Surgical artist

Chapter 414 Didn't even play anymore?

As soon as Academician Zou Bin and Zhao Peiru entered the meeting room, everyone looked happy.

"Academician Zou is here!"

"Academician Zou please!"

Many people even stood up excitedly.

Even among the three founders of the pancreas, Academician Zou Bin is relatively more respected.

In addition, Academician Peng Shu may not be able to come back, and now it is all up to Academician Zou Bin to "repair the aftermath". Now that Academician Zou Bin is finally in place, everyone is relieved.

Academician Xu Qin felt a little relieved when he saw Zou Bin approaching. He stood up with a happy smile, shook hands and said, "You've come."

Zhao Peiru found his old acquaintance Director Cao Youtian among the crowd first.

"Director Cao, do me a favor."

Cao Youtian hurriedly said, "Dean Zhao, please tell me."

"Please collect the data of all the patients in your hospital who have been involved in the "bundle-type pancreaticojejunostomy" in the past two years, focusing on whether there are cases of postoperative rupture and bleeding complications of the pancreatic section and pancreatic fistula complications. "

"Also, it would be the best if we could get in touch with the higher authorities and collect data on surgical cases performed by Academician Peng Shu himself in recent years."

Director Cao Youtian nodded solemnly.

Like Academician Zou Bin, he values ​​Zhao Peiru very much, and since it involves the solution technology that will be used soon, he cannot neglect it.

He hurried out to make arrangements.

After everyone was seated again.

Academician Zou Bin was the first to ask: "How is the situation now? Is Peng Shu still not coming back?"

Xu Qin nodded: "The higher-ups have been keeping in touch with Peng Shu. It may take a long time for him to complete the procedures."

"The patient can't wait anymore, and the operation must be arranged as soon as possible."

"The plan we agreed on is still pancreatic head resection plus binding anastomosis, and you will be responsible for the binding and anastomosis part."

Xu Qin explained the current situation clearly in a few words.

Academician Zou Bin nodded slightly, and looked at Zhao Peiru with a questioning expression.

When everyone saw Academician Zou Bin's little move, they couldn't help being surprised.

Although this action is small, it means that Academician Zou Bin attaches great importance to Zhao Peiru's opinion!It even reached the point of subconsciously asking Zhao Peiru.

In fact, this is a habit formed by Academician Zou Bin when he was working on projects for elderly patients.

During that project, Zhao Peiru led and promoted the progress of the project almost all the way. If academician Zou Bin asked Zhao Peiru about any problems during the period, he would always get a satisfactory answer.

At the same time, this is also Academician Zou Bin's recognition of Zhao Peiru's profound theoretical foundation.

Academician Xu Qin also looked at Zhao Peiru with great interest.

Although she has never had direct contact with Zhao Peiru, she has also heard various rumors recently.

Project Leader of 863 Project, First Prize of Science and Technology Progress Award, Breaker of AIDS Taboo, Leader of Elderly Patients Project.

This series of achievements will indeed make people think highly of Zhao Peiru.

The focus of the eyes of the two academicians fell on Zhao Peiru, and the others naturally all looked at Zhao Peiru.

Under everyone's gaze, Zhao Peiru said: "I agree with Academician Xu's overall treatment plan."

"However, some of the plans inside can be changed."

When he said this, everyone showed a little surprise.

Because this overall plan was not so much proposed by Academician Xu Qin, but rather that it was all their experts who spent the whole morning excluding more than a dozen kinds of plans, and finally discussed it together.

The final plan discussed by so many top industry experts in the country, even if it is not perfect, is the best that can be thought of so far.It was agreed by the dozens of people present, and no one raised any objections.

As a result, as soon as Zhao Peiru came, he said he wanted to change it?
Academician Xu Qin said: "Dean Zhao, please tell me."

Zhao Peiru: "The bundled pancreaticojejunostomy invented by Academician Peng Shu has the biggest feature of inserting the stump of the pancreas into the jejunum, eliminating the small gap between the stitches and reducing the occurrence of pancreatic fistula. But... "

"However, this kind of operation can't help but lose sight of the other, and it will cause pancreatic juice to leak out from the section of the pancreas."

"These tiny pancreatic juices will eventually gather near the section of the pancreas, gradually erode the section of the pancreas, be activated by the intestinal juice in the jejunum, and erode toward the section of the jejunum along the gap where the pancreas enters."

"At this time, Academician Peng's advantage of binding the technique has become its disadvantage."

