Surgical artist

Chapter 313 The team leader's pattern is really big!
The problem this time is the problem of the entire organ cluster.

Including the liver, gallbladder, bile duct, pancreas and duodenum and other organs.

This requires experts to consider it from a "comprehensive" perspective.Organic lesions of a single organ cannot be considered only.

Among these organs, which organ should be eradicated first, so as not to affect other organs, or reduce the impact, and reduce the constraints and involvement of each other, all these need to be taken into consideration.

Professor Shu Yun suddenly said: "Have you ever thought of it? This project is actually very similar to the 'two-step liver resection' done by Director Zhao Peiru before."

When she said this, everyone remembered.

"Yes, Director Zhao invented the method of 'two operations instead of one operation', why don't we refer to it? "

Many people's eyes lit up.

Zhao Peiru invented the "two-step liver and hair cut", which seems to be two operations, but the damage to the patient's body is very small, so it is worth referring to.

Wouldn't it be much easier if this project could be broken down into two or even three surgeries?

But soon, several experts responded.

"Or not."

"Director Zhao's 'two-step liver cutting method' is two operations, but one is more difficult and the other is easier. It is equivalent to two operations, one large and one small, and the patients can naturally bear it."

"But the project we are considering now is two or even three surgeries, all of which are difficult and high-risk, all of which are major surgeries, and each time it must be sloppy. The patient's tolerance is a huge challenge."

"Patients suffering from this disease are themselves weak and impatient, even thin and haggard, and their tolerance to surgery is inherently low. I am afraid that few patients can meet the surgical indications of our plan."

If a plan has extremely harsh surgical indications, so harsh that the vast majority of patients do not meet it, then this plan is a "waste plan".

Everyone looked disappointed.

Professor Feng thought deeply: "Not only that, the core of Director Zhao's 'two-step liver cutting method' is to use the characteristics of the liver as an organ: fast regeneration."

"After the first liver cut, let the liver regenerate quickly. Then do the second liver cut."

"but……"

"Our project is not limited to liver cancer, but also cholangiocarcinoma, pancreas and duodenum, all of which will be affected and spread by malignant tumors."

"These organs don't have the regenerative ability of the liver."

Everyone's face also changed slightly, and they all fell silent.

Indeed, they just now were a bit too taken for granted, too "following the cat and drawing the tiger".

Professor Feng said: "This road will not work at all."

"We have to come up with a solution that... only needs one operation to solve all the problems of the patient."

"In this way, the patient only suffers once, which is barely tolerable."

Everyone nodded, and on this point, a consensus was reached.

Immediately afterwards, everyone proposed some solutions.

It can be debated one after another.

However, all of them could not be passed, and even most of the directions did not even make sense to try.

Dean Tao Jiangtao gave a wry smile:
"We... can't even determine a general direction, how can we carry out research work?"

"Debating all morning, I couldn't even determine a possible project direction."

Everyone felt a little bitter in their hearts.

They found that they still underestimated the difficulty of the 863 project.

For general projects, at least several directions can be proposed.

Then you can enter the second stage, constantly experimenting, researching, and trying to overcome problems.

The plans that cannot be passed are discarded, and the plans that can be passed are retained.

Ultimately, a most suitable solution can be identified.

In this way, the project can be completed.

Can……

This 863 project, however, cannot even do the first step of "putting forward several directions"!

It is enough to explain the horror of its difficulty!
Everyone's thoughts are heavy, and if they can't discuss the direction, there is no point in carrying out further research and experiments. They have been doing futile work and wasting time.

Professor Du Qingning said in a shivering voice: "It is meaningless to carry out experiments and research blindly, everyone should think again."

"With collective wisdom, you should always be able to come up with a few slightly feasible directions."

"It's really not possible. Let's sort out and integrate all the directions mentioned before, pick out some directions that are a little bit achievable, and try to overcome the problem."

In the end, everyone could only nod their heads.

Work has to go forward.

If it doesn't work, you can only "pull out the general from the short guy".

At this moment, Professor Shu Yun suddenly spoke again:

"What I am best at is piggyback liver transplantation."

"I'm thinking, if the patient's entire hepatobiliary, pancreatic and duodenal organ clusters are all involved and violated..."

"Then, can the entire organ cluster be transplanted?"

