Surgical artist

Chapter 246 Raise the level of crushing

Under the tense gaze of the crowd...

Zhao Peiru was neither in a hurry nor in a hurry, on the contrary, he was quite leisurely, and said lightly:
"This part of the operation is not easy, but as long as you pay attention to a few key points, you can safely break the stone."

"One is that when the holmium laser optical fiber is placed in the intrahepatic bile duct, the fiber head is more than 1.5 cm beyond the choledochoscope, which can effectively avoid the damage to the biliary tract caused by high-power excitation."

"Another one is to put the optical fiber against the side of the stone as much as possible, and crush the stone from the edge of the stone, "nibbling" the stone, showing a cavity through the edge of the stone, and repeatedly moving the top of the fiber..."

While doing it, Zhao Peiru explained these details clearly and thoroughly.

Listening to Zhao Peiru's explanation, and watching this real-time operation demonstration...

"Be careful, Director Zhao, this is a difficult operation!"

Everyone was afraid that Zhao Peiru would accidentally pierce the patient's guts!
Everyone's scalp was numb, and at the same time, they said it was enjoyable!

This part, which should have been done with fear, who would have thought that Zhao Peiru would actually explain it?
"Director Zhao's teaching is really intuitive! This is a valuable on-site learning opportunity for us!"

"Director Zhao was so kind to us, he didn't hesitate to take the risk to give an explanation, woo woo woo, I'm so touched!"

"The key is that Director Zhao's technique is too high and precise, and he can explain it to us in such detail while performing difficult operations!"

If someone else was in charge of the operation, they would have to concentrate on the operation of the holmium laser at this moment, and they would be sweating profusely!
Zhao Peiru, on the other hand, was doing difficult and high-risk operations.On the one hand, I still have time to explain to them.The explanation is also very thorough and detailed!Even the tone of voice is very relaxed, and it seems to be easy to handle!

This strength is too terrifying!

more so...

Xiang Tan and the others, who were originally worried about the difficulty of this part of the operation, felt relieved instead.

"Brother Zhao is still stable! I shouldn't worry about his operation part."

Zhao Peiru's operation has always been solid.

It seems that even if it is switched from the field of liver to the field of cholelithiasis, it still maintains a stable style.

Under the action of the holmium laser, the big stones were crushed one after another, and all of them became small broken stones smaller than [-] mm.

Afterwards, Zhao Peiru used a stone extraction basket and normal saline to wash, and took out all the broken stones and residual stones.

Finally, put the trimmed T-tube into the common bile duct, withdraw the mirror, and close it!

At this point, the entire operation is complete!

Subconsciously, Xiang Tan looked up at the clock on the wall.

He wants to see the operation time.

"hiss!"

"It's only been five or ten minutes?"

This is shorter than the minimum time estimated in the data!

Compared with the average time for stone removal surgery for the elderly, it is 80 minutes shorter!It was shortened by more than half!

This is definitely an improvement in the crushing level!

Not only the efficiency has been improved, but more importantly, the gravel has been completely removed.

Usually, in the stone removal operation of elderly patients, due to various complex reasons of the elderly's body, there are often some small broken stones that are "too difficult to remove stones and difficult to remove".

"The effect of the current surgery has completely exceeded expectations!"

"Now we are waiting for the patient to give feedback on the indications within half an hour after surgery, three hours after surgery, and 24 hours after surgery."

The degree of wound infection, liver function damage, peritonitis, abdominal pain, fever, sinus bleeding, etc. of the patient need to be observed again, and then compared with the usual stone removal surgery for elderly patients.

However, relying on Xiang Tan's years of experience.

These indications... are often that the shorter the operation time, the less damage to the patient's body, and the better the indications should be.

After everyone waited for a while, the results of the patient's indications half an hour after the operation came out.

Sure enough, as Xiang Tan expected, the feedback on all indications was very good!It far exceeds the average level of taking stones for the elderly.

Chai Baorong was very pleasantly surprised: "This kind of operation is really friendly to the elderly!"

"Many elderly patients are reluctant to undergo surgery because the surgical trauma is large and the damage during the operation is large. Even if the operation is performed, it will consume a lot of body. This will make the situation worse for them who are already weak!"

"Director Zhao improved the new technique, which has less trauma and less damage, and the data fed back from various effects are extremely excellent!"

"This will undoubtedly dispel the worries of many elderly patients and their families!"

