Surgical artist

Chapter 295 Data comparison, one sky and one underground

Zhao Peiru smiled and did not explain further: "You divide into groups first, and I will discuss the rest with the two leading teachers, Professor Kong and Director Han."

Professor Kong and Director Han followed Zhao Peiru into the back room without knowing why.

"Two."

Zhao Peiru closed the door and only explained to the two of them.

"Next, I will train your two teams."

"Both teams are using new treatment plans, at least they are both improved on the basis of previous ones, and no one has used them in the medical field so far."

Professor Kong and Director Han were shocked when they heard this!

Two new plans?
Created two new techniques?
Others can't even think of one new technique, but you, you came up with two at once?
The two looked at each other: "It seems that Director Zhao is not sure whether these two new techniques are feasible or not, and he is not sure how effective they will be."

"That's what allowed us to do experiments in groups."

The two completely understood Zhao Peiru's approach.

Not all innovations are necessarily good.

Many innovations will turn out to be "ineffective innovations" in the end, or even if they are "effective innovations", they are not strong enough, and they are not as good as Los Angeles.

So this time, Zhao Peiru should let them test out that the plan is better.

The two thought they had guessed Zhao Peiru's deep meaning.

"Let's do an experiment for Director Zhao and try."

……

Provincial Medical Association.

"Our expert group is divided into two groups?"

Vice President Wang Yu has been paying close attention to Zhao Peiru's movements.

After hearing this, he also felt a little strange.

I don't know what Zhao Peiru wants to do.

Just then, there was a knock on his office door.

"Come in."

The people who came here were a few experts who couldn't make it into the "Special Team for Bile Preservation".

That is, the doctor who was excluded from the group by Zhao Peiru.

These few people, after seeing the results of the "Courage Preservation Group" in the past few days and winning the first stage, they wanted to go back to the Gallbladder Preservation Group in their hearts.

If the old expert surnamed Liu is stubborn and decadent, he can still see the reality clearly.But these few people can't even recognize the reality, and they still want to mess around.

"President Wang."

A few people said: "We heard that the gallbladder protection group is now divided into two groups?"

"Isn't this a diversion of superior human resources?"

"It took so much effort for the province to gather so many outstanding talents. This diversion is a waste of the province's human resources!"

President Wang crossed his arms, looked at these people, and saw what they could say.

Several people said: "President Wang, tell me, this is not a self-comparison. What's the point of him making the two groups PK each other?"

"I want to say that we should concentrate the best human resources and do our best to achieve good results. Otherwise, we will waste the opportunity of "promoting to a strong province" that our Jiangnan Province had so hard to have this time."

"In short, this arrangement of dividing into two groups is pure nonsense!"

President Wang laughed heartily.

He understood that these people were kicked out out of pure indignation, and there was resentment in their hearts.

But these few people didn't think about it. Who won Jiangnan Province's opportunity to "promote into a powerful province" now.

Now that I have just achieved some preliminary victories, and just had a chance to get a ticket, I want to come here to pick the fruit, to cross the river and tear down the bridge?

These people take themselves too seriously.

President Wang scanned the crowd and saw a certain person.

This person was able to become an expert at the beginning, it was all due to good luck, he got a few times of other people's honor, and got a ride.

The remaining few people are not bad, and they all have similar experiences.

"Okay, I see, the leadership team will consider it."

Chairman Wang said something casually, and sent these people away.

Wait until everyone leaves.

President Wang smiled and shook his head.

"These people, as Director Zhao said, they all shirk when they have difficulties. When they see the results, they buzz up like flies."

It's no wonder that Zhao Peiru would weed out these people back then.

If it weren't for the fact that they have made a little bit of contribution to the medical cause, how could President Wang save some face for them?
anyway……

Vice President Wang himself wondered why Zhao Peiru was divided into two groups.

After thinking about it, he called Zhao Peiru.

Asked about it.

Zhao Peiru smiled and said on the phone: "President Wang, don't worry."

"I will definitely give you a satisfactory answer in a week at most. By then, you will understand everything."

Vice President Wang looked at the calendar and calculated the time in his mind.

He estimated that Zhao Peiru had two different directions to try.

Maybe I plan to do 15 cases each first to see the results.

After selecting the best solutions among them, let's focus on the superior talents.

Depending on the time, it should be enough.

