According to the 2024 National Cancer Report released by the National Cancer Center of China, China recorded 4.8247 million new malignant tumor cases in 2022, accounting for 24.1% of the global total. Cancer deaths exceeded 2.5742 million, representing 26.5% of global fatalities. China has become a veritable “cancer superpower.” Regarding colorectal cancer, the incidence rate in the United States (46.1 per 100,000) exceeds that of China (36.63 per 100,000), yet the mortality rate is lower in China (17.00 per 100,000 vs. 15.8 per 100,000 in the U.S.). The incidence-to-mortality ratio stands at 2.9:1 in the U.S. versus 2.15:1 in China. This indicates that despite higher detection rates among colorectal cancer patients in the U.S., treatment outcomes are superior, yielding better survival rates. The higher incidence-to-mortality ratio in the U.S. underscores the critical importance of early screening, standardized comprehensive diagnostic and therapeutic techniques, and holistic management throughout the disease course.

Natural Orifice Specimen Extraction Surgery (NOSES) is a specialized minimally invasive surgical technique hailed as “the least invasive of minimally invasive procedures.” It enables the removal of lesions without leaving noticeable scars, thereby reducing patient pain and psychological burden. This technique has been applied across multiple fields including colorectal surgery, gastric surgery, hepatobiliary and pancreatic surgery, gynecology, urology, thoracic surgery, and thyroid surgery. Over 120,000 NOSES procedures have been performed domestically, gaining increasing popularity among both physicians and patients. To promote this technology, Professor Wang Xishan from the Cancer Hospital of the Chinese Academy of Sciences spearheaded the establishment of the International NOSES Alliance and the Chinese NOSES Alliance. Provincial branches have progressively been formed, hosted regular training sessions and competitions. Surgical skills are enhanced through live online surgeries and video sharing. Furthermore, the technique has gained international recognition, being translated into multiple languages to foster global academic exchange. In summary, the development of NOSES minimally invasive surgery represents an inevitable advancement in medical progress. It not only enhances surgical efficiency but also significantly improves the patient experience. As the technique becomes more widespread and surgeon proficiency increases, NOSES surgery will play an even greater role in the future, bringing benefits to more patients. However, the NOSES procedure is complex, technically demanding, involves numerous detailed steps, and requires strict adherence to aseptic and tumor-free operating protocols. Surgical execution demands precision and uniformity, necessitating “systematic” training. Structured training thus becomes paramount, enabling systematic theoretical knowledge review and step-by-step standardized practice for trainees.

To further internationalize the NOSES minimally invasive surgical technique, achieve global standardized skill training for surgeons, strengthen the scientific rigor, standardization, and systematic approach of treatment, and elevate medical standards across different regions and tiers of healthcare centers. Hosted by the International NOSES Alliance and the China NOSES Alliance, and organized by the Shaanxi Branch of the China NOSES Alliance and Xi'an Jiaotong University First Affiliated Hospital—leveraging the National Medical Center and the National Clinical Skills Experimental Teaching Center—this initiative integrates premium medical education resources to launch the International NOSES Structured Training and Certification Program. This course aims to disseminate scientifically standardized minimally invasive NOSES techniques for gastrointestinal tumor diagnosis and treatment through systematic training, providing technical assurance for improving patient outcomes—particularly for colorectal cancer patients. Relevant details are hereby announced as follows:

1.Training Objectives

Through standardized procedures, quality control, and faculty development, participants will progress from awareness to operation, proficiency, and mastery. This will advance the global adoption of NOSES surgical techniques across medical centers; establish a cross-regional academic platform to promote clinical application of NOSES technology; and create a globally coordinated teaching and evaluation system to cultivate specialists in minimally invasive diagnosis and treatment of gastrointestinal tumors, particularly colorectal cancers.

2.Target Audience

Global gastrointestinal surgical professionals and healthcare administrators, with a particular focus on colorectal surgeons. The training centers on promoting NOSES surgical techniques to enhance minimally invasive gastrointestinal tumor diagnosis and treatment standards, while advancing surgical standardization and homogeneity.

3. Curriculum Framework (International NOSES Alliance Certified)

International NOSES Structured Training & Certification Program [International NOSES (Natural Orifice Specimen Extraction Surgery) Structured Training & Certification Program, INSTEP] (Requires presentation of domestic medical license)

Training Arrangements:

Duration: 5 days

Format: Small-group instruction (≤20 participants per class), 1:6 instructor-to-student ratio, 1:4 teaching model-to-trainee ratio

Fee: CNY 3,000 per person (includes clinical skills training fee and certification fee)

Note: The above course content and faculty arrangements are subject to change. The final schedule will be confirmed in the pre-course notification.

