Surgical artist

Chapter 282 This Jiangnan Province really came to the right place

In everyone's mind, a possibility emerged...

Could it be that Zhao Peiru really already had a plan in mind?
Even……

This set of "no-scar ideas" has actually been in the research of Zhao Peiru, and even the project plan has been written long ago?Just took the opportunity to take it out today?
Vice President Wang, Director Hou and other experts were completely filled with curiosity.

Vice President Wang couldn't help asking: "Xiao Mu, when did you finish writing this plan?"

Although Mu Sisi was soft-spoken, she often followed Zhao Peiru to the Provincial Medical Association, so she was also remembered by Vice President Wang.

Mu Sisi was asked by the boss by name, and quickly answered truthfully: "I just finished writing it before I came here."

She quietly glanced at Zhao Peiru, saw the approval in Zhao Peiru's eyes, and then continued: "It was dictated by Director Zhao, and Xiaomeng and I typed for the school team."

Everyone's heart moved.

Just finished?

Could it be that Zhao Peiru really just came up with it?

Hou Wenbo and other experts opened up the project plan.

"Umbilical single hole method?"

When the experts saw the title, they were shocked!

Their most advanced method is the three-hole method. Zhao Peiru came up directly, just a single hole?

Only need one puncture point?

And this puncture point, or the navel, the natural channel of the human body?

If this is done well, wouldn't it really be possible to have no scars?
While everyone is watching...

Zhao Peiru also explained in a calm manner:
"My transumbilical single-hole method first achieves no scars in the abdominal incision."

"Secondly, because it does not need to pass through the stomach and rectum, it also avoids the risk of infection of the fistula."

"If you want to talk about its disadvantage, the cost is a bit high, which is higher than my previous "five-hole method"."

The experts watched and listened.

I heard Zhao Peiru talk about his "advantages of the umbilical single-hole method"...

Everyone goes in with their left ear and out with their right ear.

Because now, their minds are full of one question.

How does this "single hole method" achieve so many operations with only one puncture hole?
At present, the most widely spread in the gallbladder industry is the "five-hole method" proposed by Zhao Peiru, which is the simplest, easiest to do, and the most efficient, followed by the "four-hole method", which has been eliminated but is still used in some remote primary hospitals. hole method".

However, Huakang's "three-hole method" has high economic costs and difficult operation, and only a few hospitals that take the high-end route adopt it.

The above five holes, four holes, three holes...

All require multiple puncture holes to cooperate with each other to complete the entire operation.

Because there are too many steps to operate under the mirror!

Not only need a lot of equipment, such as laparoscope, electrocoagulation hook, grasping forceps, establishment of pneumoperitoneum device, dissection instruments...

And a lot of complicated operations have to be done, such as dissection, resection, electrocoagulation, grasping, suturing...

All of these require multiple puncture holes to cooperate with each other.

Director Hou and other experts have also tried to improve the "three-hole method" into the "two-hole method", and the result...

Discover its difficulty, increasing exponentially!

Not to mention the ridiculously high cost, the difficulty of operation has become extremely complicated, and the operation time has been forced to be extended.The entire operation was estimated to be completely unsuitable for the patient, and the patient simply couldn't bear it either psychologically or physically.

But now...

Zhao Peiru directly skipped the "two-hole method" and developed the "one-hole method!"

This is so shocking to everyone!

They really wanted to know how Zhao Peiru did it!

It felt like a cat scratching my heart.

"The biggest problem with a single hole should be that all operating instruments enter from the same angle as the laparoscope, and the instruments are almost parallel to each other, easily interfering with each other, and the difficulty of operation increases exponentially!"

In other words, originally several operating holes refer to each other and cooperate with each other.Now they all become one hole to enter, it is bound to "fight" each other, interfere with each other, and affect each other.In the end, it becomes a mess and nothing can be done.

"Let's see how Director Zhao solves this problem."

Therefore, the experts in the room all started at the same time, and turned to the "specific operation" part of the "project plan".

Soon, they saw several key words.

Crosswise, using curved and slender equipment, adjusts the position of the manipulator and laparoscope.

"This... how to do it?"

Everyone looked at each other.

Just looking at these few keywords, it is very imaginative.

But what exactly is cross-handling.How to bend the device to a specified angle, and what position the operating parts should be in order to avoid mutual interference.

