Surgical artist

Chapter 334 The New Technique Has Huge Advantages

The hospital leader of the Affiliated Hospital of the University of Medical Sciences heard that Zhao Peiru came to their hospital, and even entered the emergency operating room for surgery...

Immediately attach great importance to it!
Now Zhao Peiru has a very high status. Not only does he have many titles, but he is also an honorary professor of their medical university.

Regardless of their identities, they had to show up in the past to show how much they valued Zhao Peiru.

At the same time, everyone was somewhat curious...

What did Zhao Peiru suddenly enter their emergency operating room?
The leaders of the hospital first sent the medical chief to show up.After the operation is completed, the vice president and Professor Jiang will also show up.

"Chief Zheng!"

Numerous nurses on duty in the emergency department saw the head of the medical department coming and hurriedly greeted him.

Seeing this scene, the family members were even more dumbfounded.

First, from one expert to two experts.

Now, it seems that another section chief has come to lead him. Is he here to sit in charge?

Could it be that he was afraid of an accident in the emergency operating room?So, the problem of my son is really big?
The family members are in a panic.

……

Emergency operating room.

Zhao Peiru: "Do you have a JF-260V duodenoscope?"

Deputy Director Zhang of the emergency department of the Medical University nodded quickly and said, "Yes, there is a whole set of corresponding systems."

Zhao Peiru nodded: "Okay, use a duodenoscope for treatment."

When everyone heard this, they looked at each other.

Want minimally invasive treatment?
Can it work?
Director Jia Yanjun next to him also frowned.

Use endoscopic minimally invasive technology therapy?Is it a minimally invasive surgical pancreatectomy?

But if this is the case, the amount of bleeding will indeed be smaller and the trauma will be less, but...

How to preserve the physiological function of the pancreas, and how to quickly reduce the PCT and CRP indicators?

Minimally invasive technology is good, and the operation requirements are higher, but in terms of its essence and effect, it should not be able to bridge the gap.

Professor Miao Yuedong in the observation room also analyzed in his heart.

"I have also studied a lot of information on pancreatectomy. But there is no duodenoscope for this operation, right?"

"Minimally invasive technology... the purpose of drainage and removal of effusion and bleeding can indeed be achieved. But..."

"How to resect the damaged necrotic area, and how to do the re-anastomosis after resection?"

The pancreas is located in the retroperitoneum, so the position itself is not easy to expose.Surgery is okay, as long as it is properly dissociated, it can still be exposed.But this minimally invasive surgery is not only difficult to expose, but even how to intervene is a problem!
Amidst the doubts of the crowd, Zhao Peiru started performing a silky smooth operation.

He first placed the catheter into the main pancreatic duct, injected contrast medium, and gradually expanded the balloon in the duodenum.

Under the operation of Zhao Peiru, the expansion pressure gradually reached 4 standard atmospheres, and then, the gas was quickly discouraged!
In this way, the narrow damaged area is gradually expanded.

After proper dilation, a three-centimeter pancreatic stent is prevented at the pancreatic duct.

"Hiss, Lao Zhao's operation..."

Seeing Zhao Peiru's series of actions, Miao Yuedong was dumbfounded.

Zhao Peiru's level in his impression is not so high!
"Has he specially practiced the operation of 'duodenoscopy'? How can he do it so well?"

"Or, he was later transferred to work in the endoscopy room? He was honed over the years?"

Miao Yuedong has always only heard about Zhao Peiru's great achievements, but he has never watched Zhao Peiru's surgery video.

At this moment, he still doesn't know that all other operations of Zhao Peiru are as silky and smooth as the operation of this duodenoscope.

He really wanted to ask Jia Yanjun who "knows Zhao Peiru very well" next to him.

It can be found that Jia Yanjun's eyes are burning and concentrated at this moment, his eyes are wide open and they are about to protrude, obviously he can't take care of answering his questions.

Miao Yuedong could only suppress the doubts in his heart and wait for the operation before asking.

Following Zhao Peiru's operation steps, he advanced step by step.

When the pancreatic stent is supported to the pancreatic duct in the damaged area, the whole concept of treatment is fully displayed.

Jia Yanjun saw this all the time, and suddenly realized it!
"Brother Zhao's operation should be based on the concept of 'expansion and support'."

"And the mid-segment pancreatectomy I'm going to do is to resect the area around the injury and re-anastomize."

These two ideas, in essence, are completely different!

