Surgical artist

Chapter 474
Academician Xie Dongshu asked with a smile: "Dean Zhao, what do you think?"

Zhao Peiru smiled and said, "I have the same opinion as Director Wei. The tumor is too low, so it can be handled in an easy-to-dissect method."

"It's just that one more step can be added, using double staplers and laparoscopic instruments to cut the stapler to further facilitate tumor dissection."

As soon as he said this, Academician Xie Dongshu's eyes lit up.

This idea is much more perfect than the previous plan.

"What about the others?"

Zhao Peiru did not directly answer Academician Xie Dongshu's question, but clicked a few times on the computer in front of him.

Then, the printer next to the computer slid out two sheets of paper.

Zhao Peiru handed the warm A4 paper to Academician Xie Dongshu.

"Academician Xie, this is what I just wrote, about solving all the problems of patients, and my consideration of the intertwining of several difficult problems."

The content on these two A4 papers was obviously written by Zhao Peiru on the computer before Academician Xie came.

Academician Xie Dongshu took it over, but without leaving Zhao Peiru's eyes, he confirmed, "All questions?"

Zhao Peiru nodded and smiled, "Yes, all questions."

Academician Xie Dongshu's heart moved, and his eyes fell on these two A4 papers.

On the paper, the contents of the six major problems were first listed.After more problems, there are detailed solutions.

The solution to excessive obesity, tissue hypertrophy, and narrow pelvic cavity: use the purse-string anastomosis technique at the distal resection margin of the rectum, insert an anastomat into the end-to-end anastomosis of the colon...

Solution to arteriosclerosis and lack of blood supply: Turn the ascending colon over, anastomose with the rectum, and expose the distal rectal margin to increase blood supply...

On these two A4 papers, each question is answered in detail, and there is a practical solution, and after the solution, the considerations between this solution and other difficult problems are also listed.

The more academician Xie Dongshu watched, the more emotional he became!
So detailed!
There are solutions here, some of which he didn't even think of.

Academician Xie Dongshu watched and thought, and also verified the feasibility and implicated contradictions of these methods through his own knowledge and experience.

Before I knew it, half an hour had passed.

Director Zhang looked at his watch nervously, wanting to remind Academician Xie Dongshu.

He didn't know what Academician Xie was looking at, but he knew that if Academician Xie didn't give any treatment advice, the time would be up.

At that time, once Academician Xie leaves, only Zhao Peiru and Wei Hongbing will be left here. What should we do in the face of this complex and difficult patient?
"Academician Xie..." Director Zhang finally reminded: "It's already twelve o'clock, and it's time for you to go to the seminar soon."

Academician Xie Dongshu couldn't get enough of it, his gaze slowly moved away from the two A4 papers, his eyes flashed with admiration and admiration.

He shook his head in admiration: "Dean Zhao Peiru, you can come up with such an ingenious solution in such a short period of time, it's amazing!"

"For this patient, follow your treatment plan, there is no problem at all!"

"Xiao Wei, you just stay and study hard with Dean Zhao. The things on these two A4 papers are enough for you to ponder carefully for a few months."

Wei Hongbing was startled. This Zhao Peiru has already written out all the solutions and the whole treatment plan?
Seeing Academician Xie's admiring gaze, he suddenly felt a thump in the depths of his heart.

What did he realize.

In fact, he had also vaguely noticed before that this time Academician Xie brought him here not only to treat this patient.And there is another thing, which is to recommend him to Director Zhang as a new member of the "National Gastroenterology Professional Committee".

And now, the way Academician Xie looks at Zhao Peiru...

Wei Hongbing understood at once that he was suspended, and Zhao Peiru's chances were even greater.

He tried his best to do remedial measures, but he knew that the diagnosis and treatment of the patient in front of him was probably the last test that Academician Xie gave him. If his performance was not as good as that of Zhao Peiru, he and this "member" position, It gradually drifted away.

But even though he racked his brains, he couldn't come up with any new ideas, so he froze here.

"It seems that this Dean Zhao Peiru has written all the solutions to these six major problems on those two A4 papers..."

"What was written on those two pieces of paper?" Wei Hongbing at the moment was very curious about those two pieces of paper.

I wish I could snatch it from Academician Xie, feast my eyes and take a good look.

