Surgical artist

Chapter 290
Professor Kong Yanjin pointed to the operation of "cutting the bile duct loop in situ and then anastomosis" and said:
"The industry has always debated the length of the bile duct loop. It is believed that the bile duct loop that is too long is easy to twist and even cause ischemic necrosis. However, the bile duct loop that is too short is not enough to offset the pressure of the intestinal tract."

Everyone nodded deeply, and of course they all knew this.

Kong Yanji: "And Director Zhao's step of in-situ cutting and anastomosis can reduce the chance of bile duct loop twisting and intestinal necrosis."

"It's a stroke of genius!"

When everyone heard it, and then thought about it carefully, they all reacted one after another!

Shock and surprise appeared in their eyes!
This is another operation that kills two birds with one stone!

Kong Yanjin admired: "That's why I said this plan is too subtle!"

"Every step of the operation is not aimless."

"Many operations can play a vital role in the whole plan. They all kill two birds with one stone, or even kill three birds with one stone."

"This plan is definitely worth thinking about, pondering, and chewing over and over again!"

The more Kong Jing said, the more admiration and admiration appeared in his eyes.

He speaks highly of it.

Everyone looked at Zhao Peiru in disbelief: "The team leader didn't know how many brain cells and how many nights he spent in order to come up with this plan!"

"Yeah, such a wonderful plan is so rare in the industry!"

"This plan will become a textbook-level plan in the future!"

Zhao Peiru also smiled slightly after listening to everyone's analysis.

He was quite satisfied with the performance of this group of people.

Especially Kong Jing, who has a really good eye, can see this in such a short period of time, which is already much better than the group of decadent old experts outside.

Director Han suddenly thought of something, excitedly said:
"So, don't we have a chance... to surpass Los Angeles Province?"

"As far as I know, Los Angeles has only initially solved the problem of anastomotic stenosis in the field of gallbladder expansion, and has made artificial valves for digestive juice reflux."

"The two methods of Luo Province are obviously not as good as Director Zhao's method!"

Everyone is also excited!

Professor Tao also said: "Indeed, it should be able to surpass Los Angeles Province!"

Only relying on "not so good methods", Los Angeles can be called "highlight technology".

And the technologies that Zhao Peiru proposed this time all solve the problems from the root, and every solution is better than that of Los Angeles!

Deserved, get better achievements!

This time against Los Angeles Province, their winning rate is great!
Old Professor Kong Yanjin said: "It's too early to say that now, let's see the results of the example operation first!"

The key is whether the operation can be carried out smoothly and whether all kinds of wonderful ideas in the operation plan can be brought into play.

Everyone also took a deep breath, full of anticipation for the next operation!
……

After the discussion, several people came to the large conference room outside.

"Mr. Kong, what kind of operation plan are you discussing inside?"

Seeing a few people come out, everyone outside immediately asked.

There was excitement and a smile on Kong Yanjin's face, but he still said: "Director Zhao's plan, I can't say too much or too much detail, everything can only be seen during the operation."

The people outside were a little dissatisfied.

Kan Kong Yanjing and the others kept their mouths shut, so they couldn't ask any more questions.

However, seeing the obvious and unstoppable excitement and smiles on the faces of Professor Kong, Director Han, Professor Tao, and Director Liang, everyone outside had a vague guess in their hearts.

It is estimated that Zhao Peiru may have really solved one of the three major problems?

……

Zhao Peiru came to the Provincial Medical Association.

Vice President Xiang Wang proposed the idea of ​​streamlining the "Special Project Team for Bile Preservation".

He said that the creation of the application of gallbladder protection should not rely solely on the number of people, but should be changed to a "flowing talent system".

We will continue to eliminate some members with poor performance, and at the same time, we will continue to absorb talents who recognize the idea of ​​gallbladder preservation, have ideas and make achievements in the direction of gallbladder preservation.

The province now attaches great importance to Zhao Peiru's opinions, and regards Zhao Peiru as the face of Jiangnan Province, so they quickly agreed to Zhao Peiru's proposal.

……

The old expert surnamed Liu and others received a "letter of dismissal" from the province not long after.

"Have we been kicked out of the 'Blade Protection Special Team'?"

When everyone first heard the news, their first reaction was dissatisfaction and anger.

But this is a transfer notice issued directly from the province, which is the meaning of the president of the conference and several vice presidents.

They just couldn't agree more.There is no other way but to obey.