4.Faculty

The program is taught by a team of senior experts from the China NOSES Alliance. Core faculty members include:

Xishan Wang

Professor, Chief Physician, Doctoral Supervisor, Chief Physician | Professor | Doctoral Supervisor, Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences. Specializes in minimally invasive and complex surgeries for colorectal tumors, pioneering a series of novel surgical techniques and technologies both domestically and internationally. Currently serves as: Chairperson, Colorectal Cancer Committee, Chinese Anti-Cancer Association; Chairperson, Colorectal Tumor Committee, Chinese Medical Doctor Association; Standing Council Member, Chinese Medical Doctor Association; Chairperson, Colorectal Tumor Committee, Beijing Cancer Society; President, International NOSES Alliance; President, China NOSES Alliance; Editor-in-Chief, Chinese Journal of Colorectal Diseases (Electronic Edition). Has led over 20 research projects including the National Key R&D Program “Precision Medicine Research” Key Project, three National Natural Science Foundation General Projects, the National 11th Five-Year Plan Science and Technology Support Program, the National Urban Cancer Early Diagnosis and Treatment Screening Program, and Beijing Municipal Science and Technology Commission projects, with total funding exceeding 30 million RMB.

Kefeng Ding

Executive Deputy Secretary and Vice President of the Second Affiliated Hospital of Zhejiang University School of Medicine; Chief Scientist for National Major Science and Technology Projects and Key R&D Programs; Outstanding Talent in Zhejiang Province's “Ten Thousand Talents Plan”; Leading Talent in Zhejiang Health Sector. Professor, Chief Physician, and Doctoral Supervisor at Zhejiang University School of Medicine. Director of Zhejiang University's Oncology Degree Program; Qiusi Distinguished Physician at Zhejiang University. Director of the Ministry of Education's Innovation Center for Basic Research in Gastrointestinal Cancer Medicine; Deputy Director of Zhejiang University Cancer Institute. He has led one National Major Science and Technology Special Project on “Four Major Chronic Diseases,” one National Key R&D Program, eight National Natural Science Foundation projects, one Zhejiang Provincial Key R&D Program, and one Zhejiang Provincial “Leading Goose” R&D Project. He currently serves as: Standing Committee Member of the Oncology Branch of the Chinese Medical Association; Vice Chair of the Integrated Surgery Committee, Chair of the NOSES Special Committee, and Vice Chair of the Colorectal Cancer Special Committee of the Chinese Anti-Cancer Association; Vice Chair of the Colorectal Cancer Committee of the Chinese Medical Doctor Association; Vice Chair of the Medical Artificial Intelligence Committee of the Chinese Hospital Association; Incoming Chair of the Tumor Surgery Branch of the Zhejiang Medical Association and Chair of its Precision Medicine Committee; Incoming Chair of the Colorectal Cancer Committee of the Zhejiang Anti-Cancer Association.

Junjun She

Chief Physician, Professor, Researcher, Doctoral Supervisor. Currently serves as Vice President of the First Affiliated Hospital of Xi'an Jiaotong University and Executive President of Yulin Hospital of the First Affiliated Hospital of Xi'an Jiaotong University. Recipient of the “Shaanxi Provincial High-Level Talent Special Support Program—Leading Talent in Scientific and Technological Innovation.” Leads the Shaanxi Sanqin Elite Special Support Program's National First-Class Innovation and Entrepreneurship Team, the Shaanxi Provincial Key Scientific and Technological Innovation Team for Gastrointestinal Tumors, the Shaanxi Provincial Higher Education Discipline Innovation and Intelligence Introduction Base, and the Hong Kong-Shaanxi Overseas Offshore Innovation Center. Concurrently serves as Vice Chair of the Tumor Gastroenterology Committee of the Chinese Anti-Cancer Association, Deputy Leader of the Robotic Therapy Working Group under the Colorectal Cancer Committee of the Chinese Medical Doctor Association, Vice President of the Gastrointestinal Surgery Branch of the China-Japan Medical Exchange Association, Standing Committee Member of the Tumor Surgery Committee of the Chinese Research Hospital Association, and Committee Member of the Robotic and Laparoscopic Surgery Committee of the Chinese Research Hospital Association. Vice Chairman of the Shaanxi Pharmaceutical Association; Chairman of the Soft Tissue Tumors and Sarcoma Committee of the Shaanxi Anti-Cancer Association; Vice Chairman of the Colorectal Cancer Committee of the Shaanxi Anti-Cancer Association. Has led 28 national and provincial/ministerial-level research projects, including the Ministry of Science and Technology's “2030 Four Major Chronic Diseases” Major Special Project, five National Natural Science Foundation grants, and four international collaborative projects. Published 116 academic papers in journals including Nature, Nature Communications, Science Advances, Annals of Surgery, GUT, Gastroenterology, Signal Transduction and Targeted Therapy, Oncogene, Seminars in Cancer Biology, Chemical Engineering Journal, Surgical Endoscopy, Chinese Journal of Gastrointestinal Surgery, Chinese Journal of Digestive Surgery, Chinese Journal of General Surgery, and Chinese Journal of Practical Surgery. Co-authored 8 clinical guidelines/expert consensus documents and 2 monographs, and holds 16 national patents. Supervised 11 postdoctoral fellows, 18 doctoral students, and 38 master's students (including 3 international students). expert consensus documents, authored two monographs, and obtained 16 national patents. He has supervised 11 postdoctoral fellows, 18 doctoral students, and 38 master's students (including 3 international students). Honors include: First Prize, Shaanxi Provincial Science and Technology Progress Award Special Prize, Shaanxi Provincial Higher Education Science and Technology Research Outstanding Achievement Award China Productivity Promotion Award First Prize, Xi'an Jiaotong University Corporate-Sponsored “Bole Award” First Place, Shaanxi Regional Competition, 11th China Innovation and Entrepreneurship Competition Special Prize, 2022 Xi'an International Entrepreneurship Competition Second Prize (Team), 10th “Entrepreneurship Jiangsu” Innovation and Entrepreneurship Competition Second Prize, Wuxi “Taihu Cup” International Elite Innovation and Entrepreneurship Competition

