Surgical artist

Chapter 274 At Least Two Grades Worse
Take a closer look at Tan...

The biggest difference is that the jejunum was not incised, but a side-to-side anastomosis was performed on both sides. This step is very clever, effectively avoiding the biggest "forbidden zone" on the patient's body.

Zhao Peiru smiled and said, "This is a portable anastomosis method specially formulated for patients."

"The basic principle is actually the roux method, but it has been improved in a targeted and personalized way."

Everyone was stunned: "So this is an improved version of the Roux anastomosis?"

Chai Baorong's eyes widened in shock!

This is an improved version?He didn't see it at all!
The difference between this and the Roux method he is familiar with is too big, and he didn't even see any trace of the Roux method!

I thought it was a brand new anastomosis technique!

Zhao Peiru explained slowly while doing the movements in his hands:
"Because there are many forbidden areas on the patient."

"The several improvements I have made are all based on the consideration of the 'forbidden zone'."

"For example, the purpose of the anastomosis of the jejunum and jejunum is to establish a food channel and prevent food from entering the intrahepatic bile duct upwards, thereby causing infection."

"At the proximal biliary-enteric anastomosis, the full-thickness suture of the jejunal loop is done to ensure the output of food to the distal jejunum and avoid food retrograde infection."

"Moreover, if the jejunum is not cut off, but the length and continuity of the anastomotic intestinal loop can be used, the purpose of not having to deal with the mesentery and mesenteric blood vessels is another 'forbidden zone' for the patient..."

Zhao Peiru talked eloquently while performing the operation.

Directly opened the "on-site teaching mode".

Every improvement he made, the reason why, what medical principles it is based on, what advantages it has, and what purpose it can achieve are all clearly explained.

And with his explanation, everyone gradually realized it!

For many of the operations just now, they only saw that Zhao Peiru "avoided the patient's restricted area", but they did not see the specific deep-level effects, as well as its considerations, principles, and mechanisms!
After listening to it now, I am very impressed!
"This... is too thoughtful!"

When everyone heard such full consideration, their expressions all changed!
Faced with such a complicated situation, they even "sort out" and "distinguish clearly"...

Can't do it!

Director Zhao Peiru not only sorted out all the situations, but also took into account all the "forbidden areas" of the patient, and on this basis, made the best response!Came up with an advanced anastomosis plan!
Still in such a short time!

This is terrifying!

Between them and Zhao Peiru...

At least two grades behind!

The first grade is whether you can cope with it.The second level is how to deal with it better in a short period of time.

"Director Zhao's brain...is comparable to a sophisticated computer! The computing power is too strong!" Director Hao of the General Surgery Department couldn't help but sigh.

Chai Baorong also said: "Moreover, it is a sophisticated computer with rich experience in 'coincidence'!"

Everyone couldn't help but nodded.

In the face of such a major critically ill patient, time is life and must be rescued as soon as possible!This means that there is too little time for the operator to think about it!

In such a short period of time, most doctors responded in a panic, and it was good to try their best to save the patient's life.

Experts can come up with feasible solutions and are more friendly to patients' postoperative recovery.

Only the master can come up with an excellent plan, which not only saves the patient, but also allows the patient to return to a normal and healthy life in the shortest possible time.

Zhao Peiru is among them, the level of a medical master!

Among the emotions in everyone's hearts...

The finishing work in Zhao Peiru's hands is also over.

This critically ill patient was successfully rescued!
The patient is safe and sound!

Zhao Peiru told the young emergency doctor next to him: "Go and tell the family members outside the news, don't make them wait."

The family members who were issued a critical illness notice just now must have panicked, and those family members tended to get anxious and yelled.Get someone to stabilize them first.

The young doctor hurried out.

When everyone saw Zhao Peiru get off the operating table, they couldn't help but praise him.

"This can also turn things around... Director Zhao, your medical skills are amazing!"

"I didn't expect that, Director Zhao, you have such superb medical skills and attainments in anastomosis!"

"Let us see where we should start to improve the pertinence and individualization of anastomosis!"

Chai Baorong's heart seemed to be hit hard.

The roux anastomosis method he is best at can be improved so much!

Today, he has learned a lot!

The previous him was too rigid and dogmatic, too stereotyped!In comparison, he can only be regarded as an "executor" of medical procedures, while a boss like Director Zhao Peiru is the real "thinker".

