Surgical artist

Chapter 302

Not only Suzhou Province is paying close attention, but Luo Province has also been paying attention to Zhao Peiru's live broadcast room.

"Disappointed, it's not a live broadcast of 'gallbladder dilatation/malignant stricture' surgery."

What Luo Province most wanted to see was that Zhao Peiru broadcast these two techniques live, so that they would be convinced to lose.

"but……"

Everyone in Los Angeles had a smile on their faces.

"It seems that this time, Jiangnan Province is planning to confront Suzhou Province."

The 863 plan has gradually spread with the establishment of the investigation team, and all five provinces know about it.

Everyone also knows that Suzhou Province and Jiangnan Province are the two provinces most likely to win the project.At present, the two provinces are in a competitive and hostile relationship.

All the experts in Los Angeles looked at each other: "It's best, Director Zhao can surpass Suzhou Province!"

"Yes! It's better to surpass Suzhou Province!"

They Los Angeles Province and Suzhou Province have never dealt with each other.

Because back then, Los Angeles Province also had several top doctors, all of whom were poached by Suzhou Province.

This directly caused the medical level of their Los Angeles province to plummet. In the end, they could only rely on the field of "cholangiopathy" to barely maintain a province with a middle-level medical level.

Many experts clicked on the live broadcast room.

"I hope Director Zhao Peiru can give us some strength! This time, we are on the side of Jiangnan Province."

……

Joint Organizing Committee of Five Provinces.

The abnormal increase in app data was also reported to the organizing committee's office.

Soon, Director Nie of the organizing committee found out about this.

"Zhao Peiru wants to live broadcast surgery? Or live broadcast hilar cholangiocarcinoma?"

He smiled.

For the 863 plan, Suzhou Province submitted a large amount of information on "liver cancer and cholangiocarcinoma".

And this Jiangnan province is going to start showing hilar cholangiocarcinoma technology.

"It seems that this Jiangnan Province is not a soft persimmon, and they plan to show their strength."

Zhao Peiru chose to live broadcast the operation at this time, obviously to "brighten his muscles" and show their medical level in Jiangnan Province.

Obviously, it is for the 863 plan.

This kind of situation is actually exactly what Director Nie and the joint organizing committee want to see the most!
It would be best if all the provinces could contend among a hundred schools of thought and come up with better technologies.

He picked up the landline on the table and called the leader of the investigation team.

"Old Liu, please tell the colleagues in the investigation team to pay attention to the live broadcast room of Zhao Peiru, Jiangnan Provincial Fourth Hospital, on the 'Medical Staff Learning App'."

"He's going to live broadcast the operation next, you record a copy and see if it can be used as an investigation material."

……

As the time for the live broadcast approaches...

In the live broadcast room, more and more people poured in.

The number of viewers quickly exceeded 12, 13, 15, [-]...

Gradually approaching 16.

At the same time, the comment area is also lively.

Everyone quickly noticed the change in title.

“So it was about cholangiocarcinoma? I thought it was about cholangiocyst/stenosis technique?”

Although, cholangiocarcinoma and cholangiocyst/stenosis belong to the field of bile duct diseases...

However, some doctors think that their level is poor, and they may never perform cholangiocarcinoma surgery in their lifetime, so they prefer to see cholangiocyst/stenosis technology.

The group of doctors quickly divided.

Some want to see bile duct dilation/narrowing.
Some people feel that it is good to have a look at cholangiocarcinoma surgery. Whether it is used or not, at least it is beneficial to read the book, and you can always learn something.

With all this controversy...

The live broadcast room finally turned on.

A brand-new and advanced operating room of the Fourth Hospital appeared.

"It's about to start!"

"Please ask the administrator to set it up. Don't let the low-privileged people stop commenting, and let the high-ranking bosses do the science for us."

"Yes, yes, the comment area was too messy last time. Only comments from the big guys at the top can help us understand some of the operations in the surgery."

At the request of everyone, the comment area began to be managed.

Only the "expert level" doctors in the provinces, who have a high level of authority, can speak and comment.

At this moment, in the operating room of the fourth hospital.

Intensive preparations and commissioning work are underway.

"Is the live broadcast room open?"

"Where is the patient?"

"Has Director Zhao come over?"

Marin looked a little anxious.

This time, it was another large-scale live broadcast that was watched by 10,000+ people, maybe even several 10 people.

Moreover, it is a difficult operation. According to Professor Feng, this operation is like walking a tightrope on a cliff, and one step cannot be missed.

