Romanian Dr. Iustinian Simion
on His Experience with
Neurosurgeon
Professor Bin Xu
at Huashan Hospital,
Featured in Q Magazine
" My experience in China, specifically at Fudan University, Huashan Hospital in Shanghai, was extraordinarily rewarding and fruitful. I felt privileged and honored to have had this opportunity. "
Said Dr. Iustinian Simion, Neurosurgeon and currently Coordinator of the Neurosurgery Department at the Military Hospital in Cluj Napoca, Romania.
Dr. Simion has been following Professor Bin Xu at international neurosurgical congresses since his residency. Professor Xu, a world-renowned neurosurgeon, is widely recognized for his mastery in performing various high difficulty cerebral bypass surgeries.
As one of the core contributors to a team that received the Second Prize of the National Science and Technology Progress Award, Professor Xu holds over ten key positions in the international academic community, including serving as Vice President of the Asian Congress of Neurological Surgeons (ACNS). He specializes in vascular diseases of the brain and spinal cord, including aneurysms1 , vascular malformations2 , Moyamoya disease3 , cavernous hemangiomas, and carotid artery stenosis. He is particularly adept at high difficulty intra-extracranial vascular bypass surgery, having performed over 16,000 such procedures and holding multiple world records in cerebrovascular bypass surgery.
Aneurysms
Vascular malformations
Moyamoya disease
Case 1: Performing 'embroidery' On 0.8mm Blood Vessels
Case 2: Race Against Time!
The neurosurgery team at Huashan Hospital, North Campus.
"I had been following Professor Bin Xu at international congresses ever since I was a resident doctor. He was a very serious and warm person, close to the younger generation. In 2023, he attended the Congress of the Romanian Society of Neurosurgery held in Sinaia, where I approached him about the possibility of gaining experience at the centre in Shanghai. Both of us kept our word, and thus an older desire of mine came true: to visit some of the world's leading neurosurgery centres, see the situation with my own eyes, and be able to implement everything that could add value here in Romania."
The specialization internship Dr. Simion completed in Shanghaiwas in Vascular Neurosurgery, with a focus on bypass techniques in cerebral vascular pathology. Starting the day after Dr. Simion arrived, he began participating in highly complex surgical procedures alongside Professor Bin Xu and his team, who guided and supported him as if he had been
one of them for years.
"In addition, I attended an impressive number of consultations daily with the professor—on average about 50 consultations per day. The Huashan Hospital Center of Excellence in Vascular Neurosurgery is a leading reference center in China with a huge patient base. Across the four neurosurgery campuses in Shanghai, each with 38 operating rooms, they perform approximately 1,200 to 1,300 surgeries per day.
When I arrived on my first day, Professor Bin's surgery waiting list had reached 6,121 patients, and by the time I left, it had grown to 6,314.had someone told me this, I wouldn't have believed it. However, it seems that to truly understand the reality, you need to experience it firsthand."
Dr. Simion
Reflects on His Experience
at Huashan Hospital:
"For me, the experience in China made me fallin love with the country, from the people, withtheir profound simplicity and humanity, to a civilisation and culture thousands of years old that rigorously preserves its sacred values. Therefore, next year I plan to return, to deepen both the medical knowledge, which has enormously boosted my expertise and experience,and the human side, which, I would say, preserves simplicity and sacred values with great reverence."
Prof. Bin Xu, a happy patient who brought this flag as a token of gratitude, Dr. Nicolaie Dobrin, Dr. Simion.
Q Magazine : What special surgeries did you perform together?
" Since it was a Centre of Excellence in Vascular Neurosurgery, most cases were exceptional, complex and requiring a high level of expertise. The main focus was on intraextracranial bypass procedures, which constituted the majority of the surgeries I participated in. However, there werealso many vascular neurosurgery interventions performed via endovascular treatment, ranging from complex cerebral aneurysms to vascular malformations. Additionally, there was an emphasis on combining techniques to provide the patient with the best possible outcome, hybrid techniques involving both microsurgical and endovascular treatments.
Throughout Europe, only a few neurosurgeons perform intra-extracranial bypass surgeries. There may be fewer than ten who do these operations regularly.
This difference is also due to pathology. In the Asian population, a vascular condition called Moyamoya disease , which affects the cerebral arteries, is very common. Its treatment in most cases is bypass surgery—connecting a blood vessel from outside the skull, mainly the superficial temporal artery, to a blood vessel inside the brain, usually the middle cerebral artery.We also have many cases in Romania that could benefit from bypass surgery, so I hope to further develop this technique here in the future."
Moyamoya disease
Q Magazine : You mentioned there is a 100-year gap betweenChina and the rest of the world. Why is that?
" Their level of organization often exceeds our capacity to fully understand. The discipline and rigor they demonstrat place them at the very top. I have been to many parts of the world, both highly developed and less developed countries, but observing how things operate in China, the speed at which they move, and especially the country’s strategy, leads me to say they are 100 years ahead of the rest of the world. Digging deeper, it all comes down to mentality. They have an unshakeable mindset,with deeply ingrained values and principles, combined with immense ambition. That is the key!"
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