v3 Chapter 2699： 1 step in place
"Xiao Cao, just like what you Yunge taught you." Zheng Ren stood in front of the patient and said softly, "Surgery will begin in 10 seconds."
Xiao Quan nodded, knowing what Boss Zheng meant. She took a deep breath and closed her eyes.
Her eyelashes are very long. After closing her eyes, she slightly moves up and down with her eyelids. She doesn't know what she is thinking.
Zheng Zhengren was not in a hurry, but inspected the relevant equipment prepared by Feng Xuhui.
做 了 He performed several operations in the system operating room. Zheng Ren knew what to do with this “simple” operation that only required changing his mindset.
After a few seconds, Quan Xiaocao opened his eyes, his timid eyes dissipated like clouds of smoke, only calmness. It can even be said to be indifferent, without the slightest emotion.
The gastroscope went down the patient's oropharynx, and Quan Xiaocao's hand was stable without trembling. Her eyes stared at the screen opposite, staring at it unscathed.
As Zheng Ren said, the anastomosis of the esophagus and jejunum can be seen 38 cm away from the incisor.
瘢 Anastomosis has no scar stenosis, which is the luckiest thing. Just like the epidermal scar tissue, if there is a narrow scar with high elevations, the operation will be at least doubled.
Xiao Quan Xiaocao steadily controlled the endoscope to pass through the anastomosis, and clearly saw a fistula in the front wall of the left side of the anastomosis, and the residual anastomosis was seen at the edge.
仁 Zheng Ren reached out to take the endoscopic tube, and gave Quan Xiaocao exposure to the surgical field, just like the usual surgical operation.
Xiao Quan Xiaocao skillfully manipulated the mucous membranes at both ends of the fistula with two-armed forceps. The lifter Zheng Zheng held in her hand had just arrived.
As an assistant, Mr. Zheng's subtle cooperation is flawless.
With the force of the clamp and the amount of attraction of the attractor, Quan Xiaocao pulled the tissue around the fistula into the transparent cap, and rotated the handle to release the OTSC anastomosis clip.
Her movements are very slow, and every turn is very serious when turning the handle. Zheng Ren judged in the action of Quan Xiaocao that she seemed to be feeling the power transmitted from the handle.
This is the introductory experience of feeling, has she already started? Under the surgical mask, a curve was drawn at the corner of Zheng Ren's mouth, but no one could see it.
The OTSC anastomosis clip clamped the tissue and completely covered the 0.8cm fistula. The entire procedure was a bit slow, but there were no flaws. Zheng Ren knew what he had just said, and Quan Xiaocao understood it, and immediately used it in surgery.
仁 Zheng Ren didn't know what she did during this time.
But Zheng Ren knew that being able to understand so thoroughly in a short time did not mean that Quan Xiaocao had the same talent as Su Yun. She should be studying hard day and night. As time goes by, she will find time to dial in and break the bottleneck. The technical breakthrough will be logical.
Xiao Quan Xiaocao is still expressionless and has no habit of talking during surgery. All these are similar to Zheng Ren. She then switched to the mirror with an ESD transparent cap and saw that the OTSC anastomosis clip closed well.
的 The main steps of the operation have come to an end.
Zheng Ren raised his hand and smiled, "Yes!"
"Fang Lin, look at Xiaocao, look at you again!" Su Yun said scornfully, "Can't be a little serious?"
"Hey." Fang Lin witnessed the whole process of OTSC anastomosis clip blocking the fistula of the esophageal fistula. He didn't care about Su Yun's words, but was slightly blank in his heart.
He has a deep understanding of anastomotic fistula after esophageal cancer since his graduate school.
Not only him, every doctor of thoracic surgery has research on anastomotic fistula, and is daunting.
一旦 Once a fistula is obtained after surgery, it means that there is only a 50% chance of survival. There is a 50% chance that the patient will spend 1 month or more in pain.
Sometimes the sick areas and corridors are full of rotten stench. As long as you smell the smell, you know that patients with esophageal anastomotic fistula in the ward, even speak quietly, so as not to provoke the unlucky doctor.
Even with continuous flushing to ensure that the position of the anastomotic fistula is clean, and the second-stage operation is performed, the success rate of the operation is ridiculously low.
Because of the low success rate, almost all doctors are reluctant to perform second-stage surgery. More often, they take conservative observation and let the fistula repair itself.
But this kind of problem that has troubled thoracic surgery for decades has been solved in this way?
Wu Fanglin was not convinced.
"Go away." Su Yun patted Fang Lin's shoulder and said.
