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Dezawa. Mini-invasive Surg 2017;1:52-5 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2017.15
www.misjournal.net
Topic: Percutaneous endoscopic system for spinal diseases Open Access

Endoscopic surgical skill qualification

and educational system of the Japanese

Orthopaedic Association

Akira Dezawa

Department of Orthopedic Surgery, Teikyo University Mizonokuchi Hospital, Tokyo 173-8605, Japan.
Correspondence to: Dr. Akira Dezawa, Department of Orthopedic Surgery, Teikyo University Mizonokuchi Hospital, Tokyo 173-8605, Japan.
E-mail: adezawajp@gmail.com

How to cite this article: Dezawa A. Endoscopic surgical skill qualification and educational system of the Japanese Orthopaedic Association. Mini-
invasive Surg 2017;1:52-5.

Article history: Received: 17-04-2017 Accepted: 07-05-2017 Published: 30-06-2017

Dr. Akira Dezawa, M.D., Ph.D, is Deputy Director at Teikyo University School of Medicine Mizonokuchi Hospital since
2006. He also services as the Professor in Department of Orthopedics at Teikyo University since 2004. His expertise
includes endoscopic spinal surgery and he is a well-known physician for the minimally invasive spine surgery. He is
the 2nd President of The Pacific Asian Society of the Minimally Invasive Spine Surgeries, the 1st President of Japan
Society of the Study of Spinal Endoscopy, the 7th President of WCMISST (2020), the 1st President of Japan PED
Society, Japanese Represent of ISMISS, Editorial Board of European Spine Journal, Asian Journal of Endoscopic
Surgery, Asian Spine Journal.

INTRODUCTION to anterior approach spinal surgery and in 1997 to
posterior approach surgery. After this form of surgery
In the field of spinal surgery, the application of minimally began to be covered by the national health insurance,
invasive endoscopic surgery owes much to advances endoscopic spinal surgery spread rapidly. However, as
in high performance optical instruments [charge- this form of surgery spread rapidly, complications arising
coupled device cameras and the latest small diameter from the procedures began to gradually be highlighted
(just 2 mm) endoscopes and electronic scopes] as a problem. The steps to establish an endoscopic
and the accompanying improvements in imaging surgical skill qualification qualification (ESSQ) system
technology and the development of innovations were started in 2002 and this system was launched at
such as ultrasonic incision devices. As far as the the Japanese Orthopaedic Association (JOA) in 2004.
[1]
manipulation for decompression of the spinal nerve This system, called the “endoscopic spinal surgery
root is concerned, reliability and safety both improved skill qualification system”, is aimed at “evaluating the
following development and advances in instruments skills of individual surgeon involved in endoscopic
such as robotics and enhanced endoscopic resolution, spinal surgery in accordance with common criteria
and further improvement is anticipated henceforth. and accrediting surgeons satisfying certain high-
In Japan, endoscopy began to be applied in 1995 level standards”, with the ultimate goal of facilitating
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