Surgical artist
Chapter 485 Computers Can't Lie
Chapter 485 Computers Can't Lie
"Thank you, Dean."
Zhao Peiru looked at Academician Xie Dongshu, and said seriously: "After the low-pressure pneumoperitoneum is established, the work of free resection will be different from usual. You have to follow my movements closely."
This free resection is the easiest of the three phases.
Zhao Peiru is reminding Xie Dongshu that he should not take it lightly at the simplest stage.
"I know, Mr. Wu's operation is of great importance, and there is no room for any mistakes. Besides..." There was a long-lost excitement flashing in his eyes, which is the emotion that will only be revealed when he encounters a challenge : "I have never tried this kind of long-term low-pressure pneumoperitoneum."
There are very few things that can give this "veteran" a sense of freshness.
Zhao Peiru's low-pressure pneumoperitoneum, low error tolerance, and high-precision operation method allowed him to find the feeling he had lost for a long time when he was young.
"Okay." Seeing that Xie Dongshu was in good condition, Zhao Peiru was sure of it.
Not only did he make zero mistakes in this operation, but the three old academician assistants beside him also couldn't make any mistakes.
In the virtual space of the golden preview card, Zhao Peiru is assisted by the system and can return to the real world without an assistant. These three old academician assistants bear a certain risk.
At the beginning of the operation, after establishing a low-pressure pneumoperitoneum, Zhao Peiru skillfully determined the operation hole, opened the knife, entered the mirror, and ligated the intestines at both ends of the tumor with thin ribbons.
He has done these operations twenty times on the virtual Wu Peimin, and he is very proficient.
Academician Xie Dongshu also cooperated steadily.
"As expected of an academician. This match is really comfortable." What Zhao Peiru wants to do, just give Academician Xie Dongshu a look, and the other party can understand.
It's like stepping on the gas pedal of a car. If other assistants can step on the gas pedal when Zhao Peiru asks them to step on the gas pedal, it is considered a good cooperation.But the old academician can step on the depth of the accelerator pedal to the degree that Zhao Peiru wants, which makes Zhao Peiru very comfortable.
The people in the observation room above were stunned.
"Why is the laparoscopy technique used? Isn't it an open surgery?"
Their thinking has been stuck on the operation of the laparotomy: "Can this laparoscopic technique completely remove the cancerous lesions?"
The team leader next to him said: "Dean Zhao performed several simulated operations yesterday, and the final tumor resection rate reached 100%, and the residual rate was 0%. This is the scan result of the simulated computer."
Everyone's pupils shrank suddenly!
The scan result of the simulated computer is more accurate than the real surgery!
In actual surgery, if the technique is not good, or all the lesions have not been found, or the lesions have spread, it is impossible to achieve zero residual rate, which is why many cancer patients will relapse after a few years.
But in computer simulations, residues are residues, and computers don't lie.
"Dean Zhao is awesome, such a serious colon cancer, only using laparoscopy, can it really achieve zero residue?!"
"Yeah, I really want to know how to do it!"
Everyone became more curious.
Everyone's eyes revealed an excited thirst for knowledge.
Laparoscopic technology is a development trend, but at this stage, laparoscopic technology can be used to remove such complicated colon cancer, and it can also achieve zero residue...
In the whole country, no one can do it yet!
Everyone had a premonition in their hearts that Zhao Peiru's operation would be unprecedented, and it would completely carry forward the laparoscopic eradication of colon cancer!
It will "make a sample" for doctors in the field of colon cancer across the country!I will tell everyone how laparoscopic technology completely eliminated the technique of open surgery and how to take down the last position of open surgery.
……
On the operating table, Zhao Peiru and Academician Xie Dongshu cooperated very well.
Open the peritoneum on the side of the colon, electrocoagulate hemostasis, free the colon and jejunum, ligate colonic blood vessels, remove lymphatic and adipose tissue...
Academician Liao Qingyi kept her eyes on the operations on the operating table.
When the time went to 16 minutes, as if it had been rehearsed in advance, he walked quickly to the operating table, and Academician Xie Dongshu took advantage of the situation and handed over the control arm in his hand.
After changing assistants, Zhao Peiru made a three-centimeter incision on the side of the abdominal wall, and protected the incision with a sterile plastic bag. This step is to prevent the incision from being contaminated when cancerous tissue is pulled out later.
After resecting the corresponding intestine, Zhao Peiru began to clamp the tumor.
The moment when the metal clamp touches the irregular tumor.
Everyone's breathing froze at this moment.
