surgical demonstration performed by Professor Qin Yunsheng from the Hepatobiliary and Pancreatic Interventional Center of the First Affiliated Hospital, Zhejiang University School of Medicine.

At the opening ceremony, Professor Chen Min, Deputy Editor-in-Chief of Chinese Journal of Digestive Surgery, delivered an address.“Practice has boundaries, but thought knows no limits. We believe that the normalization and standardization of surgical demonstrations are more conducive to clinical and academic research. We hope that this series of surgical demonstration activities will better integrate expert academic resources, improve the academic ecosystem, more actively promote academic integration and dissemination, and contribute to realizing the Healthy China Dream!”

"Chinese Journal of Digestive Surgery" will continue to remain true to its original aspiration. Under the leadership of Academician Dong Jiahong, it will fully leverage the journal's influence, fulfill its mission, support original innovation, disseminate scientific culture, and contribute to the Healthy China initiative. By continuously bringing together experts and colleagues in digestive surgery, the journal will jointly promote the sustainable development of China's digestive surgery field, enabling Chinese clinical research to reach international audiences and engage with the global community."

"Chinese Journal of Digestive Surgery" Deputy Editor-in-Chief - Professor Chen Min

Mr. Li Fenghua, Director of the Diagnostic X-ray Marketing Department for Philips Greater China, also delivered an address at the conference., he stated that as one of the important diagnostic and therapeutic modalities for biliary and pancreatic diseases, the advanced stability of equipment and the effectiveness of radiation protection are key areas of focus and continuous improvement for Philips.

In late 2019, Philips launched a dedicated angiography system for ERCP procedures, featuring an under-table X-ray tube design and robust radiation protection. The new N90 model is equipped with Philips’ latest intelligent grid control technology, enabling intelligent pulsed fluoroscopy imaging that reduces radiation dose by more than 68% compared to existing fluoroscopy technologies, thereby achieving precise X-ray dose control.

The device is easy to operate, delivers high-quality images, and offers stable performance. It has been deployed in the hepatobiliary surgery departments, gastroenterology departments, and endoscopy centers of top-tier hospitals across China, including The First Affiliated Hospital of Zhejiang University School of Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine, West China Hospital of Sichuan University, and The First Hospital of Lanzhou University, earning widespread recognition and acclaim.

In the future, Philips will further deepen its engagement with hospitals at all levels and in the non-public healthcare sector, making ERCP more accessible and safer. We look forward to exchanging insights and learning from more experts through the upcoming “Xuan Dao Hui – ERCP Highlights” series, engaging in in-depth discussions on clinical needs, and working together to drive innovation and development in digestive surgery.

Mr. Li Fenghua, Director of the Diagnostic X-ray Marketing Department, Philips Greater China

At the event, Professor Yang Yongsheng from the Department of Hepatobiliary and Pancreatic Surgery at the Second Hospital of Jilin University provided a detailed introduction to the background and overview of the “Digestive Surgery Xuan Dao Hui – ERCP Highlights” project.

Therapeutic ERCP was introduced and applied in China in the early 1980s. Through the tireless efforts of endoscopists nationwide, the success rate of ERCP in China increased from an initial 84.0% to 96.1% in the 1990s, gradually approaching or matching international advanced levels. It has become an important therapeutic modality for certain pancreaticobiliary diseases, ushering in a new era in the management of pancreaticobiliary disorders in China.

Professor Yang Yongsheng stated“Each generation has its own mission. With advancements in technology, surgical demonstration has gradually become integrated into our daily learning and work. The widespread adoption and promotion of advanced technologies such as VR, 2D, and 3D have enabled comprehensive, blind-spot-free visualization of entire surgical procedures, accessible via mobile devices. Regularized and standardized surgical demonstrations can effectively enhance the diagnostic, therapeutic, and service capabilities of healthcare professionals at primary-care hospitals.”

It is believed that, through the dissemination of 5G-enabled remote surgical demonstrations, medical students and clinical fellows will gain expanded learning opportunities to observe experts performing complex surgeries, thereby better acquiring and mastering surgical skills. This will help channel high-quality medical resources to grassroots levels, promote the universalization of standardized medical education, and enhance healthcare delivery at primary care institutions.

The Second Hospital of Jilin University, Department of Hepatobiliary and Pancreatic Surgery - Professor Yang Yongsheng

Professor Yang also announced that the “Xuan Dao Hui” Surgical Demonstration Platform for Digestive Surgery will soon launch a series of online live-streamed ERCP surgeries titled “ERCP Highlights.” Renowned ERCP experts will be invited to serve as lead surgeons, delivering monthly online ERCP surgical demonstrations for a total of 11 sessions. These sessions will provide comprehensive explanations covering preoperative, intraoperative, and postoperative aspects. High-quality educational course videos archived from the conferences will be available for on-demand viewing on the Xuan Dao Hui platform.