Xuejun Sun

Professor, Chief Physician, Doctoral Supervisor, Director of General Surgery at the First Affiliated Hospital of Xi'an Jiaotong University, Party Branch Secretary, Doctor of Surgery, Distinguished Physician of Xi'an Jiaotong University. Visiting Scholar at the University of Texas. Member of the International Association of Gastrointestinal Oncology (IASGO); Standing Committee Member of the Chinese Medical Association's Science Popularization Society; Chinese Medical Doctor Association: Vice President of the Science Popularization Branch; Standing Committee Member of the Colorectal Surgeons Committee under the Surgeons Branch; Standing Committee Member of the Anorectal Surgeons Branch / Vice Chair of the Ostomy Committee; Member of the Colorectal Tumor Committee / Vice Chair of the Complications Management Committee; Member of the Robotic Surgery Committee; Member of the NOSES Committee; Member of the Laparoscopic Surgery Committee under the Endoscopists Branch; Member of the Gastrointestinal Surgery Committee, Integrative Medicine Branch; Member of the Surgical Oncology Nutrition Group, Chinese Anti-Cancer Association; Standing Committee Member of the Gastrointestinal Oncology Committee, China Association for the Promotion of Human Health Science and Technology; Vice Chairperson of the Shaanxi Base for Standardized Training in Abdominal Oncology, China Medical Education Association; Member of the National Quality Control Expert Committee for Colorectal Cancer; Vice Chairperson of the General Surgery Committee, National Strategic Alliance for Technological Innovation in Minimally Invasive Cancer Treatment; Chairperson of the Shaanxi Branch, China NOSES Alliance; Director, Laparoscopic Surgeon Training Base, Chinese Medical Doctor Association; Director, National Laparoscopic Surgery Training Base for County-Level Hospitals, Chinese Medical Association/China International Medical Exchange Foundation; Director, National Standardized Training Base for Surgical Residents; Director of the National Standardized Training Base for General Surgery Specialists; Shaanxi Medical Association: Council Member, Standing Committee Member of the Surgical Society, Chairperson of the Science Popularization Society; Shaanxi Medical Doctor Association: Vice President of the Gastrointestinal Surgeons Branch; Shaanxi Anti-Cancer Association: Vice Chairperson of the Colorectal Cancer Committee, Vice Chairperson of the Gastric Cancer Committee, Vice Chairperson of the Clinical Oncology Collaborative Committee; Vice President of the Shaanxi Health Preservation Association / Chairperson of the Gastrointestinal Disease Prevention and Treatment Committee; Vice Chairperson of the Enhanced Recovery After Surgery (ERAS) Committee; Editorial Board Member for: Chinese Journal of General Surgery, Chinese Journal of Basic and Clinical Surgery, Journal of Xi'an Jiaotong University (Medical Edition), Chinese Journal of Hepatobiliary Surgery, Chinese Journal of Endocrine Surgery, Frontiers of Chinese Medicine, Tumor Metabolism and Nutrition, Clinical Medical Research and Practice. Reviewer for: Journal of Hematology and Oncology, Cell Death & Disease, Biomedicine & Pharmacotherapy, BMC Cancer, OncoTargets and Therapy, Cancer Management and Research. Serves as an expert reviewer for the National Natural Science Foundation of China (NSFC) projects and as a technical expert for medical malpractice appraisals in Shaanxi Province and Xi'an City. Has completed and is currently leading 3 NSFC projects and 8 Shaanxi Provincial research projects. As the second applicant, has completed and is currently involved in 3 NSFC projects. Has completed 3 audiovisual teaching materials and CAI courseware for the Ministry of Health. Awarded 4 Shaanxi Provincial Science and Technology Achievement Awards (First, Second, and Third Class) and 2 Shaanxi Provincial Higher Education Science and Technology Awards (First and Second Class). Published over 200 academic papers, including more than 40 SCI-indexed articles. Served as chief editor for the second edition of the monograph General Surgery Oncology, co-editor for three monographs, and contributor to five additional monographs.

