Surgical artist

Chapter 432 It Really Matched
"What's going on here?"

A staff member ran over and whispered in Zhao Peiru's ear.

Zhao Peiru looked at the situation of Shuye on the monitor again, and immediately understood.

Dong Yuanheng's resection was too much.

The anastomotic port reserved for him is not enough.

The staff member said anxiously: "Director Lin asked you to see if you can still perform the jejunal reinfusion technique. If not...the live broadcast will have to be discontinued."

Once the live broadcast is stopped, it will definitely become a stain on Lin Jinsong's work, and it will also become a stain on Deng Changbing, a member of the National Medical Association.

As the first batch of pioneers who mainly promoted the surgical live broadcast module, they had such a big accident during the first live broadcast, and they would inevitably be talked about behind their backs.

Zhao Peiru changed his mind, and soon, a smile appeared on the corner of his mouth.

Things are not irreversible.

He said to Mu Sisi next to him, "Go to the operating room of the digestive surgery department and borrow disposable curved tubular staplers, five of the 21 and 25 models."

After listening to Mu Sisi, without saying a word, she ran out all the way. At this moment, her long legs were running powerfully, and she flew out in a few steps.

"Xiao Meng, go and call Director Jia Yanjun Jia in. This operation has changed, so he must be used as an assistant."

Meng Xiang also nodded immediately.Although he is not used as an assistant, this tool man does not find it difficult to accept emotionally, just follow the instructions.

After a while, Jia Yanjun came in: "Brother Zhao, are you looking for me?"

He was outside, and he also heard that something went wrong inside, and his expression was quite serious.He is now the deputy director of the medical research headquarters, Zhao Peiru's right-hand man, and he is in a hurry when something goes wrong here.

Zhao Peiru: "I'm going to use the gastrointestinal stapler in digestive surgery for biliary-enteric anastomosis later, and I need your old experience and qualifications to cooperate."

A tool person like Xiao Meng is only suitable for planning a detailed plan in advance and teaching him how to cooperate.

But now it is more suitable to change the treatment plan temporarily, and it is more suitable to have Jia Yanjun's old qualifications who know how to adapt to changes and have enough knowledge and experience to support his operation.

Jia Yanjun was stunned for a moment, and used the stapler for gastrointestinal anastomosis on gallbladder-enteric anastomosis?
Will this work?

Zhao Peiru: "Trust me."

Hearing these three words, Jia Yanjun subconsciously trusted Zhao Peiru.

He and Zhao Peiru are also old partners. Before Zhao Peiru entered the field of pancreas, the two had cooperated several times in the field of liver disease. In addition, Zhao Peiru cured his grandson's serious illness with his miraculous hands. It made him have a kind of blind trust in Zhao Peiru.

"Okay." Jia Yanjun followed Zhao Peiru into the operating room.

With the help of the itinerant nurse, the two quickly dressed.

Here, the staff trotted all the way back to the observation room, and came to Lin Jinsong who was on the scene.

"Director Lin, Dean Zhao said it's okay, he can continue to complete the biliary-enteric anastomosis and jejunum reinfusion."

After saying this, Ge Jianming, the leader of the Jiangnan Provincial Medical Association in the room, quietly breathed a sigh of relief.

He also has an indescribable trust in Zhao Peiru, it seems that as long as Zhao Peiru says it can be done, then it will be fine.

The staff looked at Lin Jinsong: "Then Director Lin, will our live broadcast continue?"

Lin Jinsong glanced at Ge Jianming, and then said, "Continue."

……

Zhao Peiru and Jia Yanjun arrived in the operating room. At this moment, Mu Sisi also came back with several boxes.

Seeing Zhao Peiru come in, Dong Yuanheng said anxiously, "Dean Zhao, I cut too much, I'm sorry."

"What should I do now, use an artificial intestine to anastomose?"

He apologized as soon as he came, knowing that he had caused trouble, which caused Zhao Peiru a lot of trouble, and also caused irreparable losses to this live broadcast.

He knew that everyone must have paid a lot for this nationwide live broadcast.Especially Zhao Peiru, who is the main technology promoter, must have put in countless efforts.

But because of my negligence just now, it was tantamount to destroying all the painstaking efforts of Zhao Peiru and others.

No amount of apology is too much.

Dong Yuanheng felt very guilty and blamed himself at this moment.He looked at others, full of apology.

"Dean Zhao, it's all my fault."

Zhao Peiru: "It's okay, there is a long way to match the long, and there is a short way to match the short. The current situation is not bad."

Dong Yuanheng was taken aback.

The situation is not bad?Can it be remedied?

