Surgical artist

Chapter 223 Teacher Zhao is too fierce!

"It's time to cut the liver!"

Everyone held their breaths!

"Although the surgical field at this moment has been completely exposed, there is enough room for manipulation."

"But the next operation is the most important step!"

The previous semi-isolated leiomyoma was exposed, although the technical content was high, but in fact it was all preparatory work, paving the way for the next step!

Next, whether the tumor can be cut well, whether as much normal liver tissue can be preserved as possible, and whether the impact on the patient's physical condition can be minimized is very important!
Next to him, Lei Rong, who has been working as an assistant, said, "Director Zhao, the next irregular liver cut, shall I do it?"

"Are you tired already?"

Lei Rong's initial consideration and plan was that Zhao Peiru used his brains and he, Lei Rong, used his physical strength.The "irregularly cut liver" part was originally intended to be done by himself.

However, after going through the previous steps, Lei Rong wavered.

He found that Director Zhao's fine-grained operation is very good, and his basic skills are very solid.

Even some details are handled better than his Lei Rong.

Zhao Peiru smiled and said, "I'm also good at cutting liver parts irregularly."

"There is no need to change positions, just keep doing it."

Lei Rong hesitated for a moment.

Now the liver is in a semi-isolated state. Although there are low-temperature perfusion preservation technology and extracorporeal venous blood circulation recovery technology, it is a "compromise" strategy after all, and it cannot be compared with the best environment in the body.

In other words, the shorter the duration of this semi-detached state, the better.

In the program plan, the total time of liver half-isolation should be controlled within 12 minutes.

These 12 minutes are almost full of various operation steps, and if there is any delay, the time limit may be exceeded.

It is simple to change the position of the main knife, but the following operations such as pulling, supporting the environment, etc. will be affected and have to be done again.This will undoubtedly waste a lot of time.

Lei Rong was hesitating whether to change the main knife.

And at the moment when Lei Rong hesitated.

Zhao Peiru was already cutting the knife quickly, making irregular liver cuts.

While cutting the knife quickly, electrocoagulate the small blood vessels in the liver section.

When Lei Rong came back to his senses...

"Hiss! It's so beautifully cut! And it's so fast!"

Lei Rong was taken aback!
"I have completely grasped the essence of cutting the liver!"

Doctors in many areas think that irregular liver cuts need to be done slowly and at a slower pace.This is completely wrong perception!

Their circle of experts in Kyoto has reached a consensus that irregular liver cutting requires fast speed and precise knife technique, which is more patient-friendly.

However, this kind of operation has high personal requirements for the chief surgeon!
At this moment, Lei Rong discovered that Zhao Peiru was the best among them!
"Director Zhao's speed and accuracy of cutting the knife are even better than mine!"

At this time, Zhao Peiru is a "Master Level Card" plus a "Surgical Status Card", double blessings.

The level of play is naturally far beyond the past!

Not only Lei Rong was shocked, but Professor Jiang and others beside him were also dumbfounded.

"This Director Zhao's knife, why does it feel faster, more accurate, and more stable than before?"

"This speed is almost dazzling!"

"However, the strength and precision of the knife can be kept just right."

Everyone watched, and couldn't take their eyes off!
It seems that every knife-cutting action has a certain beauty of power and technology aesthetics in it.Every time the knife is cut, the best liver section incision can be achieved according to the liver tangent line.

"This Director Zhao, why did he become more powerful all of a sudden?"

Professor Jiang and the others looked at each other, and an astonishing thought came to their minds.

"Could it be... that Director Zhao's true technical level can be brought into full play by changing to a top assistant in Kyoto?"

This is Lei Rong, an expert from Kyoto, whose level is very high!Cooperating with Zhao Peiru, he did not procrastinate, and the rhythm was extremely fast!

It seems that with Lei Rong's cooperation, Zhao Peiru's "engine" runs faster!
Doesn't that mean...

The previous Zhao Peiru had always been accommodating to the pace of his assistants?

Among them, Professor Shu Yun and Professor Feng felt the deepest.Both of them had been Zhao Peiru's assistants, and they really felt that Zhao Peiru's rhythm seemed to be specially adjusted for them.

Thinking about it now, it was probably Zhao Peiru who was taking care of their "slow speed"!

In the observation room on the other side, everyone also opened their mouths.

"Teacher Zhao's level, this speed...is too fierce!"

"He cuts the knife so fast that my eyes can't keep up."