This made Ma Lin and other members of the Fourth Academy secretly sweat for Zhao Peiru.

Finally, the patient, the treatment team, etc., are all in place.

"The operation is about to begin."

Feng Zhengyuan and Hou Wenbo entered an observation room.And be ready to rush in to save the field at any time.

Ma Lin, Chai Baorong, Xiang Tan, Pan Mingde and other members of the Fourth Academy entered another observation room, all with nervous expressions.

Everyone in the live broadcast room also calmed down and concentrated on watching the live broadcast.

At this moment, Professor Jiang from the Affiliated Hospital of the University of Medical Sciences and Professor Shu Yun from Jiren Hospital also clicked on the live broadcast room.

At the same time, the two also clicked on the online video connection to communicate while watching the live broadcast.

"This operation is extremely difficult, and it is a huge test for Zhao Peiru's body and mind."

"Hope it works!"

Professor Jiang has a good relationship with Zhao Peiru, and he wholeheartedly wishes Zhao Peiru all the best.

"If it succeeds..."

"Then our Jiangnan Province will have one more person who can rival Zhou Lao!"

Professor Shu Yun also nodded and said, "Even if it doesn't reach the height of old Zhou, it is at least the top level in the field of cholangiocarcinoma."

"I hope Director Zhao can hold on! Everything now depends on Zhao Peiru's solo show."

Suzhou Province.

The expert team clicked on the screen recording right after the live broadcast started.

"Let's record the screen of his operation, and analyze the technology in it later to see if it poses a threat to us."

"If it poses a threat, we will also use his technology to make a targeted response."

Although Su Sheng said he was a little nervous, in fact, he was still confident in his heart.

A little bit proud.

They felt that Zhao Peiru's choice to live broadcast publicly was the biggest mistake.

As long as they let Su Sheng know the technique used by Zhao Peiru, Su Sheng will be able to propose better techniques and improve more advanced techniques!

This is their confidence to rank first all the year round!
"Zhao Peiru is about to start surgery! Everyone, take a good look and analyze it carefully."

in the operating room.

Zhao Peiru first ascertained the upper and lower borders of the patient's hilar cholangiocarcinoma, the extent of intrahepatic infiltration and blood vessels.

Check the compression degree of portal vein and hepatic artery.

Distinguish clearly the situation of lymph node metastasis and the situation of invasion of adjacent liver tissue.

This series of operations is all about "checking the situation".

The top experts watching the live broadcast saw that Zhao Peiru did not rush to start, but checked step by step calmly, all of them could not help but nodded slightly.

The more complicated the operation, the less you can seek speed, but stability.

Only by investigating all the situations clearly, conceiving and planning everything in your mind, and then operating in detail.

Professor Jiang and Professor Shu Yun: "Director Zhao is very stable. This is to rule out all abnormal conditions, figure out possible unexpected points in the surgery, and prepare for the formal operation."

On the operating table, Zhao Peiru made a clear analysis of everything.

The extent of eradication was confirmed.

He said slowly: "The scope of eradication for this patient is the extrahepatic bile duct and gallbladder including the tumor. The resection margin of the hepatic bile duct is [-] cm above the tumor, and the bottom resection margin is above the flat head of the pancreas."

"In addition, the liver lobe is involved by the tumor, and the proper artery needs to be resected in stages."

Hearing Zhao Peiru's sudden opening...

Everyone's heart skipped a beat!
"Director Zhao has spoken! Does he have to explain the teaching at the same time as the operation?"

Everyone was shocked!
Feng Zhengyuan and Hou Wenbo in the observation room were both tensed.

"He's still teaching?"

"He is really daring! Such a difficult operation consumes a lot of physical strength and energy, and it also requires extremely high concentration to maintain."

"Just sticking to the three-part operation is an inhuman physical and mental state..."

"He even planned to explain the teaching at the same time?"

Both of them were sweating for Zhao Peiru.

In the live broadcast room, the general doctors with the largest number were overjoyed.

"Looks like it's another teaching surgery! I like to watch this kind of surgery live!"

"I can see the exquisite operation and hear the detailed explanation, so as to know the reasons and considerations behind each operation..."

"It's so comforting to hear this teaching surgery class!"

The majority of doctors like to watch this kind of live broadcast of lectures that combines teaching and practice.

"That's right. Although the live broadcast operations of other experts are also done well, it always feels like something is missing."

"Now it seems that what is missing is this kind of explanation while operating."

Another commented: "Other doctors must have this ability!"

"When performing such a complicated and difficult operation, you can still explain it distractedly. This is not something everyone can do!"

