v3 Chapter 2696： Megatrends in surgery
Feng Jianguo was very upset. Quan Xiaocao already had a solution to the problem, but he didn't dare to say it.
Just now, in the presence of so many professors, directors, and directors of medical services, a student should be silent. But now boss Zheng obviously wants to support her, I really don't know what she is afraid of.
Although there are few honest children, Quan Xiaocao is too honest, and Feng Jianguo is a bit upset.
Quan Xiaocao was obviously afraid in his heart, stood with his head down, and walked to Zheng Ren.
"Remember the last operation?" Zheng Ren asked with a smile: "You should build your own mentality, as if I were here."
Quan Xiaocao raised his head and looked at Zheng Ren with a little confusion. "Boss Zheng, you have said everything ..."
Zheng Ren smiled: "Have you ever practiced in surgery?"
"Have practiced ... I practiced the treatment of **** fistulas by rectal endoscopy metal clip system, which is different from this one." Quan Xiaocao said timidly: "I also suddenly remembered that all fistulas seemed to work Do it with OTSC. "
Both Lin Ge and the people present froze when they heard Quan Xiaocao's words, especially Director Luo, his eyebrows curled up.
Quan Xiaocao has begun to study anorectal surgery? There was a sudden sense of crisis in his heart.
Director Wei of Gastrointestinal Surgery and other band professors didn't bring that feeling to themselves, but now they clearly feel it from a student.
She was pure, without the arrogance at the top of the food chain as a surgeon, and most afraid of such a newcomer. With the support of Director Wei, who knows how much things will happen.
Zheng Ren patted Quan Xiaocao's shoulder and said, "Wait for me."
After that, he clicked on the film on the film reader and said, "The operation I am considering will be done in two steps."
"First, I saw a gastroscopy report that the anastomosis of the esophagus and jejunum was visible 37-39 cm away from the incisors, and there was no stenosis, and the endoscope passed smoothly. There was a fistula in the anterior wall of the left side of the anastomosis, and there was a residual staple in the edge. 0.8cm. "
"Two-arm forceps clamp the mucous membranes at both ends of the fistula and simultaneously attract, pull the tissue around the fistula into the transparent cap, and rotate the handle to release the OTSC anastomosis clip."
"Because of the anastomosis of the esophagus and jejunum, the mucosa of the jejunum is still very elastic, and you can grab as much tissue as possible. After the OTSC anastomosis clip is clamped, it is equivalent to having new tissue to block the fistula and grow well. Great. "
"Second, the lower esophageal stent after endoscopic surgery. When the balloon is expanded, the stent must adapt to the pressure, and it cannot allow the tissue clamped by the local OTSC anastomosis clip to become ischemic."
While explaining the operation, Zheng Ren looked at Quan Xiaocao with the light in his eyes.
She was very excited, and Zheng Ren felt that what she said was what she thought. But when it came to the second step, Quan Xiaocao began to get confused.
"The purpose of the lower stent is to avoid the erosion of digestive juice. There is a ambiguity between doing or not doing this step." Zheng Ren continued: "I still recommend doing it, so that the patient's recovery period can be shortened."
"Well, I'm finished." Zheng Ren stood in front of the viewer and looked around at everyone in the office.
"Mr. Zheng, have you ever done that?" Director Luo asked.
"No." Zheng Ren smiled. "I saw it when I read the report. The principle is very simple and supported by preliminary data."
"According to reports, Arezzo and other doctors performed OTSC anastomosis clips on 14 patients with anastomotic fistula after colorectal surgery. Of these, 8 were acute colorectal anastomotic fistulas, 7 were successfully closed endoscopically, and 6 were chronic colorectal anastomosis. Oral fistula, 5 cases were successfully closed. "
"Galizia and other doctors performed OTSC clip closure on 3 patients with anastomotic fistula after Roux-en-Y surgery, and all the operations were successful."
"The existing data sample is a bit small, so I can only say that it is a try. This is an emerging endoscopic treatment method, and I think it is very suitable for the current patient treatment."
"Boss Zheng, what if the anastomotic fistula of the stomach and esophagus is anastomosis?" Professor Lu asked.
"Theoretically, it is possible. The elasticity of the stomach wall is greater, and the relative difficulty will be reduced a lot." Zheng Ren said, glanced at Fang Lin, and then continued: "In the end, if you can do it, you need more data to support it. "
Fang Lin saw the gaze of Boss Zheng, his heart moved.
Who is Quan Xiaocao, he knows clearly. Just a student, but people were exposed to endoscopy, and started to study minimally invasive treatment under the inspiration of Boss Zheng.
