Surgical artist

Chapter 437 Teacher Zhao's reverse thinking
Wei Xiaobin waved his hands again and again.

If Mr. Zhao goes, won't he crush the entire demonstration exchange meeting?

But he found that Zhao Peiru seemed to really intend to go.

Wei Xiaobin stammered, "Mr. Zhao, are you really going?"

"Why are you... free recently?"

In the eyes of everyone, Zhao Peiru is a very busy person, almost working on one project after another, and each one is of a very high height, and the cooperating ones are all national academicians.

Zhao Peiru smiled and said: "It is beneficial to open the book. It is beneficial to refer to others and gain more knowledge."

Everyone is in awe!

They suddenly remembered that Zhao Peiru was looking for an extremely rare case of mirror-like cholangiocarcinoma before.

Perhaps, Mr. Zhao's unrestrained ideas and whimsical ideas come from this "long experience and reference to others".

For a moment, other people in the duty room were ready to move, and wanted to follow along to the demonstration exchange meeting.However, Marin arranged daily work for everyone, and they couldn't get away.

Seeing that Zhao Peiru was really going, Wei Xiaobin excitedly said, "Mr. Zhao, I will submit your list right now. Wei Xiaofang and the others will be very happy!"

Central Hospital.

The demonstration exchange meeting will be held here soon.

Wei Xiaofang, as the person in charge of the "digestion subject" of the Municipal Medical Association, will act as the host of the exchange meeting this time.

Representatives from various hospitals were also present.

Wei Xiaofang looked at the time: "Now, the only thing missing is Director Wei Xiaobin from Jiangxin Hospital."

At this time, she suddenly received a message from Wei Xiaobin on her mobile phone, and after that, she was startled, and immediately she was pleasantly surprised and excited!
"Dean Zhao is coming!"

Everyone still didn't understand why, and asked in confusion: "Which Dean Zhao?"

Zhao has a common surname, and the people present are from different hospitals. Many of their hospitals have vice presidents surnamed Zhao.

Wei Xiaofang excitedly said: "It's Director Zhao of Jiangxin Hospital! Director Wei Xiaobin's teacher is coming!"

Everyone was taken aback for a moment, and then became ecstatic!

Director Zhao of Jiangxin Hospital, isn't that Zhao Peiru?
This time, for the second half of their operation, Zhao Peiru was actually the most suitable candidate, but he is a big boss and has too many things to do, so it is impossible to come here for such a trivial matter.

Now that they know that Zhao Peiru is coming, everyone rejoices!

"Since Dean Zhao is coming, I have to shake people. Those boys in our hospital are clamoring every day to learn more. Now we have a chance."

"Yes, yes, shake people quickly, I have to call the people in our hospital."

"People from the Department of Hepatobiliary and Pancreatic Surgery and Gastroenterology, call them here!"

If Zhao Peiru can say anything casually, it will benefit them a lot!
After a while, another group of people poured in from various hospitals.

……

Zhao Peiru and Wei Xiaobin came to the Central Hospital.

As soon as I arrived at the entrance of the hospital, I saw Wei Xiaofang from the City Medical Association, the director, vice president, director of the major surgery department, director of the gastroenterology department, and director of the hepatobiliary and pancreatic surgery department of the Central Hospital...

A large group of people stood at the door waiting for him.

Zhao Peiru didn't know whether to laugh or cry: "Dean Shao, Director Yin, why are you in such a big fight?"

When Dean Shao saw that Zhao Peiru had actually come, he couldn't restrain a smile all over his face. He trotted up cordially, and held Zhao Peiru's hand: "You came here after all, of course you have to take it seriously."

Just talking about Zhao Peiru's current position in the top pancreas circle is enough to deserve this attention.

Everyone came to the venue.

Inside, a large number of doctors from the gastroenterology department and hepatobiliary and pancreatic surgery department that just arrived from various hospitals looked at Zhao Peiru curiously.

Among them, most of the gastroenterologists saw Zhao Peiru himself for the first time.

The name of a man, the shadow of a tree.

They often saw Zhao Peiru on the news and heard about Zhao Peiru's glorious deeds, but because of different disciplines, it was the first time they saw Zhao Peiru himself at the scene.

Now they see Zhao Peiru's feeling, which is similar to Zhao Peiru's feeling when he saw the towering mountains of "Academician Zou Bin" and "Academician Chen Yongming".

After the dismissal of the vice president and the chief of the medical department, the "idlers, etc."

The on-site professionals began to officially hold the "demonstration surgery exchange meeting".