This new line of thinking... opened his eyes at once!
Xiang Tan was also a little excited: "Brother Zhao's new idea of ​​improving the anastomosis method can be applied to the second half of more than 90% of biliary and intestinal surgeries."

"In terms of the scope of application, it is an excellent technique that is wider than the laparoscopic five-hole method!"

Just then, the door of the operating room opened.

Dean Tao Jiangtao hurried in.

"Director Zhao, Director Xiang!"

Dean Tao hurriedly said hello and was about to change equipment.

"How is the patient now?"

"Has your condition changed?"

When he was in the car just now, he used his mobile phone to read the patient's medical records sent to him by the Fourth Hospital.

Now he also has a big headache in his head.

The condition of this complicated patient is not easy to cure!However, he was able to use several small techniques and means to at least make the operation come to fruition safely.

It is foreseeable that with his methods, this operation will take a long time!At that time, the curative effect will be worse.At least, it can save the patient.

But he suddenly found that in the operating room, everyone's expressions were wrong.

There was no tension at all.

Instead, they looked at him with friendly smiles, even with a bit of joy.

Xiang Tan: "Dean Tao, you are late."

"Originally, I thought this case was none other than you. In Jiangnan Province, only you can solve this problem."

Xiang Tan first praised the other party, and then explained with a smile: "It's just that Director Zhao has finished it. If I had known that Director Zhao could take it, I wouldn't have disturbed you. It would have cost you a trip in vain. It's hard work." Already!"

Tao Jiangtao turned a blind eye to Xiang Tan's flattery.

"Is the operation really over? Such a difficult and critical patient?"

He went over to check on the patient's condition, and then looked at the operation records in Mu Sisi's hand.

"Did you really take down this operation? But this time is wrong!"

"It took so little time?"

Tao Jiangtao felt incredible!

If the operation is performed according to his method, it is only in the second half now, and it will take at least two hours to complete the entire operation!
But now, the patient has turned from danger to safety, and even the vital signs of the patient after surgery have all been shown, and they are beginning to improve!

"Director Zhao, what method did you use?"

At this moment, Tao Jiangtao was greatly surprised. There are not many doctors in Jiangnan Province who can treat such critically ill patients. They can be counted with a slap.

Among them, Tao Jiangtao took the shortest time!Even so, he needs two and a half hours.

But now, Zhao Peiru has used a matching plan that only takes 10 minutes? ?

Zhao Peiru said with a casual smile, "It's just a slight improvement in the roux anastomosis."

Chai Baorong next to him was still in shock, unable to extricate himself, he said subconsciously: "Director Zhao's improved roux is completely like a new anastomosis..."

At this moment, he has straightened out in his mind, roughly understood Zhao Peiru's portable anastomosis method, and said:

"Director Zhao's new anastomosis method is only the same as the Roux anastomosis in principle, but it is completely different in terms of operation and process."

"This new anastomosis method not only absorbs all the basic advantages of roux, but also shortens the time-consuming and makes the operation much simpler because there is no need to cut off the jejunum and deal with the mesenteric blood vessels, etc."

"In addition, there is no need to destroy the blood supply of the bile duct, no need to dissociate the bile duct, and directly from the root cause, eliminating possible bile leakage, biliary anastomosis stricture and other problems!"

"Compared with the Roux procedure, this technique is not only simpler, but also safer!"

"I think that in the future, not only critically ill patients who cannot move the jejunum and mesentery can be used, but also other patients who need biliary-jejunostomy can also apply this simpler, more efficient, iatrogenic injury. A smaller technique!"

As he talked, he helped himself to clear his mind. The more he talked, the deeper his understanding of this new anastomosis technique became.

After hearing this, everyone nodded their heads.

They still don't understand many specific details, but they understand the general procedure and principle of the operation.

But Dean Tao Jiangtao next to him, the more he listened, the more itchy he felt!

He still doesn't understand!
Can there be an anastomosis that can "bypass the jejunum" and have so many advantages?

"It seems that I am really late!"

Tao Jiangtao was extremely regretful, and even complained to Tan jokingly: "Director Xiang, why didn't you call me earlier, even if I quit the meeting in the middle, I have to come over to have a look!"

