Surgical artist

Chapter 245 Director Zhao has so many shining points
Tao Jiangtao liked Zhao Peiru's new technique very much.

Compared with the various stone extraction techniques he used before, the new technique has more potential for improvement and growth!
in short……

The new technique is like a "basic technique", a new "blank paper", on which one can write, draw, add, delete and modify.

So there are unlimited possibilities for growth!
Tao Jiangtao intends to take advantage of this opportunity to improve Zhao Peiru's technique.

Look at him and Zhao Peiru, who can improve and be more friendly to the elderly!

If he loses to Zhao Peiru, he will naturally be convinced.

Even if he wins, he intends to give half of the credit to Zhao Peiru.Congratulations to the founder of the technique.

……

Four courtyards.

Zhao Peiru asked Mu Sisi to make two calls in the courtyard.

Soon, Xiang Tan, director of major surgery, and Hao Zhigao, director of general surgery, came to his office.

"Director Xiang, Director Hao."

Zhao Peiru invited the two to sit down: "Have you seen the notice of the distribution project in the province?"

Xiang Tan nodded: "I see, the province has done a lot this time! Six special projects have been brought back at once!"

Zhao Peiru smiled and said, "Our fourth courtyard, are you interested in fighting for one?"

Fight for one?
Xiang Tan and Hao Zhigao looked at each other.The two really didn't want to fight.

In fact, Xiang Tan read it the first time the province notified him.

Six projects, belonging to six disciplines.None of them is what their four courtyards can do.

But the two looked at Zhao Peiru's expression...

Does Director Zhao have this idea?

Director Hao hesitated: "There is no special project that our fourth hospital can do, right? I checked, and there is no project in the field of liver!"

The two subconsciously believed that Zhao Peiru still planned to continue to work hard in the field of liver.

After all, in the field of liver, Zhao Peiru has already proved his strength with a lot of achievements.

Zhao Peiru smiled and said, "Isn't there a project in the field of gallstone disease?"

Xiang Tan was a little surprised: "You mean... the plan for the gallstone disease program that is more friendly to the elderly?"

"You really have an idea?"

Although Zhao Peiru created a new technique in the field of gallstone disease, it has nothing to do with the elderly.

It can even be said that it is not suitable for use in elderly patients.

Zhao Peiru smiled lightly and said, "I do have some ideas."

"I plan to make some improvements to the 'rigid choledochoscope direct surgery' according to the characteristics of the elderly. Make it more suitable for elderly patients with gallstones."

The hearts of the two jumped violently!
Xiang Tan subconsciously asked, "Can it work?"

If it is the field of liver, he believes in Zhao Peiru's strength and level.

But this is the field of cholelithiasis, especially the field of cholelithiasis in the elderly...it is very difficult to improve!

Zhao Peiru smiled lightly, and took out a copy of the information he had just printed out.

Xiang Tan took it subconsciously.

Turn to the first page and take a look.

"Application of rigid choledochoscopy direct stone extraction in the elderly with intrahepatic bile duct stones?"

His eyes widened suddenly: "Have you written it all?"

Xiang Tan took a rough look and found that this document must be more than ten pages thick!
This is written too fast! ?
"The province has just announced the notice. In such a short period of time, you not only figured it out, but also wrote it..."

This speed is not so fast in a rocket, is it?

Director Hao next to him was also shocked!Not only was he shocked by the speed with which the plan was drafted...

More importantly, as the head of the department, he was very itchy and wanted to see this proposal.He couldn't move his eyes away, he was firmly attracted to that material!

If Director Xiang Tan hadn't held the document, he would have wanted to go through it himself.

Xiang Tan was equally curious and opened the file.

Seeing this, he subconsciously said, "Using a rigid choledochoscope combined with laser lithotripsy?"

Zhao Peiru was beside him, drinking tea while explaining leisurely:
"This new method not only retains the advantages of rigid choledochoscopy, which is visual and intuitive, but also minimally invasive."

"It also has the advantages of fast lithotripsy and high safety of holmium laser lithotripsy. It shortens the operation time, improves the operation efficiency, and the patient recovers quickly after surgery."

"It can be said that it is very suitable for elderly patients."

Xiang Tan's heart skipped a beat when he heard that!
Hearing what Zhao Peiru said... the advantage is huge!
soon……

He saw another estimated number.

His eyes widened even more.

"Can you shorten the estimated operation time by 30.00%?"

