Surgical artist

Chapter 416 A Little Mistake Is Permanent Trauma

Academician Peng Shu, who was stranded at the airport, couldn't figure it out. Even if he couldn't go back by himself, academician Zou Bin could use the bundled pancreaticojejunostomy, right?No problem, right?

How can it directly replace other new technologies?

You know, new technology means uncertainty.

On such an important and special person as Liang Zhongyue, it is necessary to use a new technology of uncertainty?
"What new technology?"

Academician Peng Shu asked subconsciously.

He only thought in his mind that he could help to make suggestions and see if this new technology passed the test.

But as soon as he asked, he regretted it.

Such an important matter cannot be discussed on the phone.

Especially at this special time.

Sure enough, the other end also realized the problem, and said with a smile: "Academician Peng, the specific surgical technical details will be known when you come back. It is inconvenient to explain over the phone."

"Yes, yes." Peng Shu nodded.

He said: "After the operation is over, remember to tell me."

After hanging up the phone, Academician Peng Shu and several of his students looked at each other.

"It was said on the phone just now that a new anastomosis technique will be used."

"And the chief surgeon is not Academician Zou Bin, but someone else."

Academician Peng Shu still can't believe what he heard.

His students and disciples also looked at each other in blank dismay.

How do you think about it in this country?
Such a good bundled pancreaticojejunostomy technique should be used instead of other techniques?
Still in such a hurry to go straight to surgery?
Everyone always felt that something happened that they didn't know.

……

Hexie Hospital, operating room.

Everyone is being treated seriously.

Next to the operating table, Academician Xu Qin's team, who was in charge of performing the first half of the pancreas head surgery, was already fully armed.

Zhao Peiru, Academician Zou Bin, Fu Cheng and others who were in charge of the second half of the operation were also ready.

In the observation room, top experts from all over the country also looked down seriously.

Not only was the patient's status special, but the stakes were high for this operation. I don't know how many leaders outside were staring at it.

At the same time, it is also related to the success of the improved method of improving the anastomosis performed by Academician Peng Shu.

In addition, everyone still has a strong curiosity... They all want to know what kind of wonderful operation can provoke such a big reaction from the two academicians Zou and Xu.

Beside the operating table, patients under general anesthesia have also adjusted their positions.

Everyone took a deep breath, and countless gazes finally focused on Academician Xu Qin.

Academician Xu Qin calmed down and said, "Start the operation."

At this moment, Zhao Peiru, who was standing next to him, said silently in his heart:
"Use the golden preview card."

Even if there is only the last golden preview card left, Zhao Peiru must use it in this operation.

One is that in this operation, there are two academicians Xu Qin and Zou Bin, as well as a strong team behind them.In the virtual surgery space, Zhao Peiru can learn a lot from the two top teams. This is a rare learning opportunity.

The other one is that this operation is of great importance, and countless leaders and experts are watching, even people from abroad are watching here, so it must be perfect.

Also, the so-called superb technology and exquisite texture that everyone expects are actually secondary effects brought about by the golden preview card.If you don't use the golden rehearsal card and only use the "master level card", you will definitely be exposed.

In the future, when he can use the "National Medical Grade" level card at will, and when he has the support of "National Medical Grade" level, he will not be afraid of being exposed.

With Zhao Peiru's thoughts, everything in front of him was copied and reflected in his mind, forming a virtual operating room.

In the virtual space, like before, Zhao Peiru made the operation perfect through trial and error again and again.

Later, the severed pancreas of this patient Liang Zhongyue was able to reach the point where no pancreatic juice would leak out at all.

So far, the operation has been completely fine.

Later, Zhao Peiru learned techniques from the two academicians in the virtual space. He took the initiative to undertake the first part of the pancreas head and severed pancreas, and also asked Academician Xu Qin to be his assistant.

After dozens of operations, Zhao Peiru tried various techniques, used various techniques, and even partnered with each of these top teams.Learn the advantages of everyone.

The harvest is extremely rich!
In the end, Zhao Peiru, who had exhausted all the benefits and was satisfied, exited the virtual space of the golden preview card.

After returning to reality, the flow of time also returned to normal.

Academician Xu Qin's team started the operation.

Watching Academician Xu Qin's operation, Zhao Peiru thought silently that he had to remind her when it was time to ligate the splenic artery.