The female director Chang Lifang also admired: "The biggest advantage of the new improved operation is to remove the stone cleanly, which is very important for elderly patients!"

The removal of stones is clean, which means that elderly patients suffer less after surgery, less recurrence, and can be discharged from the hospital with peace of mind.This point can also dispel the concerns of many elderly patients.

"It's just... the operation is a bit too difficult. I'm afraid I can't take it down at my level."

When Chang Lifang saw the superb and exquisite operation, she flinched a little.

Not to mention her, even Chai Baorong and Xiang Tan next to him felt a little guilty when they saw such a superb operation.

Chai Baorong asked himself, if it was him, he would at most be very reluctant to complete this set of operations, and it would be very rare to be able to barely guarantee that there would be no mistakes.It is definitely not possible to be like Director Zhao, who can explain every step and every detail with ease while performing superb operations.

In Xiang Tan's heart, he was lamenting another thing.

"Sure enough, the same technique, after being improved, will have a completely different difficulty and effect."

"This is... only a 'master of medicine' who has an incomparably deep understanding of techniques can achieve this level!"

There was a bit of envy in Xiang Tan's eyes.

"Everyone in medicine"!

Unknowingly, this brother Zhao has reached such a high level!

Vice President Pan Mingde stepped forward and smiled at Zhao Peiru, who had just stepped off the operating table: "Director Zhao has worked hard, and the operation is very good! It also taught us a few doctors a good lesson."

Everyone smiled and nodded.

The on-site teaching session just now made them terrified and enjoyable to watch!

While watching it with horror, I also learned a lot!
Pan Mingde smiled and said to Xiang Tan next to him: "With such an excellent surgical effect, you should be able to win a special project, right?"

Xiang Tan nodded and said: "The effect is really good. Just looking at the indication feedback within half an hour after the operation, it has far surpassed the previous stone removal procedures for the elderly. Now, it depends on the results of other families."

Chai Baorong also nodded: "I pay more attention to the field of gallstone disease. As far as I know, Director Zhao's new improved surgery has great advantages, and all the feedback indications are even crushing."

"As long as other hospitals fail to release major new technologies...if there are only some small innovations and small improvements, it is impossible to achieve such good surgical results as Director Zhao."

Everyone nodded.

"It seems... we are more stable, right?"

"If you can win this 'special project'..."

Everyone was a little excited, feeling that victory was waving to them.

This is the closest they are to a "special project"!
Pan Mingde said: "If it really succeeds, it will be great news for our Fourth Academy!"

"Our Fourth Hospital's reputation in the field of liver has already been established. If we can use this opportunity again, we can also spread our reputation in the field of gallstones..."

"Then our fourth hospital will not give people the impression of 'monotonous development', but will have a certain comprehensive competitiveness."

The current hospital ratings, honors, and even excellent ratings...

There is an important indicator, which is to have "comprehensive" medical capabilities.

If it succeeds this time, it will undoubtedly have a much greater chance of competing for these honors and ratings in the future!
……

After sorting out and summarizing, Mu Sisi uploaded the information to the internal website of the Provincial Medical Association.

Subsequently, other hospitals also uploaded information one after another.

This time, each hospital has come up with its own special "unique tricks", come up with the best technology, and carefully selected the best surgical effect.

after the deadline.

The province has officially entered the stage of discussion, review, and evaluation.

The entire evaluation and review process was carried out in the Provincial Medical Association Building, and was reviewed and evaluated by an expert group. The process was not made public, and only after the results were released would they be released to the public.

Biliary tract specialist hospital.

"This time, the province will not release any news!"

"I really don't know if we can win the special project this time."

"Each family uploaded their own materials, and we don't know what techniques and procedures other families have used."

"This time is tantamount to a 'closed-book exam'. All we can do is wait for the results to be announced."

Everyone was expecting, apprehensive, and nervous in their hearts.

"or……"

"I am an old classmate with Director Zhang of the Department of Hepatobiliary Surgery of Huakang Hospital. May I ask him in private?"

"I also have acquaintances in Jiren Hospital. Let me inquire about the technology uploaded by their hospital?"

The waiting was too painful, and everyone couldn't sit still.

They are all inquiring and communicating with each other in private.We all want to know what technology other hospitals use and how effective it is.

The medical circle is a small circle, and in addition to this "gallstone disease field", the techniques and procedures that can be used are those, and they can't jump out of the framework.This mutual communication, each other knows it well.

"I got it!"

