Surgical artist
Chapter 425
Chapter 425
Academician Xu Qin understands how valuable it is to build up the confidence of a practitioner.
For academician-level practitioners like them, most of the time, they can be confident, and even if they encounter any accidents, they can deal with them with ease.
However, there are still the vast majority of surgeons below who are apprehensive when dealing with complex and critical operations.
That's because in critical operations, there are too many unpredictable dangers, and accidents may happen at any time.
However, Zhao Peiru's "total mesentery resection concept + layered anatomy concept" is very solid in every step, which can naturally build confidence for the surgeon gradually.
That alone underscores how valuable the idea is.
On the operating table, proceed to the fourth step, separate the Tres ligament, cut off the jejunum, and complete the en bloc resection together with the mesentery of the pancreas and duodenum.
The fifth step is pancreaticogastric anastomosis, digestive tract reconstruction, pancreatic duct jejunum end-to-side, continuous double-layer anastomosis.
So far, the whole operation has been done step by step, step by step, steadily.
All the people who watched saw all the surgical procedures, and they only felt that they were clear.
It is obviously an operation, but it feels like a mathematical "step-by-step reasoning".
The original Chief Swordsman Cui, now huddled in a corner, was completely stunned.
If he were to perform this operation, he would have to be sweating, worrying, and cursing his assistants to finish it in a hurry, and he would never be able to do it as well as Zhao Peiru.
He could see that the technical concept used by Zhao Peiru was very clear about the patient's lesion.
Even the lymphatic fat layer and retroperitoneal nerve plexus, which are the "dead spots of human hygiene", were cleaned neatly, even reaching the standard of skeletal cleaning.
A thought came to Chief Surgeon Cui's mind: "What the hell is an operation!"
The technique he did before is a fart!
The surgical method Zhao Peiru used seems to be what surgery for pancreatic head cancer should be.Only the operation that cleans up the lesion has the meaning of surgery.
Otherwise, is it different from conservative palliative care?
The next moment, Cui Zhudao suddenly regretted that he stayed to observe.
Because, once he has seen such an exquisite surgical technique... If he can't learn it in the future, then he probably won't want to go back and use the backward surgical technique before.
In the observation room, expert Xie Miao and others watched with great emotion and excitement.
Especially expert Xie Miao. Before he came, he had carefully read Zhao Peiru's "layered anatomy" case several times. Looking at this operation now, he understood it more deeply.
"There are five steps in this operation."
"The third step is the previous concept of layered anatomy."
"It is equivalent to this operation, which uses five times a concept similar to the level of 'layered anatomy'!"
Xie Miao had a premonition that the improvement of the curative effect of the operation would also increase multiple times!
"Principal Zhao's thinking and insight... can be said to be an era ahead of me!" Xie Miao admired him deeply.
The other doctors from Haishi and Jingdu who came to observe, like expert Xie Miao, were so excited that they couldn't calm down for a long time.
The most shocking ones were Director Yue Qianyi and Director Deng Yucai of the Cancer Hospital.
Both of them are old friends of Zhao Peiru, but they haven't seen Zhao Peiru's operation site for a long time.
At this moment, seeing Zhao Peiru's step-by-step, systematic, mature and perfect operation, he was also stunned.
"Dean Zhao has matured a lot. He is becoming more and more like everyone else."
In the past, they could see a sense of "smartness" from Zhao Peiru. No matter what kind of patients he was facing, Zhao Peiru could always come up with fantastic tricks and unconstrained treatment plans.
But now, from the operation in front of them, they can feel more of Zhao Peiru's systematic and organizational philosophy, which is knowledge that can benefit all those who perform pancreatic head surgery.
This may show that Zhao Peiru's knowledge and cognition system has become more mature!
Finally, the finishing work on the operating table was also completed.
After the patient was pushed into the observation room, the people watching from above couldn't bear it anymore and started talking in low voices.
While talking, many people looked at Zhao Peiru below with admiration and admiration from time to time.
The nurses who were in charge of cooperating with the operation quietly breathed a sigh of relief.
Although they were nervous because they were facing so many big figures.But this is the most comfortable operation they have ever done... because the surgeon will not scold them.
