Surgical artist

Chapter 277 This speed is terrifying

Everyone was shocked when they heard Zhao Peiru's words!
Can the right hilar notch, a physiological feature of the human body, become a standardized standard?

What does this mean?
Zhao Peiru said slowly: "Misclamping of the bile duct often occurs in primary hospitals. I think the reason lies in the visual error. Under the laparoscope, it is difficult to distinguish the common bile duct."

"However, the right hilar notch is very easy to identify. During the operation, you only need to refer to the right hepatic notch and the anatomical structure of the liver surface, as well as the duodenum and gallbladder ampulla where the common bile duct is deformed... ..."

"This three-dimensional structure is very easy to identify under a laparoscope..."

Zhao Peiru slowly elaborated a whole set of theories.

It is divided into five major points, and the reference value and benefits of the right hepatic notch in the operation are roughly explained.

Everyone was a little dazed at the beginning.

But as Zhao Peiru's explanation deepened, everyone gradually fell into thinking.

"Not to mention, this right hilar notch can not only be used as a reference for the bile duct, but also for the cystic duct and cystic artery. It can also be used as a reference for judging whether the bile duct is damaged..."

"That... might be a good idea?"

Everyone was a little shaken.

Many fast-thinking experts have already begun to ponder the benefits of the "right notch of the hepatic porta" as a reference.

Everyone has this physiological feature, and it is very easy to reveal and identify it under laparoscopy.This can be used as a cross-reference with the complex and changeable gallbladder, bile duct, hepatic duct, etc. during the operation, which greatly facilitates the operator's judgment.

Why do primary hospitals often have various problems?
It is the lack of such a standardized "reference object"!
This has led to each hospital forming its own system, you use one set of standards, and I use a set of references.

And if this "right notch of the hepatic porta" is made into an industry standard, and then experts formulate a set of corresponding operation procedures, maybe this "old disease" can really be solved!
Many experts were still frowning just now, with a sad look on their faces.

At this moment, expectations gradually appeared on his face, and light gradually appeared in his eyes!
Seeing everyone's reaction, Lu Guangxuan's heart moved!
Is there a play this time?

"Experts, what do you think of the method of 'right porta notch'? Is it feasible?"

The respected old expert who spoke just now, after a little thought, said: "What Director Zhao said is reasonable, it's worth trying."

Several other veteran experts also nodded slightly.

"We really didn't pay attention to this reference standard before."

"It does have advantages such as easy exposure and easy identification."

"If artificially formulated as a reference standard, our expert group will then use this as a basis to formulate a complete set of operating process systems as the guideline standards for grassroots hospitals..."

"Then maybe it can really solve the problem!"

"It's best to choose a pilot hospital and try it first. We will conduct seminars with experts, and then improve the guidelines step by step according to the specific surgical conditions of the designated hospitals."

Seeing that all the experts were more optimistic, a look of joy flashed in Lu Guangxuan's eyes.

Can this perennial illness really be resolved this year?
He was in a good mood, looked around the crowd, and said with a smile: "Then... since Director Zhao came up with this idea, let the Fourth Hospital be designated as a pilot hospital!"

All the experts agree.

When they heard Zhao Peiru explain the theoretical system just now, they could clearly hear that Zhao Peiru didn't elaborate.

This shows that Zhao Peiru's research on the "right notch of the hepatic portal" needs to be further studied. Naturally, it is best to put the pilot hospital in the fourth hospital.

The experts said: "Director Zhao, you can set a time, let's see if one day, your fourth hospital arranges an operation, and use your method of referring to the right notch of the hepatic porta."

"All of us here will go to your fourth hospital at that time. Let's study this operation together to see if we can improve and summarize a set of standardized procedures."

Zhao Peiru: "Tomorrow morning, please come to the Fourth Academy."

Everyone agreed on a time.

……

Back to the four courtyards.

Zhao Peiru called Chang Lifang's team in.

First, a few simple greetings.

"Director Chang, how does it feel to be home?"

Chang Lifang and the others laughed and said, "It's better to go home! It's just that we haven't been here for half a year. We have a lot of new equipment in our department, and our team is still learning to make up lessons."

New office, new equipment, new surgical building, everything is new.As soon as Chang Lifang and the others came back, they were overjoyed.

Zhao Peiru nodded slightly, and got to the point.

"I give you a task."

"I need you to perform a laparoscopic gallbladder stone surgery tomorrow."

