Surgical artist

Chapter 237 Director Zhao really lives up to his reputation

Director Hao of the General Surgery Department nodded deeply.

Before today, he only thought that Zhao Peiru was only good at the "liver field".

But today, especially after listening to Zhao Peiru's "Choledochoscopic Fistula Direct Access" plan, his impression of Zhao Peiru has completely changed!
In the field of intrahepatic bile ducts, Zhao Peiru definitely has very profound research!

Beside them, many hospital leaders from the Fourth Hospital silently listened to the conversation between the two, and looked at the situation on the operating table, all kinds of thoughts also appeared.

When the new Dean Tao and Director Feng heard about this plan, their brains froze!
"Open up a road? Open up a new highway?"

"This method... is amazing!"

The surgical plans discussed in their institute have always revolved around "how to improve the unhealthy biliary tract".

Various methods are conceived within this framework.

However, Zhao Peiru's method directly jumped out of the framework and started from scratch!Came up with another plan!
This is amazing!
"Use the channel as the entrance of the rigid channel, and use the sheath as the carrier of the channel...to prevent the mirror body from scratching the channel and causing bleeding..."

"Coupled with the minimally invasive technique of transhepatic biliary drainage."

"This kind of thinking can not only give full play to the advantages of 'more easily crushed stones' and 'higher stone removal rate' of rigid choledochoscope."

"It also avoids the disadvantage that rigid choledochoscope cannot turn and it is difficult to pass through the biliary tract!"

Dean Tao's eyes were full of surprises!
"This is simply playing the choledochoscope to its essence!"

Some leaders were not right about the business, and they were a little ignorant after listening to Director Hao's professional analysis of the Department of General Surgery.

But now, after listening to Dean Tao's straightforward explanation, it's easy to understand!
Everyone looked at Zhao Peiru in unison!
Director Zhao, has he created a new game in the field of intrahepatic bile duct stones? ?

Xiang Tan whispered: "Could it be that the field of liver can no longer satisfy Director Zhao's appetite? He is going to come to the field of gallstone disease to open up new ways of playing?"

Everyone was dumbfounded.

It really is!
Zhao Peiru has developed many new methods and ideas in the liver field!But now, he has come to the field of gallstone disease again! !

Although the leaders of the Fourth Academy were expressionless on the surface, they were extremely happy in their hearts!

The Fourth Hospital has always been the best in the field of liver, while other fields are seriously lagging behind.

Such abnormal development, to a certain extent, fulfilled the four courtyards.But at the same time, it also restricted the development of the four courtyards.

But today, a surgery performed by Zhao Peiru gave them a glimmer of new hope!

"The fistula is about to start!"

I don't know who said it, everyone immediately restrained their minds and concentrated on observing!

Dean Tao's voice was also lowered: "Is this going to use the 'transhepatic puncture and bile duct drainage technique' to make a canal?"

His eyes were burning.

Dean Tao feels that he is witnessing the birth of a brand new idea of ​​"gallstone disease"!
This "re-establishing a high-speed channel" technology, once successful, will give their research institute a new way of thinking, and it will also be of great inspiration to their other cases and topics.

on the operating table.

Zhao Peiru chose the puncture approach according to the specific location of the gallstone.

"First take the gravel from the left bile duct, choose to puncture under the xiphoid process, and the abdominal wall at the lower edge of the right costal arch."

Assistant Chai Baorong nodded immediately.

Although Chai Baorong has never used this method, he is quite familiar with this "puncture and drainage technique" and knows how to cooperate with Zhao Peiru.

With the assistance of ultrasound positioning, the two men punctured the target bile duct, withdrew the bile, placed a guide wire, and inserted an 8f drainage tube through the guide wire.

After the drainage is completed.

Exit the drainage tube, rotate and push the dilator along the guide wire, and after reaching the intrahepatic bile duct, use a matching sheath to cover the dilator, and deliver it to the position of the intrahepatic bile duct together, then pull out the dilator, leaving only the Lower the sheath.

At this point, the work of fistula and insertion of the sheath tube is all completed!
"call!"

After this set of operations was completed, everyone outside breathed a sigh of relief.

"This sheath is directly inserted into the intrahepatic bile duct! "Go straight to Huanglong"!"

"Did you find out that this direct fistula technique is very efficient! After this step is completed, it means that the high-speed passage directly to the stone has been built!"

"This is easier than entering the country through the biliary tract!"

Everyone looked at each other.

We all saw the advantages of this technique.