"The key is to be fast while being precise. This is the scariest thing."

"One of the subjects of our 'further study' is the irregular liver cutting technique in front of us, right?"

Many students looked at each other and saw the excitement and surprise in each other's eyes!
"I've heard that Mr. Zhao's refined operation is high-end, but I didn't expect it to be so high-end! If you learn this..."

Everyone's hearts were on fire!
This kind of fast and precise knife cutting technology has surpassed the average level of their own hospital by an era!

If you learn this, wait for them to return to their respective hospitals.

Still have to walk sideways? !
"In this knife-cutting technique, there are not only basic skills, but also some kind of knife-cutting rules and process rules."

"Even if we can't practice such excellent basic skills as Mr. Zhao, if we can learn the rules of how to cut the knife and the rules of the process, we can definitely improve the knife skills to a higher level."

Everyone nodded.

The rule of cutting is based on the tumor's shape, characteristics, tissue softness, blood supply, health status of various channels, and the actual condition of the patient during the operation.

It is a comprehensive accumulation of experience.

If there is no one to teach you, you can only explore by yourself and sum up by yourself in a large number of operations.Spend countless hours.

But at this moment, with Mr. Zhao's shortcut, they can learn it in the fastest way!
The hearts of all the students are burning hot!

……

Soon, the leiomyoma was completely and cleanly removed.

"Director Lei, stop the bleeding in the pipeline of the liver section and check whether there is any residual tumor."

Lei Rong nodded quickly.

At this point, he completely admires Zhao Peiru!
He knows...

Zhao Peiru has such a superb irregular liver cutting technique, even if he goes out to Jishuitan Hospital, he will definitely be able to take on important tasks.

It's enough for him to treat him as an equal, and even look up to him a bit.

After careful inspection.

A satisfied smile appeared on Lei Rong's face.

"The cut was very clean, and there was no trace of the tumor left."

"The resected sections of the liver are as smooth and clean as a mirror surface, and there is almost no loss of normal tissue. It is really..."

"so perfect!"

At this moment, he looked at Zhao Peiru in a strange way.

Is this still a local doctor?

The thinking is advanced, the plan is excellent and mature, even the basic skills are so solid, and the knife skills are so beautiful!
This kind of strength, even on a national scale, is quite outstanding!

Zhao Peiru: "Prepare for orthotopic liver transplantation."

Renault nodded immediately: "Okay!"

At this moment, he has fully integrated into the role of "assistant".

To be Zhao Peiru's assistant is to be willing.

Next, the two used liver transplantation techniques to return the liver to the body and reconstruct the pipeline in situ.

Different from real liver transplantation, this operation also needs to remove the hypothermic perfusate while rebuilding the pipeline.

The PV and hepatic artery were opened in turn, and after the low-temperature perfusate flowed out, the incision of the liver IVC was sutured, and then the blood vessels in the subhepatic triangle were opened...

In this way, the low-temperature perfusate is completely discharged.

Subsequently, the reconstruction of blood vessels, lymphatic vessels, bile ducts and other pipelines is carried out.Finally, end-to-end anastomosis was performed.After all the pipelines are reconstructed and anastomosed, measure the pressure and check whether the return channel is normal.

At this point, the entire operation is complete!

"Huh! It's over!"

In the observation room, everyone let out a long breath.

I just feel that the boulder that has been pressing on my chest has disappeared!Easy!

"Director Zhao's use of these four techniques is amazing!"

"Although they are all mature technologies, in the hands of Director Zhao and Director Lei, they always feel that they have used something new! It feels completely different from those used by others! This should be due to the cooperation between Director Zhao and Director Lei. Coordination, and a high level of ultra-fast tempo.”

Professor Feng nodded: "That's true, such as the simplest detail..."

"If someone else performed the surgery, the blood vessels would have to be ligated. But because Director Zhao performed the surgery very quickly, this step was omitted."

"This makes the steps that are already highly efficient and take a short time, further accelerated because of the saved steps."

"In addition, this is more patient-friendly. The pipeline can be reconstructed directly, saving one suture and one tissue damage."

One step is excellent, every step is excellent.

After "speeding up the operation rhythm" and "high-precision operation", not only the speed is faster, but also a chain reaction has been achieved, which has raised the therapeutic effect of the entire operation to a higher level.

Professor Shu Yun also said with emotion: "This is a high-quality surgery for us!"

