Surgical artist
Chapter 483 Zero Fault Tolerance Rate? !
Chapter 483 Zero Fault Tolerance? !
Come to the surgery simulation lab.
Facing the gazes of Liao Qingyi and many other old academicians and experts, Zhao Peiru planned to directly show the final effect to everyone.
"Has all the data of Mr. Wu's condition been imported into the device?" Zhao Peiru looked at the staff next to him.
The staff nodded quickly: "Look, this is the data of the simulated colon, and all the scan results of the patient's body have been imported."
Zhao Peiru looked it over and nodded slightly.
He also went to the ward once and saw Academician Wu Peimin's physical condition with his own eyes.
He tried in his mind: "Use the golden preview card to simulate Wu Peimin's surgery."
The golden rehearsal card automatically pulls the phantom of Wu Peimin, the patient whom Zhao Peiru met, into the virtual space.
"Sure enough."
Zhao Peiru showed a smile.
Before he used the "golden preview card", it was used on-site in the operating room.
He also thought that the virtual operating room can only simulate the current surgical environment.And in my opinion, even if the patient is not in sight.
This is much more convenient, as long as he has seen the patient, he can perform a simulated operation.
In the virtual space of the golden preview card, Zhao Peiru used laparoscopic eradication technology to clean and eradicate cancers for patients time and time again.
Even, Zhao Peiru performed [-] laparotomy operations to thoroughly understand the boundaries and scope of all cancerous lesions in the patient's body.
It can be said that even with his eyes closed, Zhao Peiru can clearly know the scope, size, volume and weight of the cancerous lesions in Wu Peimin's body.
After performing [-] laparotomy operations, Zhao Peiru performed [-] laparoscopic operations.Make sure that the cancerous lesion can be cleaned thoroughly every time, and all danger points can be avoided.
At the same time, Zhao Peiru went through a lot of surgeries and discovered two key points.
One is to fix the puncture cannula by suturing, which can reduce postoperative complications.The other is to choose low-pressure pneumoperitoneum when establishing pneumoperitoneum, which can improve the safety of the operation.
These are the "lessons of blood and tears" in operation after operation, and they are true knowledge derived from practice.
"Exit the simulation space."
The next moment, Zhao Peiru's perspective returned to reality.
Academician Liao Qingyi, Academician Qin Minghui and others beside him were still looking at him eagerly, and even the focus of their eyes was the same as the previous moment.
In real time, the flow rate is restored again.
"Dean Zhao, please start the simulation operation."
Zhao Peiru nodded, and said to the staff next to him, "Establish an artificial pneumoperitoneum with a pressure of 10 mmHg."
As soon as he finished speaking, many academicians frowned slightly.
Isn't the general pressure pneumoperitoneum 12 to 15 mm Hg?Why is Zhao Peiru's pressure so low?
The pressure pneumoperitoneum is low, which means that there is little room for operation under the microscope.
But this is an elderly patient, and the situation under the microscope is inherently complicated, which requires a large operating space to avoid various accidents.Director Zhao built such a small pneumoperitoneum space, when encountering cancerous lesions, can you see the edge of the tumor clearly?
Liao Qingyi also frowned slightly, but did not speak directly, but waited for Zhao Peiru to continue to simulate the operation.
After the pressure pneumoperitoneum is simulated, start to simulate the mirroring.
In everyone's VR glasses, a screen appeared in midair, which was the perspective of the electronic screen of the laparoscope.
"I saw the peritoneum and ureter on the side of the colon." Through the perspective of the electronic screen, everyone found that the low-pressure pneumoperitoneum actually had enough vision.It’s just that there is not a little bit of redundancy, which requires more precise operation, and no mistakes can be made.
This not only requires high practical ability of the operator, but also a great test of their mentality.
It's like walking a single-plank bridge.When the single-plank bridge is only ten centimeters from the ground, many people can relax and walk across it safely.
Because there is no psychological burden, even if it falls, it will not be injured.
But if the single-plank bridge is erected on a cliff tens of meters high, once it falls, there will be no bones left. Then when walking on this single-plank bridge, sweat will be on the forehead, adrenaline will soar, the spirit will be tense, and even the muscles will twitch.
Because there is no certain fault tolerance rate, the psychological burden is too great.
The low-pressure insufflation chosen by Zhao Peiru is equivalent to imagining a single-plank bridge for himself on a cliff tens of meters high.
At this moment, Zhao Peiru said, "Give me one-stage electrocoagulation, two-stage electrocoagulation."
Under the input of the staff's instructions, phantom operating scissors appeared next to Zhao Peiru's sensing gloves.
While opening the peritoneum on the side of the colon, he stopped the bleeding of the tissue around the ureter.And free resection of the colon, ileum.
