Surgical artist

Chapter 307 Improving cure rates across the industry
Professor Feng said: "I have confidence in Director Zhao Peiru. Since he can apply the 'skeletal dissection' technique in the field of cholangiocarcinoma, he must clearly understand the difficulties in this field."

"Since he knows the difficulty, he still dares to say that, he must be sure."

"You guys know about Zhao Peiru, but he has never fought unprepared battles."

Among the three, Professor Feng has cooperated with Zhao Peiru the most times, and his trust in Zhao Peiru far exceeds that of the other two.

Professor Jiang also nodded slightly and said, "All we can do is wait and see."

"This time, no matter whether Director Zhao succeeds or not, our Jiangnan Province will at least get half of the right to participate. No loss at all."

Jiren Hospital.

The vice president, Tao Jiangtao, No. 1 in protecting the guts, also opened the app on time.

"I hope that Zhao Peiru can really bring surprises to our doctors in the bile duct field!"

The field of bile ducts in Jiangnan Province has been sluggish for too long.

Relying on him alone as "Cholelithiasis No. 1" is too weak and powerless.

We really need some new changes, new blood, and new motivation!A strong thigh is too much needed, so that the bile duct field in Jiangnan Province can stand up again!
Tao Jiangtao hoped that Zhao Peiru, a miracle worker, could really bring something new to the field of cholangiocarcinoma in Jiangnan Province.

In addition to the troika and Dean Tao, there are many, many people who followed Zhao Peiru's live broadcast, and they all stood in front of the live broadcast room on time...

in anticipation.

The screen in the live broadcast room finally lit up.

The figure of Zhao Peiru finally appeared in front of the screen.

"Everyone, hilar cholangiocarcinoma in the elderly is the most troublesome part of the entire bile duct industry."

"And, over the years there has been an overreliance on the personal experience and judgment of the attending physician."

"This has led to the fact that whether a patient can be treated well depends almost entirely on the level of the attending physician and whether the judgment is accurate."

"So, I want to make a set of standardized procedures and a set of judgment criteria."

"Let all cholangiocarcinoma doctors have a reference to know what surgical method to use and what treatment plan to use when facing a patient."

"In this way, to improve the cure rate of the entire industry!"

When Zhao Peiru said this, countless people who were watching the live broadcast felt their scalps go numb!
That being said, the pattern is too high!
The goal is too ambitious!

Change the entire industry, standardize the entire industry, and improve the cure rate of the entire industry!
What kind of class is Zhao Peiru going to teach, and dare to say such a big thing?
At the beginning of the class, you didn't talk about anything, and you just set the goal so high?
Many people are excited!It seems that this class is another class with heavy content and full of dry goods!

There are also many people who have doubts in their hearts. How can you, what kind of content can you say, and you dare to release such a big word? Are you afraid that the quality of the content will not be good later, and the wind will flash your waist?
At this time, the teaching and training center of the Fourth Academy, behind the four or five live camera equipment, was also full of people.

Most of them are doctors from the fourth hospital, who came to attend lectures.

There are also people like Xiang Tan and Professor Du Qingning, the "Banner No. 1", who are worried about whether Zhao Peiru can achieve the effect, and come to watch the scene.

When Xiang Tan and Du Qingning heard Zhao Peiru's opening remarks, they burst into wry smiles.

"Director Zhao...he simply didn't leave a way out for himself, he put himself on the fire."

"As soon as this is said, many people will definitely come up to criticize."

"As long as his final lecture content cannot reach such a high level, those people will jump out and attack him."

The two were worried that Zhao Peiru's teaching effect was not satisfactory.

Xiang Tan said helplessly: "There is no way, our Director Zhao has always been like this. He has always been very confident in himself, and his tone has never been subdued."

Du Qingning also sighed.Now he is also a lecturer at the education and training center of the Fourth Academy, and he and Zhao Peiru are both honored, so he can only choose to trust Zhao Peiru.

……

Suzhou Province.

The experts who heard Zhao Peiru's opening remarks were overjoyed.

"This Zhao Peiru is really bold! This gave us a chance instead!"

"As long as we continue to pick on his thorns and refute his content, his goal will not be achieved."

An expert next to him also smiled confidently: "The theoretical basis of our Jiangnan doctor in the field of cholangiocarcinoma is better than Zhao Peiru!"

"It's easy to refute his content."

"As long as he is killed this time, Jiangnan Province will completely lose its dominance."