Wei Xiaofang presided over the work and said, "Everyone, let's get down to business."

"This operation demonstration exchange meeting aims to choose the best surgeon and the best operation plan through a colon operation, and everyone will make suggestions to do this operation well, so that everyone can have an equal exchange opportunities to promote the development of the colon field in the industry.”

She spoke on the top, and there were staff members below, who put patient cases on the representative desks of each hospital.

Zhao Peiru and Wei Xiaobin also opened the medical records.

However, Zhao Peiru only took one look and then closed his eyes.

Wei Xiaobin studied it carefully.

"This is a patient with slow colon transit constipation. The effect of conservative treatment is too poor, the patient suffers a lot and the quality of life is poor, so he chose surgery."

"The initial plan discussed by everyone is peristaltic colorectal anastomosis..."

Not only Wei Xiaobin, everyone is looking at the case and discussing the treatment plan...

After a few moments, the group-wide discussion ends and everyone's brainstorming begins.

However, the situation at this time began to become weird...

All eyes subconsciously looked in Zhao Peiru's direction.

It was as if they were all expecting the boss to speak.

Seeing everyone's gaze, Wei Xiaofang also smiled and asked Zhao Peiru, "Dean Zhao, what do you think of this case, do you think peristaltic colorectal anastomosis is feasible, and do you have any suggestions for the treatment plan? "

These words were simply asked on the hearts of everyone.

In our demonstration operation exchange meeting, the biggest boss hasn't spoken yet, so how dare others speak.

Zhao Peiru can stand at such a high height, maybe he can come up with better plans and opinions?
All eyes were on Zhao Peiru.

But at this moment, in the team of the Third Hospital, a young doctor hesitated to speak.

He has a new idea called "reverse peristalsis" in his heart, and he really wants to share it, but others speak lightly. I am afraid that not many people will pay attention to it, and it may even be rejected in the first round of discussion.

And now, everyone's eyes and expectations are clearly on Zhao Peiru.No one wants to listen to him, a trivial little doctor who doesn't even have a formal staff.

The young doctor Su Youliang was a little timid, and he had no chance to say this hesitation.

Now everyone's eyes are on Zhao Peiru.

Zhao Peiru said, "I have no objection to the anastomosis, and the treatment plan is well formulated."

When he said this, everyone smiled, and felt a little proud in their hearts.

This treatment plan is the credit of all of them.

Now I am very happy to be recognized by Zhao Peiru, the "big guy who has improved academician Peng Shu".

Like a student being praised by the teacher.

However, the next sentence, Zhao Peiru made everyone startled.

"It's just the forward movement in the first half, why not use the reverse movement method?"

Reverse creep?
Everyone looked at each other.

They have always used peristaltic motion in this kind of colon surgery. What is the idea of ​​this reverse peristaltic motion?

No one noticed that among the crowd, Su Youliang, a young doctor from the Third Hospital, had a bright eye and looked at Zhao Peiru with a burning gaze.

Could it be that this boss also thought of going with himself?
The method I thought of seemed... really feasible?

Before that, Su Youliang was very unconfident. Although he came up with the idea of ​​anti-creep, it was only a preliminary idea that had just taken shape. It was still far from a real, mature and perfect plan that could be implemented. .

He wasn't even sure if his idea could survive the first round of discussion.

Even he himself did not dare to insist that this line of thinking was correct.

But now, when Zhao Peiru spit out the three words "reverse peristalsis", he instantly received great affirmation!

Maybe his idea is really feasible!

Zhao Peiru continued: "The total colectomy and peristaltic method that everyone conceived is already better than partial colectomy, colon-preserving recto-cecal end-to-side anastomosis, and total colectomy... all of which are better than these treatment options. "

Zhao Peiru first praised everyone, and then said:
"However, the reverse peristalsis operation will lead to severe diarrhea in patients, going from one extreme to another. I believe that all the experts in the field of colon here have a deep understanding of this."

Everyone nodded involuntarily.

This type of operation is already an excellent operation that stands out from many other operations, but the treatment effect is still not satisfactory.

Could it be that the "reverse peristalsis" mentioned by Zhao Peiru can better solve the patient's problem?

At this moment, the flames in the eyes of Su Youliang, a young doctor from the Third Hospital, are getting brighter and brighter.

Isn't what Zhao Peiru said exactly what he thought about?

In the eyes he looked at Zhao Peiru, there was a feeling of "like-mindedness" and "recognition"!

