Surgical artist

Chapter 428 "Waste" Reuse
The remaining people, in groups of three or four, discussed whether there were other possibilities, but in fact, the enthusiasm for the discussion was not high, and they seemed to be silently waiting for the final decision of Academician Chen Yongming and others.

Lei Rong quickly walked towards the group of academician Chen Yongming.

"Teacher Chen."

Academician Chen Yongming raised his head: "Huh?"

This time, there were two people from Shenshuitan Hospital in Kyoto, academician Chen Yongming and Lei Rong, both of whom were teachers and students.

"Mr. Chen, Dean Zhao Peiru said yes, he has a treatment plan."

"Zhao Peiru?" Academician Chen Yongming asked suspiciously.

Lei Rong hurriedly said: "It's with Academician Zou Bin, Academician Xu Qin and the others..."

Before he finished speaking, Academician Chen Yongming laughed. He had heard this name too much recently: "It's him! What is his treatment plan?"

Lei Rong bit the bullet and said, "He was able to fly over this afternoon, and he didn't have time to say it on the phone."

Chen Yongming pondered for a while, and when he stopped, the six or seven pancreas bosses next to him also stopped to look.

"Okay, then we are not in a hurry for surgery."

"Continue to improve the plan in our hands first, and wait for Dean Zhao Peiru to come over in the afternoon, and then listen to his plan."

Lei Rong breathed a sigh of relief.As long as you don't rush into surgery.

The other big bosses present, upon hearing the name Zhao Peiru, asked curiously, "This Dean Zhao Peiru... is it the plan for cutting the pancreas head, or the plan for the whole operation?"

Lei Rong hesitated: "It seems to be a plan for the whole operation, right? He said it can shorten the treatment period."

Everyone looked at each other in surprise, isn't this person from the pancreas field?How did it involve the field of cholangiocarcinoma again?

The reason why they are familiar with Zhao Peiru's name is that it comes from the incident of the chip tycoon Liang Zhongyue, and the improvement of academician Peng Shu's bundled pancreas-intestinal anastomosis method, each of which is related to the field of pancreas.

Some people have also heard that Zhao Peiru is good in the field of liver disease, but in terms of cholangiocarcinoma...

It seems that there are not many achievements, and there are no outstanding achievements.

Academician Chen Yongming smiled and said, "There's no rush, it's just a half-day wait anyway, it's fine."

In the afternoon, Zhao Peiru's plane arrived at Haishi International Airport.

Came to Dongfang Hospital.

Lei Rong had been waiting for him outside the door early.

"Dean Zhao." Lei Rong received Zhao Peiru and asked in a low voice, "What is your plan? The operation has been temporarily suspended."

Zhao Peiru smiled and said, "Academician Chen and the others are in there?"

Ray Rong nodded.

Zhao Peiru pushed the door open and walked in, "Don't worry, my plan will not disappoint you."

Inside, everyone still gathered separately, concentrating on discussing and perfecting the plan, and few people noticed that someone came in.

Lei Rong took Zhao Peiru straight to the side of Academician Chen Yongming's group.

"Mr. Chen, this is Dean Zhao Peiru."

Hearing this, Chen Yongming raised his head and glanced at Zhao Peiru. His thoughts broke away from the plan just now, and he stood up with a smile and shook hands.

"Dean Zhao, I have heard of you for a long time. I heard Academician Xu Qin and Academician Peng Shu often talk about you."

The more than 30 people in the large conference room all stopped discussing and looked this way.

Zhao Peiru held Academician Chen Yongming's hand with a smile, and said with a smile, "Academician Chen is someone I respect, especially the bile duct and jejunum anastomosis method you pioneered, which has inspired me a lot."

"The treatment plan I'm going to talk about today is conceived on the basis of your bile duct and jejunum anastomosis."

"Oh?" Chen Yongming was a little surprised.

He recalled carefully, his bile duct and jejunum anastomosis method...

How to improve and shorten the treatment period?

He thought about it, but couldn't get it right.There is no place where the treatment period can be shortened.

Zhao Peiru looked around the group of bigwigs, and saw several familiar faces inside. Usually, he only saw the bigwigs in the medical field on the news.

After a polite circle, everyone sat down.

Academician Chen Yongming: "Dean Zhao, tell me what you think."

In the entire conference room, everyone's eyes were on Zhao Peiru.

Lei Rong also raised his heart.

Zhao Peiru said: "On the way here, through Director Lei Rong, I got a general idea of ​​how everyone can shorten the treatment period."

"I found that most people's thinking is 'exchanging the treatment period at a certain price', or 'saving a certain step to shorten the time'."