Compared with the original Chief Surgeon Cui, a big man like Zhao Peiru gave them positive and positive encouragement, which allowed them to relax, play better and cooperate with the doctor.
Academician Peng Shu and Academician Xu Qin went to a deserted place and called Academician Zou Bin.
Because Academician Zou Bin repeatedly told him before the operation that he must call him in time after the operation and inform him of the operation process and results.
In addition, after personally experiencing this new concept of surgery, Academician Xu Qin and Academician Peng Shu sensitively realized that they need to re-evaluate the value of this new concept together with Academician Zou Bin!
This new concept is better than they imagined.This is a good guideline that can re-"operate and standardize" the entire field of pancreatic head cancer, and it is very worthy of nationwide promotion.
On the phone, Academician Zou Bin could not help but regret that he was not able to come to the scene and see the operation with his own eyes when he heard the two people's high praise...
He is the one most eager to see Zhao Peiru live surgery.
……
In the end, all doctors came out of the operating room.
The family members couldn't help feeling tense when they watched the big battle of a large group of doctors come out.
It was not until they heard the good news that the operation was successful, and there were special medical staff who explained to them the benefits of this operation in detail, that they were relieved, relieved, and delighted.
not far away.
Director Jia Yanjun and Professor Shu Yun, the right and left hands, were also delighted to hear the news.
Then, the two called Professor Jiang and Professor Feng.
Share the joy.
The news here also quickly spread to the ears of everyone who paid attention to this place.
……
At the same time, a new reminder sounded in Zhao Peiru's mind.
"Congratulations, you have completed [Task [-]: Further apply advanced concepts in the field of pancreatic head cancer.]"
"Awarded: 1 golden rehearsal card, 30 experience card."
Zhao Peiru was amused, this card at the bottom of the box finally came.
The "total mesenteric resection" operation he performed this time is only relatively standardized and strict in concept, and it is not difficult to implement it in actual on-site operation. Clicking the card" is useless, and only consumes 4 hours of "surgery status card."
"Now, I have two national medical level cards in my hand, and the experience value has reached 2W."
"It can be said that it is equivalent to having three and a half national medical level cards."
Coupled with the golden preview card, they finally regained some confidence.
Zhao Peiru smiled slightly.
At this moment, a new reminder came to my mind again.
"Congratulations, you have completed【Mission [-]: Achieve pancreas comprehensive hand achievement.】"
"Mission Reward: 1 Essence Permanent Card, 1 Youth Card."
Zhao Peiru was amused, it really is a "successful" type of task, after the first three tasks are completed, this task will be automatically completed.
"Use the spirit permanent card."
"Use the youth card."
The next moment, Zhao Peiru's mental state reached a value of 19, which is simply outstanding among the elderly.
He is now standing among a group of elderly doctors of the same age, and he will naturally become the most conspicuous one.This kind of conspicuousness does not mean that the clothes are special or the dress is special.It is a kind of temperament and state from the inside out.
At the same time, under the influence of the [Physical Function Youth Card], his physical function returned to 48 years old again.
"A year has passed before, and the body's functions have naturally aged for a year in the passage of time."
"This youth card has helped me make up for this year."
In order to fight against the irreversible weapon of "passage of time", Zhao Peiru will continue to do more task chains and get more [Youth Cards].
……
Academician Xu Qin, Academician Peng Shu, expert Xie Miao and others held a seminar.
The theme of the meeting is "the concept of total mesentery resection pioneered by Zhao Peiru, the extent and strength of its promotion."
And remote video connection with academician Zou Bin.
"Dean Zhao's idea of total mesentery resection is first of all worthy of nationwide promotion. Do you have any objections to this point?"
Academician Xu Qin looked around.
Those present were all top experts in the field of pancreatic head in the country, but Zhao Peiru, the pioneer, was the only one missing...
She couldn't laugh or cry in her heart.
Before the meeting, she naturally tried her best to invite Zhao Peiru to participate in the seminar, but the other party said that no matter what the results of the discussion were, he would accept it, and it didn't matter whether he came or not.
It seems that Zhao Peiru is not interested in this "promotion range, promotion intensity" at all.
If it was someone else, and he managed to create a technique with great difficulty, he would definitely fight for it and try his best to make this technique more popular.