"Looking at all the education and training centers, only Director Zhao Peiru has achieved this!"

At the same time, many people who are familiar with Zhao Peiru are secretly worried about Zhao Peiru.

For example, people from the Fourth Hospital, some old acquaintances from Jiren Hospital, the Affiliated Hospital of Medical University, and the Port General Hospital.

"The last time Zhao Peiru explained while performing the operation, it was because the operation was not difficult."

"But this operation... it's hilar cholangiocarcinoma! The operation difficulty is probably very high!"

"This kind of surgery is distracting from the explanation, if the subordinates are not focused enough on the operation..."

"If there is a slight difference, it will cause irreparable and catastrophic consequences!"

"And, it's still watched by 10,000+ people!"

Everyone felt nervous when they thought of the scene that might happen.

Isn't this putting yourself on the fire?

……

on the operating table.

Zhao Peiru ignored everyone's nervousness at all.

While doing the operation, he explained:

"After confirming the scope of eradication, it is necessary to start preparations for skeletalization."

He didn't stop for a moment in his hands, operating the equipment and tools with both hands, operating quickly.

Under his operation, the multifunctional surgical dissector transected the common bile duct from the lower edge of the hepatoduodenal ligament, and carried out a transitional fine dissection from bottom to top, and completely stripped it to reveal the bile duct, proper hepatic artery, portal vein, Branches of the portal vein.

"The key to this step is the proficiency of the suction scraper."

"It is necessary to skillfully use the dual-purpose electric knife of the multi-functional suction scraper, and timely use the blunt head to partially electrocoagulate to stop the bleeding. And use the functions of suction scraping and crushing to free the severed end of the high intrahepatic bile duct."

"At the same time, the remaining cancer lesions were burned and removed with an electric knife."

In the live broadcast room, everyone's scalps were numb!
"This multi-functional suction scraper is in the hands of Director Zhao, and it's like a flower!"

"A master knife!"

"This is at least the level of using this multi-functional suction scraper for more than five years?"

"The switching of each function is like using your fingers, and you can use it as you like. Every step of the operation can be fine and precise! It's too strong!"

In the observation room, Feng Zhengyuan and Hou Wenbo were even more stunned.

"Didn't we just lend this multi-functional suction scraper to Zhao Peiru in the past two days?"

"It only took him two days to become proficient at this level?"

After being shocked, Feng Zhengyuan guessed: "Maybe Director Zhao is familiar with this knife in other places?"

"I heard that his son Zhao Wangong works for a large medical device company, and Zhao Peiru once had a good relationship with the engineer of that company because he participated in the design of a device."

"Maybe, he was familiar with the medical device company."

The two brainstormed for a while, and helped Zhao Peiru make up an excuse.

……

"Next, the fibrous connective tissue, lymph nodes, and blood vessels will be skeletalized, right?"

"This is the most complicated and difficult part of the whole operation!"

Everyone looked solemn!

Fibrous connective tissue, lymph, and blood vessels are the most complex in the human body!
It is extremely difficult to thoroughly clean the bones and separate each one in a pleasant surprise.

It's like making a stone sculpture, it's relatively easy to chop horizontally and vertically.

However, sculpting hair, beard, scales, etc. requires fine manipulation, and the parts with distinct roots are the most skillful!

Now Zhao Peiru's job is to separate every vessel and every thread of tissue clearly, neatly and clearly.

"It's so hard, just thinking about it makes my scalp explode!"

"This not only requires a high degree of concentration, but also requires carefulness and patience. In addition, you have to bend your waist and hunched your body all the way... This is a huge test for physical fitness, endurance, and spirit!"

In the live broadcast room, the speed of reviewing comments was much slower.

They were all so engrossed in staring at the screen that they didn't care about typing.

……

The experts watching the live broadcast in Suzhou Province also looked serious at the moment.

The more they watched, the more they found Zhao Peiru's superb skills, and the pressure in their hearts increased accordingly.

"How come the level of Jiangnan Province is so much higher without knowing it?"

"Haven't they been disconnected in the field of cholangiocarcinoma since Mr. Zhou left?"

Seeing Zhao Peiru's exquisite operation, everyone felt ashamed from the bottom of their hearts.

"Just talking about the superb operation part..."

"I'm afraid that only Mr. Zhou himself can surpass Zhao Peiru's level?"

"Which master of medicine did this Zhao Peiru inherit from? How could he figure out such an excellent technique under the condition of a fault?"

(End of this chapter)