"However, this will lead to disadvantages and further increase the probability of postoperative complications."

Everyone listened quietly, expressionless.

Zhao Peiru said: "And my way of thinking may be different from everyone else's. Not only do I not reduce the number of steps, but I also intend to increase the number of steps."

Everyone frowned slightly, showing doubts.

Academician Chen Yongming is also thinking deeply, based on his bile duct and jejunum anastomosis method, and adding more steps, can the treatment period be shortened in the end?
How is this done?
He pondered for a moment, but still couldn't figure it out.

Zhao Peiru: "The steps I have added are that the pancreatic juice, bile, and gastric juice that are drained after the operation are combined with the enteral nutrition tube and reinfused into the patient's jejunum."

"The reinfused fluid will be turned into nutrition, which can improve the patient's digestion and absorption functions, and is also conducive to the balance of water and electrolytes, reducing the recovery period of intravenous infusion after surgery, so as to achieve the purpose of shortening the entire treatment period."

These words immediately opened up everyone's thinking, and everyone began to think.

Every patient after bile duct surgery must use an external drainage tube to drain the excess fluid remaining in the body to the outside of the body.This is to prevent body fluids from eroding the traumatic wound during the surgery, thus aggravating inflammation.

In fact, the main purpose of the patient's postoperative infusion is to eliminate the inflammation caused during the operation.

Now Zhao Peiru's method is "waste reuse".

"Transfer the battlefield" to the jejunum, where these things that destroy the wound are turned into a nutrient solution to nourish the patient again.

Digestive juices such as pancreatic juice and bile cannot be said to be good or bad in themselves.It's about where you put it.Put it on the wound, that is the culprit that caused the erosion of the wound.And put it back into the digestive and circulatory system, then it is the nutrition that nourishes the human body.

Academician Chen Yongming's heart thumped, and a gleam of light appeared in his eyes.

He said: "Tell me carefully."

Zhao Peiru saw that everyone had followed his train of thought, so he continued:
"The outflow of bile and pancreatic juice can reduce the pressure of the biliary tract and pancreatic duct, so that there is no pancreatic juice stagnation near the pancreaticojejunostomy, and it will not be eroded by pancreatic juice, which in turn reduces the local intra-abdominal pressure and prevents pancreatic fistula and bile leakage."

"Reinfusion can avoid the loss of digestive juice, maintain the stability of the body environment, and improve postoperative gastrointestinal symptoms such as anorexia and abdominal distension."

Everyone was very moved when they heard it!
At this moment, their thinking has also turned around, and they gradually understand the advantages of Zhao Peiru's technique!
"After analyzing it this way..."

Academician Chen Yongming: "There are many benefits of reinfusion of body fluids, and the reduction of operation time is just one of them."

Everyone nodded.

The reinfusion of body fluids can speed up the recovery of patients after surgery, relieve gastrointestinal symptoms, quickly subside inflammation, reduce abdominal pressure, etc., all have great benefits!
Here, every advantage can reduce postoperative recovery time.

With all the advantages added up, this may... really achieve what Zhao Peiru said "you can be discharged from the hospital in six or seven days after surgery"!
To achieve all of this, it only needs an extra step of "reinfusion of body fluids to establish hepatic-intestinal circulation" during the operation. This operation will only increase the operation time by 3-8 minutes, which is very cost-effective.

"Good idea!"

Academician Chen Yongming clenched his fists. At this moment, the thoughts in his mind have been completely cleared up.

Because this idea of ​​returning body fluids to the jejunum was improved from his bile duct and jejunum anastomosis, he understood it the fastest.

The eyes of the other people in the big conference room lit up after a little thought and discussion.

"Academician Chen, this kind of body fluid reinfusion is a good idea. Not only will it not make the operation flawed, but it will also be more friendly to the patient."

Many younger doctors looked at Zhao Peiru with admiration.The surgery they thought of was all at some price in exchange for shortening the treatment period.

As a result, Zhao Peiru's method not only shortened the treatment period, but also became more friendly to the patient, reduced postoperative complications, and relieved the postoperative pressure of the patient. This method is wonderful.

Get it in one fell swoop!
"Academician Chen, let's make a decision."

Everyone's eyes focused on Chen Yongming.Now in the expert group, he has the most right to speak, and he is the one who makes the final decision.

Chen Yongming made a final decision: "Use Dean Zhao's plan." He looked at the big bosses next to him: "Academician Liu, Academician Zheng, let's hurry up and deduce the whole operation several times."

There are two parts to this surgery.The method provided by Zhao Peiru is only the matching part of the second half.