"Director Zhang."

Academician Xie Dongshu said with a smile: "You can rest assured that this case will be handed over to Dean Zhao Peiru."

"In addition, I will also report today's incident to several other committee members. Regarding the position of the seventh committee member, you can give more consideration to Dean Zhao Peiru."

Director Zhang also reacted after hearing this.

It seems that the treatment plan proposed by President Zhao Peiru has been affirmed by Academician Xie.He was overjoyed, as long as he could solve the problem.

"Okay, then this patient, I'll leave it to Dean Zhao. Academician Xie, I'll see you off..."

After Director Zhang and Academician Xie left.

Director Wei Hongbing, Chen Yihong and others from Ditan Hospital all stared at the two A4 papers in Zhao Peiru's hands, like hungry wolves glowing green.

The content that won such a high praise from Academician Xie really aroused their curiosity!
Especially Wei Hongbing, he didn't worry about the position of "committee" anymore, he just wanted to know how to solve those big and complicated problems.

"Dean Zhao." Wei Hongbing volunteered and applied, "I want to be your assistant, okay?"

Zhao Peiru smiled and said, "Okay." He handed the two A4 sheets of paper to Wei Hongbing: "Look at these plans first, and see if you have any questions."

Wei Hongbing took it immediately and read it with relish.

Beside, Chen Yihong and other people from Ditan Hospital all stared round.
This took away the paper?
Chen Yihong: "Ahem, Dean Zhao, I also want to apply for your assistant."

Zhao Peiru smiled and said, "Okay, Director Wei will be the first assistant, and you will be the second assistant."

These two people are both senior experts with old qualifications. One is an old expert who has followed Academician Xie Dongshu for a long time, and the other is the department director of Jingdu Ditan Hospital. An assistant is more than enough.

He clicked on the computer and printed out two more A4 papers, "You also have a look at the plan, if you have any questions, please bring them up as soon as possible."

Chen Yihong immediately took it with both hands, and seeing it, his eyes lit up!
The first solution gave him a feeling of seeing the sun behind the clouds!No wonder it received such a high praise from Academician Xie Dongshu!
He happily continued to read.

And Zhao Peiru sat in front of the computer again and wrote a complete and detailed treatment plan.

Wei Hongbing and Chen Yihong were completely immersed in the "solution".

"Use the method of flipping the colon and anastomosis with the rectum to rely on the blood supply of the middle colonic artery, the distal descending colon, and the blood supply of the rectal artery after flipping the colon to make up for the lack of blood supply..."

"Using a No. 7 silk thread to perform a stable internal purse string suture along the distal rectal resection margin, and inserting a stapler, to solve the problem of small pelvic cavity, huge tumor, and extreme hypertrophy..."

"Brilliant, that's a great idea!"

The two of them felt their scalps go numb and their hearts tremble!

At this moment, they finally understood why Academician Xie Dongshu was so fascinated by watching it just now, that he almost forgot the time.

These solutions seem to have their own magical power, and they dissect and solve the six major problems one by one in an extremely delicate way. The solutions are extremely delicate!

Finally, after an hour, the two gradually woke up from the immersion.

In the ears of the two, there was also a sound of rapid typing on the keyboard.

The two looked up and saw Zhao Peiru writing something on the keyboard with both hands quickly.

"Dean Zhao is writing...the treatment plan?"

Chen Yihong asked the people next to him: "How long has Director Zhao been writing this?"

"Ever since you started reading, Dean Zhao has been writing without stopping." The person next to him quickly replied.

"Writing for so long?" No wonder he just now, when he was looking at the two A4 papers, he had been faintly hearing the sound of fast typing on the keyboard.

Chen Yihong was shocked. If he only wrote the initial treatment plan, then a few hundred words would be enough.So, Zhao Peiru is writing...

Both Chen Yihong and Wei Hongbing put their heads closer to read what he wrote behind Zhao Peiru's back.

"It's a detailed treatment plan!"

The two looked at each other in shock!
This is from the initial treatment plan to the "refinement plan"?

Does Dean Zhao's brain turn so fast?

Both of them are old qualifications and old experts.But after they have a preliminary plan, it will take at least half a day, five or six hours, to gradually figure out a detailed plan.