"The biliary tract specialist hospital is led by Director Cui Yongxin, and the laparoscopic partial bile duct resection technique is used."

"At Huakang Hospital, Director Hou Wenbo is the chief surgeon, using the high-tech fiber-optic choledochoscopy lithotripsy technique."

"The news about Jiren Hospital is severely blocked, so we can't find out, but it must be headed by Director Tao Jiangtao."

All kinds of gossip are flying all over the sky.

Based on these news, everyone secretly compared with themselves.

They all want to know what their chances of winning are.

Finally, the evaluation work in the province is over.

Entered the final scoring summary stage.

Tao Jiangtao, the vice president of Jiren Hospital, happened to come to the Provincial Medical Association to do business.

After finishing his work, he stopped by and came to the office area of ​​the "special project" selection team.

Tao Jiangtao grabbed a person: "Director Zhou, has the evaluation of special projects come to fruition?"

When the other party saw that it was Dean Tao Jiangtao, he immediately smiled: "It's just finished! Now it's in the final summary stage."

Tao Jiangtao blinked: "I don't know if we have completed the scoring and summarization of special items in the field of gallstone disease?"

Director Zhou chuckled, "I won't hide it from you."

"In the field of gallstone disease, the total results have been summarized. If you want to know..."

"Anyway, it will be released to the public soon, so let me show you first."

This result did not involve secrecy, so Director Zhou simply took out the grade paper that had just been printed out.

"This is the summary report of each hospital's scores. It has just been printed out, and it hasn't been stamped and bound yet."

Tao Jiangtao looked over.

The highest score is not him.

But the one in his mind.

Look at the back of the form, a summary of the technology used by that person...

With Tao Jiangtao's high level, he only needs to read it once to know the general idea of ​​this plan.

"Is it combined with holmium laser lithotripsy technology?"

Tao Jiangtao thought about it for a while, and his mind quickly cleared up: "These two technologies are really a perfect match! The holmium laser lithotripsy technology can make up for the shortcomings of hard choledochoscopes that are difficult to bend and not flexible enough. And the rigid choledochoscope technology can It makes up for the shortcomings of the holmium laser lithotripsy technology that the broken stones are scattered and difficult to remove."

"Two technologies complement each other! Learn from each other's strengths!"

"The only disadvantage is that the operation becomes more difficult, but his operation skills are very solid. In this respect, it is not a problem at all."

"I am convinced, I am convinced if I lose!"

Tao Jiangtao couldn't help feeling a sigh in his heart.

In comparison, his improvement direction this time seems to be relatively childish.

He just made "optimization for the elderly" in the stone extraction stage, which can only be regarded as a "small innovation". Compared with Form No.1, there is a huge gap!
Director Zhou next to him saw that Tao Jiangtao didn't get the first place, but he didn't show any disappointment at all, so he immediately gave a thumbs up.

……

Tao Jiangtao returned to Jiren Hospital.

First come to the Department of Hepatobiliary Surgery, and let the department explain and arrange the things to be done at the Provincial Medical Association.

After explaining, he said casually: "Director Zhen, there's no need to wait for the special project. The result has already come out, and we didn't get the first place."

"what?"

Director Zhen was stunned for a moment: "We didn't get the first place? We're out of action?"

Beside, several doctors in the department also pricked up their ears!

They thought that their own hospital was the most competitive.

Hearing that he failed to get the first place, his mood suddenly changed from anticipation to disappointment.

After being a little frustrated, Director Zhen quickly adjusted: "President Tao, which hospital won the first place?"

Not only he was curious, everyone in Corey was extremely curious.

Which hospital has such a high level?

Tao Jiangtao said with a smile: "The province will make it public tomorrow, and you will know when you go to see it."

"However, one thing I can reveal is that No.1's technology is very good! I admire it very much!"

Everyone was shocked when they heard this!
No.1, and got such high praise from Dean Tao?
Everyone's curiosity grew stronger.

Tao Jiangtao left after speaking.

Everyone in Corey started discussing more and more lively.

Some people are still on WeChat, sharing the news with old acquaintances, good friends, and classmates for many years.

Soon, all the hospitals knew that Jiren Hospital did not get the first place.

While everyone was secretly delighted that there was one less powerful competitor, they were also heartbroken.

Even Jiren Hospital has been surpassed, and Dean Tao has failed... Can they do it?Could they be more skilled than Dean Tao?
At this time, another shocking gossip spread from Jiren Hospital...

(End of this chapter)