Once the second half is changed, the excised part of the first half has to be changed accordingly, which requires everyone to re-deduce.

The people on the scene are all big bosses, with the highest level and experience, and you will quickly come up with the entire operation process plan with one sentence.

……

Outside, Vice President Sun of Dongfang Hospital, Director Zhang of the Department of Surgery, and Director Shang of the Department of Neurosurgery came out of the elevator and walked towards the conference room.

"It's almost time for the experts to discuss this."

"Go get the experts to dinner."

The three of them came to call everyone to eat.

When they came to the door, the three of them couldn't help showing surprise.

"What's going on, there's no sound in this conference room."

In the past few days, this conference room has been "hustle and bustle", and the voices of experts discussing and discussing are very loud.Especially when they get together and discuss together, it sounds chaotic outside.

But at this moment, it was quiet inside.

"Dong dong dong."

Director Zhang of the Department of Surgery went up and knocked on the door, and a clear voice came from inside: "Come in."

When the three of them entered, they saw everyone standing behind Academician Chen Yongming at the front.

Academician Chen Yongming was sitting, concentrating on writing something, and other people behind him would occasionally remind him.

"This is……"

The three people who came in were surprised, why didn't they discuss this?

After Director Lei Rong greeted him with a smile, he said, "Academician Chen is writing a detailed treatment plan. It may take a while, Dean Sun, you go to eat first." These days, Dean Sun They come for dinner.

Vice President Sun and the three were startled.Are you writing a detailed treatment plan?

So the discussion period is over?
Director Shang of the Department of Neurosurgery quickly asked, "Academician Chen, can this plan shorten the time? Will there be any serious postoperative sequelae?"

This neurosurgery director, Shang, is also a student of the patient, Academician Weng Xian.

He naturally wanted Mr. Weng Xian to accept an operation with the lowest probability of sequelae and complications.

Academician Chen Yongming said with a smile: "This operation will definitely satisfy you, Teacher Weng. Its estimated treatment period only takes one week. The probability of postoperative pancreatic fistula and bile leakage will be higher than that of conventional cholangiocarcinoma resection. lower."

After saying this, the three people who came in were all stunned.

Director Zhang of the Department of Surgery and Director Shang of Neurosurgery were even a little dazed.

How is this possible?

Vice President Sun also asked suspiciously: "Academician Chen, are you joking?"

After discussing these few days... Isn't it said that shortening the time must pay a price?How can it be more friendly to the recovery of patients?

Academician Chen Yongming said with a smile: "This is due to the idea of ​​jejunum reinfusion proposed by President Zhao Peiru."

"Director Zhang, Director Shang, you will understand after reading this plan."

Director Zhang of the Department of Surgery had also stayed in the Department of Hepatobiliary and Pancreatic Surgery for a period of time before. When he saw the plan, his eyes suddenly lit up!
"Use the drained bile, pancreatic juice, gastric juice, etc. as waste, turn them into nutrient solution, and infuse them back into the patient's body?"

"Good idea!"

"Is it possible to reduce the treatment period by increasing the patient's recovery speed?"

The three were pleasantly surprised. This idea is indeed much better than the previous "price for time"!

The happiest thing is Director Shang of Neurosurgery. His teacher actually wanted to trade a price for time in order to compete for cutting-edge projects abroad. Director Shang felt a little uncomfortable these days.

But at this moment, the mood suddenly changed for the better!

His gaze towards Zhao Peiru was full of gratitude and enthusiasm!
I wish I could go up and hug Zhao Peiru!

……

The director of Haishi Medical Association excitedly came to the medical research institution to find Academician Weng Xian.

"Brother Weng, your surgery plan has been finalized! This time, you have to undergo surgery for me!"

Weng Xian said with a smile: "Academician Chen and the others have told me about their plan before. The expected treatment period is 10 days, and I have already agreed."

He has already made plans to take the computer to the ward and work on the hospital bed during the recovery period after the operation.

Director Cai blinked mysteriously: "It's shorter than ten days!"

"The expert team has come up with a new treatment plan, which only needs a one-week treatment period, and the key point is that there are no side effects, and it is even more friendly to your postoperative recovery!"

Academician Weng Xian wondered: "How is this possible? Could it be that Academician Chen and the others...have made a major breakthrough in the field of choledochal cancer?"

Only when a major breakthrough is made in medical equipment or treatment technology can such "leapfrog" progress be achieved.

Director Cai nodded: "It's a concept of jejunum reinfusion, which is indeed a breakthrough in conception and technology."

"It was proposed by an expert named Zhao Peiru."

(End of this chapter)