Experts, there are [-] whys in mind.

Especially want to know the meaning behind these keywords.

Director Hou suggested: "Director Zhao, can we invite you to perform a simulated operation, so that we can truly experience how your single-hole method is performed."

"If your plan is not yet complete, you just need to show us the general idea of ​​​​this single-hole method."

In everyone's expectations...

It would be nice to have a general idea for this set of plans. In such a short period of time, it is impossible to perfect every detail...

Right?
Unexpectedly, Zhao Peiru smiled lightly: "The plan has been completed."

Everyone's pupils shrank!
Are the plans complete?

What kind of speed is this!

While shocked, everyone was also full of surprises. So, now they can see the complete and specific operation process? !

In the mood of shock and anticipation...

Everyone came to the scientific research center of Huakang Hospital, the gallbladder surgery simulation room.

These high-tech simulation equipment of Huakang Hospital are more expensive and easier to use than those of Jiren Hospital.

After Zhao Peiru got acquainted with the simulation equipment, he started talking with the staff and input the required simulation operations into the simulation equipment one by one.

After everything is ready.

On the simulated operating table, a 3D virtual simulated surgery image began to appear.

While the video is advancing the simulation process, Zhao Peiru also communicates with the staff at any time to make some additional simulation operations.

"Should we establish the pneumoperitoneum first? This step is consistent with our three-hole method."

"Next... is this a single-hole three-channel device?"

Everyone looked at it and nodded slightly.Looking at it so far, it's all mediocre, nothing special.

Equipment such as grasping forceps, electrocoagulation hooks, and dissection instruments also enter through the five-mm channel in the single-hole equipment.

"It's time to start the free dissection operation!"

"But the effect of exposing the triangular gallbladder is not good. I can't see clearly, so I can't operate it?"

"Yes, the disadvantage of a single hole has been revealed. One puncture hole requires observation and complicated operations. This is simply impossible..."

Everyone shook their heads.

Everything is confined to one place, not to mention the operation, even the observation field of view is not clear.

But the next moment, everyone was shocked!
On the simulated operating table, with the operation of the grasping forceps, a No. 4 absorbable thin wire suspended the gallbladder fundus, and then the upper end of the ampulla was also slightly lifted.

"The area of ​​the triangular gallbladder is revealed!"

Everyone looked at Zhao Peiru in shock.

The problem of the vision part is solved so simply?Did you use the combination of suspension and crossover?
Immediately afterwards, everyone saw that the electrocoagulation hook opened the triangular serosa before and after the gallbladder, and the cystic duct was also freed!

They carefully observe the position, angle, and crossing of each instrument...

Sure enough, each other, each other did not block, do not affect, do not interfere.The positions of these instruments seem to have been carefully calculated.

In fact...

This is the most correct position summed up by Zhao Peiru's mind, using the accumulated experience of tens of thousands of surgeries and countless experiences, how can it not be subtle?
Subsequently, the gallbladder polyps in the target area were easily cut off!
Everyone exclaimed!
"This cuts out the polyp? So fast!"

Everyone just exclaimed, but director Hou Wenbo's heart was even more shocked and his scalp was numb!

Because in this simulated surgery, the patient's parameters are set by him!The data in it comes from the female star Zhou Zi!

That is to say...

Actress Zhou Zi's surgery can already be done with Zhao Peiru's umbilical single hole method!
It can be used to solve practical cases!
At this point, the simulation process ends.

Everyone was still immersed in shock, unable to recover for a moment.

Immediately, they happily discussed the scene just now.

At this moment, they have too many things they want to communicate, such as the position and angle selection of the several instruments just now, such as the beauty of the cross-hand technique, such as the degree of bending that various instruments need to achieve...

At this time, Vice President Wang, the provincial leader, came in.

"Director Hou, how is the simulation going?"

"Is Director Zhao's plan feasible? Is it necessary to continue to study it?"

It is actually very normal for Vice President Wang to ask this question.

The birth of a new solution is often only in its infancy, and requires in-depth research and continuous improvement by experts before it can finally mature.

But when Hou Wenbo heard these words, he felt complicated.

"President Wang, this plan is too feasible! And the key is..."

"Director Zhao has already perfected this formula."

"It has completely passed all the verifications of the simulated surgery."