Zheng Liu

Chief Physician of Beijing Arion Cancer Hospital, PhD, Master's Supervisor, and Standing Committee Member of the Colorectal Cancer Committee of the Chinese Medical Doctor Association. Conducted academic visits at Yale University School of Medicine from 2017 to 2018. Clinic hours: Tuesday afternoons and Friday mornings. Dr. Liu has edited and co-authored 20 professional publications including “Theory and Practice of Minimally Invasive Surgery for Colorectal Cancer.” He has led 12 national/provincial research projects and published over 100 papers in SCI and core journals, focusing on molecular biomarker screening and prognostic model development for colorectal cancer. In 2023, he performed 3 robot-assisted surgeries, 9 natural orifice specimen extraction surgeries (NOSES), completed 12 complex procedures, and participated in 108 multidisciplinary consultations. He proposed a differentiated application strategy for fecal immunochemical testing (FIT) and colonoscopy in colorectal cancer screening. He chaired the International NOSES Classic Surgery Video Competition at the 17th National Colorectal Cancer Academic Conference and delivered specialized lectures on comprehensive treatment for peritoneal metastasis in colorectal cancer across multiple regions. His accolades include: First Prize in the National Colorectal Surgery Video Competition (2018), Top Ten Young Researchers at the Medical Summit (2020), and Outstanding Communist Party Member at the Cancer Hospital, Chinese Academy of Medical Sciences.

Haitao Zhou

MD, Chief Physician at Cancer Hospital, Chinese Academy of Medical Sciences, and Master's Supervisor. Completed study visits to Harvard Medical School, Massachusetts General Hospital, and Japan Cancer Research Institute. Specializes in surgical treatment of colorectal cancer, rectal cancer, gastrointestinal stromal tumors (GIST), neuroendocrine tumors (NET), rectal melanoma, and colorectal cancer with liver metastasis. Possesses extensive expertise and proficiency in laparoscopic colon cancer surgery and ultra-low anterior resection for rectal cancer. He is an innovative surgeon, having won multiple awards in national surgical video competitions. He has delivered academic presentations and surgical demonstrations at over a hundred domestic and international conferences, earning the title of “Young Key Talent of the 60th Anniversary of the Cancer Hospital of the Chinese Academy of Medical Sciences.” He has published over fifty papers as first or corresponding author, both domestically and internationally. He has led or participated in more than twenty national, provincial/ministerial, and university-level research projects. He holds positions such as Vice Chairman, Secretary-General, and Committee Member in over ten national academic organizations.

Xu Guan

Department of Colorectal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences. PhD in Oncology. Primary focus: incision-free minimally invasive surgical treatment for colorectal tumors. Key academic appointments: Secretary of the International NOSES Alliance, Secretary of the Chinese NOSES Alliance, Secretary of the NOSES Subcommittee under the Chinese Medical Doctor Association's Colorectal Tumor Committee. Published 30 SCI papers as first or corresponding author in journals including Science Bulletin (IF=20.5) and JAMA Network Open (IF=13.3), with a cumulative impact factor of 178.2. Served as principal investigator for a youth project under the National Key R&D Program “Research on Prevention and Treatment of Common and Frequent Diseases,” and led one National Natural Science Foundation of China (NSFC) Youth Project. Assisted Professor Wang Xishan in establishing and refining the NOSES theoretical and technical framework. Published six Chinese and international NOSES guidelines and expert consensus documents on colorectal and gastric cancer as first author or primary contributor. Served as chief editor or co-editor for ten NOSES surgical series monographs. Pioneered China's first NOSES big data cohort study.