Finally, the intertwined tumor like roots was gently pulled out of the body by Zhao Peiru and Academician Liao Qingyi.
"hiss!"
When everyone saw the grotesque and hideous tumor, their scalps were numb!
"This kind of strange tumor shape is really the enemy of surgeons."
"That's right, even in laparotomy, this kind of tumor is very difficult to operate. It's a miracle that it can be removed by laparoscopic surgery!" Everyone was deeply moved.
Academician Liao Qingyi and others also breathed a sigh of relief when they saw that the tumor was successfully removed.
A simulation is a simulation.Success in reality is real success.
After the tumor was removed, Academician Liao Qingyi got off the operating table, and Academician Qin Minghui continued to complete the anastomosis.
After re-anastomizing the bowel, re-introduce the bowel into the patient's abdominal cavity from the incision.
All steps, as in simulated surgery.However, Zhao Peiru's assistants changed from the computer system to three old academicians.
"Establish a low-pressure pneumoperitoneum, 10 mm Hg." Zhao Peiru said.
Qin Minghui immediately operated, allowing Zhao Peiru to suture the mesentery in the cavity using a laparoscope in a low-pressure pneumoperitoneum.
The people watching from above heard this "low-pressure pneumoperitoneum" for the second time, and finally attracted attention.
"Have you noticed that all the operations of Dean Zhao are done in a low-pressure insufflation."
"It should be the low-pressure pneumoperitoneum that made this operation safe."
Everyone finally understood: "The patient is an elderly patient, and the internal organs and tissues of the body are exhausted and aging very badly. If we use conventional pneumoperitoneum, it is convenient for our surgeons to operate, but it is not suitable for this kind of weak patient. A patient is in a dangerous state of high tension."
"Our previous risk assessment judgments were all based on conventional hyperbaric insufflation, and the assessment results obtained naturally all indicate that the risk of surgery is high."
Everyone understood that the key to this operation was the low-pressure pneumoperitoneum.
But, even if they understand it, can they learn it?
I'm afraid it will be difficult.
This kind of low-pressure pneumoperitoneum has extremely high requirements on the quality of the surgeon. It requires a lot of experience in surgery and laparotomy, a deep understanding of abdominal anatomy, and a high level of surgical skills.Neither of these two conditions will work.
(End of this chapter)
"Thank you, Dean."
Zhao Peiru looked at Academician Xie Dongshu, and said seriously: "After the low-pressure pneumoperitoneum is established, the work of free resection will be different from usual. You have to follow my movements closely."
This free resection is the easiest of the three phases.
Zhao Peiru is reminding Xie Dongshu that he should not take it lightly at the simplest stage.
"I know, Mr. Wu's operation is of great importance, and there is no room for any mistakes. Besides..." There was a long-lost excitement flashing in his eyes, which is the emotion that will only be revealed when he encounters a challenge : "I have never tried this kind of long-term low-pressure pneumoperitoneum."
There are very few things that can give this "veteran" a sense of freshness.
Zhao Peiru's low-pressure pneumoperitoneum, low error tolerance, and high-precision operation method allowed him to find the feeling he had lost for a long time when he was young.
"Okay." Seeing that Xie Dongshu was in good condition, Zhao Peiru was sure of it.
Not only did he make zero mistakes in this operation, but the three old academician assistants beside him also couldn't make any mistakes.
In the virtual space of the golden preview card, Zhao Peiru is assisted by the system and can return to the real world without an assistant. These three old academician assistants bear a certain risk.
At the beginning of the operation, after establishing a low-pressure pneumoperitoneum, Zhao Peiru skillfully determined the operation hole, opened the knife, entered the mirror, and ligated the intestines at both ends of the tumor with thin ribbons.
He has done these operations twenty times on the virtual Wu Peimin, and he is very proficient.
Academician Xie Dongshu also cooperated steadily.
"As expected of an academician. This match is really comfortable." What Zhao Peiru wants to do, just give Academician Xie Dongshu a look, and the other party can understand.
It's like stepping on the gas pedal of a car. If other assistants can step on the gas pedal when Zhao Peiru asks them to step on the gas pedal, it is considered a good cooperation.But the old academician can step on the depth of the accelerator pedal to the degree that Zhao Peiru wants, which makes Zhao Peiru very comfortable.
The people in the observation room above were stunned.
"Why is the laparoscopy technique used? Isn't it an open surgery?"
Their thinking has been stuck on the operation of the laparotomy: "Can this laparoscopic technique completely remove the cancerous lesions?"