When it came to Zhao Peiru, he didn't care at all.
If you think about it, it is difficult for others to create new ideas and new techniques, but for Zhao Peiru, it is "commonly done", and you can often come up with new things, so you can't care about it.
Thinking of this, Xu Qin felt extremely envious of Zhao Peiru in his heart.
Why didn't I have such a good brain?
Everyone nodded after hearing what Academician Xu Qin said.
What objection can there be?
This concept of normative unity has a great positive effect on the entire industry, and it is beneficial to promote it without any harm.
"Then discuss the next step, the extent of promotion."
Whether to promote it to all county-level grassroots hospitals across the country, or only to provincial-level comprehensive large-scale hospitals, is open to discussion.
Academician Peng Shu pondered for a while, and said: "First of all, pancreatic head cancer surgery is relatively complicated, and it is impossible for grassroots county-level hospitals to fully popularize it."
Everyone nodded.
Some of the grass-roots county-level hospitals are better and can handle some difficult surgeries.But more can only do some routine resection.
"I suggest that all provincial-level hospitals have full coverage, and each city should have at least one municipal-level tertiary-level hospital covered, and grass-roots hospitals should do what they can."
While discussing, everyone gradually refined the scope of popularization.
After determining the scope of promotion and popularization.
Everyone discussed the form of promotion again.
At the beginning, I wanted to open the course authority to qualified hospitals in various provinces on the APP.Zhao Peiru explained several theoretical courses.
Academician Peng Shu thought for a while and said, "It's not enough just to teach the theory."
"This total mesenteric resection is best combined with on-site surgical teaching."
He looked at Academician Xu Qin: "Academician Xu, why don't we invite Dean Zhao to conduct a nationwide on-site surgery lecture?"
The others were stunned, and then they were shocked again!
This national touring on-site lecture is of great benefit to the lecturer himself!
Not only to teach, but also to develop and spread personal fame.
The last time their "National On-Site Surgery Tour" in the field of pancreas was held by Academician Zou Bin ten years ago. Since returning from the tour, Academician Zou Bin's reputation has greatly increased.
The simplest reason is that every time you go to a place, the local best pancreas talents will definitely be selected to attend your class, and even have to call you a teacher.
After a tour around the country, almost all of the outstanding pancreas talents in major cities across the country are your students.This is the expansion of influence.
Could it be that the founders have deliberately paved the way for President Zhao Peiru?
Academician Xu Qin thought for a while, and nodded: "I also think it is necessary to tour the country to give lectures on site."
After the meeting, the two founders came to find Zhao Peiru and explained their intentions.
"Let me run around the country?"
"I dont go."
Zhao Peiru thought for a while, then refused.
For him, traveling across the country to improve his reputation is very time-consuming, it is better to continue to do the task chain to improve faster.
With the time of that national tour, I am afraid that he has already won more "comprehensive hand titles".By that time, he may even have gone to the world's top class of "Perfect Class".
Above the national medical level, it is the "perfect level".
That was Zhao Peiru's goal.
Seeing Zhao Peiru's refusal, Academician Xu Qin and Academician Peng Shu were startled.
Zhao Peiru came up with an idea: "In this way, I don't have time to tour the country, but I can organize some people to learn from me first. After these people have learned it, they will go to tour the country instead of me."
When the two academicians heard Zhao Peiru say "no time", they probably understood why Zhao Peiru refused.
It must be that there are better ideas and better ideas in his mind.Zhao Peiru still has many research directions to do.
Thinking of this, they also had a little more expectation.I don't know which direction Zhao Peiru will continue to explore next.
"My student, can I study with you?" Academician Peng Shu suddenly asked.
Zhao Peiru smiled and said, "Okay."
Those who can become academician Peng Shu's students and be sent by him must be outstanding disciples selected from the best, and their learning efficiency will definitely be higher, so there is no need to waste your words.
Academician Xu Qin hurriedly followed: "My students are coming too, okay?"
With such a good opportunity, how could academician Peng Shu get all the credit?
Zhao Peiru did not refuse anyone who came, and said with a smile, "Okay, and if Academician Zou Bin is willing, let him arrange a few people to come."