As soon as these words were said, everyone was shocked!
Shocked at the audacity of this idea!
A liver transplant is already full of difficulties, and many related knowledge systems have evolved.

Even one of the treatment methods, "piggyback liver transplantation", has been improved in three versions: the original version, Professor Shu Yun's improved version, and Zhao Peiru's improved version.

It can be said that the current field of liver transplantation is already a mature and complex subdivision subject with high learning difficulty and many learning systems.

That's it, it's just a liver transplant.

Now, the transplantation of the liver, gallbladder, pancreas and duodenum, the whole organ cluster?
How much theoretical knowledge and technical support is needed to complete this project?

Everyone just felt that they were like Jingwei reclamation.

When will it be possible to overcome all the huge problems that need to be solved in this project?

And above, will they be given so much time?

You should know that once the initial results cannot be achieved within the specified time, the project will be transferred out.

In that way, not only did they do useless work, but they would also be stabbed in the back by Jiang Dong's elders, and ridiculed by those colleagues who failed to win the project and wanted to see their jokes.

Professor Kong Yanjin said: "This plan... is not only difficult, but also has too many variables in the middle."

"Various organs interact with each other, involving possible intraoperative accidents, too many!"

"Every point that needs to be considered in the middle will become a problem that blocks the progress of our project."

Others also nodded.

"So this plan can only be regarded as a 'secondary consideration' plan."

In the minds of everyone, the many plans that have been thought up are classified. "Priority", "Secondary consideration", "Don't consider".

For a moment, everyone fell into silence.

Today's meeting was too much of a blow to their self-confidence.

As many proposals were put forward, so many proposals were rejected.

After a morning meeting, let alone a plan, I couldn't even determine a possible direction.

At this moment, they deeply realized their own shortcomings.

If it is Jiangsu Province and Fuzhou Province, which are two strong medical provinces, they have a lot of cards in their hands and a deep enough technical background, so it will be easier to think about the problem, right?

Maybe, you can come up with some more reliable directions.

It's like solving a math problem.

Now, it is an Olympiad difficult problem, which is placed in front of everyone.

If you have accumulated knowledge from senior grades or even universities, then to solve this problem, you can directly apply the ready-made formulas and calculate step by step, and the difficult problems will become easier.

But what if there is only the accumulation of knowledge in the second grade of elementary school?

Then this question requires all kinds of exquisite ideas. It is necessary to use the most basic and simplest way to stack steps and use a huge amount of steps to deduce and solve the problem step by step. The process is very troublesome.

Just when everyone was frowning.

After finishing his work, Zhao Peiru opened the door and came in.

"Director Zhao!"

"Zhao!"

"Group Leader Zhao!"

A group of people hurriedly stood up to say hello.

Even those with senior qualifications like the troika stood up at this moment to show their respect to Zhao Peiru, the team leader.

"Sit down! You don't need these empty rituals in the future." Zhao Peiru smiled and pressed his hand.

Everyone sat down.

Zhao Peiru looked at everyone: "Which step has everyone discussed just now?"

When he asked this question, no one answered.

Everyone's elation and fighting spirit when they first joined the group, now...all restrained.

Faced with such a difficult problem, everyone felt at a loss and even despaired.

Some people, a little want to retreat.

"Let me report on the discussion just now."

Professor Jiang, as the deputy team leader, picked up the notebook.

He said all the directions discussed by everyone just now.

And all directions are divided into "high-quality direction" and "secondary direction", "regardless of direction".

Finally, Professor Jiang finished speaking.

Everyone's eyes fell on Zhao Peiru.

After Zhao Peiru listened, he also gave everyone a thumbs up in his heart.

Although Jiangnan Province has little accumulation of technical background, that is an objective reason.

However, the personal vision and thinking of these experts are not outdated at all.

Especially Professor Shu Yun.

It is quite correct to think of the whole "hepatobiliary pancreas and duodenum" for "integral organ cluster transplantation".

In Zhao Peiru's mind, there is a corresponding "whole organ cluster transplantation technology plan."

"Originally, I was still hesitating among several technical solutions, and I didn't know which one to use."

Faced with this project, others were thinking about it, but they couldn't think of a feasible solution.

But Zhao Peiru has several available solutions in his mind, hesitating and tangled, not knowing which one to use.