Soon, several people adjusted their mentality.

"Heh, we don't want to waste time with Zhao Peiru anymore."

"The direction of protecting the guts is just at the beginning. Everything is difficult at the beginning. This field is now the most difficult field to achieve results."

"He doesn't want us, and we don't care about staying here. If we go to other directions by ourselves, we can achieve results faster and easier."

Everyone nodded one after another. Thinking about it this way, they all felt better.

They have done the gallbladder protection direction during this period, and they have indeed discovered that it is difficult to achieve results in this group.

There is no reference or comparable experience, and everything has to be explored from scratch.

The difficulty is too high!
An old expert surnamed Liu: "At that time, we will make achievements faster in other directions, let them envy us if they waste time!"

……

After streamlining members.

Zhao Peiru immediately discovered that the remaining members became much more obedient.

He ordered Liang Chenglei, Kong Yanjin and others to make preoperative preparations and schedule the operation time according to his requirements.

It's surgery day.

Zhao Peiru came to the Port Group General Hospital.

He, Meng Xiang, and Liang Chenglei took over the operating table, and Mu Sisi was responsible for recording the operation data.

Kong Yanjin, Director Han, Professor Tao and others all entered the observation room, staring nervously inside.

Although they had all seen the surgical plan, they were still nervous and worried.

Worry about whether the operation will be successful.

Worried about whether the deduction technique can progress smoothly.

Worried about whether there will be accidents during the operation.

Worried about whether the surgical effect can be achieved as expected.

Worried about whether the gallbladder preservation operation and anti-reflux operation can be successfully completed.

Really, this operation is too important!

Once too much meaning is given to it, people will inevitably be nervous.

Just like the college entrance examination, it is essentially just an ordinary exam, but because it determines which university you will go to, you can't help but feel nervous when you take the exam.

The same goes for this surgery.

It means awards, whether the bile preservation project can succeed, and whether it can surpass Los Angeles.

"Whether it can be successful or not depends on one action!" Director Han murmured in a low voice.

Professor Tao also had nervousness, enthusiasm, and anticipation in his eyes: "If it really succeeds, everyone in Los Angeles will be dumbfounded, right?"

"They certainly didn't expect that what they are best at will suddenly be surpassed by our Jiangnan Province."

"By that time, the gallbladder field in our Jiangnan Province will be able to turn salted fish over and become the most prominent and distinctive among the five provinces, right?"

……

outside the operating room.

The parents, grandparents and grandparents of the child are all waiting anxiously.

Although they are all atheists, neither are superstitious people.

But at this moment, they couldn't help but put their hands together and prayed to the gods all over the sky.

I pray that the operation will go smoothly, and that the child will escape from the sea of ​​suffering.

……

on the operating table.

Director Liang Chenglei of the Port General Institute was fortunate to be Zhao Peiru's second assistant.

With the assistance of two assistants, Zhao Peiru made a small incision on the baby boy's abdomen to fully expose the choledochal cyst.

Separate the cyst from the duodenum and the surrounding tissue space, free the cyst wall, ligate the neck of the gallbladder and the cystic artery...

As the second assistant, Liang Chenglei was doing cooperating work, and his heart was terrified.

He found to his embarrassment that his operation speed could not keep up with Zhao Peiru at all.

Forget it, even Xiao Meng almost couldn't keep up.

The current Xiaomeng is quickly led by Zhao Peiru, and he doesn't need to use his brain, he completely obeys Zhao Peiru's command, and his reaction speed is naturally faster than others.

Liang Chenglei was secretly startled: "No wonder there are rumors in the industry that Director Zhao's basic operation skills are very good, and he can even perform the operation as perfect as art."

"This operation is fast and precise!"

"When I came up to be the second assistant, it was completely a hindrance."

As the director of the gallbladder department of the Port General Hospital, he can be said to be the best in this field in the whole hospital.

But he, who is outstanding, in front of Zhao Peiru, is like a child who has just toddled and faltered.

"It's no wonder Director Zhao became the leader of the gallbladder protection team and made so many brilliant achievements."

"This superb basic skill alone is far superior to too many people."

Liang Chenglei cheered up and tried his best to show his full strength, for fear that he would delay the operation.

Everyone in the observation room was also fascinated by Zhao Peiru's exquisite operation.

"The idea of ​​this operation, from the very beginning, is different from the cholecystectomy we often do."

"The idea of ​​preserving courage is integrated into every step."