Shaojun Yu

Associate Chief Physician, Department of Colorectal Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine; Deputy Director, Research Department; China Lecturer, Royal College of Physicians (UK). Current positions include: Member of the International Alliance for Minimally Invasive Surgery of Colorectal Cancer via Natural Orifices; Member of the NOSES Alliance under the Colorectal Cancer Committee of the Chinese Medical Doctor Association, Secretary-General of the Zhejiang Branch, and Chair of the Youth Committee; Member of the Minimally Invasive Surgery Youth Committee and Oncology Youth Committee of the Zhejiang Medical Association; Deputy Leader of the Multidisciplinary Diagnosis and Treatment Working Group under the Anorectal Surgeons Branch of the Zhejiang Medical Doctor Association; and Specially Appointed Science Popularization Expert by the Zhejiang Provincial Health Commission. Throughout his career, he has dedicated himself to establishing and promoting minimally invasive surgical systems for colorectal cancer. His pioneering procedures include laparoscopic radical resection for rectosigmoid colon cancer (NOSES III, 2015) and laparoscopic radical resection for right-sided colon cancer (NOSES VIII, 2019)—both firsts in the province. To date, he has performed over 500 NOSES procedures. Designed and developed 32 patented natural orifice transluminal endoscopic surgery (NOTES) instruments (including 1 international patent), published over 30 high-impact research papers (with the highest impact factor of 20.577), and received the 2022 Huaxia Medical Award First Prize for related research. He has undertaken one sub-project of a National Key R&D Program, led/participated in four national/provincial-level Natural Science Foundation projects, served as principal investigator or key contributor in six domestic multicenter clinical trials, and co-authored four Chinese and English guidelines/expert consensus documents on colorectal cancer. Awards include: - National Champion Team Member and Best Individual Award at the Chinese Anti-Cancer Association Gastrointestinal Cancer Elite Forum (Sailing Far) (2019) - Innovation Award at the 1st International NOSES Classic Surgery Video Competition (2020) - Wu Jieping Medical Foundation Award (2021) - Poster Presentation at the American Association for Cancer Research (AACR) (2021)

Jianyong Zheng

Chief Physician, Professor, MD, PhD Supervisor, Department of Gastrointestinal Surgery, Xijing Hospital, Air Force Medical University. Specializes in intestinal pacemaker therapy and surgical treatment for refractory constipation and fecal incontinence; minimally invasive surgery for gastrointestinal tumors; and diagnosis/treatment of anorectal diseases and hepatobiliary-pancreatic disorders. Holds multiple leadership positions including: Vice Chair of the Integrated Traditional and Western Medicine Diagnosis and Treatment Committee under the Chinese Medical Doctor Association's Colorectal Cancer Committee; Vice Chair of the Multidisciplinary Diagnosis and Treatment Committee under the Chinese Medical Doctor Association's Anorectal Surgeons Branch; and Vice Chair of the Shaanxi Medical Association's Endoscopic Surgery Branch. Has led or participated in four National Natural Science Foundation projects and three provincial-level research grants. Published over 60 papers and authored/translated 7 monographs.

Qing Qiao

MD, Associate Chief Physician and Associate Professor, Department of General Surgery, Tangdu Hospital, Fourth Military Medical University. Primarily engaged in the treatment and research of gastrointestinal diseases, specializing in standardized surgery and comprehensive management of gastric cancer, colon cancer, and rectal cancer, as well as critical care for surgical nutritional support, complex enterocutaneous fistulas, and acute severe pancreatitis. Possesses in-depth expertise in laparoscopic radical resection for colorectal cancer and sphincter-preserving surgery for low rectal cancer. Participated in multiple national and provincial-level scientific research projects, publishing over ten papers in domestic and international journals.

Jian Qiu

Doctor of Surgery, Chief Physician at Shaanxi Provincial People's Hospital, Professor, and Master's Supervisor. Member of the Colorectal Surgery Committee, Chinese Surgeons Association; Member of the Integrative Oncology Branch, Chinese Anti-Cancer Association; Member of the Colorectal Oncology Group, Oncology Branch, Chinese Medical Association; Vice Chair of the Colorectal Cancer Committee, Shaanxi Pain Association; Standing Committee Member of the Colorectal Tumor Committee, Shaanxi Medical Doctor Association; Member of the General Surgery Branch, Shaanxi Medical Association. Proficient in standardized surgical treatment across general surgery fields including gastrointestinal surgery, thyroid and breast surgery, and hernia and abdominal wall surgery. Extensive clinical experience in laparoscopic minimally invasive radical surgery for gastrointestinal tumors, ultra-low anterior resection for rectal cancer, and multidisciplinary comprehensive treatment for gastrointestinal tumors. He has led three research projects, including the Shaanxi Provincial Natural Science Foundation and Shaanxi Provincial Key Science and Technology Projects, and received the Second Prize for Scientific and Technological Progress from the Shaanxi Provincial Government in 2012. He has published over 20 papers in core journals.

Tao Wu

Associate Chief Physician at the Second Affiliated Hospital of Xi'an Jiaotong University, Master of Surgery. Currently serves as Standing Committee Member of the Shaanxi Medical Association's Surgery Branch, Committee Member of the Hernia and Abdominal Wall Surgery Committee under the Chinese Medical Doctor Association's Surgical Committee, Member of the International Endoscopic Hernia Society (IEHS), Vice Chair of the Colorectal Tumor Committee of the Shaanxi Medical Doctor Association, Standing Committee Member of the Colorectal Cancer Committee of the Shaanxi Anti-Cancer Association, Deputy Leader of the Gastrointestinal Group under the Endoscopic Surgery Branch of the Shaanxi Medical Association, Vice Chair of the Digestive Minimally Invasive Surgery Committee of the Shaanxi Health Association, and Editorial Board Member of the journal Surgery. Member of the Hernia and Abdominal Wall Group, Surgical Branch of the Chinese Medical Association, 16th and 17th Sessions. Engaged in clinical practice, teaching, and research in general surgery for over 20 years, independently completing diagnosis and treatment of various diseases; frequently organized or participated in major complex surgeries or critical patient rescue efforts.