Chang Lifang and the others looked at each other, feeling strange.

What is this task called?
They have been carrying out this operation for a long time, and recently they have learned Zhao Peiru's "Biliary Preservation Technique" and have made great progress.

Can this also be called a task?It's just a day job.

Zhao Peiru smiled and said, "I want you to refer to the method of 'right notch of liver portal', specifically..."

Zhao Peiru explained his thoughts again.

After Chang Lifang and the others listened, they asked curiously: "Director Zhao, referring to the right hepatic hilum notch, can it really shorten the operation time and reduce the blood loss during the operation? Reduce the damage to the biliary tract?"

Zhao Peiru: "Yes."

"You bring your surgical plan over here, and I'll tell you about the specific changes that need to be made."

For tomorrow's surgery, Zhao Peiru doesn't plan to do it by himself.

And I am going to let Chang Lifang's team go up to do it.

The strength of Chang Lifang's team is similar to that of doctors in many primary hospitals and municipal hospitals.

The data they produced is obviously more convincing.

Moreover, it also meets the requirements of [Task [-]].

"Director Zhao wants to guide us personally?"

After hearing this, Chang Lifang and the others were overjoyed!

Before "going home", what they envied most was that Ma Lin and others could get Zhao Peiru's long-term guidance.

Unexpectedly, I got this kind of treatment just after "going home"!

The next half day.

Zhao Peiru helped Chang Lifang's team to straighten out every step and every detail in the surgical plan according to the right hepatic notch method.

"This method of reference... seems to be really convenient!"

Chang Lifang and others gradually realized the advantages of this reference method from various details and steps.

"Having it as a comparison during the operation can really save us a lot of time!"

Several people's eyes are shining!

Director Zhao gave them a big gift to go home!
With this reference technique, their laparoscopic cholecystectomy, efficiency and safety, can be greatly improved!
Finally, Zhao Peiru felt that he was able to teach well enough to be a teacher.

"Tomorrow, some provincial experts will come to watch the operation. At that time, you can follow the method I taught and perform the operation normally."

Are there experts coming?
Chang Lifang and the others were dumbfounded.

The few of them have no sense of presence all year round. Except for Zhao Peiru, the biggest experts they have met are Xiang Tan and others.

For them, the term "provincial expert" means the existence of the sky!
All of a sudden, this "heavenly soldier and general" is about to descend, and they are lying if they say they are not nervous!
Zhao Peiru cheered them up, and said with a calm smile: "Don't worry, don't be nervous. They say they are provincial experts, but their understanding of the right hepatic notch method is not as good as you guys. Tomorrow, you will be teaching them. Let them learn the 'hepatic portal right notch reference method'."

Several people looked at each other.

This kind of comfort, from a very strange angle, really calmed their hearts a lot.

Several people also encouraged each other, strive for tomorrow, don't embarrass Director Zhao, don't embarrass the Fourth Hospital.

……

the next day.

As soon as Zhao Peiru finished "checking in for work", the provincial leaders and the provincial expert team came.

The courtyard committee of the Fourth Hospital, as well as Xiang Tan and the others, had already made preparations for the reception.

After the "preparatory work report", everyone came to the operating room.

The expert group of Advanced Research Institute entered the observation room.

"The facilities and equipment of the Fourth Courtyard are much more advanced than before."

"The Fourth Hospital is developing really well now."

When everyone saw the expensive, high-end, and advanced equipment in the operating room, and recalled what they had seen and heard along the way into the new surgical building, they were all moved.

The former four courtyards were old and dilapidated.

Now, the hardware facilities are at the same level as Huakang Hospital, the Affiliated Hospital of Medical University, and Jiren Hospital.

At this moment, Zhao Peiru was also standing in the soundproof observation room.

This new observation room has very good sound insulation. Talking here will not affect the operating room inside.And if necessary, you can communicate with the inside by turning on the microphone intercom function.

"Director Zhao, didn't you do it today?"

When everyone saw Zhao Peiru, they couldn't help feeling a little strange.

Zhao Peiru nodded and smiled: "It's not me, it's a team from our fourth hospital, the team of deputy director Chang Lifang. The team's chief surgeon is just 40 years old, and the average age of team members is 35. These are their past qualifications and achievements."

After everyone heard this, and looked at the previous qualifications of Chang Lifang's team, they immediately understood what Zhao Peiru meant.