……

Research and Education Center of the Fourth Academy.

Members of the expert group divided into two groups received training from Zhao Peiru respectively.

First group.

The team of Professor Kong Yanjin, including Professor Tao, Director Liang Chenglei, etc., has a total of twelve expert members.

At this moment, the 12 people all looked up at Zhao Peiru who was at the front of the small meeting room.

"The method your group is going to use is what I call the 'wire-tip approach."

Everyone was stunned, why is it still the puncture method?
Professor Tao asked suspiciously, "Director Zhao, is this different from percutaneous transhepatic puncture?"

Zhao Peiru trained the knowledge for everyone, and explained slowly:

"The percutaneous transhepatic puncture that you are familiar with is a method that requires placing a metal stent in the bile duct under fluoroscopy. The operation is extremely difficult, and the placement of the metal stent is often not ideal. In addition, there are biliary fistulas, bleeding, etc. complication."

"That's why it was classified as a backward technique."

"Now, the province of Los Angeles has completely abandoned this surgical method and adopted endoscopic retrograde cholangiography instead."

The crowd nodded.

Zhao Peiru said: "The guide wire tail puncture method I am talking about is somewhat similar to the tip puncture method of the hepatic portal vein."

Everyone's heart moved, tips technique?

Many of them know that when Zhao Peiru first became famous throughout the province, he improved Professor Jiang's tips technique.

Listening to the meaning of these words, Director Zhao Peiru was inspired by the tips technique this time?

Zhao Peiru: "The difference is that the tips operation is to puncture in the cirrhosis of the liver and bridge between the hepatic vein and the portal vein."

"The puncture at the end of the guide wire is to puncture the malignant stricture bile duct from the non-dilated bile duct, and use the strength of the guide wire retraction to dilate the duct and achieve the effect of relieving the obstruction."

Everyone is thoughtful.

Is it possible to relieve the obstruction and dilate the malignant bile duct by withdrawing the guide wire and adding contrast assistance?
At first glance, it seems to be a feasible method, but if you think about it a little bit, you will find that this kind of thinking has many ups and downs.

For example, how to ensure that the hepatic portal vein is not punctured from the bile duct?Cause bile duct bleeding?

Before waiting for everyone to ask questions.

Zhao Peiru seemed to have thought of everyone's worries in advance.

He said directly: "After the puncture is in place, the imaging tube and the portal vein can only follow within five millimeters. At this time, the imaging tube must not have entered the portal vein. Insert the hydrophilic end of the guide wire..."

Zhao Peiru dispelled everyone's concerns bit by bit with the most practical answers.

It was like a roadblock on the road ahead, being cleared away bit by bit.

Gradually, everyone discovered that the method of "piercing at the end of the guide wire", under Zhao Peiru's description, spread out in front of their eyes like a scroll and became clear!
"This method... seems to be worth a try!"

"Combined with the results of bile duct ultrasound, pancreatic duct MRI, and the diffusion of the contrast agent, we will definitely not blindly follow up with the puncture guide wire."

"Director Zhao's method has been fully considered in terms of safety!"

Everyone's hearts are getting hotter and hotter!

"And our method has great advantages over the previous percutaneous transhepatic puncture!"

"I have a hunch that the data of surgical results produced by this method will definitely be as excellent as 'crossing the era'!"

Everyone was in a turbulent mood.

"Maybe, we can have the possibility of surpassing Los Angeles Province!"

Seeing the state of the crowd, Zhao Peiru said, "Okay, you guys digest this plan first, discuss and deduce it, and ask me if you have any questions."

After giving instructions here, Zhao Peiru came to the second group again.

The second group is just one floor down in this building.

"Director Han."

"Your method, I call it the needle-knife expansion method."

Zhao Peiru began to explain to the second group, slowly.

The reaction of the second group was similar to that of the first group. They were ignorant at the beginning, and became more and more enthusiastic as they listened later.

In the end, the whole team couldn't wait, and wanted to go through the operation process several times as soon as possible, and try to perform the example operation.

……

With Zhao Peiru as the mentor, the progress of the two groups quickly picked up.

Compared with the state of everyone before, everyone now seems to be a different person, with a completely different mental state.

Because there was no direction before, everyone was in a state of confusion, worry, and anxiety.