"It will indirectly lead to the erosion of small blood vessels near the section of the pancreas, causing rupture and bleeding. In severe cases, it will flow out along the gap where the residual pancreas is inserted into the jejunum, forming a pancreatic fistula."

When everyone listened, their brows were tightly furrowed.

What Zhao Peiru said is like a step-by-step reasoning, which sounds very reasonable.The principles explained are also in line with medical principles and common sense of the digestive tract.

But the problem is that this step-by-step extrapolation is too much!
Especially what Zhao Peiru said, the tiny pancreatic juice seeps out through the gap, flows out and erodes along the gap between the pancreas and intestines, and at the same time has to be activated by the intestinal juice...

During the entire deduction process, there are too many coincidences, which makes people wonder, are these really easy to happen?
For every 1000 such patients, how many of them will have this phenomenon of pancreatic juice infiltration?
Moreover, didn't academician Peng Shu's team consider this when they developed this treatment plan?
Academician Xu Qin, who was sitting at the front of the long table, did not draw a decisive conclusion, but pondered deeply, thinking about the passage that Zhao Peiru just explained.

At this moment, the door of the meeting room suddenly opened, and Director Cao Youtian, the person in charge of Hexie Hospital, walked in.

In his hand, he was holding a pile of documents.

He first put the pile of documents on the table.

Then, pick up the top two summary tables, place them in front of the reading light, and use the zoom function to display them on the huge white curtain on the wall.

Zhao Peiru nodded at Cao Youtian, got up and walked towards the white curtain on the front wall of the meeting room.

When Zhao Peiru passed by Cao Youtian, Cao Youtian said, "The case where Academician Peng Shu performed the surgery himself has also been collected, and the data is on the second form."

Zhao Peiru nodded: "Thank you for your hard work, you have helped me a lot."

Cao Youtian quickly smiled and said, "No, we are all thinking about the patients."

After collecting these materials, he looked at the summarized data sheet and knew what Zhao Peiru was going to do.

At this moment, he also looked at Zhao Peiru's figure with a surge of emotion.

This Dean Zhao is going to use these data again to do something amazing!
He secretly looked around at the top teams and experts in the room...

Such subtle data, so many top teams have not noticed it.Only this Zhao Peiru was so meticulous that he was dug out!
At this time, Zhao Peiru stood in front of the white wall curtain, held an infrared indicator and said:

"Everyone, please take a look. This is the postoperative follow-up record of all cases of bundled pancreaticojejunostomy in Hexie Hospital in the past two years."

"This is the incidence of ruptured pancreatic transection bleeding, and this is the incidence of pancreatic fistula formation."

Everyone hastily looked intently.

In their minds, they compared the data one by one.

The incidence of rupture and bleeding is indeed higher.

More importantly, the average time of occurrence of pancreatic fistula was later than that of ordinary patients undergoing pancreatectomy, but the incidence of pancreatic fistula was only slightly reduced.

Everyone's heart skipped a beat!
These conclusions are completely consistent with Zhao Peiru's deduction just now!
At this time, Zhao Peiru cast the second form on the white wall curtain.

"Look, everyone, this is the case data of an operation performed by Academician Peng Shu himself, and this problem also exists."

When everyone saw it, they couldn't help but tremble.

This is true.

It seems that this is a flaw in the technique. Even Academician Peng Shu, a master surgeon, cannot avoid the slow penetration, outflow, corrosion, and activation of intestinal juice.

Pancreatic fistula occurred later, indicating that Academician Peng Shu's practice of inserting the stump of pancreas into the jejunum was indeed effective.But it just proved that the slow penetration and erosion of pancreatic juice mentioned by Zhao Peiru really happened!

These two real data are enough to confirm all the inferences made by Zhao Peiru just now.

Everyone looked at Zhao Peiru in surprise and admiration.

If such subtle postoperative follow-up data is not specially compiled and compared, who would study it?

This Zhao Peiru is so careful!

He is a talent who specializes in medical research!

A heavyweight expert frowned and said, "So, even Academician Peng Shu's technique is not suitable?"

Everyone frowned.

If academician Peng Shu's anastomosis is ruled out, what else can be used?
Compared with pulling out generals from short people, other anastomosis techniques are less effective, and in the end, you have to choose this technique.

Academician Zou Bin looked at Zhao Peiru.

Based on his understanding of Zhao Peiru, since he can raise these questions, Zhao Peiru probably already has a solution in his mind.