Although people are not 912 people, but after such events, it is inevitable to stay in 912.
How could such a person, Professor Feng, let go. Besides, even if gastrointestinal surgery is not cherished, it is estimated that it is necessary to dig up Quan Xiaocao by looking at the appearance of Director Luo.
A student can get to where he is today. What about himself? Fang Lin began to wonder. He also knows that the trend of surgery is that the trauma is getting smaller and smaller, and the surgery is getting more and more delicate.
The original thoracic surgery ranged from wide open thoracoscopy to laparoscopy. Now laparoscopic surgery has basically reached its peak. Sleeve-cuts and the like, which were previously difficult to get with a wide open chest, have all been treated with endoscopes.
Will it develop into endoscopic surgery in the future?
Fang Lin was a little confused. It seemed that he would find Yun Geer to talk about this in the future.
"Professor Lu, how is the patient? I suggest that we prepare for an emergency." Zheng Rendao, "The adventitia of the aorta has been affected to some extent, and may ...
"Okay!" Professor Lu agreed before Boss Zheng finished speaking.
The sneezing patient is gone, and this kind of thing must be avoided. Besides, if there is surgery today, it looks like Boss Zheng has to follow.
With the presence of boss Zheng, the problem was solved directly, and he had no reason to refuse.
"Okay, get ready."
"Boss Zheng, do you have an OTSC fit?" Professor Lu asked cautiously.
"I have ~ www.novelhall.com on this side, and Xiao Cao also does exercises, it should be there." Zheng Ren looked to Quan Xiaocao.
Quan Xiaocao nodded strongly.
Seeing Boss Zheng holding his mobile phone to make a call, Director Luo sat firmly in his chair and thought a lot.
Endoscopic surgery is often just a change in thinking.
This step from scratch was experienced by Director Luo himself, and he knows the difficulties. But sitting on the hardships of the past? Director Luo does not think so.
OTSC surgery, look at Boss Zheng, if it is suitable for you, can it be carried out?
Thinking for a while, Director Luo shook his head slightly. The main purpose of OTSC surgery is to treat various anastomotic fistulas, which is a remedy for surgical complications.
There must be no patient source on my side, so don't worry about it. It was the elementary school student, I was afraid that there was a good opportunity to soar into the sky.
vertex
Just now, in the presence of so many professors, directors, and directors of medical services, a student should be silent. But now boss Zheng obviously wants to support her, I really don't know what she is afraid of.
Although there are few honest children, Quan Xiaocao is too honest, and Feng Jianguo is a bit upset.
Quan Xiaocao was obviously afraid in his heart, stood with his head down, and walked to Zheng Ren.
"Remember the last operation?" Zheng Ren asked with a smile: "You should build your own mentality, as if I were here."
Quan Xiaocao raised his head and looked at Zheng Ren with a little confusion. "Boss Zheng, you have said everything ..."
Zheng Ren smiled: "Have you ever practiced in surgery?"
"Have practiced ... I practiced the treatment of **** fistulas by rectal endoscopy metal clip system, which is different from this one." Quan Xiaocao said timidly: "I also suddenly remembered that all fistulas seemed to work Do it with OTSC. "
Both Lin Ge and the people present froze when they heard Quan Xiaocao's words, especially Director Luo, his eyebrows curled up.
Quan Xiaocao has begun to study anorectal surgery? There was a sudden sense of crisis in his heart.
Director Wei of Gastrointestinal Surgery and other band professors didn't bring that feeling to themselves, but now they clearly feel it from a student.
She was pure, without the arrogance at the top of the food chain as a surgeon, and most afraid of such a newcomer. With the support of Director Wei, who knows how much things will happen.
Zheng Ren patted Quan Xiaocao's shoulder and said, "Wait for me."
After that, he clicked on the film on the film reader and said, "The operation I am considering will be done in two steps."
"First, I saw a gastroscopy report that the anastomosis of the esophagus and jejunum was visible 37-39 cm away from the incisors, and there was no stenosis, and the endoscope passed smoothly. There was a fistula in the anterior wall of the left side of the anastomosis, and there was a residual staple in the edge. 0.8cm. "
"Two-arm forceps clamp the mucous membranes at both ends of the fistula and simultaneously attract, pull the tissue around the fistula into the transparent cap, and rotate the handle to release the OTSC anastomosis clip."