In the virtual space, every time Academician Xu Qin reaches this point, he always does not do well enough.

After countless times of trial and error, Zhao Peiru and academician Xu Qin have redesigned and perfected this step.

It's just that Academician Xu Qin in reality doesn't know this yet, and she is still taking that wrong step step by step.

……

Outside the operating room.

Liang Zhongyue's daughter and wife sat silently.

Waiting for the final results of the operation.

Behind him, several groups of leaders from various departments came to appease him.

The wife responded politely.

The unit leaders of the scientific research institute were also a little anxious and kept pacing back and forth.Liang Zhongyue inside is not only his colleague and pillar in his office!He is also his old friend for many years, he really does not want Liang Zhongyue to have an accident.

Everyone looked at the frosted glass door of the operating room from time to time.

……

operating room.

The operation is proceeding in an orderly manner.

Academician Xu Qin’s team followed the steps of the simulated operation, sewed a stitch on the upper and lower edges of the pancreas at the left end of the tangent line, and then used auricle forceps along the superior mesenteric vein to penetrate from the lower edge of the pancreas to the upper edge of the pancreas, and gradually cut off the pancreas with an electric knife. , The pancreas was dissected in a wedge shape from the left side.

When it came time to cut the pancreatic duct, Academician Xu Qin intentionally kept an extra [-]mm of pancreatic duct length.

This is to prepare for Zhao Peiru's second half of the anastomosis work, which is part of Zhao Peiru's improvement method.

Finally, it was time to ligate the splenic artery.

Academician Xu Qin was about to continue, but Zhao Peiru took a break and said:
"Academician Xu, don't ligate the artery directly here. Instead, suture and ligate the inferior pancreatic artery perpendicular to the longitudinal axis of the pancreas and along the lower edge of the pancreas at intervals of 1 cm, and then use the No. 7 suture to ligate the splenic artery."

Academician Xu Qin paused slightly after hearing this.

When she stopped, her team also stopped.

Academician Zou Bin, Fu Cheng and other team members also looked at Zhao Peiru.

In the observation room above, famous doctors from all over the country also looked at Zhao Peiru suspiciously.

Everyone didn't understand why Zhao Peiru made such a sudden change.

Zhao Peiru smiled lightly and didn't explain much.

In the virtual space, he has matched with Academician Xu Qin countless times like this, knowing that Academician Xu Qin would not ask too many questions.

Sure enough, Academician Xu Qin only moved his hand after thinking for a while.

"Row."

She also quickly went through the operation Zhao Peiru said in her mind.

This extra step will only delay one minute of time, but it can indeed make the operation more stable and safer.

In the face of this special patient, it is not a bad idea to do more "safety operations".

Soon, Academician Xu Qin ligated the splenic artery with a No. 1 wire at a place 7 cm to the left of the junction of the splenic artery and the celiac trunk.

After completing this operation, Academician Xu Qin suddenly stared!
At this moment, her pupils suddenly shrank to the point of a needle!

My heart was also scared, and it beat fast and violently a few times!
The wall of the splenic artery is so fragile!

Crisp and thin as a piece of gold leaf!
If she had just ligated the splenic artery according to the original plan...

If it is so fragile, it will break and shatter in all likelihood!
At that time, once the splenic artery hemorrhage is caused, emergency ligation and rescue of the bleeding point must be carried out.And then there may be other major problems that cannot be imagined.

In fact, in Zhao Peiru's previous virtual space, it was precisely because of this mistake that the entire team was busy rescuing the patient for half an hour, and at the same time left some permanent trauma to the patient.

With lingering fear in her heart, Xu Qin glanced at Zhao Peiru gratefully.

She knew very well that if it wasn't for Zhao Peiru's reminder, she would have almost caused a catastrophe just now.This sudden accident may not be a big deal in normal surgery, it just needs to be rescued, and it can be dealt with, and the patient will not die.

However, for this special patient, the core purpose is to preserve the normal tissues in the body as much as possible and reduce the severe trauma to it. One more rescue will reduce the quality of life of the patient after surgery and affect the quality of life of the patient after surgery. lifetime.

Academician Zou Bin and others who watched silently beside him, as well as famous doctors from all over the country who watched above, also noticed the splenic artery wall as fragile as gold leaf through the enlarged surgical field display.