"After our discussion with the expert group, we all felt that the protocol was quite mature, and even felt that it could be applied to practical operations."

Vice President Wang looked at Zhao Peiru in surprise.

"Director Zhao, no wonder you were so confident when you called me the first time!"

"It seems that you are well prepared!"

……

Huakang Hospital carried out several simulation verifications on the plan, and after the expert group deduced and demonstrated.

The experts are very satisfied with this plan!

In the end, all agreed to be used in the example operation!

Moreover, Zhao Peiru was invited to be the chief surgeon of this first operation.

……

On the female star Zhou Zi's side, a little assistant said:
"Sister Li, Huakang Hospital's treatment plan has been sent over, do you want to have a look?"

Sister Li nodded, and together with Zhou Zi, clicked on the treatment plan on the phone.

"Single-hole puncture, and through the navel? Can it be completely scarless?"

Sister Li's eyes lit up immediately.

"Zhou Zi, don't tell me, the level of medical care in Jiangnan Province is okay!"

During the period of waiting for the treatment plan, Sister Li also asked someone to inquire about the treatment level of the top hospitals in Kyoto and Haishi.

The top one is a hospital in Haishi City, which also pierces through the navel, but two holes need to be punctured on the navel at the same time, and then medical and aesthetic methods will be used to hide the scar as much as possible.

But no matter how hidden it is, it can't compare to the single hole without scar in Jiangnan Province.

It seems that this is the right time to come to Jiangnan Province.

Zhou Zi smiled proudly: "Of course, my hometown is actually pretty good!"

After reading the treatment plan, Sister Li frowned slightly:

"It's just that the chief surgeon is not from Huakang Hospital?"

"It's a doctor from the Fourth Hospital of Jiangcheng City named Zhao Peiru."

Several people used their mobile phones to search for the name.

A lot of news suddenly jumped out!
"Wow! This Dr. Zhao Peiru is amazing! This is more reliable than the doctors at Huakang Hospital!"

"He has won many awards, and judging by his age, he is an old famous doctor."

Sister Li nodded slightly after reading some news.

She called again and asked someone to inquire about it, and the final result made her even more satisfied. It seemed that Huakang really invited a capable and famous doctor.

"Then I will reply to Huakang Hospital and receive treatment."

"In addition, I have to tell them to keep it secret and not to make news." As the assistant team leader, Sister Li has to worry about all aspects.

……

After all preparatory work is done.

It's time for surgery.

Zhao Peiru came to Huakang Hospital as scheduled.

This time, he only brought Mu Sisi with him and was responsible for recording the operation data.

His assistant is Director Hou Wenbo of Huakang Hospital.

Because this operation is also one of the contents of the "special project".

In other words, if Zhao Peiru took other people's money, he had to be responsible for giving the people to the church.

Since you want to teach, let's start teaching from the assistant job.

……

At the patient's request.

In the operating room, apart from Zhao Peiru, Hou Wenbo, Mu Sisi, an equipment nurse, and an itinerant nurse.

Only two director-level experts from Huakang Hospital in the observation room were present.

At the beginning of the operation, Zhao Peiru demanded: "Director Hou, you come to puncture the abdomen and establish an insufflation, is it okay?"

Since there is a right-hand assistant, there is no need to use it in vain.

Hou Wenbo was also eager to try.

During the period before the operation, he almost always worked overtime in the simulation room of the scientific research center, observing every operation process and details, and wanted to learn this single-hole method as soon as possible.

At this moment, Zhao Peiru, the pioneer of the single hole, is present, and he really wants to try it himself.

After Hou Wenbo said "OK", he made a small incision at the patient's navel and inserted a three-channel anti-leakage operating device.

After establishing carbon dioxide insufflation at 12mmhg, the flow of carbon dioxide was controlled at 40L per minute, and a [-]mm laparoscope and grasping forceps were inserted...

He has simulated these operations more than a dozen times in the simulation room, and he is already quite proficient.

"The key step is about to start!"

"Next, it is very important to be able to expose the vision of the gallbladder triangle..."

Hou Wenbo carefully manipulated the grasping forceps and electrocoagulation hook, trying to lift the gallbladder triangle.

But I tried once, but it was a crawl error.

Sweat dripped from Hou Wenbo's forehead.

(End of this chapter)