Beside, Academician Liao Qingyi nodded slightly: "The colon was successfully freed, and the ureters were also well protected."
A flash of admiration also flashed in his heart, this laparoscopic technique has progressed to this point without knowing it, it seems... is it really feasible?
He suddenly turned his head and looked at the pneumoperitoneum pressure, which has remained at 10 mm Hg without changing.
No matter how difficult the operation was, Zhao Peiru did not choose to increase the pneumoperitoneum pressure.
"It seems that the key lies in the pneumoperitoneum pressure."
If the pneumoperitoneum pressure is high, the patient's body at this moment will never be so "obedient" and can be dissociated and cut obediently, but will definitely "rebel" and bring all kinds of troubles to the surgeon.
Through the thick VR glasses, academician Qin Minghui saw that Zhao Peiru was removing slag from the blood vessels at the root of the colon by knotting in the cavity, using monopolar electrocoagulation scissors to clear the lymphatic and adipose tissue, and using the incision on the side wall to remove a hideous tumor. , pulled out.
It's like pulling out a tangled tree root from a mud pit. This process needs to be very careful not to leave any roots in the mud pit.
"So... the tumor was removed?"
Everyone's heart twitched violently!
With laparoscopic technology, it is so fast?Many people looked at the virtual electronic clock hanging in mid-air, and only 40 minutes had passed since the entire operation.
The next moment, everyone looked at the staff.
Academician Liao Qingyi also said directly: "Xiao Li, scan the body data to see if there is any residual tumor."
A ray of light sweeps across the virtual patient's organs and tissues.
Everyone held their breath.
At this moment, in the entire room, there is only the sound of Xiao Li typing on the keyboard quickly, other than that, the air is as quiet as a vacuum.
Finally, the light scan is complete.
Xiao Lihui reported: "There is no residual tumor, and the residual rate is 0%."
As he said that, he turned a piece of data into a virtual electronic screen and displayed it in everyone's VR glasses.
"hiss!"
Everyone took a deep breath, and immediately looked in Zhao Peiru's direction with shocked eyes.
In the field of view of the VR glasses, Zhao Peiru's figure also became unreal.
Some people were so shocked that they pushed up their VR glasses and looked at Zhao Peiru in disbelief.
The "root-like" intertwined tumor just now was not only pulled out, but also reached 0% residual? !
(End of this chapter)
Come to the surgery simulation lab.
Facing the gazes of Liao Qingyi and many other old academicians and experts, Zhao Peiru planned to directly show the final effect to everyone.
"Has all the data of Mr. Wu's condition been imported into the device?" Zhao Peiru looked at the staff next to him.
The staff nodded quickly: "Look, this is the data of the simulated colon, and all the scan results of the patient's body have been imported."
Zhao Peiru looked it over and nodded slightly.
He also went to the ward once and saw Academician Wu Peimin's physical condition with his own eyes.
He tried in his mind: "Use the golden preview card to simulate Wu Peimin's surgery."
The golden rehearsal card automatically pulls the phantom of Wu Peimin, the patient whom Zhao Peiru met, into the virtual space.
"Sure enough."
Zhao Peiru showed a smile.
Before he used the "golden preview card", it was used on-site in the operating room.
He also thought that the virtual operating room can only simulate the current surgical environment.And in my opinion, even if the patient is not in sight.
This is much more convenient, as long as he has seen the patient, he can perform a simulated operation.
In the virtual space of the golden preview card, Zhao Peiru used laparoscopic eradication technology to clean and eradicate cancers for patients time and time again.
Even, Zhao Peiru performed [-] laparotomy operations to thoroughly understand the boundaries and scope of all cancerous lesions in the patient's body.
It can be said that even with his eyes closed, Zhao Peiru can clearly know the scope, size, volume and weight of the cancerous lesions in Wu Peimin's body.
After performing [-] laparotomy operations, Zhao Peiru performed [-] laparoscopic operations.Make sure that the cancerous lesion can be cleaned thoroughly every time, and all danger points can be avoided.
At the same time, Zhao Peiru went through a lot of surgeries and discovered two key points.
One is to fix the puncture cannula by suturing, which can reduce postoperative complications.The other is to choose low-pressure pneumoperitoneum when establishing pneumoperitoneum, which can improve the safety of the operation.
These are the "lessons of blood and tears" in operation after operation, and they are true knowledge derived from practice.
"Exit the simulation space."
The next moment, Zhao Peiru's perspective returned to reality.
Academician Liao Qingyi, Academician Qin Minghui and others beside him were still looking at him eagerly, and even the focus of their eyes was the same as the previous moment.