"Brother Yun ..." Fang Lin thought his throat was a little dumb, and he tried to show a smile, "I look inside in lead clothes."
"It's going to be contrasted, you can see more clearly outside." Su Yun pulled Fang Lin out of the operating room.
Others also followed, and only Feng Xuhui stood in a corner of the operating room while wearing lead clothes, holding some consumables that might be needed.
The airtight lead door was closed, and Su Yun squeezed the technician aside, manipulating it in front of the console.
"Xiao Cao, how likely are you to succeed?" Su Yun asked.
Xiao Quan Xiaocao has been replaced by Lin Yuan, and the next operating room owner Zheng personally operated the next stent to achieve double insurance.
Out of the operating room, Quan Xiaocao's self-psychological cues disappeared, and she became a timid doctor.
"Cloud ... Cloud brother ~ www.novelhall.com ~ I think ..."
"Xiao Cao, what can you say, what can you do with such a great operation?" Su Yundao, "You can open the clinic directly at your current level, and accept patients with anastomotic fistula after esophageal cancer surgery nationwide."
"..."
Xiao Quan Xiaocao was hard to talk to when Su Yun said so.
Professor Lu Lu heard Su Yun say this, and his heart was a little surprised, this emotion is the same as Fang Lin's emotion.
Postoperative patients with esophageal cancer who had undergone a national operation ...
Making money is one thing, saving lives is another. Wiping the buttocks of all chest surgeons, who ca n’t call a teacher when they meet?
Famous, advantageous, and have status in the arena!
This special is simply a pie falling from the sky! Professor Lu knows that even if he worked in 912 for a lifetime, he would never reach this level.
And Dr. Quan Xiaocao, who hasn't graduated yet, advises one. Can he already do this?
Professor Lu Lu has no doubts. He knows that if the radiography shows that no contrast agent runs from the esophagus to the mediastinum, it means that Quan Quancao's operation has just been successful.
Xu and even Su Yun are a bit conservative, which is the rhythm of becoming a top national expert in one step.
拼 I haven't reached this step for many years ... Professor Lu is a little dazed. He knows that medical care is getting more and more meticulous now. Quan Xiaocao seized a fine classification and then seized the opportunity.
I can do it too! A fire broke out in Professor Lu's heart.
的 The screen on the operation platform started to move. Professor Lu gave up his thoughts and began to look carefully at the radiograph made by boss Zheng.
Yun Cheng was unsuccessful.
Xiao Quan nodded, knowing what Boss Zheng meant. She took a deep breath and closed her eyes.
Her eyelashes are very long. After closing her eyes, she slightly moves up and down with her eyelids. She doesn't know what she is thinking.
Zheng Zhengren was not in a hurry, but inspected the relevant equipment prepared by Feng Xuhui.
做 了 He performed several operations in the system operating room. Zheng Ren knew what to do with this “simple” operation that only required changing his mindset.
After a few seconds, Quan Xiaocao opened his eyes, his timid eyes dissipated like clouds of smoke, only calmness. It can even be said to be indifferent, without the slightest emotion.
The gastroscope went down the patient's oropharynx, and Quan Xiaocao's hand was stable without trembling. Her eyes stared at the screen opposite, staring at it unscathed.
As Zheng Ren said, the anastomosis of the esophagus and jejunum can be seen 38 cm away from the incisor.
瘢 Anastomosis has no scar stenosis, which is the luckiest thing. Just like the epidermal scar tissue, if there is a narrow scar with high elevations, the operation will be at least doubled.
Xiao Quan Xiaocao steadily controlled the endoscope to pass through the anastomosis, and clearly saw a fistula in the front wall of the left side of the anastomosis, and the residual anastomosis was seen at the edge.
仁 Zheng Ren reached out to take the endoscopic tube, and gave Quan Xiaocao exposure to the surgical field, just like the usual surgical operation.
Xiao Quan Xiaocao skillfully manipulated the mucous membranes at both ends of the fistula with two-armed forceps. The lifter Zheng Zheng held in her hand had just arrived.
As an assistant, Mr. Zheng's subtle cooperation is flawless.
With the force of the clamp and the amount of attraction of the attractor, Quan Xiaocao pulled the tissue around the fistula into the transparent cap, and rotated the handle to release the OTSC anastomosis clip.
Her movements are very slow, and every turn is very serious when turning the handle. Zheng Ren judged in the action of Quan Xiaocao that she seemed to be feeling the power transmitted from the handle.
This is the introductory experience of feeling, has she already started? Under the surgical mask, a curve was drawn at the corner of Zheng Ren's mouth, but no one could see it.