"Because of the anastomosis of the esophagus and jejunum, the mucosa of the jejunum is still very elastic, and you can grab as much tissue as possible. After the OTSC anastomosis clip is clamped, it is equivalent to having new tissue to block the fistula and grow well. Great. "
"Second, the lower esophageal stent after endoscopic surgery. When the balloon is expanded, the stent must adapt to the pressure, and it cannot allow the tissue clamped by the local OTSC anastomosis clip to become ischemic."
While explaining the operation, Zheng Ren looked at Quan Xiaocao with the light in his eyes.
She was very excited, and Zheng Ren felt that what she said was what she thought. But when it came to the second step, Quan Xiaocao began to get confused.
"The purpose of the lower stent is to avoid the erosion of digestive juice. There is a ambiguity between doing or not doing this step." Zheng Ren continued: "I still recommend doing it, so that the patient's recovery period can be shortened."
"Well, I'm finished." Zheng Ren stood in front of the viewer and looked around at everyone in the office.
"Mr. Zheng, have you ever done that?" Director Luo asked.
"No." Zheng Ren smiled. "I saw it when I read the report. The principle is very simple and supported by preliminary data."
"According to reports, Arezzo and other doctors performed OTSC anastomosis clips on 14 patients with anastomotic fistula after colorectal surgery. Of these, 8 were acute colorectal anastomotic fistulas, 7 were successfully closed endoscopically, and 6 were chronic colorectal anastomosis. Oral fistula, 5 cases were successfully closed. "
"Galizia and other doctors performed OTSC clip closure on 3 patients with anastomotic fistula after Roux-en-Y surgery, and all the operations were successful."
"The existing data sample is a bit small, so I can only say that it is a try. This is an emerging endoscopic treatment method, and I think it is very suitable for the current patient treatment."
"Boss Zheng, what if the anastomotic fistula of the stomach and esophagus is anastomosis?" Professor Lu asked.
"Theoretically, it is possible. The elasticity of the stomach wall is greater, and the relative difficulty will be reduced a lot." Zheng Ren said, glanced at Fang Lin, and then continued: "In the end, if you can do it, you need more data to support it. "
Fang Lin saw the gaze of Boss Zheng, his heart moved.
Who is Quan Xiaocao, he knows clearly. Just a student, but people were exposed to endoscopy, and started to study minimally invasive treatment under the inspiration of Boss Zheng.
Although people are not 912 people, but after such events, it is inevitable to stay in 912.
How could such a person, Professor Feng, let go. Besides, even if gastrointestinal surgery is not cherished, it is estimated that it is necessary to dig up Quan Xiaocao by looking at the appearance of Director Luo.
A student can get to where he is today. What about himself? Fang Lin began to wonder. He also knows that the trend of surgery is that the trauma is getting smaller and smaller, and the surgery is getting more and more delicate.
The original thoracic surgery ranged from wide open thoracoscopy to laparoscopy. Now laparoscopic surgery has basically reached its peak. Sleeve-cuts and the like, which were previously difficult to get with a wide open chest, have all been treated with endoscopes.
Will it develop into endoscopic surgery in the future?
Fang Lin was a little confused. It seemed that he would find Yun Geer to talk about this in the future.
"Professor Lu, how is the patient? I suggest that we prepare for an emergency." Zheng Rendao, "The adventitia of the aorta has been affected to some extent, and may ...
"Okay!" Professor Lu agreed before Boss Zheng finished speaking.
The sneezing patient is gone, and this kind of thing must be avoided. Besides, if there is surgery today, it looks like Boss Zheng has to follow.
With the presence of boss Zheng, the problem was solved directly, and he had no reason to refuse.
"Okay, get ready."
"Boss Zheng, do you have an OTSC fit?" Professor Lu asked cautiously.
"I have ~ www.novelhall.com on this side, and Xiao Cao also does exercises, it should be there." Zheng Ren looked to Quan Xiaocao.
Quan Xiaocao nodded strongly.
Seeing Boss Zheng holding his mobile phone to make a call, Director Luo sat firmly in his chair and thought a lot.
Endoscopic surgery is often just a change in thinking.
This step from scratch was experienced by Director Luo himself, and he knows the difficulties. But sitting on the hardships of the past? Director Luo does not think so.
OTSC surgery, look at Boss Zheng, if it is suitable for you, can it be carried out?
Thinking for a while, Director Luo shook his head slightly. The main purpose of OTSC surgery is to treat various anastomotic fistulas, which is a remedy for surgical complications.
There must be no patient source on my side, so don't worry about it. It was the elementary school student, I was afraid that there was a good opportunity to soar into the sky.
vertex
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