Because the inspection time given by the organizing committee above is only half a month in total.

And now, there is less than a week left.

This time Jiang Zhao Peiru failed, and there was less than a week left, and he was powerless to recover.

"At that time, the initiative of the 863 plan will still belong to Suzhou Province!"

The leading expert smiled and said: "I still have considerable confidence in our Suzhou Province. Our level of background is already better than that of Jiangnan Province. The leading power should belong to us."

"Next..."

"Using the high-authority account of our expert group, we are ready to criticize at any time and guide the direction of public opinion."

"Let's fight for it, pick it up until Zhao Peiru fails in this class!"

……

In the live broadcast room, after Zhao Peiru finished his opening remarks, there was no extra nonsense, and he started to talk about dry goods.

"First, I'd like to mention the bismuth classification."

"This type of classification is very effective in separating the degree of difficulty, degree of involvement, degree of multiple metastatic lesions, and degree of tolerance of cholangiocarcinoma patients in a more scientific way."

"Therefore, the preoperative mrcp examination is very important, together with the examination of the confluence of the bilateral secondary bile ducts, the main portal vein, the main side hepatic artery, and the metastasis of multiple lesions, the bismuth type can basically be determined."

After he finished speaking, a lot of comments immediately popped up in the comment area.

Among them, especially the comments of several Suzhou experts and high-authority accounts are the most popular, and they are frequently pushed to the top by artificial intelligence, and are seen by more people.

"I thought I was going to talk about it, but it turned out to be the bismuth classification. This is someone else's stuff. Many people have come into contact with it. It's not a new thing at all."

"This thing, I will tell the novice."

"Yeah, what's the use of this classification? When it comes to the operating table, you still have to rely on the excellent level of the chief surgeon to judge and make decisions."

These comments are obviously starting to criticize.

Picking the bone in the egg, deliberately belittling the content of Zhao Peiru's lecture.

Obviously, it has also guided the direction of public opinion in some comment areas.

Many general doctors were still immersed in the knowledge of specific typing just now.But seeing these comments at this moment, my thoughts were taken away, and doubts also appeared in my mind...

This kind of classification, science is science, but when it comes to the operating table, don't you have to rely on the judgment of the seniors?
The difficulty and complexity of this kind of elderly cholangiocarcinoma surgery is beyond the imagination of ordinary people. How is it possible without relying on experienced seniors?

On the operating table, the decision of the senior boss is the imperial decree.

Zhao Peiru: "Here, I will present the results first. After that, I will explain the considerations in detail."

"For type [-] and type [-], when performing local resection of the tumor and resection of the caudate lobe of the liver, it is important to consider combined central hepatectomy to improve the surgical field exposure and radical cure rate."

"Type [-]a combined with left hepatic resection, type [-]b combined with right hepatic lobectomy, and type [-]a should consider the patient's liver function compensation. The first choice is combined with central hepatectomy, and the second is combined with right hemihepatic and segmental hepatectomy. Liver resection..."

Zhao Peiru talked about a long section of standardized specifications.

In this set of normative standards, all kinds of situations in all bismuth classifications are summed up correspondingly and referred to surgical procedures, as well as many specific coping methods during surgery.

In this way, doctors who perform cholangiocarcinoma surgery in the future can greatly reduce their reliance on experience and reduce subjective judgments.

This set of standardized procedures not only allows ordinary doctors to "have standards to base on, and norms to guide".

It also allows a cutting-edge expert at Zhou Heping's level to quickly follow the procedure and make judgments and decisions based on certain indications when the operation cannot progress and is at an impasse.

It can be said that this process, firstly, can benefit top experts, and secondly, it can enable ordinary doctors to have a "sacred book of guiding steps"!
When Zhao Peiru finishes explaining this set of standards...

The comment section has been completely quiet.

The majority of general doctors are taking notes and have no time to post comments.

Although they still don't understand the judging principle of this set of standards, at least they can see that this set of standards is very instructive!

It can save them a lot of thinking and hesitation time on the operating table.

It can also let them know what is the right operation when they are confused!
Of course, the premise of all this is that this set of standards must be correct.

This point, they have to verify through follow-up lectures, or continuous example operations afterward.

The expert team in Suzhou Province, on the other hand, was already anxious.

"This set of standards... seems to make sense!"

Their level in Suzhou Province is the highest, so naturally, they can appreciate the excellence and correctness of this set of standards.

Some guiding standards are completely in line with their usual judgments in case surgery.