In his heart, it seemed that a little light rose from the darkness.

Is it possible that this first nationwide live broadcast of surgery can be saved?

He got off the operating table in a daze.

Officially gave up the position on the operating table to Zhao Peiru and Jia Yanjun.

Jia Yanjun, who stood on the stage, looked solemn: "Brother Zhao, what should we do now?"

Right now, his mind is still confused, and he was pulled up temporarily to be an assistant, and he still doesn't know what the surgical procedure is.

Zhao Peiru said: "Just follow my instructions. It's not much different from regular digestive tract reconstruction. I will remind you when you need to pay attention."

Jia Yanjun nodded seriously, that's all he can do now.

In the live broadcast room, the doctors across the country who were watching also found that there seemed to be a substitution.

"It seems that the main knife and assistant have changed, and two pairs of new hands have appeared."

"The current chief surgeon should be Dean Zhao Peiru, right?"

"President Zhao Peiru should be correct, but now that he is coming up, is he going to continue to demonstrate the jejunum reinfusion technique? If this cannot be matched, the jejunum reinfusion technique can't be done, right?"

"Yeah, I don't know how Dean Zhao plans to continue, anyway, let's just watch."

Not only the countless viewers in the live broadcast room were curious, but everyone on the scene looked at Zhao Peiru in puzzlement, wondering how he would save the scene.

Especially Professor Dong Yuanheng and his assistant Xiao Deng who got off the operating table looked nervously at the operating table.

Zhao Peiru suddenly said to the staff next to him, "Turn on the microphone."

Everyone was stunned, this is... to explain while performing the operation?

This method was planned by Zhao Peiru before the operation.

But now the situation is different!
The operation has already caused a catastrophe, and now the remedy is not known how to remedy it, and whether the remedy will work or not, you still have the heart to continue explaining the operation?
Subconsciously, the staff looked at Lin Jinsong above the observation room.

Lin Jinsong nodded directly.

Soon, the microphone is on.

Zhao Peiru said: "Anastomotic work is a very common part of hepatobiliary, pancreatic, and intestinal surgery. I believe that in daily work, you will also encounter problems that cannot be anastomotic due to various situations."

"The usual solution is to use an artificial bowel as a remedy."

"Today, I'm going to try something new."

As soon as these words were said, the curiosity of everyone inside and outside the live broadcast room was aroused.

It seems that Dean Zhao Peiru really has something to do?Can it match such a short port?

Zhao Peiru began to operate while explaining:
"First of all, the pancreas and jejunum are not affected, so I will use penetrating suture to anastomose."

Zhao Peiru used one stitch to penetrate the entire thickness of the pancreatic stump and the front and rear walls of the jejunum. A total of 6 stitches were sutured to send the pancreatic duct support tube to the intestinal lumen, and then they were tied together so that the front and rear walls of the jejunum were inverted to cover the section of the pancreas. Jejunal anastomosis.

This step is not controversial, and it does not involve the broken end of Dong Yuanheng's bad work just now, so it is not the focus.

The next step of bile duct jejunostomy is the problem.

Zhao Peiru signaled to the equipment nurse next to him, opened the "gastrointestinal stapler" that Mu Sisi had just brought, and handed it to his assistant, Jia Yanjun.

At the same time, Zhao Peiru said to the microphone: "This is a disposable curved tubular stapler. Some doctors who only perform hepatobiliary and pancreatic surgery may be unfamiliar with this stapler."

"This is a gastrointestinal stapler used in digestive surgery, gastrointestinal surgery."

As soon as this was said, everyone was dumbfounded.

This is a biliary-intestinal anastomosis operation. How can you use a gastrointestinal stapler?

The people at the scene were also a little dazed.

Dong Yuanheng and his team next to the operating table, as well as Lin Jinsong and others in the observation room, were all puzzled.

Many viewers in the live broadcast room were also posting various comments and expressing their own doubts.

Zhao Peiru did not explain directly, but told everyone what he was going to do based on the actual situation.

He used No. 1 absorbable suture to suture continuously at the stump of the common hepatic duct. The margin of each stitch was kept at 0.2 cm, which was very strict and precise like a work of art.

"Director Jia, put the stapler against the nail seat and put it into the common hepatic duct."

Jia Yanjun put it in carefully, and his cautious operation formed a clear difference from Zhao Peiru's "quick as a surprise".

"Haha, this operation is too different! This assistant is the performance of a normal doctor! Teacher Zhao Peiru's operation just highlighted a "hands-on" operation, as if he didn't know how to be nervous at all."

