Jinan Daily (2009.9) Minimally invasive surgery will be applied to all corners of urological diseases. When it comes to surgery, people will think of operations, and recall the huge wounds cut out by doctors during treatment, and even open up the belly, which always gives people a shuddering feeling. Now, with the continuous progress of medical technology, minimally invasive surgery is challenging the traditional surgery, many doctors do not have to open the knife can also be some difficult to treat, minimally invasive surgery so that more and more patients to reduce the huge pain caused by surgery. During the interview with the Department of Urology of Jinan Central Hospital affiliated with Shandong University, we saw that they have such a purpose: that is, to minimize the cost for the best therapeutic effect. It is also under this tenet that they have applied minimally invasive surgery to all corners of urological diseases in several years of continuous exploration. It is understood that 70-80% of the patients with urological diseases in Jinan Central Hospital are now discharged from the hospital after recovering from minimally invasive surgery. Liu Qingyong, urology department of Shandong Qianfoshan Hospital, minimally invasive treatment of tumors under laparoscopy, the author interviewed in the Department of Urology of Jinan Municipal Central Hospital, just in time for a patient discharged from the hospital, and in the conversation, I know that the patient came to the hospital to do adrenal tumor resection. In the author’s opinion, this should be a big operation, however, the patient said, only a week of hospitalization. In order to make the reporter believe, he lifted up his clothes, not big two pieces of gauze wrapped around the surgical mouth, according to the patient said that each incision is only 1 centimeter. The patient said to the author with a smile, “This is the benefits of modern medical technology to us, to the previous me this disease is not to come to a large incision, stay in the hospital for two months ah.” Later interview with Liu Qingyong, director of the Department of Urology Surgery, only to know that the patient’s surgery is the use of minimally invasive laparoscopic treatment, this treatment has been used for many years in the Department of Urology of Jinan Central Hospital, laparoscopy, is an instrument with a micro-camera, the use of cold light to provide illumination, will be inserted into the abdominal cavity, the use of digital camera technology to make laparoscopic lenses captured the images through optical fiber conduction. Using digital camera technology, the image captured by the laparoscopic lens is transmitted to the back-end signal processing system through optical fiber and displayed on a special monitor in real time. The doctor then analyzes the patient’s condition through the images and performs the surgery with special laparoscopic instruments. After laparoscopic surgery, only 1-3 0.5-1 cm linear scars are left in the abdominal cavity, which can be said to be a less invasive and less painful surgery, and therefore it is also called “keyhole” surgery. The development of laparoscopic surgery reduces the pain of incision, shortens the recovery period of patients, and relatively reduces the expenditure of patients.Gj8 Zhonghai HospitalNow, laparoscopic technology has been widely used in the Department of Urology of Jinan Central Hospital for the diagnosis and treatment of urological diseases, such as laparoscopic spermatic vein ligation, adrenalectomy, radical nephrectomy and polycystic kidney decortication, pyeloplasty, renal pelvic surgery, and renal pelvic surgery, which are the most important procedures in the treatment of urological diseases. The patients are treated with laparoscopic adrenalectomy, radical nephrectomy, polycystic kidney decortication and decompression, pyeloplasty, nephroureterectomy, cystectomy, and so on. Minimally invasive stone removal, safe and fast” In the last six months, I often had pain in the right side of my lower back, and sometimes I had a feeling of lumbar distension. I went to the hospital for examination and realized that there was a big stone growing in my kidney, which filled up the whole kidney, and it was accompanied by fluid retention in the kidney and urinary tract infection. A friend who suffered from the disease several years ago told me that this disease requires a large operation and is very painful. Looked at my friend’s waist and back of the long incision, feel very afraid and nervous, delayed to come to the hospital, and then listened to my friend said, Jinan City Center Hospital urology department with minimally invasive surgery, can be successfully removed the stone. At that time also half-heartedly came to the hospital, I did not think it was really so simple, the day before yesterday’s surgery, today there is no need to accompany the people, two days later I can be discharged.” This is a urinary stone patients to the reporter’s account. According to Director Liu: urinary stones for common diseases, frequent diseases, it is easy to cause obstruction of the ureter and urethra and secondary infections, etc., if the delay in the timing of the treatment or improper externality, it will damage renal function caused by uremia, and can even be life-threatening. Traditional medication is only suitable for small stones that can be easily discharged. If the stones are large and the discharging pipe is small, then the medication cannot be discharged at all, instead, it may cause blockage and damage to organs, resulting in the complete loss of renal function; and if surgical treatment is performed, the pain is great, the cost is high, and it is prone to recurrence, which not only brings great damage to the patient’s body, but also brings a heavy burden to the patient’s economy as well as his physical and mental health. Nowadays, the minimally invasive treatment of stones in the Department of Urology of Jinan Central Hospital has spared patients the pain. According to Director Liu: Jinan Central Hospital is the treatment base for urinary stones in Shandong Province, and has completed more than 5,000 minimally invasive surgeries for various types of urinary stones, with leading equipment and technology in the province. Extracorporeal Shock Wave Lithotripsy: It is suitable for kidney and upper ureteral stones, and this treatment is non-invasive to patients, almost no internal damage, and patients have no pain, and leave with the treatment. Ureteroscopic lithotripsy: suitable for stones in the middle and lower ureter. Upper ureteral stones, for ureteroscopy skilled doctors, can also use ureteroscopy lithotripsy directly. Ureteroscopic lithotripsy is minimally invasive, safe, effective, and has a short hospital stay. Urolithiasis is easy to recur, and patients who have been ineffective in conservative treatment have