But there are more, deeper and higher standards. They haven't researched and understood it themselves, so they can't judge whether it is correct or not.

Everyone soon realized that...

If this set of standards is all correct, it is possible to really subvert the entire cholangiocarcinoma industry!

The experts began to worry.

"Organize people, study this set of standards carefully, and quickly criticize!"

"This Zhao Peiru has only just come into the field of cholangiocarcinoma, and he lacks the support of a large number of surgical cases."

"Fabricating theories out of thin air is like a castle in the air. There must be many mistakes in it!"

"We just need to find out where he is wrong and post it in the comment area. His influence on our Suzhou Province will naturally be destroyed by itself."

For a tall building, the foundation is the most critical.And a large number of case surgery experience is the foundation.

This is exactly what they are most proud of and have the greatest advantage in Suzhou Province.

The number of patients with cholangiocarcinoma received and operated in Suzhou Province is the largest in the entire southeast region, and even the other four provinces combined are not as many as Suzhou Province.

With such a large amount of basic real data as support, are you afraid that you won't find the mistakes in Zhao Peiru's system?
Everyone immediately looked through the information and data, searched and compared them.

……

In the live broadcast room, Zhao Peiru continued to give lectures.

After talking about the conclusion of the standardized system, Zhao Peiru began to talk about the medical principles of this system, judgment and consideration.

Gradually, the direction of public opinion in the comment area improved.

"It's very reasonable! We've read all these medical principles in textbooks."

"Ah! So that's how it is! After listening to Mr. Zhao's explanation of the principles and the guidelines just now, you can understand it all at once!"

"The method of preoperative evaluation is very easy to understand! The medical principles are very clear, and the scope of surgical procedures is clearly explained. I am taught!"

"Although this standard specification has not been tested in the actual operation, but based on the medical principles taught by Mr. Zhao, after deduction, there is no problem at first glance!"

Among the people who watched the live broadcast, some top experts, after listening to this lesson, there is only one feeling...

Empathize!

They have actually been vaguely aware of these things during the example surgery, but they don't have a set of clear guidelines, and they haven't been able to summarize them systematically.

But at this moment, as soon as he heard Zhao Peiru's explanation, he immediately connected it with his own personal experience.

I shouted in my heart, "This is really the case! This standard is too correct!"

And the senior cholangiocarcinoma experts who are slightly lower than the cutting-edge experts and have a larger number are enlightened and suddenly enlightened!
These contents of Zhao Peiru solved many doubts in their usual hearts at once!
Difficulties were analyzed one by one.

Complexity is clearly unfolded to describe clearly.

Where it is difficult to make a decision, standardized judgment guidance has been made.

In short, what they listened to was addictive, and they wondered why they hadn't heard this lesson earlier, otherwise, they would have avoided a lot of detours and experienced a lot of hard work!
This group of people will benefit the most.

The general doctors at a lower level and with a larger number are not even the chief surgeons in cholangiocarcinoma surgery, so many places are completely incomprehensible, without the support of practical experience, and their heads are completely at a loss.

They can only memorize it in their hearts first, and maybe they will be able to use today's knowledge when they gradually come into contact with higher levels.

Suzhou Province.

"This... can't pick a thorn at all!"

"The medical principles explained by Zhao Peiru are all well-founded, and the deduction is very reasonable and rigorous!"

All the experts wanted to find fault with the egg, but they couldn't start.

Zhao Peiru's system is not at all like a "flawed" new system just launched, nor is it like a "castle in the sky" without actual case data support.

It's more like a very mature system formed after countless times of modification and improvement!

Mature enough... They want to criticize and revise, but they can't find any breakthrough!

The people in Suzhou suddenly became nervous and anxious.

The more excellent Zhao Peiru's system is and the more flawless it is, the greater the impact on Suzhou Province will be!

An expert was half bitter and half secretly happy.

The bitter thing is, according to his level and understanding, he can judge that at least half of the content of this system is correct.And the more so, the more suspenseful they are in Suzhou.

To my surprise, this theoretical system has a very strong guiding effect on him personally!
In the past, when he was doing complicated cholangiocarcinoma surgery for the elderly, once he encountered a difficult problem that could not be solved, he could only report it to the police, asking Zhou Heping and his disciples to intervene, and asking for the judgment of the senior boss.

But this kind of thing is easier once or twice.

If there are too many times, you have to pay some price and owe some favors.

(End of this chapter)