"Indeed, I didn't feel it just now, but now when compared with this assistant, it seems that Mr. Zhao's operation is superb. Mr. Zhao's stitching speed is very fast in every step. Not only does he not feel nervous, but he also has a sense of ease and ease. a feeling of."

Zhao Peiru's operation has received unanimous praise in front of bile duct doctors across the country.

The topic in the comment area quickly shifted from boasting to the gastrointestinal stapler.

"It seems that Mr. Zhao is planning to use a gastrointestinal stapler to anastomose the bile duct and jejunum."

"But... can this solve the problem of too short ends?"

While everyone was watching, Zhao Peiru took advantage of the moment when Jia Yanjun put in the stapler, directly gathered the seam and wound the thread, ligated the bile duct wall tissue, and distributed it evenly on the central rod.

Then the jejunum was lifted, and a small opening was made 10 cm away from the expected anastomosis, "Director Jia, insert the stapler body."

Then, tighten the small intestinal wall opposite the mesangial border, reversely rotate the tail knob, and the pointed connecting rod in the stapler pierces the intestinal wall and stretches out to align the head and body of the stapler.Finally, the safety lever of the stapler is opened, fired, and the anastomosis is completed.

"Have you noticed that Mr. Zhao is very familiar with the operation of gastrointestinal staplers? Could it be that he has also been in digestive surgery?"

"Indeed, this kind of proficiency cannot be obtained by practicing a few times. It must be acquired through years of accumulation of a large number of operations in digestive surgery."

Among the audience, some were gastroenterologists from primary hospitals. Because the hospital was small, they did not separate out "hepatobiliary and pancreatic surgery", but classified "hepatobiliary and pancreatic surgery" under the "digestive department".So they are familiar with gastroenterology surgery and hepatobiliary and pancreatic surgery.

A thought arose in these people's minds... Perhaps, like them, Mr. Zhao Peiru is also capable of gastroenterology and hepatobiliary and pancreatic surgery.

"Hiss! It actually matched!"

When the stapler was fired and the anastomosis was completed, there was a brief pause in the comment area.

At this point, even if Zhao Peiru doesn't explain it, they can understand what's going on!
The gastrointestinal stapler is naturally suitable for the anastomosis of short stumps.

But even so, before Zhao Peiru, no one would have thought that the stapler of digestive surgery could be used in liver and gallbladder surgery.

The assistant Director Jia Yanjun next to him, his eyes lit up!
"Using the characteristics of the gastrointestinal stapler?"

"The gastrointestinal stapler is arranged alternately with double rows of staples, and it is especially suitable for the anastomosis of the common hepatic duct and jejunum at such a deep position."

"Shortening the demand for broken ends is still one aspect. The key is that after using this stapler, the time required for anastomosis is shortened."

The people in the observation room above also looked refreshed!
Finally got it together!

As long as the anastomosis is successful, the big problem is solved!
Many people secretly breathed a sigh of relief, and the tense atmosphere just now disappeared in an instant!

"How did Dean Zhao think that he could apply the gastrointestinal stapler in the gastroenterology department to bile duct surgery?"

Everyone looked at each other, and they all saw the relaxed look in each other's eyes.

This operation has been seen by too many people, not only in the bile duct field across the country, but millions of doctors.There are also the council members of the National Medical Association behind it, and the higher-level executive members of the Medical Association, all watching.

Seeing that the progress was going smoothly, everyone felt a little more relaxed.

On the operating table, Zhao Peiru continued to explain:
"The gastrointestinal stapler is more suitable for anastomosis with short stumps. It is not inappropriate to use it on the common hepatobiliary duct."

"But after all, this kind of stapler is not specially designed for common hepatobiliary duct and biliary-enteric anastomosis, so after the anastomosis, it is necessary to carefully check whether the anastomosis is neat and whether there are exposed nails. It is best to add 5 stitches to reduce the anastomosis. Mouth tension."

Zhao Peiru sewed while talking.Everyone nodded their heads.

As soon as Zhao Peiru said this truth, they felt it made sense.

But if Zhao Peiru didn't mention it, they might have to go through repeated failures and omissions before they can reflect on it.

After placing the T tube for drainage, Zhao Peiru performed the operation and teaching of the "jejunal reinfusion" technique.

This step is not time-consuming and can be done in 5 minutes.

During these 5 minutes, Zhao Peiru's mouth was more tired than his hands, and he explained a lot of knowledge about the jejunal reinfusion technique.

Everyone was hooked!

Finally, I heard the jejunal reinfusion technique!
After listening to it, everyone also realized that this nutritional reinfusion technique is actually very simple, even in many grassroots county hospitals, with a little practice, the most common surgeon can easily complete it.

(End of this chapter)