difficulties in treatment after recurrence of stones due to tissue adhesion and unclear anatomical level caused by conventional open surgery. Ureteroscopic lithotripsy without surgery, only through the urethra operation, the patient only with a ureter after surgery, the next day can get out of bed, 3-4 days after surgery can be discharged from the hospital, even if the stone recurrence can also be repeated operation, easy to be accepted by the patient. Percutaneous renal microstoma lithotripsy: For complicated kidney stones and large upper ureteral stones, percutaneous renal microstoma ureteroscopy lithotripsy requires only one or two channels less than 1cm in diameter in the lumbar region, and pneumatic ballistic or holmium laser lithotripsy can be performed, combined with ESWL if necessary, to achieve the goal of cure. This procedure is minimally invasive, safe and effective as it avoids open surgery and minimizes postoperative scarring. TVT, TVT-O surgery, the gospel of incontinence patients in the interview I met a woman in her 40s, a few years after giving birth to a child began to urinary incontinence, the beginning of the incontinence did not affect the life of the person who knew that the incontinence became more and more serious, the slightest movement of the urine pants. At first, she went to the gynecologist for treatment, and the medication she used had little effect. In the summer, when the temperature was high, she experienced symptoms such as vulvar itching, leukorrhea, and lower abdominal distension. This time, she found a private clinic, where the doctor said she had a sexually transmitted disease (STD), and she took thousands of dollars of medication, but she didn’t feel any better. A year later, she finally found Jinan Central Hospital Urology Department, but by this time she has been dry and thin, mental emaciation. In fact, with this woman has the same experience of thousands of women, but where to seek treatment? They are still confused. It used to be thought that urology was the place to go for men’s diseases, but it was not. The Department of Urology at Jinan Central Hospital is one of the first hospitals in the province to carry out TVT, TVT-O, a new technology for the treatment of female stress urinary incontinence, which is not only safe and easy to use, but also does not leave scars in the lower abdomen after surgery, even if you wear a “bikini” bathing suit can not see the marks. According to Director Liu, women have more urinary problems than men, they can also suffer from urethritis, cystitis, and the most common is urinary incontinence in middle-aged and elderly women. In China, many middle-aged and elderly women encounter an embarrassing situation: whenever they cough or laugh at something happy, their pants get wet with a little force from their abdomen. This is because, with age, especially after childbirth, women’s pelvic floor relaxation, bladder storage capacity is increasingly weakened, coupled with women’s urethra is shorter than that of men, so nearly half of women over the age of 50 years will be frequent urination, urinary urgency, incontinence phenomenon. It brings great inconvenience to the patient’s work and life, especially to the patient’s psychological impact. Surgery for stress incontinence is divided into two categories: preventing excessive bladder neck movement and directly strengthening the closing power of the urethral sphincter. The former is various suspension procedures, such as Stameg bladder suspension, Raz bladder suspension, etc. The latter includes submucosal urethral injections, artificial sphincter surgery, and periurethral sling. Traditional suspension has poor long-term results and a high recurrence rate. In recent years, with the continuous development of science and technology, the emergence of new artificial sling materials has brought the gospel to the treatment of female stress urinary incontinence. The polypropylene screen material used in TVT and TVT-O treatment is self-adhesive, does not need to be sutured and fixed after placing it in place, and is biocompatible, with little surgical trauma, short postoperative recovery time, and very good results indeed. At present, the Department of Urology of Jinan Central Hospital has used laparoscopic minimally invasive treatment of various urological diseases in more than 1,000 cases, the use of minimally invasive treatment of urinary stones in more than 5,000 cases, walking in the forefront of minimally invasive surgery in the country, while they also minimally invasive surgery to the treatment of various urological diseases, such as their surgical treatment of prostate hyperplasia, more than 97% of the completion of the way of electrodesiccation with transurethral resection of the transurethral prostate. Transurethral resection of the prostate is also the gold standard of surgical treatment of prostatic hyperplasia. The surgical method does not involve incision, but is operated only through the urethra, resulting in fast postoperative recovery, less trauma, shorter hospitalization, and good results, which is highly praised by the patients. In terms of difficult surgeries, they actively learn from the international advanced experience, and in 2007, they successfully carried out several cases of complex urethral stricture treatment, and the first phase of the surgery was successful; at the same time, they carried out radical cystectomy + spherical orthotopic cystectomy, which is a difficult surgery, and solved the problems that have been bothering the urologists for many years, which greatly improved the quality of life of the patients after radical cystectomy. At present, the Department of Urology of Jinan Central Hospital Affiliated to Shandong University has a complete team of disciplines, strong technical force and complete equipment, which includes the diagnosis and treatment of all urological diseases in clinical medical treatment, and it is the cultivation point of master’s degree in urology for Shandong University. It has modernized custodial equipments, equipped with German imported laparoscopy, electrosurgery, cystoscopy, ureteroscopy, percutaneous nephrolithoscope and closed-circuit television monitoring system, American Komedian high-power (100W) holmium laser, the latest domestic dual-positioning electromagnetic wave extracorporeal lithotripter, Aloha 500-type ultrasound machine, Canadian urodynamic instrument, vascular ligation speed, and other advanced equipments. The leading technology, leading equipment, and progressive academic atmosphere make the Department of Urology of Jinan Central Hospital Affiliated to Shandong University constantly break through itself and keep pace with the development of international medical technology. （Note: Prof. Liu Qingyong’s original work unit: Department of Urology, Jinan Central Hospital affiliated with Shandong University.