I didn't get to see Zhao Peiru perform the surgery on the spot, and I also missed the on-site explanation and teaching...

What a pity!
Good thing...

Tao Jiangtao looked up at the camera.

"Is there a video?"

Mu Sisi next to him smiled and said, "Yes, as long as it is our director Zhao's operation, our fourth hospital will record it."

Every operation of Zhao Peiru is at least at the "textbook" level, or even far beyond the textbook!

It would be a shame if it wasn't recorded.

Tao Jiangtao couldn't help rubbing his hands excitedly: "That's great, there is a computer in the duty room next door, right?"

He can't wait to watch it!

……

Wait for Zhao Peiru and others to come out of the operating room.

"thump!"

A family member immediately knelt down to Zhao Peiru.

Zhao Peiru quickly helped him up, and asked the young doctor in the emergency department next to him, "Didn't you be told to come out first and inform the family of the situation?"

The young doctor in the emergency department hurriedly said: "I have already told them the news that the patient is safe. But they said that they must wait for you to come out and thank you in person!"

Zhao Peiru took a look, sure enough, the worry on the patient's face was less, and he was a little more happy.

"Dr. Zhao, thank you, thank you! We know that this time it's all up to you!"

After Zhao Peiru entered just now, the family members went to the little nurse next to him and found out Zhao Peiru's name and position.

As soon as they heard that it was the director of the Department of Surgery and the director of the education and training center of the Fourth Hospital, the family members felt much more at ease!
Moreover, before Zhao Peiru entered the emergency room, a notice of critical illness was issued inside.And just as Zhao Peiru entered, in just half an hour, good news came from inside!
It is clear at a glance who is responsible for this!
Therefore, the family members insisted on thanking Zhao Peiru for saving their lives in person.

Zhao Peiru calmed down for a long time before the family members left.

……

Zhao Peiru returned to liver surgery.

Soon, Tao Jiangtao rushed up excitedly.

He had already watched the 10-minute surgery video in its entirety.

It was so much fun to watch!

There are still many places that he doesn't understand, and he needs to come up and ask for advice.

After Tao Jiangtao came in.

Outside, a large group of liver surgery doctors, including Chai Baorong, Ma Lin, and Jiang Lan and Guo Jun from the emergency department...

They all pricked up their ears, and they really wanted to hear Zhao Peiru talk about this "portable anastomosis".

"Director Zhao, we also want to learn this anastomosis..."

"Can we go in and listen too?"

Everyone looked at Zhao Peiru pitifully.

This new anastomosis method is not only suitable for today's critically ill patients who are full of "forbidden areas".It is also suitable for ordinary patients.

As they are often exposed to biliary and intestinal surgery, they really need this "efficient, simple, and patient-friendly" biliary and intestinal anastomosis.

A little bit of learning is also better than their previous conventional anastomosis.

Zhao Peiru smiled and simply called everyone in.

I gave a brief explanation to Dean Tao, and at the same time taught everyone a lesson.

"Later, I will write a detailed explanation material."

"I'll give each of you a share later, and you go back and think about it carefully."

Everyone was overjoyed!

After sending everyone away, Zhao Peiru said, "Stop to the director, I'll talk to you about something."

When there were only two people left in the office, Zhao Peiru closed the door.

He talked about his [Task [-]]: combined hepatobiliary and pancreatic surgery.

"Director Xiang, I plan to gather business."

Zhao Peiru said directly: "I want to re-merge the Department of Hepatobiliary and Pancreatic Surgery, and bring back Chang Lifang's business."

"Before, I was an independent liver surgery department in order to concentrate on the development of liver diseases."

"And now, the Department of Hepatology has established itself and has led the Fourth Hospital back on track."

"However, in the field of liver, gallbladder and pancreas, many diseases are comprehensive diseases, which need to be considered comprehensively."

"Now, it's time to reincorporate hepatobiliary and pancreatic surgery."

After listening to Xiang Tan, he thought for a while before laughing.

"It's a good thing!"

"Since taking over from Chang Lifang's team, the general surgery department has struggled to deal with the biliary tract and pancreas."

For example, patients with gallstone disease are often lost in general surgery.Later, it was Zhao Peiru who took the initiative and created several cholelithiasis operations, which made Chai Baorong often go to the joint general surgery department for consultation, which reduced the number of passing patients.

(End of this chapter)