One is "broken and then erected", cutting off the damaged ones, and then fitting the good ones together.

One is to "repair the damage" and restore it to a healthy state.

"Brother Zhao's concept of 'repairing damage' is undoubtedly more advanced in the field of clinical medicine!"

Medicine is different from martial arts and fantasy, and does not pay attention to "breaking and then building".That will only make the body of the sick and injured worse and cause more trauma.

"At first, I thought Brother Zhao was just a simple minimally invasive surgery..."

"Looking at it now, it's not at all!"

Jia Yanjun took a deep breath, with excitement in his eyes.

"This principle of repairing damage can undoubtedly better preserve the physiological function of the pancreas, and it should also promote the rapid reduction of PCT and CRP indicators."

Jia Yanjun has deep research in the field of pancreas and has a high level of attainment. With his rich experience, he can tell at a glance that Zhao Peiru's surgery is much better than his direct resection!

At this time, Zhao Peiru, who was on the operating table, suddenly began to withdraw from the duodenoscope.

"Is this... the end?"

Withdraw the mirror, that is the sign of the end of the operation.

Everyone in the operating room was a little surprised.

Is this operation so fast and with so few steps?
If it is a "middle segment pancreas resection", not only must the abdomen be opened, explored, and dissected, but also re-anastomized, checked, and sutured after the resection.

As for Zhao Peiru, only a duodenoscope was inserted, and a drainage catheter was placed after the pancreatic duct in the damaged area was expanded.
In comparison, Zhao Peiru's technique is very simple and efficient.

But what is the effect, everyone has a question mark in their hearts.

Deputy Director Zhang of the emergency department, as Zhao Peiru's assistant, couldn't help saying at this moment: "Director Zhao, don't we need to take other measures?"

He is still a little unconfident about this new technique.

Besides, I was prepared to "open the abdomen and do a lot of work", but now it is so simple to complete the operation, I am really uncomfortable, I always feel that I have to do something more.

Zhao Peiru smiled and said, "No need."

"Patiently wait for the drainage and suction tube to flow out the patient's damaged tissue and effusion."

"The resection you advocated before is to resect the damaged area. Naturally, multi-step operations are required."

"As for me, there is no need for resection, and naturally there is no need for anastomosis and sutures. With fewer steps, the speed and efficiency will naturally be higher."

Deputy Director Zhang nodded half understanding.

He just followed Zhao Peiru's instructions and cooperated mechanically. Only now can he look back and carefully consider the meaning of the whole process just now.

At this time, Jia Yanjun stood up and raised a few words for everyone who was still a little confused.

"Director Zhao's operation just now has a very advanced concept."

"It's the idea of ​​repairing the damage. By re-expanding and bracing the damaged area, and then using a catheter to aspirate the dead tissue."

"In this way, the remaining mid-pancreas tissue can be restored."

These few words are the explanation of Zhao Peiru's idea of ​​"repairing damage".

Everyone suddenly realized!

Everyone looked at Zhao Peiru's eyes, and suddenly they all changed!
The deputy emergency director's eyes also lit up!
This rescue method is undoubtedly more friendly to pancreatic patients who have been seriously injured in car accidents than midsection resection.Just because there is no need for surgical operation, it will not cause secondary damage to the patient, which is already a great advantage.

While everyone was talking, various postoperative data of the patient came out.

"Operation time, 115 minutes."

Everyone was shocked when they saw it!This speed is so fast!

Jia Yanjun's heart skipped a beat!For mid-pancreas surgery, it usually takes about 180 minutes.Is this too fast?
A full 65 minutes of advantage!
"Intraoperative blood loss, 180ml."

This data also moved everyone again!
"The amount of blood loss is really small! If the midsection of the pancreatectomy is performed, the amount of blood loss will be about 240ml, right?"

Everyone nodded.

"Just talking about the basic data, minimally invasive surgery is far superior to surgery."

"The blood loss is low, and the operation time is short. And predictably, the patient's hospital stay is also shortened."

"Surgeries usually take about 10 days to two weeks."

"As for minimally invasive surgery, it usually takes about 8 to 10 days, and some patients can be discharged from the hospital in 3 days."

Various basic data are almost comprehensively crushed.

Everyone's eyes warmed up.

At this moment...

More critically, the patient's indication data were summarized.

The previous basic data can only show that the operation is performed quickly and with high efficiency.

But whether the effect of the operation is good or not depends on the data of various vital signs.