In real time, the flow rate is restored again.
"Dean Zhao, please start the simulation operation."
Zhao Peiru nodded, and said to the staff next to him, "Establish an artificial pneumoperitoneum with a pressure of 10 mmHg."
As soon as he finished speaking, many academicians frowned slightly.
Isn't the general pressure pneumoperitoneum 12 to 15 mm Hg?Why is Zhao Peiru's pressure so low?
The pressure pneumoperitoneum is low, which means that there is little room for operation under the microscope.
But this is an elderly patient, and the situation under the microscope is inherently complicated, which requires a large operating space to avoid various accidents.Director Zhao built such a small pneumoperitoneum space, when encountering cancerous lesions, can you see the edge of the tumor clearly?
Liao Qingyi also frowned slightly, but did not speak directly, but waited for Zhao Peiru to continue to simulate the operation.
After the pressure pneumoperitoneum is simulated, start to simulate the mirroring.
In everyone's VR glasses, a screen appeared in midair, which was the perspective of the electronic screen of the laparoscope.
"I saw the peritoneum and ureter on the side of the colon." Through the perspective of the electronic screen, everyone found that the low-pressure pneumoperitoneum actually had enough vision.It’s just that there is not a little bit of redundancy, which requires more precise operation, and no mistakes can be made.
This not only requires high practical ability of the operator, but also a great test of their mentality.
It's like walking a single-plank bridge.When the single-plank bridge is only ten centimeters from the ground, many people can relax and walk across it safely.
Because there is no psychological burden, even if it falls, it will not be injured.
But if the single-plank bridge is erected on a cliff tens of meters high, once it falls, there will be no bones left. Then when walking on this single-plank bridge, sweat will be on the forehead, adrenaline will soar, the spirit will be tense, and even the muscles will twitch.
Because there is no certain fault tolerance rate, the psychological burden is too great.
The low-pressure insufflation chosen by Zhao Peiru is equivalent to imagining a single-plank bridge for himself on a cliff tens of meters high.
At this moment, Zhao Peiru said, "Give me one-stage electrocoagulation, two-stage electrocoagulation."
Under the input of the staff's instructions, phantom operating scissors appeared next to Zhao Peiru's sensing gloves.
While opening the peritoneum on the side of the colon, he stopped the bleeding of the tissue around the ureter.And free resection of the colon, ileum.
Beside, Academician Liao Qingyi nodded slightly: "The colon was successfully freed, and the ureters were also well protected."
A flash of admiration also flashed in his heart, this laparoscopic technique has progressed to this point without knowing it, it seems... is it really feasible?
He suddenly turned his head and looked at the pneumoperitoneum pressure, which has remained at 10 mm Hg without changing.
No matter how difficult the operation was, Zhao Peiru did not choose to increase the pneumoperitoneum pressure.
"It seems that the key lies in the pneumoperitoneum pressure."
If the pneumoperitoneum pressure is high, the patient's body at this moment will never be so "obedient" and can be dissociated and cut obediently, but will definitely "rebel" and bring all kinds of troubles to the surgeon.
Through the thick VR glasses, academician Qin Minghui saw that Zhao Peiru was removing slag from the blood vessels at the root of the colon by knotting in the cavity, using monopolar electrocoagulation scissors to clear the lymphatic and adipose tissue, and using the incision on the side wall to remove a hideous tumor. , pulled out.
It's like pulling out a tangled tree root from a mud pit. This process needs to be very careful not to leave any roots in the mud pit.
"So... the tumor was removed?"
Everyone's heart twitched violently!
With laparoscopic technology, it is so fast?Many people looked at the virtual electronic clock hanging in mid-air, and only 40 minutes had passed since the entire operation.
The next moment, everyone looked at the staff.
Academician Liao Qingyi also said directly: "Xiao Li, scan the body data to see if there is any residual tumor."
A ray of light sweeps across the virtual patient's organs and tissues.
Everyone held their breath.
At this moment, in the entire room, there is only the sound of Xiao Li typing on the keyboard quickly, other than that, the air is as quiet as a vacuum.
Finally, the light scan is complete.
Xiao Lihui reported: "There is no residual tumor, and the residual rate is 0%."
As he said that, he turned a piece of data into a virtual electronic screen and displayed it in everyone's VR glasses.
"hiss!"
Everyone took a deep breath, and immediately looked in Zhao Peiru's direction with shocked eyes.
In the field of view of the VR glasses, Zhao Peiru's figure also became unreal.
Some people were so shocked that they pushed up their VR glasses and looked at Zhao Peiru in disbelief.
The "root-like" intertwined tumor just now was not only pulled out, but also reached 0% residual? !
(End of this chapter)
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