Her heart moved: "Perhaps, liver cutting should be so precise and fast."

Professor Jiang next to him also nodded: "I heard that the top hospitals in Kyoto and Haishi have already started to promote this fast and precise liver cutting method, abandoning the previous idea of ​​seeking stability and slowing down."

Professor Feng: "I have also heard this argument."

"It seems that our thinking has always been backward. Only Director Zhao has always insisted on the most correct thinking."

The gazes of the three could not help but fall on Zhao Peiru.

Director Zhao's vision and thinking are really ahead of his time!

In the observation room next to it, all the students were also excited!

"It's amazing! Director Zhao and Director Lei, the cooperation between the two is amazing!"

"This superb resection level is much higher than that of our hospital!"

"This should be top-notch in the country, right?"

A thought came to everyone's mind.

It turns out that our teacher Zhao's level is not much lower than that of a Kyoto expert like Lei Rong!Even faintly has an advantage.

Then they are studying with Mr. Zhao, isn't it equivalent to studying with a master at the expert level in Kyoto?

……

Wait for the patient to be pushed to the side operating room.

Lei Rong was full of emotion and took the initiative to shake Zhao Peiru's hand.

"Director Zhao, it is a great honor to be able to partner with you in this operation!"

His attitude towards Zhao Peiru has completely changed now.

From the very beginning, I felt that the level of local doctors was not enough.When I heard Zhao Peiru's plan, I was amazed.After the operation, I completely admire Zhao Peiru's surgical technique...

Attitude has changed 180 degrees!

Zhao Peiru also shook hands with a smile, and said a few words modestly.

At this time, the patient's various postoperative data were also summarized.

After Lei Rong finished reading, his face was filled with joy.

"Yes, the data are all very good!"

"After one operation, the various compensatory functions of the liver are hardly lost. All the signs of the body are also recovering rapidly."

"The impact on her physical condition is minimal and does not affect her career as an athlete."

"This operation can be said to be perfect!"

Everyone breathed a sigh of relief when they heard this!
Wait for the doctors to come out of the operating room.

All the people outside gathered their gazes.

"Out!"

"how is the situation?"

The crowd surrounded him in a swarm.

Zhao Peiru first said to his family members: "The tumor was removed, and the cut was very clean. If you do a good job of rehabilitation after the operation, you can fully recover."

Ran Siyu's father and sister were overjoyed when they heard this, and kept saying, "That's great, that's great!"

Immediately, the two hesitated to speak, they wanted to ask something, but they didn't speak.

Zhao Peiru smiled and said, "Don't worry, the operation was done perfectly, and it has minimal impact on her physical condition, and she can still be an athlete."

My sister had tears in her eyes.

My sister's wish is to continue to be an athlete and continue to win glory for the country.

Now, she can get what she wants!

Everyone was overjoyed when they heard this!

Lei Rong also obviously knew the leader of the sports team, and smiled and said a few words about the operation.

After hearing this, the leaders of the sports team finally breathed a sigh of relief!
Very good!
This good seedling finally did not die young!

The leader of the sports team came up immediately, shook hands with Zhao Peiru and others, and thanked the doctors for their hard work.

"Director Zhao, thank you! Director Lei told us that you are the main force for Xiao Ran's operation this time!"

"Thanks to your treatment plan and your superb surgical skills! Give us a team and keep a seed player!"

"On behalf of the sports team, I would like to express my gratitude to you!"

Zhao Peiru smiled and said some polite words.

Seeing this scene, the leaders of the Provincial Medical Association let out a long sigh of relief!
They looked at each other with joy and excitement in their eyes.

Not only did Jiangnan Province not lose the chain for such a big event this time!And it has a long face!

Finally, I can give the above a perfect explanation.

The success of this operation also proved that the medical level of their Jiangnan Province is still relatively high.Most of the above will pay more attention to Jiangnan Province because of this.

In particular, switching from "cooperating with work" to "hosting work", not only the surgical plan was replaced by theirs, but even the chief surgeon was replaced by their doctor from Jiangnan Province.

This is a big hit!
In a disguised form, the level of technology in a certain segment of Jiangnan Province is still very high!

Even colleagues in the medical field across the country may re-examine the development level of the medical field in Jiangnan Province because of this opportunity.

While Ge Jianming and Lu Guangxuan were happy, their eyes fell on Zhao Peiru involuntarily.

This Director Zhao is really awesome!
(End of this chapter)