(End of this chapter)
Academician Xu Qin understands how valuable it is to build up the confidence of a practitioner.
For academician-level practitioners like them, most of the time, they can be confident, and even if they encounter any accidents, they can deal with them with ease.
However, there are still the vast majority of surgeons below who are apprehensive when dealing with complex and critical operations.
That's because in critical operations, there are too many unpredictable dangers, and accidents may happen at any time.
However, Zhao Peiru's "total mesentery resection concept + layered anatomy concept" is very solid in every step, which can naturally build confidence for the surgeon gradually.
That alone underscores how valuable the idea is.
On the operating table, proceed to the fourth step, separate the Tres ligament, cut off the jejunum, and complete the en bloc resection together with the mesentery of the pancreas and duodenum.
The fifth step is pancreaticogastric anastomosis, digestive tract reconstruction, pancreatic duct jejunum end-to-side, continuous double-layer anastomosis.
So far, the whole operation has been done step by step, step by step, steadily.
All the people who watched saw all the surgical procedures, and they only felt that they were clear.
It is obviously an operation, but it feels like a mathematical "step-by-step reasoning".
The original Chief Swordsman Cui, now huddled in a corner, was completely stunned.
If he were to perform this operation, he would have to be sweating, worrying, and cursing his assistants to finish it in a hurry, and he would never be able to do it as well as Zhao Peiru.
He could see that the technical concept used by Zhao Peiru was very clear about the patient's lesion.
Even the lymphatic fat layer and retroperitoneal nerve plexus, which are the "dead spots of human hygiene", were cleaned neatly, even reaching the standard of skeletal cleaning.
A thought came to Chief Surgeon Cui's mind: "What the hell is an operation!"
The technique he did before is a fart!
The surgical method Zhao Peiru used seems to be what surgery for pancreatic head cancer should be.Only the operation that cleans up the lesion has the meaning of surgery.
Otherwise, is it different from conservative palliative care?
The next moment, Cui Zhudao suddenly regretted that he stayed to observe.
Because, once he has seen such an exquisite surgical technique... If he can't learn it in the future, then he probably won't want to go back and use the backward surgical technique before.
In the observation room, expert Xie Miao and others watched with great emotion and excitement.
Especially expert Xie Miao. Before he came, he had carefully read Zhao Peiru's "layered anatomy" case several times. Looking at this operation now, he understood it more deeply.
"There are five steps in this operation."
"The third step is the previous concept of layered anatomy."
"It is equivalent to this operation, which uses five times a concept similar to the level of 'layered anatomy'!"
Xie Miao had a premonition that the improvement of the curative effect of the operation would also increase multiple times!
"Principal Zhao's thinking and insight... can be said to be an era ahead of me!" Xie Miao admired him deeply.
The other doctors from Haishi and Jingdu who came to observe, like expert Xie Miao, were so excited that they couldn't calm down for a long time.
The most shocking ones were Director Yue Qianyi and Director Deng Yucai of the Cancer Hospital.
Both of them are old friends of Zhao Peiru, but they haven't seen Zhao Peiru's operation site for a long time.
At this moment, seeing Zhao Peiru's step-by-step, systematic, mature and perfect operation, he was also stunned.
"Dean Zhao has matured a lot. He is becoming more and more like everyone else."
In the past, they could see a sense of "smartness" from Zhao Peiru. No matter what kind of patients he was facing, Zhao Peiru could always come up with fantastic tricks and unconstrained treatment plans.
But now, from the operation in front of them, they can feel more of Zhao Peiru's systematic and organizational philosophy, which is knowledge that can benefit all those who perform pancreatic head surgery.
This may show that Zhao Peiru's knowledge and cognition system has become more mature!
Finally, the finishing work on the operating table was also completed.
After the patient was pushed into the observation room, the people watching from above couldn't bear it anymore and started talking in low voices.
While talking, many people looked at Zhao Peiru below with admiration and admiration from time to time.
The nurses who were in charge of cooperating with the operation quietly breathed a sigh of relief.
Although they were nervous because they were facing so many big figures.But this is the most comfortable operation they have ever done... because the surgeon will not scold them.