One of them is the "Technical Plan for Whole Organ Cluster Transplantation".

This is also the option with the highest eradication rate.

Since Professor Shu Yun just proposed such a plan, then Zhao Peiru will follow suit.

Just use this plan!
in the eyes of the crowd.

Zhao Peiru took out a pen and drew a check mark in front of the "Integral Organ Cluster Transplantation Plan".

"I agree with Professor Shu Yun's proposal."

"Next, we will focus on this direction to overcome difficulties."

"Other plans are temporarily used as backup plans."

When everyone heard this, they were shocked!Why did Director Zhao choose a "secondary option?"

"Director Zhao..."

"This plan is the most difficult operation, not only involves the removal and repair of multiple donor organs."

"At the same time, it also involves the resection of multiple diseased organs of the recipient, the transplantation of organ clusters, the reconstruction of the gastrointestinal tract, etc..."

"Every step here is crucial to the success of the final surgery! If one step is wrong, the whole plan will fail."

"The risk of transplantation is high, the operation time is long, there are many accidents during the operation, the circulatory system fluctuates greatly during the operation, and there are many chances of infection..."

"This is difficult, too much!"

Some people still want to persuade.

Zhao Peiru suppressed everyone's voice: "Let's not care about the degree of difficulty. Just talking about the eradication rate, isn't Professor Shu Yun's plan the highest?"

Everyone couldn't help but nodded.

Indeed, this set of plans is difficult, but it is the most effective in eradicating cancer lesions in the patient's body among all the plans.

The few "high-quality solutions" they just summarized seem to be less difficult, but the eradication rate is not ideal, and even some of them are only conservative palliative care.

Simple is simple, but the degree of project completion is too low!

If you really want to report to the higher-ups, I'm afraid the higher-ups will not be satisfied.

Zhao Peiru said: "Since the state and the Joint Organizing Committee have entrusted such an important project as the 863 Program to us, we must do a good job in this matter."

"Difficulties, we overcome them one by one."

"Difficulties, we overcome them one by one."

"I hope that, in the end, I can give society and the country a perfect answer. Not a bad answer."

After hearing this sentence, everyone couldn't help boasting in their hearts...

The pattern of the team leader is really big!
The team leader's goal is really high!

In contrast, they only want to complete the project wholeheartedly, even if it is completed with low quality.But Zhao Peiru wants to complete the project to perfection!The degree of completion is full!

Professor Jiang and the other seniors also looked at each other with wry smiles.

"It seems that the tasks of the few of us are getting heavier."

"Now that we have set this direction, we have to work harder."

In the bottom of their hearts, everyone also recognized the eradication rate of this plan.Once this set of plans is completed, it can indeed be said that the project has been completely completed.

Now that you have assumed the responsibility of the 863 project, let's do it well!

"Then... get to work!"

Everyone dived into their hearts and carefully deduced the possible difficulties in this plan.

Once the direction is set, their research, experiments and other work can be carried out one by one.

According to his previous plan, Zhao Peiru assigned different tasks to ten teams, and asked them to undertake different project goals and overcome different difficulties in groups.

……

Countless people are paying attention to Jiangnan Province and the education and training center of the city's fourth hospital.

To be precise, they are watching every move of the 863 project team.

After this meeting, Mu Sisi updated the direction Zhao Peiru decided on to the "863 Project Team Work Progress Summary".

This is a public summary that every major project team must make. It is necessary to regularly disclose the progress of the project, and it is also an account to the country and society.

However, when it comes to specific technologies and programs, it is kept confidential.

Suzhou Province.

Zhou Heping and others from Suzhou Province were originally dissatisfied with Zhao Peiru's failure to let them participate in Suzhou Province, and they have always been a little bit bitter.

He thought that without them, Jiangsu Province, Jiangnan Province would definitely fail.

Originally, I was just waiting to see the jokes in Jiangnan province.

As a result, when they saw the "Project Progress Summary" announced by Jiangnan Province, Zhou Heping and several of his disciples laughed out loud.

"This Zhao Peiru chose the most difficult path, isn't he asking for trouble?"

"This road, if you want to make initial results, it will take at least one to two years."

"And the higher-ups will never give them such a long time."

"It seems that Zhao Peiru is about to fail, and the project is about to be transferred."

(End of this chapter)