The more people watched, the more confident they became.

"With Director Zhao's stable and solid basic skills, coupled with the well-conceived surgical plan, this operation should be able to proceed smoothly, right?"

But, just when everyone was full of expectations.

The steps on the operating table gradually start from incision of the bile duct, suction of bile, exposure of the common hepatic duct, opening of the left and right hepatic ducts, transection of the common hepatic duct, ligation of the end of the common bile duct, transection of the jejunum loop...

We have come to the most critical step:
In situ anastomosis of the jejunal loop!
"not good!"

"Here, the anastomosis between the proximal end of the jejunum and the end of the bile duct loop is just not far enough!"

Everyone's faces changed drastically!

They have all seen the surgical protocol.

"According to the plan, the jejunum should be cut 15 centimeters from the ligament of Trevor and trimmed to a bevel."

"Then keep at least one centimeter of gallbladder tissue, so that it is easy to improve the anastomotic stricture and solve the problem of digestive juice reflux."

"But this distance..."

Just not enough!

The distance is very embarrassing, just about one to two centimeters away.

Director Han frowned and said, "Why don't you stop making oblique slices?"

Professor Tao sighed: "But if the oblique section is not performed, the anastomotic stenosis will still occur. Moreover, if the bile duct loop cannot be anastomosed in situ, even the anti-reflux effect will be wasted."

"The effect of this operation will be greatly reduced!"

Professor Kong Yanjin's face is also unprecedentedly serious at this moment.

All the excitement and anticipation before have completely disappeared at this moment.

"Indeed, this step of in-situ anastomosis is the most critical step in Director Zhao's plan."

"It undertakes the important tasks of 'unblocking the anastomotic stoma' and 'anti-reflux at the root'."

"If this step can't be completed, this operation will be more than half a failure!"

"Equivalent to three mountains, only one completed."

Everyone's expressions changed slightly.

Expectations were so high before, but in the end, only one-third of the work could be completed?

This gap is too big.

Want to fall short?

If you can only solve one of the three major problems, it is not bad, but whether it can compare with Luo Province is uncertain.

The point is, obviously the surgery plan was well planned, and everyone was looking forward to it.

In the end, it was such an embarrassing situation.

Everyone was too reconciled, and thought inwardly that it was a pity.

"This plan is still a bit too forced!"

Professor Tao sighed slightly: "Before, we only saw the various advantages of this plan, but subconsciously ignored it. This is the most important step!"

"The anastomosis distance required here is too extreme in itself. This was originally a big problem in the surgical plan, but unfortunately we didn't see it."

In fact, when he looked at the operation plan before, he subconsciously felt that something was wrong here.

But at that time, everyone was immersed in the excitement of "solving the three major problems", so he also jumped over here.

He blamed himself a little.

If he could have raised the issue earlier, perhaps this issue could have been avoided in advance.

But at this moment, the matter has come to this point, everything that should be cut off has been cut off, it has been put here, and there is no way to turn back.

The others also sighed slightly in their hearts.

They are all a little worried about whether this plan can really continue to be implemented.

"Team leader Zhao is probably also very troubled at the moment, right?"

"I don't know how he will deal with it?"

Is it forced to cut into a bevel?Or do you settle for the next best thing, use the previous method to make do with it, and only solve one problem?
On the one hand, it is a comprehensive victory, and on the other hand, it is a small victory of last resort.

I don't know how Zhao Peiru will choose?

Everyone looked up at Zhao Peiru's cheek, trying to see something from Zhao Peiru's face.

But seeing this, everyone was taken aback.

On Zhao Peiru's face was... a satisfied smile?

There was no entanglement or discomfort on his face at all, but a smile that seemed to be very satisfied.

This matching distance is actually quite enough for Zhao Peiru.

Not only is it enough, but it can also save some gallbladder tissue.

He retained about [-] centimeters of gallbladder tissue, made the opening of the common hepatic duct trumpet-shaped, and trimmed it into a slope with a high front and a low back.

"Director Zhao chose to cut the slope!"

"Is he still not going to give up?"

Sure enough, for a person like Director Zhao who has experienced big storms, it is obviously not enough to satisfy his appetite to solve only one mountain.

only……

It is easy to say that it is built as an oblique incision, but the matching distance behind it is not enough...

How to deal with it?

Everyone stared wide-eyed at Zhao Peiru's hands, wondering what he would do next.

(End of this chapter)