Compared with the original Chief Surgeon Cui, a big man like Zhao Peiru gave them positive and positive encouragement, which allowed them to relax, play better and cooperate with the doctor.
Academician Peng Shu and Academician Xu Qin went to a deserted place and called Academician Zou Bin.
Because Academician Zou Bin repeatedly told him before the operation that he must call him in time after the operation and inform him of the operation process and results.
In addition, after personally experiencing this new concept of surgery, Academician Xu Qin and Academician Peng Shu sensitively realized that they need to re-evaluate the value of this new concept together with Academician Zou Bin!
This new concept is better than they imagined.This is a good guideline that can re-"operate and standardize" the entire field of pancreatic head cancer, and it is very worthy of nationwide promotion.
On the phone, Academician Zou Bin could not help but regret that he was not able to come to the scene and see the operation with his own eyes when he heard the two people's high praise...
He is the one most eager to see Zhao Peiru live surgery.
……
In the end, all doctors came out of the operating room.
The family members couldn't help feeling tense when they watched the big battle of a large group of doctors come out.
It was not until they heard the good news that the operation was successful, and there were special medical staff who explained to them the benefits of this operation in detail, that they were relieved, relieved, and delighted.
not far away.
Director Jia Yanjun and Professor Shu Yun, the right and left hands, were also delighted to hear the news.
Then, the two called Professor Jiang and Professor Feng.
Share the joy.
The news here also quickly spread to the ears of everyone who paid attention to this place.
……
At the same time, a new reminder sounded in Zhao Peiru's mind.
"Congratulations, you have completed [Task [-]: Further apply advanced concepts in the field of pancreatic head cancer.]"
"Awarded: 1 golden rehearsal card, 30 experience card."
Zhao Peiru was amused, this card at the bottom of the box finally came.
The "total mesenteric resection" operation he performed this time is only relatively standardized and strict in concept, and it is not difficult to implement it in actual on-site operation. Clicking the card" is useless, and only consumes 4 hours of "surgery status card."
"Now, I have two national medical level cards in my hand, and the experience value has reached 2W."
"It can be said that it is equivalent to having three and a half national medical level cards."
Coupled with the golden preview card, they finally regained some confidence.
Zhao Peiru smiled slightly.
At this moment, a new reminder came to my mind again.
"Congratulations, you have completed【Mission [-]: Achieve pancreas comprehensive hand achievement.】"
"Mission Reward: 1 Essence Permanent Card, 1 Youth Card."
Zhao Peiru was amused, it really is a "successful" type of task, after the first three tasks are completed, this task will be automatically completed.
"Use the spirit permanent card."
"Use the youth card."
The next moment, Zhao Peiru's mental state reached a value of 19, which is simply outstanding among the elderly.
He is now standing among a group of elderly doctors of the same age, and he will naturally become the most conspicuous one.This kind of conspicuousness does not mean that the clothes are special or the dress is special.It is a kind of temperament and state from the inside out.
At the same time, under the influence of the [Physical Function Youth Card], his physical function returned to 48 years old again.
"A year has passed before, and the body's functions have naturally aged for a year in the passage of time."
"This youth card has helped me make up for this year."
In order to fight against the irreversible weapon of "passage of time", Zhao Peiru will continue to do more task chains and get more [Youth Cards].
……
Academician Xu Qin, Academician Peng Shu, expert Xie Miao and others held a seminar.
The theme of the meeting is "the concept of total mesentery resection pioneered by Zhao Peiru, the extent and strength of its promotion."
And remote video connection with academician Zou Bin.
"Dean Zhao's idea of total mesentery resection is first of all worthy of nationwide promotion. Do you have any objections to this point?"
Academician Xu Qin looked around.
Those present were all top experts in the field of pancreatic head in the country, but Zhao Peiru, the pioneer, was the only one missing...
She couldn't laugh or cry in her heart.
Before the meeting, she naturally tried her best to invite Zhao Peiru to participate in the seminar, but the other party said that no matter what the results of the discussion were, he would accept it, and it didn't matter whether he came or not.
It seems that Zhao Peiru is not interested in this "promotion range, promotion intensity" at all.
If it was someone else, and he managed to create a technique with great difficulty, he would definitely fight for it and try his best to make this technique more popular.