"PCT value of the injured: 2.01 before operation, 1.6 after operation."

Seeing this data, the breaths of Jia Yanjun, Deputy Director Zhang and others all froze!

The drop effect is extremely obvious!
"Descent so fast? The effect of this operation is too good!"

They have performed so many mid-segmental pancreatectomies at the Affiliated Hospital of the University of Medical Sciences...

In the best results, the postoperative PCT value only dropped to about 1.8, and it took the patient four weeks after the operation for this value to drop to 1.2!

As for Zhao Peiru's operation, he had just finished it, and it dropped to 1.6 after the operation.How much can you reach after four weeks?
I guess it's back to normal by now!
"The CRP value was 238 before the operation and dropped to 132 after the operation."

Jia Yanjun's mind buzzed.

The drop in CRP value is more obvious than the drop in PCT value before!
"It's too good, the advantages of this technique are too obvious!"

These two indications are important indicators that can reflect the health status of the pancreas.This rapid decline, which can be seen with the naked eye, undoubtedly shows that the patient's pancreas is recovering rapidly.This is much more patient-friendly than resection and then anastomosis.

At this point, he was completely relieved!

This new minimally invasive surgery method also has the advantage of crushing level in terms of surgical effect!
The operation time is short, the basic data is excellent, and the operation effect is advantageous!

This is all-round crushing!

Deputy Director Zhang in the emergency department was also very excited.

"This new surgical method is amazing! In the future, if all the patients with mid-pancreas injuries encountered in our emergency room are replaced with this rescue operation..."

If they all perform this kind of operation, how much trouble will it save their emergency rescue team?
How much can the quality of medical care be improved for patients who come to treat diseases and save their lives?
Not only Deputy Director Zhang wanted to learn, but all the rescuers in the emergency department wanted to learn this technique.

In comparison, the techniques they used before were too inefficient.

All the emergency personnel headed by Deputy Director Zhang, waited for Ai Ai to say:
"Director Zhao..."

"We've read this technique just now, but we didn't understand many things in it. Can you explain it to us again?"

Deputy Director Zhang said embarrassingly: "Don't look at me being your assistant just now, but your operation speed is too fast, and my energy is concentrated on cooperating with you. I don't even understand many operations, and I don't even have time to write down the operations. steps and techniques."

Zhao Peiru smiled and said, "It's easy to say."

"I will make this technique into a course, and then you can all learn it on the app."

Everyone was overjoyed when they heard this!
Great course!

This is definitely more systematic, more comprehensive, and more detailed than Zhao Peiru casually mentioning a few words on the spot!
Zhao Peiru: "Director Zhang, do you have a video recorder of the surgery field? Give me a copy. I will use it in my lectures."

Deputy Director Zhang nodded again and again, and said with a smile: "Yes, yes!"

He is so excited, with such excellent technology, this is a blessing for all emergency patients!
My old friend, Professor Miao Yuedong, was also quite shocked at the moment.

He has an intuitive understanding of Zhao Peiru's true strength level!

Although he had heard that Zhao Peiru was able to create various new ideas and technologies before, he always believed that it might be due to the team behind Zhao Peiru.

But today, he saw it with his own eyes. He saw Zhao Peiru came to the emergency department on a temporary basis.

In this way, a suitable, mature and excellent treatment plan can be come up immediately.

And this kind of solution is not an improvement of the old technology, but a solution created from scratch with a new idea!
"This old Zhao is completely different from before."

How could the Zhao Peiru in Miao Yuedong's impression have such a high level of strength?How can there be such a good confidence temperament?

"It seems that these years in the front line of the fourth hospital have trained him and made him a success."

Miao Yuedong is looking forward to "returning to the front line of clinical practice".

……

Wait for everyone to come out of the operating room.

"Come out, come out!"

Several family members rushed over immediately, and their hearts were beating wildly!Waiting for the doctor's "sentence".

But Zuo Zhang hoped that he didn't see his son being pushed out, and the hearts of the family members sank.

Deputy Director Zhang of the emergency department explained the situation to the family members in the past, saying that the injured were still under observation inside, and at the same time, the effusion had to be drained to calm the family members' emotions.

The family members burst into tears when they heard the news that the rescue operation was successful, that their son would be discharged from the hospital in ten days, and return to normal work and life in about 20 days.

After worrying for more than two hours, they have been suppressing their emotions, and finally dared to cry at this moment.

(End of this chapter)