Academician Xu Qin has been frowning after hearing this analysis.But when she inadvertently saw Academician Zou Bin's expression, her heart moved.Following Academician Zou Bin's gaze, Xu Qin saw Zhao Peiru again.

Academician Zou Bin believes in Zhao Peiru so much?

What is it about this Zhao Peiru that can convince Academician Zou Bin so thoroughly?

At this time, Zhao Peiru said:
"We can make several improvements on the basis of the bundled pancreaticojejunostomy."

"Contain the phenomena of pancreatic juice leakage, outflow, corrosion, and intestinal juice activation that are easy to occur."

As soon as this was said, the audience was shocked!

Want to improve Academician Peng Shu's technique?

Everyone looked at each other.

An academician and the large and professional team behind him have worked hard, continued to study and iterated many times, and finally launched a treatment method that is very mature, and it can even be said that all possible improvement methods have been exhausted.

Such a huge and top-notch team can't improve the technique again, what improvement method have you come up with?

Everyone opened their eyes wide and looked at Zhao Peiru.

Academician Xu Qin also asked, "What does Dean Zhao think?"

Zhao Peiru said: "My preliminary idea is to use the following methods to improve."

"The first one is that the cross section of the pancreas adopts a fish mouth shape, and the longer pancreatic duct is reserved, so that the small amount of pancreatic juice flowing out from the broken end of the pancreatic duct is relatively far away from the section of the pancreas and is not easy to corrode."

"Second, use the support tube in the pancreatic duct to flow most of the pancreatic juice to the distal cavity, avoiding activation near the pancreatic section."

"The third one is to suture the blood vessels of the pancreatic section including the splenic vein, so that the pancreas is in a state of lack of blood supply, which can reduce the secretion of pancreatic juice, and at the same time prevent the leakage of pancreatic juice from eroding the pancreatic blood vessels and causing the risk of bleeding."

"Fourth, for the small leakage phenomenon in the pancreatic section, the electrospray mode of the electric knife should be used to coagulate the small blood vessels in the pancreatic section that are difficult to find, and coagulate the pancreatic tissue in the section so that there is no leakage of pancreatic juice on the surface of the section. "

Zhao Peiru eloquently said four measures in one breath.

When everyone listened to the first item, they kept nodding.

A fish-mouth-like treatment, plus the way to preserve the longer pancreatic duct, seems like a simple change, but it should be very useful.

From their top-notch and most experienced eyesight, it can be judged that it should be a very pragmatic improvement method.

They also showed admiration for Zhao Peiru.

This one really came up with a good way to improve it.

Only people who observe extremely meticulously and consider details can come up with this improvement method according to the characteristics of the patient's pancreas.

When they heard the second one, everyone couldn't help being a little surprised.

The two methods in succession are very pragmatic and practical.It is really not easy for Zhao Peiru to think of two in succession.

Wait until you hear the third, fourth...

Everyone's mouths grew so big they couldn't close them!
How do you say, it's not over yet?

It is not easy to come up with an improvement.You breathed out one after another, and you actually said four?
And it sounds like these four measures are all effective measures, and they are all drastic changes!
After hearing this, Academician Xu Qin had already opened the notebook and was writing and drawing on it.

Because she found that as Zhao Peiru expounded more and more ideas, more and more thoughts and ideas burst into her mind. It is better to have a good memory than a bad pen. First, write down everything in your heart, and then analyze it.

Almost all the people in the conference room were like this, listening, taking notes, and analyzing in their heads.

Director Cao Youtian of Hexie Hospital looked at the scene in front of him and listened to Zhao Peiru's eloquent explanation, and his scalp went numb from shock!

Zhao Peiru actually improved academician Peng Shu's technique in four steps!
This is so awesome!

Didn't look in the room, did not a single expert speak?
Academician Zou Bin, his eyes are also shining!
In his mind, it was like overwhelming the river!
"These four steps of improvement... After preliminary deduction, they are all extremely effective improvement methods."

"Peng Shu's technique still has so much room for improvement."

He looked at Zhao Peiru, full of admiration, praise, and respect!
Before, he only admired Zhao Peiru, but this time, he respected him a little more!
To be honest, he also thought about Peng Shu's technique many times.

Likewise, no further improvement method could be found.

Looking back now, I am still not as meticulous as Zhao Peiru figured out, and as subtle and thorough in my observations!

Within 10 minutes after Zhao Peiru finished speaking, the room was silent.

Everyone is constantly writing and drawing on the notebooks and papers in front of them.

(End of this chapter)