Looking back at them before...

Why are you so rigid?Obviously there are various problems in the biliary tract, but the inertial thinking insists on solving the biliary tract problems, and still tries to enter the country through the biliary tract!

Now look at Zhao Peiru's method of "finding another way"...

How easy?How easy?It avoids the three major problems of the biliary tract, and directly reaches the intrahepatic bile duct lithotripsy!
If Zhao Peiru's approach is to get twice the result with half the effort, then their method is to get twice the result with half the effort.

"Next, we will come to a critical step."

"Whether the choledochoscope can successfully pass through the sheath for lithotripsy and stone removal determines the success of this plan and this operation!"

Everyone's face tightened and they nodded slightly.

Next, comes the most important step.

"Hope it goes well!"

In the observation room, many people hoped to succeed, especially the leadership of the fourth hospital and the medical staff of the liver surgery department.

under the gaze of the crowd.

Zhao Peiru showed a somewhat calm and relaxed smile.

"Director Chai, come and enter the choledochoscope."

Chai Baorong was stunned: "Me?"

Zhao Peiru said lightly: "It's very simple, it's easier than you usually enter the mirror from the gallbladder, you try it."

Seeing that Zhao Peiru gave him this opportunity, Chai Baorong nodded seriously and took the hard choledochoscope.

He has been in the mirror countless times, but this is really the first time to go into the mirror through the sheath.

Chai Baorong manipulated the body of the biliary mirror and tried to enter the country.

At the same time, Xiaomeng is also operating the perfusion pump to continuously inject normal saline into the bile duct to play a buffer and flushing role.

Chai Baorong only tried to enter the scene once...

"Go in!"

Chai Baorong didn't expect it to be so easy, and a look of surprise appeared on his face!
It's so easy to enter the mirror from the sheath!

Before entering the country through the biliary tract, you have to be careful to prevent all kinds of troubles!
For example, when the angle of the biliary tract is too large, you have to carefully test it repeatedly into the mirror!When encountering fragile thin walls, be careful to avoid them!You may also encounter various complex conditions such as protruding polyps, redness and swelling in the biliary tract, and mud...

But now entering the country through the sheath, there is no need to think about anything!

It's like piercing the mirror body directly through a plastic tube.

Very simple and very easy!
"This entry operation can save a lot of time! It can more than double the overall efficiency of this operation!" Chai Baorong was full of excitement.

This solution, while having so many advantages, has the effect of improving efficiency!

What a surprise!

The people in the observation room were also pleasantly surprised!
"It's so easy to enter the country with this sheath!"

"No wonder Director Zhao asked Chai Baorong to operate it."

"This kind of entry is simply easier, simpler, and more operable than the old method before!"

Xiang Tan also nodded: "This method has very low requirements for the operator's personal quality. Even some novice doctors can learn to operate."

The hearts of Dean Tao and Director Feng became even hotter!
The operation is simple, which means that this technique is easier to promote on a large scale!

Grassroots hospitals need this kind of operation that is simple, efficient, quick and effective most!

Dean Tao looked at Zhao Peiru with an "unbelievable" look.

"Director Zhao, unknowingly, created an amazing technique!"

The more this seemingly "simple" technique, the more difficult it is to develop!
The social benefit is higher!

One of the biggest efforts of their "Cholelithiasis Research Institute" is to try to optimize and simplify the operation.

But after so many years of research, they can only simplify some small details.

And Zhao Peiru's brand-new plan directly and completely overthrew the old technique.Adopting a brand-new way of thinking, as a whole, it can just achieve the purpose of "simplification and optimization".

"This Director Zhao is a talent!"

Just when Dean Tao was full of thoughts.

Chai Baorong, who was on the operating table, was full of confidence and began to crush and remove stones.

"Director Zhao, I have been doing gallstone removal surgery for so many years... I have never had it so easy."

Chai Baorong's "gallstone field" level is already good.Now with the addition of the "high-quality bedding" work that Zhao Peiru has done for him, the work of "crushing and removing stones" is even more handy!
He skillfully covered the broken stones with a net basket, and washed out the scattered broken stones with normal saline.finally……

All stones are taken out of the body through the sheath!

"Take it out!"

"The advantages of this hard choledochoscope to remove stones by crushing them are really great!"

Everyone knows that rigid choledochoscopy has advantages in lithotripsy, but before that, everyone likes to use softer laparoscope and fiber choledochoscope to extract stones.

It is because it is difficult to enter the biliary tract with a rigid mirror!
Now, with the birth of Zhao Peiru's method of "reopening the channel"...