Subsequently, Professor Chen Min, Professor Yang Yongsheng, Professor Tuerangan Aili·Aji, Mr. Li Fenghua, Ms. Wei Fengxia, and Ms. Zhao Huiyu were invited to join the stage together for the launch ceremony of the “Digestive Surgery Xuan Dao Hui—ERCP Finishing Touch” online surgical live-streaming project.

Launch Ceremony Site

Following the successful launch ceremony, Professor Turgan Ali Haji from the Digestive and Vascular Surgery Center of the First Affiliated Hospital of Xinjiang Medical University delivered the closing remarks. The event concluded with a compelling live online surgical demonstration performed by Professor Qin Yunsheng’s surgical team from the Hepatobiliary and Pancreatic Interventional Center of the First Affiliated Hospital of Zhejiang University, for the attending guests and all viewers.

 Professor Qin Yunsheng, Center for Hepatobiliary and Pancreatic Intervention, The First Affiliated Hospital, Zhejiang University School of Medicine

Professor Turganali Haji stated, ERCP is minimally invasive, has a short procedure time, and is associated with few complications. It is hailed as the “crown jewel” of digestive endoscopy techniques, and currently, no other imaging modality can replace it. Mastery of ERCP enables minimally invasive treatment of biliary and pancreatic diseases, thereby reducing the trauma associated with surgical interventions.

However, ERCP remains the endoscopic procedure with the highest technical difficulty, the most challenging operation, and the highest rate of complications in gastroenterology. The inherent uncertainty of ERCP is precisely what makes it compelling. Therefore, the Xuan Dao Hui Gastrointestinal Surgery Platform, an online cloud-based platform for surgical demonstrations, is highly worthy of attention.

Through live surgical broadcasts and demonstrations at the Xuan Knife Conference, as well as online lectures, advanced technical concepts are disseminated, and rich clinical experience and technological advantages are shared. This approach radiates from top-tier institutions down to grassroots hospitals, facilitating experience exchange with authoritative experts. By engaging in interactive discussions with commenting experts, surgeons can enhance their skills in practice, optimize diagnosis and treatment processes, and ultimately improve the surgical capabilities of grassroots hospitals.

Professor Turghan Ali Haji, Digestive and Vascular Surgery Center, The First Affiliated Hospital of Xinjiang Medical University

The development of live surgical demonstrations for teaching purposes requires not only investment from hospitals and medical device manufacturers in building surgical demonstration systems, but also the support of innovative collaboration platforms.

As the platform provider for the “Xuan Knife Club – ERCP Highlights” series in digestive surgery, VMC (Yi Shi Yun) has been deeply engaged in the “Internet + Healthcare” sector for many years. By leveraging advanced network transmission technologies, it connects numerous professional medical institutions both domestically and internationally, providing them with services such as high-definition, real-time interactive remote multidisciplinary consultations, telemedicine education, live surgical broadcasting, remote imaging access, and remote pathology discussions.

Since its establishment in 2016, MedVision Cloud has made significant achievements in the development of innovative platforms for medical collaboration and interaction. In 2018, MedVision Cloud built China’s first specialized medical consortium platform for pancreatic diseases, initiated the “Internet+ Close-Knit Hepatobiliary and Pancreatic Specialist Medical Consortium,” and provided repeated support for remote multidisciplinary team (MDT) consultations and live surgical broadcasting to Academician Dong Jiahong’s MDT team in the Department of Hepatobiliary Surgery at Beijing Tsinghua Changgung Hospital, as well as to numerous hepatobiliary surgical teams across China.

Within just five years, MedVision Cloud has served more than ten leading pharmaceutical and medical device companies, covering over 100 top-tier tertiary teaching hospitals across China. It facilitates nearly 3,000 conferences annually, reaching approximately 100,000 professional physicians and surgeons at various levels, making relentless efforts to advance surgical education, decentralize medical resources, and promote equitable access to healthcare.

Supported by the MedVision Cloud platform, this session of “Xuan’s Digestive Surgery Masterclass – ERCP Highlights” will establish a multidisciplinary platform for discussion, surgical experience sharing, exchange, real-time remote surgical guidance, and interaction. It will provide standardized surgical videos, compilations of typical digestive surgery cases, and video case studies on management strategies for complex diseases across various specialties and conditions. Additionally, it will showcase the application scenarios of innovative pharmaceuticals, devices, and technologies specifically designed for surgical procedures, while serving as an exclusive academic space for surgeons.

Mr. Wu Heping, Founder and CEO of Yishi Cloud

Mr. Wu Heping, Founder and CEO of MedVision Cloud, also shared his remarks for the event.“Last year, Yishi Cloud collaborated with renowned medical device manufacturers and hundreds of surgical experts from top-tier tertiary hospitals across China to complete thousands of remote surgical collaborations and live teaching demonstrations. Amid the overarching context of pandemic prevention and control, we built a bridge for academic promotion and contributed our share. I believe that a well-established, systematized operation of the ‘Xuandao Hui’ platform will standardize and normalize remote surgical collaboration, enhance the overall clinical surgical capabilities of hospitals, and contribute to the application of innovative technologies!”