Wei Zhao

Associate Director of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University; Associate Chief Physician; Doctor of Surgery; Doctoral Supervisor. Member of the Gastrointestinal Stromal Tumor Branch of the Chinese Anti-Cancer Association; Standing Committee Member of the Gastrointestinal Disease Prevention and Treatment Committee of the Shaanxi Provincial Health Association; Standing Committee Member of the Primary Health Care Branch of the Shaanxi Provincial Health Promotion and Education Association. Long-term engagement in clinical practice, teaching, and research in gastrointestinal surgery. Has led and participated in national and provincial natural science foundation projects, primarily researching the impact of metabolic diseases on tumor cells and prognosis. He has published over 20 papers domestically and internationally, including 10 SCI-indexed articles as first or corresponding author and one paper in a renowned international journal. Since beginning his career, he has consistently engaged in clinical teaching and participated in standardized training for resident physicians. For many years, he has been engaged in the comprehensive treatment of gastrointestinal tumors. In recent years, he has expanded into laparoscopic surgery, performing laparoscopic-assisted radical gastrectomy for gastric cancer, laparoscopic-assisted radical resection for colorectal cancer, and laparoscopic hernia repair. He has participated multiple times in laparoscopic colorectal surgery competitions in Shaanxi Province and the Northwest region, achieving outstanding results.

Hai Shi

Chief Physician, Medical Doctor, and Master's Supervisor at Xi'an Daxing Hospital. Currently serves as Director of Gastrointestinal Surgery at Xi'an Daxing Hospital. Visiting Scholar at the University of Pittsburgh Medical Center and Mayo Clinic International Medical Center. Serves as Executive Director of the Hepatobiliary and Gastrointestinal Minimally Invasive Surgery Alliance under the World Endoscopy Association; Standing Committee Member of the Integrated Prevention and Screening Committee for Colorectal Cancer under the Chinese Anti-Cancer Association; Chair of the Tumor Nutrition Committee under the Shaanxi International Medical Exchange Promotion Association; Vice Chair of the Minimally Invasive Surgery Committee for Digestive Diseases under the Shaanxi Health Care Association; and Vice Chair of the Digestive Surgery Committee under the Shaanxi Society of Integrative Medicine. With over 20 years of experience at Xijing Hospital—Asia-Pacific's largest gastroenterology specialty hospital—he pioneered a surgical model characterized by “ultra-minimally invasive, rapid recovery, and functional preservation,” featuring total laparoscopic radical resection and enhanced recovery protocols. His approach emphasizes distinctive techniques, innovative medical practices, and compassionate care. His team performs approximately 1,000 gastrointestinal tumor surgeries annually, ranking among the highest in Northwest China. In 2022 and 2023, he successfully performed two extended pancreatoduodenectomy with autologous small bowel transplantation procedures—a technique currently offered by fewer than five hospitals nationwide. Recent publications include five SCI-indexed papers and five core journal articles, alongside securing one provincial Natural Science Foundation project and four national utility model patents.

Jianbao Zheng

Deputy Director of the Department of Surgery, Xi'an Jiaotong University First Affiliated Hospital; Deputy Director of General Surgery (Director of Colorectal Surgery); Deputy Party Secretary; Doctor of Surgery; Master's Supervisor and Collaborative Doctoral Supervisor. Previously trained in gastrointestinal surgery at the Medical University Hospital of Japan. Current positions include: Member of the Youth Working Group, 12th Committee of the Science Popularization Branch, Chinese Medical Association; Committee Member of the Digestive Tract Polyps and Precancerous Lesions Committee, Committee Member of the Integrated Rehabilitation for Colorectal Cancer Committee, and Committee Member of the Environmental Oncology Committee, Chinese Anti-Cancer Association; Member of the Youth Working Group, Anorectal Surgeons Branch, Chinese Medical Doctor Association; Member of the Gastric Cancer Working Group, Oncology Branch, Cross-Strait Medical and Health Exchange Association; Vice Chairperson of the Youth Committee, Surgery Branch, Shaanxi Medical Association; Vice Chairperson of the Soft Tissue Tumors and Sarcoma Committee, Vice Chairperson of the Gastrointestinal Polyps and Precancerous Lesions Committee, and Member of the Colorectal Cancer Committee, Shaanxi Anti-Cancer Association; Vice Chairperson of the Gastrointestinal Disease Prevention and Treatment Committee and Vice Chairperson of the Enhanced Recovery After Surgery Committee, Shaanxi Health Care Association; Member, Gastrointestinal Surgery Branch, Shaanxi Provincial Physicians Association; Member, Colorectal and Anal Surgery Branch, Shaanxi Provincial Physicians Association; Standing Committee Member, First Digestive Surgery Branch, Shaanxi Provincial Society of Integrated Traditional Chinese and Western Medicine. Member, Young Editorial Board, Chinese Journal of Basic and Clinical Surgery; Corresponding Editorial Board Member, Third Term, Chinese Journal of Colorectal Diseases (Electronic Edition); Young Editorial Board Member, Ninth Term, Chinese Journal of General Surgery; Young Editorial Board Member, Modern Oncology. Presided over 1 National Natural Science Foundation project, 3 Shaanxi Provincial Science and Technology Research Development Program projects, 1 Xi'an Jiaotong University institutional research project, and 1 Xi'an Jiaotong University First Affiliated Hospital institutional research project. Published 12 SCI-indexed papers as first or corresponding author in the past 5 years; co-authored 5 textbooks including Clinical Medicine Overview (People's Medical Publishing House) and General Surgery Oncology (2nd Edition). He has led two university-level new medical technology projects, obtained one national invention patent, and one utility model patent.