The problem of difficult access to the gallbladder was directly solved from the root cause!

Everyone can foresee that the rigid choledochoscope will have a "second spring"!Welcome to its glory in bile duct stone removal surgery!

"Director Zhao's method of 'reopening the expressway' is simply tailor-made for rigid choledochoscopy!"

"This plan is absolutely amazing!"

Among the crowd, Chang Lifang was the most excited!

Her team is the only remaining "biliary tract" team in general surgery.

Before that, she could only do minimally invasive stone removal surgery with more general techniques.Once you encounter complicated and difficult patients, you can only ask for help or give up.

But now that she sees this plan, her psychological confidence is enough!

She is serious that the biggest advantage of this plan is not the high efficiency of stone extraction!It's not that the stone extraction rate is high!Rather, it is simple to operate and has low requirements on the quality of the surgeon!

Even if it's her team, after watching it once, as long as they take care of the details, they can fully grasp it!
To put it bluntly, this plan can enhance the business capabilities of her team!
"Director Zhao... gave our team a big gift!"

She laughed in a low voice, and said to the team members next to her: "In the past, it was Director Ma and the others who learned technology from Director Zhao. We are envious next to you."

"It's all right now, we can learn new techniques from Director Zhao."

Several team members also laughed, with longing in their eyes.

Ma Lin, Chai Baorong, and Wei Xiaobin looked at each other.

Others were surprised by Zhao Peiru's plan.

And for the three of them who already knew the plan in advance, Zhao Peiru's superb operation in the field of gallstone disease is more important at this moment!

"Director Zhao's understanding of the biliary tract and bile ducts is definitely no worse than that of the liver!"

"There were several bile duct puncture operations just now. Director Zhao's choice was just right. He neither damaged important parts of the bile duct, but also very skillfully avoided the pancreas and other places."

"this means……"

"Director Zhao has not only studied the 'liver anatomy', I feel that he has a very deep research on the anatomy of the entire hepatobiliary, pancreatic and duodenal regions!"

This means that as long as Zhao Peiru is willing, he can jump out of the field of liver and directly engage in the field of biliary tract.

Dean Tao and Director Feng were also secretly surprised.

"I have always heard that Director Zhao in the field of liver is known as the 'perfect knife'."

"The knife is not only fast, but the knife is precise and perfect."

"I haven't seen it before..."

"But in this operation, Director Zhao's operation is indeed silky and smooth."

"The incision is small and beautiful, the trauma is small, the scar is shallow, and the suture is beautiful! The action of puncture expansion and sheath placement is also very fast and steady. Not only does it cause little damage to the bile duct, but it also suppresses all accidental factors during the operation... ..."

"This kind of operation skills can only be achieved by veterans who have experienced the 'gallstone disease' battle for a long time!"

Director Feng also nodded deeply.

In their research institute, there are famous gallstone disease leaders in various hospitals, but there are really not many who can reach Zhao Peiru's level in surgery.

Director Zhao Peiru seems to be equally good in the field of gallstones!
Dean Tao's thoughts suddenly changed.

He is the vice president of Jiren Hospital, and he also saw the extraordinary significance behind this plan!
This set of solutions is not only faster, more efficient and safer to remove lithotripsy, but also especially suitable for complex patients with "unhealthy biliary tract" like this case.

More importantly, because the operation is simple and easy, and the difficulty of mastering is relatively low, it can be quickly popularized in departments without much learning cost!
"This set of plans must be introduced into our Jiren Hospital!"

At this moment, Dean Tao immediately understood why Professor Shu Yun always proposed to introduce Zhao Peiru's proposal.

This time when his field was involved, he realized how urgent this feeling was!

It is not only "happy to see Liexin", but also a mentality that is afraid that this technology will be mastered by other hospitals first, and their own hospital will lag behind.

"I have such a good relationship with Dean Song, and the relationship between Professor Shu Yun and Director Zhao Peiru is also good. Naturally, there are conditions for introducing contacts."

"When you look back, you must think about this matter carefully."

At this time, the finishing work on the operating table was also completed.

When Zhao Peiru stepped off the operating table...

Xiang Tan was the first to greet him, and said with a smile on his face: "Brother Zhao, you have opened up another field for us!"

"In the field of cholelithiasis in our fourth hospital, we have not been able to produce any surgical methods and achievements."

"You let our fourth hospital have unique skills in the field of gallstone disease!"

(End of this chapter)