Surgical artist

Chapter 579 Shared responsibility
Dr. Deng said: "This operation, due to its experimental nature, will have certain risks."

At this moment, the young couple didn't know whether they had adjusted their mentality, or they felt a little relieved after finding out about Zhao Peiru's brilliant achievements on the Internet.

On the contrary, he looked very optimistic and open-minded. The man smiled and said, "Academician Zhao's operation success rate is [-]%. Many of the projects he has done before are experimental, but every time he can succeed, we believe him." .”

The woman also smiled and said, "I'm just getting stomach cancer early, and the surgery I received is also a minimally invasive surgery under the endoscope. No matter how dangerous the surgery is, it's less dangerous than surgery."

Dr. Deng nodded. It seemed that the two of them had done some homework.

He continued to tell the truth: "You have to be mentally prepared. There may be some complications in the operation, such as bleeding, perforation, infection, and stenosis. If there is heavy bleeding, it is more dangerous."

After saying this, the young couple was obviously stunned.

They saw too many reports on the Internet, so they thought that as long as they accepted Academician Zhao's surgery, they would be safe.

Facing the reality now, I realize that even if the operation is successful, any complication will bring a lot of trouble to their future life.

After all, surgery is surgery, even if it is only interventional surgery, it must be accompanied by certain risks.

The boy hesitated.

But soon, he knew that this was not the time for him to hesitate. As the healthy one of the two, he had to give the woman confidence and comfort.

He quickly squeezed out a smile and said, "Don't worry, no matter what the consequences are, we will bear them together."

The woman gave him a look, shook her head and said, "No."

"I have to bear it. I don't have a choice, but you still have a choice."

"You can choose a healthy girl and spend the rest of your life together. You don't need to bind the rest of your healthy life with me, a patient."

The man was silent for a while.

In the room, neither Dr. Deng nor the two nurses behind him spoke at the moment.

After a while, the man smiled and said, "No, I want to be bound with you."

He looked at the woman seriously: "No matter what the result is, we will bear it together."

……

Next, Dr. Deng arranged for the patient to do electrocardiogram, blood type, blood routine, coagulation and other tests.

Everything is ready, after preoperative preparation.

Arrange for surgery, at eight o'clock the next morning.

Finally, it was surgery day.

Early in the morning, all team members got up early.

There are even many team members who haven't slept well all night, with panda eyes and red bloodshot eyes, but they are extremely excited.

Today is finally their big day, the critical moment for their early gastric cancer over two centimeters!
As long as I can succeed today, it will be a sign of...

From now on, patients with early gastric cancer no longer need to "compromise" and accept endoscopic submucosal dissection, which reduces the possibility of recurrent infection.There is no need to be forced to wait until the mid-term to receive surgery.

This group of patients all over the world can finally have the most suitable surgery for them!Endoscopic mucosal resection!

on the operating table.

Academician Zheng led his most proud disciple, Dr. Deng, and they both helped Zhao Peiru.

The equipment nurse and itinerant nurse who are in charge of matching are also the most elite and capable old nurses in the team.

At the beginning of the operation, everyone skillfully performed the endoscopy.

In this operation, all the operations before touching the lesion are exactly the same as the endoscopic mucosal dissection performed by Academician Zheng and others.

Until it touches the lesion...

"The size of this lesion has reached [-] centimeters."

When everyone saw the diameter of the lesion, their eyes widened.

If they follow their previous treatment plan, then there is no way to use this endoscopic treatment method for patients with such large lesions.

I dare not even take it out in batches.

Or, tell the patient that the current situation is still too early and let the patient observe for a period of time.Either open the stomach directly to remove the lesion by performing surgery, but the sequelae and complications of such surgery are undoubtedly more and more complicated than this endoscopic technique.

After touching the lesion, Zhao Peiru took over the operation.

He said: "Inject epinephrine in normal saline under the mucosa at the edge of the lesion."

The second assistant, Dr. Deng, stretched out his hand, and the equipment nurse next to him immediately handed over the syringe that had been prepared in advance.Dr. Deng inserted the syringe into the transparent catheter of the endoscope.

As the syringe is pushed in, the liquid medicine goes down the catheter and enters the patient's stomach.

It can be seen from the endoscope monitor that after the liquid medicine is pushed in, the lesion immediately appears to be lifted.

It's like a duckweed floating up from the water.

"Use a transparent cap, a high-frequency electrocoagulation coil, and a snare to cut."

Academician Zheng and Doctor Deng nodded solemnly.

When it comes to this operation, the most critical part is now.

The high-frequency electrocoagulation ring is placed behind the transparent cap, and the transparent cap is placed at the front end of the endoscope, and the lesion mucosa is sucked into the transparent sheath by means of negative pressure.

When everyone saw on the monitor that the edge around the lesion was completely intact and was sucked into the transparent sleeve, they couldn't help but breathe a sigh of relief.

The itinerant nurse next to him wiped the sweat from the foreheads of Academician Zheng and Dr. Deng with sharp eyesight and quick hands.

Everyone also looked at each other, and they all saw a touch of happiness in each other's eyes.

Whether the lesion can be removed according to the predetermined plan depends on two steps.One is whether it can float neatly after injecting the liquid medicine, and the other is whether the edge of the lesion can be fully absorbed with a transparent cap.

These two steps are required to be complete and tidy, and there must be no trace of lesion outside, otherwise it will be a failed operation.

"call!"

Academician Zheng also breathed a sigh of relief.

The rest is simple.

Zhao Peiru manipulated the snare, cutting gently under the edge.

Soon, the edge of the lesion was "rooted" neatly.

The moment the root was cut off, the lesion was sucked into the transparent cap like a bug.

Zhao Peiru said: "Stop the wound, conduct a pathological examination of the specimen, and check whether there is any remnant."

They used an endoscope to examine the mucous membrane of the fundus of the stomach carefully several times, and found that academician Zhao Peiru had cut it very cleanly, and no trace of the lesion could be seen with the naked eye.

"Exit endoscope."

With this command, everyone beside the operating table and the team members watching from above almost cheered excitedly!

The lesion, which was so huge that it was close to three centimeters, was actually cut out by them all at once!How could it be possible if this was replaced by the previous endoscopic submucosal dissection?

Even if the hook knife kept cutting, it still had to be overwhelmed by such a large lesion.

(End of this chapter)