Zhao Peiru smiled and nodded: "Generally, the efficiency of stone extraction for elderly patients is relatively low, and it takes about 130 minutes. However, my improved method only takes about 60 to 80 minutes. It is not an exaggeration to shorten the operation time by 30%. ?”

Xiang Tan is dumbfounded!

Only need 60 to 80 minutes of surgery time?
The estimated time written by Zhao Peiru in the material is still conservative!
If a surgery can be performed within 60 to 80 minutes, it will really make the whole industry boil!
Such a high operation efficiency is so friendly to the frail and impatient elderly people who suffer every minute!It is the gospel of the elderly!

Hao Zhigao, the director of general surgery next to him, was also very excited!
This is a huge improvement!
If it can be realized...

Once it is announced, the entire industry may be in turmoil!
"How feasible is it?"

"How safe is holmium laser lithotripsy?"

"Is there any conflict in the joint use of the two technologies? Has it been deduced?"

Xiang Tan breathed a sigh of relief and asked a series of questions.

The scenes depicted in the material are really beautiful!Xiang Tan can't wait to know whether this beautiful scene can really come true!

Zhao Peiru smiled: "I have performed it several times, and it should be fine. If Director Xiang and Director Hao are free, please help me perform the deduction together, check for omissions and fill in the gaps, and criticize and correct."

His plan is a very mature plan in his mind, and of course he didn't miss it.

This was done only to make Xiang Tan feel at ease, so that Xiang Tan could fully cooperate with his follow-up work.

Nod to Tan.

Director Hao knew that his level was limited, so he hurriedly said that he didn't dare.

The two immediately bent over their desks and plunged into the material.

Throughout the morning, Xiang Tan and Director Hao never left Zhao Peiru's office.

When the two raised their heads again...

Xiang Tan's eyes had completely changed, he was overwhelmed by Zhao Peiru's method!

The general idea of ​​this plan is not complicated to say. It is based on the "rigid choledochoscope straight-through stone extraction" with the addition of a version of holmium laser lithotripsy.

But many optimization details in it are very excellent, and every detail has been pulled to the extreme, and there is nothing to change.

Director Hao's eyes are full of stars at this moment, and he adores Zhao Peiru in his heart!
"There's just... one problem."

Xiang Tan frowned slightly and said: "The whole plan is very good, and there are no mistakes or omissions after deduction, but it seems... this technique is originally very simple in terms of operation, but after you change it like this, it feels difficult all of a sudden. It has soared several levels."

If we say that the previous "basic version" of the operation highlights a simple operation, even doctors in primary hospitals can learn it in one go.

The "improved version for elderly patients" has completely become a highly difficult version, especially when holmium laser lithotripsy is used, once an operation error occurs, it will damage the biliary tract and even destroy the large blood vessels in the liver. Cause biliary hemorrhage!

Zhao Peiru nodded: "Yes, the operation difficulty of this version is slightly higher."

This is also impossible, as it is impossible for every technique to cover everything.

But... this kind of high difficulty may be considered difficult for others, but for Zhao Peiru, it is just "a piece of cake".

In the end, Xiang Tan and Director Hao exchanged glances.

"Your plan is completely fine in terms of feasibility!"

"The only uncertain factor is whether the final surgical effect can achieve the expected goal."

This special project in the province will definitely attract a large number of powerful competitors.

This also means that Zhao Peiru's technique not only needs to be good enough, but also has to surpass the gallstone disease experts in the whole province!

This difficulty is high.

After this is settled.

Xiang Tan went to persuade the hospital leaders to let the hospital cooperate with this application.

Director Hao is going to do the preparatory work.

……

On the computer, Zhao Peiru finished his registration and clicked Submit.

After submission, a prompt box will pop up on the application page.

"You have successfully submitted your registration information, and you are the 32nd applicant for this special project."

Zhao Peiru frowned!
Already 32?
In other words, 31 hospitals and medical teams have already completed registration.

"It seems that the competition this time is indeed not small."

Zhao Peiru smiled in satisfaction.

Others wish there was less competition.

But for him, the bigger the competition, the better.

If there are more "excellent provincial famous doctors" to compete with him, won't we be able to complete the task safely?
At this time, another prompt popped up on the registration system.

"After the registration is completed, all medical institutions are requested to carry out relevant work on their own and pay attention to collecting information."

"This special project does not have a unified competition. Please carry out the project by yourself, and upload the materials after completion."