This is to simulate the level of primary hospitals.

An old expert frowned slightly, "Director Zhao, can this team... understand your idea of ​​'right notch of the hepatic porta'?"

He is worried that this young team will not achieve results.

Another veteran expert also said: "Director Zhao, this is only the initial stage. We have to come up with suggestions and formulate a complete and standardized procedure based on the 'right notch of the hepatic porta'."

"It's not time to simulate a grassroots hospital, is it?"

To put it bluntly, everyone had some doubts about the strength of Chang Lifang's team.

Especially with this new idea, new reference, and new plan, the young team is likely to screw up and waste their time.

Zhao Peiru smiled faintly, "Everyone, don't worry, you will know after reading."

He didn't explain much.

No matter how many explanations there are, it is better to read it later to be more intuitive.

In the operating room, several members of Chang Lifang's team could not hear the sound from the observation room outside.

But looking at the expressions of the experts, I can roughly guess it...

"Sister Chang, I'm already nervous, so many experts seem to be dissatisfied with us."

In the team, the two young men were timid at first.

Chang Lifang was also nervous when she was watched by so many provincial experts.

But thinking of Zhao Peiru's instructions, he still pretended to be calm on the surface.

"Don't think too much, have you forgotten Director Zhao's words? These experts are not more familiar with the 'right hepatic notch reference method' than we are now!"

"If it doesn't work, just pretend that the observation room is empty, and let's concentrate on completing the operation."

The two young men from the team nodded slightly.

The operation begins.

Intubation of the patient's trachea, compound anesthesia, establishment of artificial pneumoperitoneum, dissection of the gallbladder triangle...

Chang Lifang restrained her mind, concentrated her attention, followed Zhao Peiru's instructions step by step, and tried her best to do every detail well.

She really worked hard on this operation.

Not only was I very serious when I listened to the lecture yesterday, but I also filled my notebook with it.

After going back last night, she was still going through the operation procedure five times in her head.In particular, every detail that needs to be referred to the 'right notch of the hepatic porta' has been carefully considered several times.

This is her first surgery since her return.

Moreover, it is still under the witness of so many experts.

This operation must be done well!Be sure to show Director Zhao Peiru that their team is also valuable.

As the operation progresses.

Chang Lifang was also pleasantly surprised to find that referring to the right notch of the hepatic hilum really made her feel a lot easier!

It is more intuitive, easier, more efficient, and more handy than usual when performing this operation!

It's just like……

Originally, she was groping forward in a cloud of fog, often stumbled and took the wrong path, and then corrected it.

But now, there is a reference object like a "light belt", so that even in the fog, I have a direction and a bottom in my heart.

……

In the observation room.

Zhao Peiru was not idle either, he was explaining to the experts.

"Look at this step, my people are judging the course of the common bile duct, common hepatic duct and right hepatic duct."

"By judging from the transverse groove at the hilum to the right notch, there are all blood vessels and bile duct branches leading to the right hemihepatic, and she learned that the right hepatic duct runs in the right notch of the hilum on the right side of the transverse groove."

"It only takes a few seconds to identify several important channels of the liver and gallbladder."

After Zhao Peiru finished speaking, he glanced at the expressions on the faces of the experts.

Sure enough, everyone's faces changed.

This kind of discrimination speed has far exceeded the level of doctors in primary hospitals!

If they hadn't just looked at Chang Lifang's team's qualifications and past level, they would even have thought that this team was the hidden ace team of the Fourth Academy!
Zhao Peiru continued to explain slowly: "Next, my people need to free the gallbladder triangle."

"Because the surface of the liver is a curved surface, it often obstructs the line of sight. The right notch of the porta hepatis is a straight line."

"At this time, it is only necessary to pull the gallbladder neck forward, and then deal with the cystic duct and cystic artery behind, which can greatly reduce the possibility of accidental injury and clipping during the operation."

The experts listened to Zhao Peiru's explanation, and then looked at the operating room...

Chang Lifang's team clearly identified the cystic duct and cystic artery in just 30 seconds, and started to deal with them!
This speed is terrifying!
Even the provincial experts like them can only perform this operation at this speed!
They rely on their years of experience and intuition to judge.This means that their performance will be inconsistent, sometimes a little faster, sometimes a little slower.On average, it is definitely not as fast and labor-saving as this kind of "light belt"!

(End of this chapter)