"Principal Zhao observed it very meticulously!"

"I didn't notice it at all just now, neither did Academician Xu Qin and the others."

The Shuye just now was clearly exposed under the noses of everyone, but no one saw it at all.In other words, no one took that weak point seriously.

As top experts, they are used to seeing too many critically ill and complicated patients on weekdays. Sometimes, some minor conditions are "nothing" in their eyes, and they don't take it seriously.

Because there are more critical places, they need to spend their brains, think about it, and think about it.

Those with a relatively low degree of harm were subconsciously skipped by them.

Sometimes the brain skips over subconsciously, and they don't even realize it.

It's like going out alone and closing the door casually, but when you go downstairs, you can't remember whether you closed the door or not.

This kind of "unimportant" thing is just a subconscious skipping action.

But the identity of this patient is very special.

Every detail can't go wrong.

Everyone looked at Zhao Peiru with lingering fear, and admiration flashed in their eyes.

Among the audience, only Zhao Peiru was the most rational and the most careful observer.

Is this what academician Zou Bin said, Zhao Peiru's meticulous observation ability?

They haven't seen Zhao Peiru's actual operation yet, but they have already seen Zhao Peiru's delicate handling.

At this moment, everyone has somewhat understood the general meaning of Academician Zou Bin's meticulous and delicate words.

After this step, the work of cutting off the pancreas in the first half is declared over.

Everyone communicated tacitly.

Xu Qin's team withdrew.

Zhao Peiru, Zou Bin, and Fu Cheng stood at position C on the operating table.

Everyone in the observation room felt their hearts go up.

Finally, I will be able to see Zhao Peiru's actual operation, and I can finally satisfy my curiosity.

Under the watchful eyes of everyone, Zhao Peiru continued to pick up the No. [-] thread, and sutured one stitch at the upper and lower edges close to the pancreatic duct, one centimeter away from the section of the pancreas, to reduce the blood supply at the section first.

At the same time, Academician Zou Bin and Fu Cheng operated the electric knife to electrocoagulate the section, and kept a one-centimeter-thick solidified section according to Zhao Peiru's improved method.Make the section lose secretory function.

Subsequently, according to the general direction of academician Peng Shu's bundled pancreaticojejunostomy, the jejunum stump was prepared, the terminal artery was cut off, the jejunum was turned up, the mucous membrane was destroyed to lose its secretory function, and the pancreatic stump was quickly inserted.

After inserting the stump of the pancreas into the jejunum for at least three centimeters, sew the stump of the jejunum to the upper and lower edges of the pancreas with No. 3 silk suture to fix it.

Finally, a bundling and water injection test is performed.

The last two steps are completely in accordance with Academician Peng Shu's steps.

After the whole process is completed, the mouths of the people watching are already big enough to swallow a goose egg.

"I finally understand what a sense of sophistication is..."

Several people murmured in low voices, with surprised tones.

"Does he not have to think? Every step of the operation is seamless, as if it has been rehearsed countless times, without any mistakes or hesitation."

"Extremely smooth movement."

"A surgery is actually done as delicately, delicately and flawlessly as a work of art!"

Flowing movements, silky and smooth connection, natural stitching, ingenious nesting, crisp and neat cutting...

The whole process reveals a kind of pleasing to the eye!
It is obviously a rigorous operation, but it has a very high ornamental value!This group of top experts from all over the country was mesmerized.

This must have been extremely well prepared in advance. On the virtual simulation equipment, the patient's body structure was thoroughly touched, and then the operation was simulated and rehearsed countless times in his mind to achieve the current effect.

Academician Xu Qin's team also appreciated it from the beginning to the end.

Academician Zou Bin next to him also had his fill of addiction.

This surgery scene, which is worth chewing over and over again, finally let him see it again.

During the operation, he once again felt the feeling that he was dragging Zhao Peiru's hind legs, which made him painful.But seeing Zhao Peiru's exquisite handling of details, he can also gain something, this feeling makes him happy.

pain and joy.

After one operation was over, everyone's perception of Zhao Peiru was completely different.

Academician Xu Qin instructed the team members to do a good job in the postoperative perioperative treatment and nursing of patients, as well as the observation of rehabilitation data.

Others followed Zhao Peiru, Academician Zou Bin and others to the outside of the operating room.

(End of this chapter)