It is extremely energy-intensive to refine the plan. It needs to be framed by the overall plan, combine all the symptoms of the patient's illness, and incorporate all the conceived ways to overcome the problem.

Especially for patients with six difficult problems, this detailed plan needs to be carefully considered.Considering before and after, repeatedly modifying and pondering...

This is a big project that takes a lot of energy and time!

However, Zhao Peiru was able to write a detailed plan immediately after he conceived a solution to overcome a problem.

The two looked behind Zhao Peiru for a while, and they were even more shocked to find that the detailed plan written by Zhao Peiru was quite mature and complete.

It's like carving a dragon. Others first carve the shape as a whole, and then gradually describe the details.After the final polishing, many times, the dragon can be carved out.

But Zhao Peiru, on the first pass, went directly to the final product, from top to bottom, directly from a log to a lifelike dragon!
This kind of foundation...

"Dean Zhao must have made a draft in his mind, and then kept pondering and revising it in his mind. Only when it is presented in the end can we do it all over again."

"This brain is really enviable."

Neither of them claimed to have such a smart brain with a super memory.

At this time, Zhao Peiru's hands that quickly tapped the keyboard finally stopped.

After the crackling sound stopped, the hissing sound of the printer sounded again.

"This is a detailed treatment plan, you should look at it first."

As soon as these words were said, the two quickly took it again, held it with relish, and looked at it.

……

A day later, it was time for surgery.

Zhao Peiru led Chen Yihong and Wei Hongbing into the operating room.

Epidural anesthesia was performed first, and the right colon was dissociated and resected. A 27-caliber stapler was selected and inserted into the stapler from the distal end of the transverse colon to anastomose the ileum and transverse colon.

After checking that there is no bleeding at the anastomosis, the stump of the transverse colon is closed with a 40 mm occluder.

Wei Hongbing and Chen Yihong reported the situation while working.

"There is no twisting of the intestinal tube, and the sealing of the mesenteric space is good."

"The transverse omentum has been fixed near the anastomosis."

"For vascular active bleeding, do a figure-of-eight suture, gastrocolic ligament and connective tissue packing suture."

"Check for bleeding spots."

As the two reported the situation one by one, the direction of the operation gradually became clearer.

The six major problems were also overcome and solved one by one during the operation.

"call!"

Chen Yihong raised his hands, looked at the sutured wound in front of him, and looked at the patient's various monitoring instruments, and let out a long sigh of relief.

This complex, difficult, and difficult operation is almost done!
After the whole operation, the expected feeling of "fighting a difficult battle" did not happen.

On the contrary, it was like... doing an ordinary operation.

Chen Yihong understood that all this was because of Zhao Peiru.

It was Zhao Peiru's full preparation before the operation that reduced the difficulty of the operation.It was Zhao Peiru who came up with various techniques in advance, such as "smart use of children's forceps", "long curved blood forceps" and other methods, and flexibly overcome the difficulties.It was Zhao Peiru's exquisite operation in the operation, and the high-precision control that turned all unexpected situations into necessary ones, that made this operation easy.

Director Wei Hongbing felt a lot of emotion after the operation.What he gained from this operation was completely different from what he had learned from Academician Xie Dongshu.

There is a new feeling.

"The harvest from this operation is indeed enough for me to chew on it repeatedly for several months."

"In addition... I may have been following Academician Xie for too long, but I haven't learned new things for a long time, and I haven't made any progress. I feel like I am completing repetitive tasks every day, like a robot."

"But with Director Zhao Peiru, everything is very fresh, with different personal styles, different ways of solving problems, different treatment plans, and even different operating procedures."

"It's been five or six years, and I don't feel like I've made much progress, but today, I suddenly feel that I have learned a lot, much more than the previous five or six years combined..."

"Maybe I should make some changes."

A thought suddenly popped up in his mind. After this time, he wanted to apply to Academician Xie Dongshu to see if he could leave the team for a while, and he wanted to study with Zhao Peiru for a while.

Academician Xie Dongshu once said that he will have the appearance of "academician of the Academy of Engineering" in the future.

But before that, he had to learn more and experience more.

Perhaps, this Dean Zhao in front of him is his learning goal for the next stage.

(End of this chapter)