Guanghui Wang

Associate Chief Physician, Department of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University. Currently serves as: - Standing Committee Member, Youth Committee, Xi'an Medical Association Oncology Branch - Committee Member, Gastrointestinal Surgery Branch, Shaanxi Provincial Medical Doctor Association - Committee Member, Colorectal Oncology Branch, Shaanxi Provincial Medical Doctor Association - Committee Member, Precision Diagnosis and Treatment of Tumors Branch, Shaanxi Anti-Cancer Association Led one Shaanxi Provincial Science and Technology Key Project and two hospital-level research funds. Published four SCI papers as first/corresponding author with a cumulative impact factor of 14.02, and six papers in core journals. Winner of the First Prize in the Xi'an Regional Competition of the 2017 Elite Wind and Cloud List Colorectal Surgery Contest; Second Prize in the National Finals of the 2018 Elite Wind and Cloud List Colorectal Surgery Contest.

Xinhua Liao

Doctor of Surgery, Associate Chief Physician in General Surgery at the First Affiliated Hospital of Xi'an Jiaotong University, and Master's Supervisor. Current positions: Youth Committee Member, Gastrointestinal Stromal Tumor Committee, Chinese Medical Doctor Association; Committee Member, Surgical Group, Tumor Support Committee, Chinese Anti-Cancer Association; Committee Member, National Telemedicine and Internet Gastrointestinal Tumor Professional Committee; Youth Committee Member, Minimally Invasive Surgery Committee, Shaanxi Medical Association; Committee Member, Gastrointestinal Disease Prevention and Treatment Professional Committee, Shaanxi Health Association; Standing Committee Member, Clinical Oncology Collaboration Professional Committee, Shaanxi Health Association; Committee Member, Hereditary Colorectal Cancer Working Group, Shaanxi Health Association; Committee Member, Colorectal Cancer Working Group, Shaanxi Health Association; Member of the Shaanxi Anti-Cancer Association Retroperitoneal Tumor Committee; Member of the Shaanxi Anti-Cancer Association Gastric Tumor Committee. 2017 Second Prize, National Finals of the Greater China Colorectal Endoscopic Surgery Academy Master Competition; 2016 First Place, Shaanxi-Guizhou Region ERAS Case Competition; 2015 Best Performance Award, National Finals of the 2nd Colorectal Endoscopic Surgery Competition (Kung Fu Theater). Principal Investigator of one provincial-level grant; Participated in three National Natural Science Foundation projects; Published 5 papers in SCI journals and 20 in core journals.