When it came to Zhao Peiru, he didn't care at all.
If you think about it, it is difficult for others to create new ideas and new techniques, but for Zhao Peiru, it is "commonly done", and you can often come up with new things, so you can't care about it.
Thinking of this, Xu Qin felt extremely envious of Zhao Peiru in his heart.
Why didn't I have such a good brain?
Everyone nodded after hearing what Academician Xu Qin said.
What objection can there be?
This concept of normative unity has a great positive effect on the entire industry, and it is beneficial to promote it without any harm.
"Then discuss the next step, the extent of promotion."
Whether to promote it to all county-level grassroots hospitals across the country, or only to provincial-level comprehensive large-scale hospitals, is open to discussion.
Academician Peng Shu pondered for a while, and said: "First of all, pancreatic head cancer surgery is relatively complicated, and it is impossible for grassroots county-level hospitals to fully popularize it."
Everyone nodded.
Some of the grass-roots county-level hospitals are better and can handle some difficult surgeries.But more can only do some routine resection.
"I suggest that all provincial-level hospitals have full coverage, and each city should have at least one municipal-level tertiary-level hospital covered, and grass-roots hospitals should do what they can."
While discussing, everyone gradually refined the scope of popularization.
After determining the scope of promotion and popularization.
Everyone discussed the form of promotion again.
At the beginning, I wanted to open the course authority to qualified hospitals in various provinces on the APP.Zhao Peiru explained several theoretical courses.
Academician Peng Shu thought for a while and said, "It's not enough just to teach the theory."
"This total mesenteric resection is best combined with on-site surgical teaching."
He looked at Academician Xu Qin: "Academician Xu, why don't we invite Dean Zhao to conduct a nationwide on-site surgery lecture?"
The others were stunned, and then they were shocked again!
This national touring on-site lecture is of great benefit to the lecturer himself!
Not only to teach, but also to develop and spread personal fame.
The last time their "National On-Site Surgery Tour" in the field of pancreas was held by Academician Zou Bin ten years ago. Since returning from the tour, Academician Zou Bin's reputation has greatly increased.
The simplest reason is that every time you go to a place, the local best pancreas talents will definitely be selected to attend your class, and even have to call you a teacher.
After a tour around the country, almost all of the outstanding pancreas talents in major cities across the country are your students.This is the expansion of influence.
Could it be that the founders have deliberately paved the way for President Zhao Peiru?
Academician Xu Qin thought for a while, and nodded: "I also think it is necessary to tour the country to give lectures on site."
After the meeting, the two founders came to find Zhao Peiru and explained their intentions.
"Let me run around the country?"
"I dont go."
Zhao Peiru thought for a while, then refused.
For him, traveling across the country to improve his reputation is very time-consuming, it is better to continue to do the task chain to improve faster.
With the time of that national tour, I am afraid that he has already won more "comprehensive hand titles".By that time, he may even have gone to the world's top class of "Perfect Class".
Above the national medical level, it is the "perfect level".
That was Zhao Peiru's goal.
Seeing Zhao Peiru's refusal, Academician Xu Qin and Academician Peng Shu were startled.
Zhao Peiru came up with an idea: "In this way, I don't have time to tour the country, but I can organize some people to learn from me first. After these people have learned it, they will go to tour the country instead of me."
When the two academicians heard Zhao Peiru say "no time", they probably understood why Zhao Peiru refused.
It must be that there are better ideas and better ideas in his mind.Zhao Peiru still has many research directions to do.
Thinking of this, they also had a little more expectation.I don't know which direction Zhao Peiru will continue to explore next.
"My student, can I study with you?" Academician Peng Shu suddenly asked.
Zhao Peiru smiled and said, "Okay."
Those who can become academician Peng Shu's students and be sent by him must be outstanding disciples selected from the best, and their learning efficiency will definitely be higher, so there is no need to waste your words.
Academician Xu Qin hurriedly followed: "My students are coming too, okay?"
With such a good opportunity, how could academician Peng Shu get all the credit?
Zhao Peiru did not refuse anyone who came, and said with a smile, "Okay, and if Academician Zou Bin is willing, let him arrange a few people to come."
(End of this chapter)
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