The only pity is that Zhao Peiru is a big shot who can work with the academicians of the National Academy of Sciences and the Academy of Engineering. Can be deeply buried in my heart.

Zhao Peiru: "The reverse peristaltic cecal anastomosis I consider will preserve the cecum and terminal ileum compared to the peristaltic one."

"These two parts can absorb water, electrolytes, bile salts, and vitamins in food."

"At the same time, the retained ileocecal valve can allow the contents of the ileum to quickly flow into the cecum, allowing food to be fully digested and absorbed, and prevent the reflux of the contents of the large intestine."

"In addition, the change of the anastomotic position of the cecum and rectum can also allow the direction of digested food to run, which is opposite to the eastward direction of the cecum and ascending colon, delaying the running speed of food and increasing the time it stays in the intestinal tract."

After some analysis, everyone was a little dumbfounded.

Regardless of the correctness of this spell.

Just talking about the functions of the special parts of the digestive tract mentioned by Zhao Peiru is extremely correct.

This Zhao Peiru is really just a liver, gallbladder and pancreas expert?

Instead of a doctor in the field of digestive tract?
Everyone even had an illusion, as if Zhao Peiru's understanding of the digestive function of the colorectum was much deeper than theirs!
Because knowing the function and being able to use its function skillfully are two realms.

It's like a mathematical formula in high school. It's one thing to know the formula, but it's another thing to be able to skillfully use it to disintegrate in complex problems.

At this time, the director of the Gastroenterology Department of the Central Hospital raised his hand and said hesitantly:

"Dean Zhao, you said that you want to keep the cecum, terminal ileum, ileocecal valve, and part of the ascending colon..."

"It's true that it's more patient-friendly to keep these. But..."

"How can I keep it?"

Zhao Peiru: "This involves the resection idea of ​​reverse peristalsis."

His gaze swept across the crowd, and suddenly turned to Su Youliang, a young doctor from the Third Hospital.

"Doctor Su, if you have any thoughts on this reverse peristalsis, you can mention it."

Su Youliang was shocked!
Did the expression on my face just now fall into Dean Zhao's eyes?
At the same time, he was also pleasantly surprised and excited!

This is Zhao Peiru giving him a chance to show and perform!
He himself is soft-spoken, and if he rashly said "reverse creep", others may not pay attention to it.And Zhao Peiru gave him an opportunity that attracted much attention.

The director of the gastroenterology department of the third hospital also looked at his young doctor suspiciously.

He didn't know how the well-known Dean Zhao Peiru suddenly chose his young doctor.

Su Youliang stood up tremblingly, reviewed his train of thought carefully, and then said: "The reverse peristalsis I understand is different from the train of thought of 'free colon, segmented rectum, subtotal colectomy, and colorectal anastomosis'." "

"Instead, 'free the cecum first, resect the rest of the colon, and finally anastomose the cecum and rectum."

"In terms of operation, it is roughly the same as peristalsis. Because the operation process is reversed, the ileocecal valve and terminal ileum that need to be additionally removed can be preserved."

"I don't know if I'm right or not, these are just my personal understanding."

After Su Youliang finished speaking, his face turned red and shy.

This was the first time he had spoken in front of so many elders, teachers, and bosses.

Those sitting here are experts in the city's colon field!
After he finished speaking, everyone's eyes fell on Zhao Peiru in unison.

There are also some people who are lost in thought.

Zhao Peiru smiled and said: "That's right, you have already understood the general idea of ​​reverse peristalsis."

He also looked at the young man with some appreciation.

This anti-creeping thinking is actually not a complicated and difficult thinking, but just a kind of "reverse thinking".

In many large hospitals in Kyoto and Haishi, this idea of ​​anti-peristalsis has been gradually tried and applied clinically.

The young doctor Su Youliang, who was affirmed by Zhao Peiru, was very excited!
Looking at Zhao Peiru, he was also extremely grateful.

"I have a few more points to add."

Zhao Peiru opened the mouth and said: "The general idea of ​​reverse peristalsis is just like what Dr. Su of the Third Hospital said, but during the operation, we should also pay attention to preserving the ileocolic artery, as well as the cecum and part of the ascending colon, which can act like a pouch. function, it has a buffering effect on food excretion..."

Zhao Peiru is like patching, gradually perfecting and plumping up Su Youliang's preliminary idea just now.

These words, to everyone's ears, seemed to be slowly launching a new path of colon surgery.

In Su Youliang's ears, it was more like the ringing of the morning bell, instantly clearing his muddy thoughts!
(End of this chapter)