Ruiting Liu

Chief Physician, Associate Professor, and Deputy Director of First Department of General Surgery, Shaanxi Provincial People's Hospital. Holds a Doctorate in Surgery. Completed advanced training in minimally invasive gastrointestinal tumor treatment at the General Hospital of the PLA in 2018. Specializes in the diagnosis and treatment of benign and malignant gastrointestinal diseases, minimally invasive surgical techniques for hernias and abdominal wall disorders, and surgical management of thyroid and breast diseases. Focuses on research into lymph node metastasis patterns and surgical treatment for gastrointestinal tumors (including gastric and colorectal cancers), as well as basic studies on the pathogenesis of colorectal tumors. Serves as: - Young Member, Colorectal Cancer Committee, Chinese Medical Doctor Association - Member, NOSES Subcommittee, Colorectal Cancer Committee, Chinese Medical Doctor Association - Secretary, Shaanxi Branch, China Colorectal MDT Alliance Secretary of the Shaanxi Branch of the China Colorectal MDT Alliance, founding member of the China NOSES Alliance, Council Member of the Shaanxi Branch of the China NOSES Alliance, Young Member of the Gastrointestinal Tumor Committee of the Chinese Anti-Cancer Association, Member of the Minimally Invasive Surgery Working Group of the Digital Medicine Clinical Surgery Committee of the Chinese Research Hospital Association, Vice Chairperson and Secretary of the Colorectal Cancer Committee of the Shaanxi Anti-Cancer Association, Chairperson of its Young Members Committee, Vice Chairperson of the Youth Committee, Clinical Nutrition Branch, Shaanxi Provincial Society of Clinical Nutrition; Vice Chairperson of the Tumor Nutrition Committee, Shaanxi Nutrition Society; Vice Chairperson of the Tumor Nutrition Committee, Shaanxi Anti-Cancer Association; Standing Committee Member of the Youth Work Committee, Shaanxi Anti-Cancer Association; Standing Committee Member of the Retroperitoneal Tumors and Recurrent/Metastatic Liver Cancer Committee, Shaanxi Anti-Cancer Association; Standing Committee Member of the Minimally Invasive Treatment for Abdominal Tumors Committee, Shaanxi Anti-Cancer Association; Committee Member of the Colorectal Cancer Committee and Gastrointestinal Surgery Committee, Shaanxi Medical Doctor Association; Standing Committee Member, Minimally Invasive Treatment of Digestive Tract Diseases Committee, Shaanxi Health Care Association. Serves as a peer reviewer for the Chinese Journal of Colorectal Diseases (Electronic Edition). Published 10 SCI articles and over 30 papers in Chinese series and national journals. Awarded Second Prize in the 2013 Chinese Surgical Young Scholars Award. Third Place in the Northwest Region and Excellence Award in the National Finals of the International NOSES Classic Surgery Video Competition. Excellence Award in the Colorectal Cancer Category of the First “Precision Surgery China” Surgical Video Competition (North China Region). Champion of the First Shaanxi General Surgery Video Competition; Champion of the Shaanxi Regional Round, 2023 China-Japan Gastrointestinal Endoscopy Unedited Video Competition. Successfully performed Shaanxi's first NOSES laparoscopic transvaginal specimen retrieval for gastric cancer in a mirror-image patient, with the procedure published in Frontiers in Oncology. Currently participating in 1 National Natural Science Foundation project, leading 3 Shaanxi Provincial Science and Technology Plan projects (including 1 key project), and 1 Shaanxi Provincial People's Hospital Elite Talent Science and Technology Plan project. Serving as a core member in 2 Shaanxi Provincial Science and Technology Innovation Teams, contributing to 5 provincial/hospital-level projects, and receiving 2 Shaanxi Provincial Government Science and Technology Second Prizes.

All mentors hold official certification from the China NOSES Alliance, combining extensive clinical practice with teaching expertise.

5. Training-Related Matters

1. Registration Requirements:

Both individuals and groups may register. Groups of 30 or more may apply for customized courses.

(To register for INSTEP, participants must provide their domestic medical practitioner license.)

2. Registration Methods:

Domestic participants must complete the electronic registration form (see attachment). Save the file as “Name + Hospital Name + INSTEP Registration” and email it to: NOSES2026@163.com. Simultaneously, submit a hard copy with your hospital's recommendation and official seal mailed to: General Surgery Department, The First Affiliated Hospital of Xi'an Jiaotong University 277 Yanta West Road, Xi'an, Shaanxi Province Attn: Mr. Yu (15109209226) Postal Code: 710061 Marked “INSTEP Registration”.

International applicants should contact us via email at NOSES2026@163.com and attach their resume.

All applicants must scan the QR code below to complete basic personal information.

【QR Code】

3. Admission Process

Applications will be reviewed based on qualifications, with priority given to outstanding candidates. Official admission notices will be issued two months prior to the program start date.

4. Training Location: The First Affiliated Hospital of Xi'an Jiaotong University

5. Certificate Award:

Participants who complete the course and pass the assessment will receive an official certificate from the China NOSES Alliance.

6. Estimated Course Dates:

January 5–10 (Session 1)

7. Payment Method: Please complete payment before the training begins.

(1) Online Payment: Scan the QR code to complete registration and payment. Carefully fill in invoice details (use name if not for reimbursement), organization tax ID, and contact email. Electronic invoices will be automatically sent to the provided email within 48 hours after payment. Payment QR code:

【QR Code】

(2) Bank Transfer:

Account Information:

Account Name: The First Affiliated Hospital of Xi'an Jiaotong University Medical College

Bank: Bank of Communications Shaanxi Branch, High-Tech Industrial Development Zone Sub-branch

Account Number: 6113 0105 1018 0100 4160 0

Remarks: Name/Organization - International NOSES Structured Training and Certification Program

(After remittance, please email the remittance receipt screenshot and billing information to: bobzheng@mail.xjtu.edu.cn)

9. Contact: Ms. Zheng (+86) 13572476979 (also WeChat)

Address: 277 Yanta West Road, Xi'an, Shaanxi Province

The First Affiliated Hospital of Xi'an Jiaotong University

November 6, 2025