The team leader next to him said: "Dean Zhao performed several simulated operations yesterday, and the final tumor resection rate reached 100%, and the residual rate was 0%. This is the scan result of the simulated computer."
Everyone's pupils shrank suddenly!
The scan result of the simulated computer is more accurate than the real surgery!
In actual surgery, if the technique is not good, or all the lesions have not been found, or the lesions have spread, it is impossible to achieve zero residual rate, which is why many cancer patients will relapse after a few years.
But in computer simulations, residues are residues, and computers don't lie.
"Dean Zhao is awesome, such a serious colon cancer, only using laparoscopy, can it really achieve zero residue?!"
"Yeah, I really want to know how to do it!"
Everyone became more curious.
Everyone's eyes revealed an excited thirst for knowledge.
Laparoscopic technology is a development trend, but at this stage, laparoscopic technology can be used to remove such complicated colon cancer, and it can also achieve zero residue...
In the whole country, no one can do it yet!
Everyone had a premonition in their hearts that Zhao Peiru's operation would be unprecedented, and it would completely carry forward the laparoscopic eradication of colon cancer!
It will "make a sample" for doctors in the field of colon cancer across the country!I will tell everyone how laparoscopic technology completely eliminated the technique of open surgery and how to take down the last position of open surgery.
……
On the operating table, Zhao Peiru and Academician Xie Dongshu cooperated very well.
Open the peritoneum on the side of the colon, electrocoagulate hemostasis, free the colon and jejunum, ligate colonic blood vessels, remove lymphatic and adipose tissue...
Academician Liao Qingyi kept her eyes on the operations on the operating table.
When the time went to 16 minutes, as if it had been rehearsed in advance, he walked quickly to the operating table, and Academician Xie Dongshu took advantage of the situation and handed over the control arm in his hand.
After changing assistants, Zhao Peiru made a three-centimeter incision on the side of the abdominal wall, and protected the incision with a sterile plastic bag. This step is to prevent the incision from being contaminated when cancerous tissue is pulled out later.
After resecting the corresponding intestine, Zhao Peiru began to clamp the tumor.
The moment when the metal clamp touches the irregular tumor.
Everyone's breathing froze at this moment.
Finally, the intertwined tumor like roots was gently pulled out of the body by Zhao Peiru and Academician Liao Qingyi.
"hiss!"
When everyone saw the grotesque and hideous tumor, their scalps were numb!
"This kind of strange tumor shape is really the enemy of surgeons."
"That's right, even in laparotomy, this kind of tumor is very difficult to operate. It's a miracle that it can be removed by laparoscopic surgery!" Everyone was deeply moved.
Academician Liao Qingyi and others also breathed a sigh of relief when they saw that the tumor was successfully removed.
A simulation is a simulation.Success in reality is real success.
After the tumor was removed, Academician Liao Qingyi got off the operating table, and Academician Qin Minghui continued to complete the anastomosis.
After re-anastomizing the bowel, re-introduce the bowel into the patient's abdominal cavity from the incision.
All steps, as in simulated surgery.However, Zhao Peiru's assistants changed from the computer system to three old academicians.
"Establish a low-pressure pneumoperitoneum, 10 mm Hg." Zhao Peiru said.
Qin Minghui immediately operated, allowing Zhao Peiru to suture the mesentery in the cavity using a laparoscope in a low-pressure pneumoperitoneum.
The people watching from above heard this "low-pressure pneumoperitoneum" for the second time, and finally attracted attention.
"Have you noticed that all the operations of Dean Zhao are done in a low-pressure insufflation."
"It should be the low-pressure pneumoperitoneum that made this operation safe."
Everyone finally understood: "The patient is an elderly patient, and the internal organs and tissues of the body are exhausted and aging very badly. If we use conventional pneumoperitoneum, it is convenient for our surgeons to operate, but it is not suitable for this kind of weak patient. A patient is in a dangerous state of high tension."
"Our previous risk assessment judgments were all based on conventional hyperbaric insufflation, and the assessment results obtained naturally all indicate that the risk of surgery is high."
Everyone understood that the key to this operation was the low-pressure pneumoperitoneum.
But, even if they understand it, can they learn it?
I'm afraid it will be difficult.
This kind of low-pressure pneumoperitoneum has extremely high requirements on the quality of the surgeon. It requires a lot of experience in surgery and laparotomy, a deep understanding of abdominal anatomy, and a high level of surgical skills.Neither of these two conditions will work.
(End of this chapter)
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