"After the upload is completed, the provincial expert group will conduct a unified review and evaluation."

……

Office of Vice President Pan Mingde.

Pan Mingde stared: "You mean, Director Zhao wants to compete for a special project? Has he already written the project plan?"

He nodded to Tan and reported the matter.

Pan Mingde hesitated for a moment: "It's just that Director Zhao is applying for a project in the field of cholelithiasis in the elderly. How about his plan? Is it highly feasible?"

Not in the field of liver, Pan Mingde was a little uncertain.

He nodded to Tan: "Dean Pan, Director Zhao's 'rigid choledochoscope straight-through stone extraction' was very good, right?"

Pan Mingde nodded, this technique is now very famous, not only Zhao Peiru is known by gallstone disease doctors in the whole province because of it.Incidentally, the Fourth Academy also became famous.

Xiang Tan said with emotion: "I have a feeling that Director Zhao has completely understood this basic technique..."

"I've seen the improved version for elderly patients this time. When I dig into many details, I can see the shadow of the deep logic of the basic surgery."

"Even if... Director Zhao improved another version someday, I wouldn't think it's a bit strange. His understanding of this basic technique can be said to be completely thorough and transparent."

That's an extremely high rating.

"My only worry is that there are too many competitors. All the hospitals in the province that develop gallstone disease will probably compete for this project."

"At that time, capable people will emerge in large numbers, and I don't know what kind of excellent technology will explode."

"I don't know if the final surgical effect of Director Zhao's plan can surpass that of other hospitals."

Pan Mingde nodded, he was also worried about what Xiang Tan was worried about.

"Okay, I know about this!"

"You reassure Director Zhao that the hospital will fully cooperate and support his application."

……

All hospitals are making preparations intensively.

Make project plans, try to improve surgical methods, and screen out suitable elderly patients with gallstones...

The Fourth Academy is also in preparation.

It's just that the preparations for the fourth hospital are very simple, all you need to do is to select an elderly patient of a suitable age from among the gallstone patients.

It's time for surgery.

An elderly patient who was ready for surgery was pushed into the operating room.

Behind Zhao Peiru, Meng Xiang, and Mu Sisi, Xiang Tan, Hao Zhigao, Pan Mingde, Chai Baorong, and Chang Lifang all entered the observation room.

"It's about to start."

Director Hao felt a little uneasy, and looked at the clock on the wall: "I wonder if the operation time can be controlled within 60 to 80 minutes as Director Zhao said."

Xiang Tan also glanced at the clock subconsciously, and then fixed his eyes on the operating table.At this moment, he was full of anticipation and apprehension, wondering whether the final effect of this operation could meet expectations, whether it could surpass other hospitals, and thus win the project!
Chai Baorong and Chang Lifang watched and studied carefully with their eyes wide open.

Vice President Pan Mingde watched silently without saying a word.

on the operating table.

Zhao Peiru calmly directed Xiaomeng to puncture and expand.

After opening the basket channel and establishing the sheath.

Started into rigid choledochoscopy.

While performing the operation, Zhao Peiru intentionally reminded everyone:
"Elderly patients with gallstones are characterized by a large number of gallstones and residual small stones. The bile ducts and liver in the body are in complex condition. It is best not to dissect and dissociate easily, as the risk is higher."

"The step of removing stones should also be done step by step. First, use the stone removal basket of the rigid choledochoscope to remove the residual small stones."

"Afterwards, after determining the larger stones, consider using holmium laser lithotripsy."

Not only Chai Baorong and Chang Lifang, who watched and studied, their eyes lit up.

Even Hao Zhigao, Xiang Tan and the others nodded slightly.

"Director Zhao is really stable."

"The idea of ​​the operation is very clear, not messy at all."

Vice President Pan Mingde thought about it. Director Zhao's attitude towards surgery might be worth offering a class to train other people in the hospital.

In surgery, technical experience is very important, but as the chief surgeon, it is even more necessary to be calm and decent, and to be calm and calm in any situation.

Director Zhao has too many shining points!Just take out a little thing, it is enough for other doctors to learn.

Finally, the operation came to the part of holmium laser lithotripsy.

This is also the most difficult part of the operation that was agreed by Xiang Tan and others during the preoperative discussion.

A careless operation may damage the biliary tract, or even rupture the biliary tract of the already fragile elderly, resulting in massive bleeding during the operation!

Xiang Tan, Hao Zhigao and others all became a little nervous.

(End of this chapter)