And now, get motivated!The status is full!
Every day when they come to work at the Scientific Research Education and Training Center of the Fourth Academy, everyone walks very fast!

Some experts even laid the floor in the lounge next door.If you are sleepy, you can sleep next to each other, and Siyuan had to move beds from the empty dormitory to give everyone a place to rest.

After they had the actual direction, they couldn't wait to advance the progress of the project and see the final actual results.

Everyone is simmering in their hearts, and they all want to make achievements as soon as possible!
……

The two sets of plans given by Zhao Peiru are actually very mature.

As a result, the two groups did not spend much time in the discussion and deduction stage.

Soon, all entered the instance stage.

Both sides entered the instance surgery stage on the same day.

In the experimental operating room.

Director Han: "Director Zhao, are you really not going to do it?"

Zhao Peiru nodded with a smile: "I believe in your Director Han's strength, and it would be perfect for you to be the chief surgeon."

Director Han took a deep breath and nodded.

He promised: "I will try my best to make every detail in place and make the data excellent!"

Director Han led his team and soon started the first operation.

The common bile duct was incised with a three-lumen needle knife and inserted into the deepest part of the stricture.

Then, use high-frequency electricity to push the three-cavity needle-shaped knife about five millimeters, pull the knife bow, slide back and forth in the narrowest section, and expand the narrow section...

After operating step by step, Zhao Peiru nodded slightly.

Although Director Han's operation is not as good as when he used the "surgery status card", it is considered the best among the experts.

Coupled with his technique with huge advantages, surpassing Luo Province, Ying Gucheng has no problem at all.

This project requires a total of 20 surgeries, and the number is too large for Zhao Peiru to perform each one himself.

The back and forth of the work add up and can keep him busy.

Let go of these people, so that Zhao Peiru can relax himself.

Director Han, who was performing the operation, took time to look at Zhao Peiru's reaction after a stage of operation was over.

When he saw the satisfied look on Zhao Peiru's face, which seemed to be a bit of a compliment, he felt at ease immediately!
That was the feeling of being recognized by the "pioneer" he admired!
After Zhao Peiru looked at it for a while, he nodded slightly.

"Director Han, the problem is not serious."

He walked out of the observation room and went to the upper floor.

Here, half an hour ago, Professor Kong Yanjin and others also started the first case of surgery.

"Is Director Zhao still here?"

In the operating room of the first group, Kong Yanji and the others took a deep breath.

"Director Zhao is really... don't worry about us!"

"He said that he would not participate in the first operation, and that it would be fine if he didn't perform the operation himself, and he didn't even come to watch? He really feels relieved for us!"

When it was time for the operation, everyone had to start doing it.

Following the details of the simulated exercise, puncture the guide wire and insert the hydrophilic end into the liver tissue above the stenosis.

Adjust the position of the guide wire, puncture the left side again, and then pass the hydrophilic end through the narrow end...

Operate step by step, strive to be accurate and efficient while making no mistakes, and pull up the surgical data.

At this moment, Professor Kong suddenly caught a glimpse of Zhao Peiru's figure in the observation room next to him.

Zhao Peiru gave him an encouraging look.

"Both groups are doing well."

After watching the performance of the two groups, Zhao Peiru was quite satisfied.

These two sets of plans were selected by Zhao Peiru from more than a dozen plans, and the difficulty is not high.

In addition, these two teams are the best talents in this field in the province, so there are not many problems in doing it.

After watching the performance of the two groups, Zhao Peiru returned to his office with peace of mind.

to drink tea.

……

Finally, Director Han's team of the second group completed the operation first.

"Huh! It's done!"

"This needle-knife expansion method is really easy to do!"

"Compared to our original percutaneous transhepatic puncture method, it is much better!"

Once done, Director Han can clearly feel the gap.

"What about the data? Have you compiled all the intraoperative data?"

The staff next to him quickly handed over a notebook.

Director Han and the others looked overjoyed when they saw the above data!
"Not bad, really good!"

Fully achieved the expected value!
"This data, compared with our original average value, is simply a heaven and an underground!"

Everyone is full of confidence!

"With this data, it should be possible to surpass Los Angeles Province, right?"

Director Han said with a smile: "I just don't know, what kind of data did the upper-level Professor Kong and the others make?"

Everyone smiled confidently: "It's definitely not as good as us!"

(End of this chapter)