The OTSC anastomosis clip clamped the tissue and completely covered the 0.8cm fistula. The entire procedure was a bit slow, but there were no flaws. Zheng Ren knew what he had just said, and Quan Xiaocao understood it, and immediately used it in surgery.
仁 Zheng Ren didn't know what she did during this time.
But Zheng Ren knew that being able to understand so thoroughly in a short time did not mean that Quan Xiaocao had the same talent as Su Yun. She should be studying hard day and night. As time goes by, she will find time to dial in and break the bottleneck. The technical breakthrough will be logical.
Xiao Quan Xiaocao is still expressionless and has no habit of talking during surgery. All these are similar to Zheng Ren. She then switched to the mirror with an ESD transparent cap and saw that the OTSC anastomosis clip closed well.
的 The main steps of the operation have come to an end.
Zheng Ren raised his hand and smiled, "Yes!"
"Fang Lin, look at Xiaocao, look at you again!" Su Yun said scornfully, "Can't be a little serious?"
"Hey." Fang Lin witnessed the whole process of OTSC anastomosis clip blocking the fistula of the esophageal fistula. He didn't care about Su Yun's words, but was slightly blank in his heart.
He has a deep understanding of anastomotic fistula after esophageal cancer since his graduate school.
Not only him, every doctor of thoracic surgery has research on anastomotic fistula, and is daunting.
一旦 Once a fistula is obtained after surgery, it means that there is only a 50% chance of survival. There is a 50% chance that the patient will spend 1 month or more in pain.
Sometimes the sick areas and corridors are full of rotten stench. As long as you smell the smell, you know that patients with esophageal anastomotic fistula in the ward, even speak quietly, so as not to provoke the unlucky doctor.
Even with continuous flushing to ensure that the position of the anastomotic fistula is clean, and the second-stage operation is performed, the success rate of the operation is ridiculously low.
Because of the low success rate, almost all doctors are reluctant to perform second-stage surgery. More often, they take conservative observation and let the fistula repair itself.
But this kind of problem that has troubled thoracic surgery for decades has been solved in this way?
Wu Fanglin was not convinced.
"Go away." Su Yun patted Fang Lin's shoulder and said.
"Brother Yun ..." Fang Lin thought his throat was a little dumb, and he tried to show a smile, "I look inside in lead clothes."
"It's going to be contrasted, you can see more clearly outside." Su Yun pulled Fang Lin out of the operating room.
Others also followed, and only Feng Xuhui stood in a corner of the operating room while wearing lead clothes, holding some consumables that might be needed.
The airtight lead door was closed, and Su Yun squeezed the technician aside, manipulating it in front of the console.
"Xiao Cao, how likely are you to succeed?" Su Yun asked.
Xiao Quan Xiaocao has been replaced by Lin Yuan, and the next operating room owner Zheng personally operated the next stent to achieve double insurance.
Out of the operating room, Quan Xiaocao's self-psychological cues disappeared, and she became a timid doctor.
"Cloud ... Cloud brother ~ www.novelhall.com ~ I think ..."
"Xiao Cao, what can you say, what can you do with such a great operation?" Su Yundao, "You can open the clinic directly at your current level, and accept patients with anastomotic fistula after esophageal cancer surgery nationwide."
"..."
Xiao Quan Xiaocao was hard to talk to when Su Yun said so.
Professor Lu Lu heard Su Yun say this, and his heart was a little surprised, this emotion is the same as Fang Lin's emotion.
Postoperative patients with esophageal cancer who had undergone a national operation ...
Making money is one thing, saving lives is another. Wiping the buttocks of all chest surgeons, who ca n’t call a teacher when they meet?
Famous, advantageous, and have status in the arena!
This special is simply a pie falling from the sky! Professor Lu knows that even if he worked in 912 for a lifetime, he would never reach this level.
And Dr. Quan Xiaocao, who hasn't graduated yet, advises one. Can he already do this?
Professor Lu Lu has no doubts. He knows that if the radiography shows that no contrast agent runs from the esophagus to the mediastinum, it means that Quan Quancao's operation has just been successful.
Xu and even Su Yun are a bit conservative, which is the rhythm of becoming a top national expert in one step.
拼 I haven't reached this step for many years ... Professor Lu is a little dazed. He knows that medical care is getting more and more meticulous now. Quan Xiaocao seized a fine classification and then seized the opportunity.
I can do it too! A fire broke out in Professor Lu's heart.
的 The screen on the operation platform started to move. Professor Lu gave up his thoughts and began to look carefully at the radiograph made by boss Zheng.
Yun Cheng was unsuccessful.
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