Surgical artist

Chapter 570 What Esophagojejunostomy Should Look Like
After listening to Academician Zhao's insights and analysis on their "esophageal-jejunal anastomosis", everyone looked forward to it even more!
This team at the National Gastric Tumor Institute understands...

The deeper the analysis, the more it shows that Academician Zhao has fully understood their research direction.And on this basis, Academician Zhao actually said that he can still improve, so it is worth looking forward to!
Zhao Peiru affirmed everyone: "The esophagus-jejunum anastomosis you chose is a very wise anastomosis method, and it has also inspired me a lot."

"My new idea is conceived on the basis of your esophagus-jejunum anastomosis."

Everyone was taken aback, on their basis?
Doesn't this mean that the anastomosis of the esophagus and jejunum is far from the end?
Zhao Peiru continued: "My idea is the layered anastomosis of the esophagus and jejunum."

"In the area of ​​esophagus-jejunum anastomosis, the muscular layer is thicker and the softness is inconsistent. The exposure is limited, and blind suture will cause the esophageal mucosa to leak due to the retraction of the esophageal mucosa, or the esophageal muscular layer is incarcerated in the anastomosis, causing local mucosa The defect leads to the perforation of digestive fluid invasion and eventually anastomotic leakage."

Everyone was shocked when they heard the words.

Academician Zhao said that their shortcomings are like following them and doing practical experiments for more than a year.

door clear!

Just hit the point!
Zhao Peiru continued: "And my new idea, layered anastomosis, can be aligned neatly in all layers, and the anastomosis is exact, and there is no mucosal retraction and damage in the anastomotic area."

"In addition, the layered anastomosis takes advantage of the soft and plastic characteristics of the esophageal mucosa, which can easily enter the intestinal cavity during embedding."

"If I'm not mistaken, your method has many layers of tissue, making it difficult to embed, or even barely embed to form a mass?"

After Zhao Peiru finished speaking, everyone looked at each other in blank dismay.

Zhao Peiru really just read the information, and he conceived and deduced all the practical problems they encountered in the actual operation!

No wonder some people often say that Academician Zhao Peiru's brain is comparable to a 16-core CPU, and a single brain can simulate a surgery.

At this moment, they are completely convinced!
Some people even thought, if their research team had been joined by Academician Zhao Peiru earlier...then what simulation surgery would they do?As long as academician Zhao has a look and thinks about it, many things can be figured out directly in his mind, and there is no need to try hard or try and make mistakes.

At this time, everyone in the research team and Xiao Zhang, who was Zhao Peiru's direct subordinate at that time, were all in admiration.

At the same time, the advantages of "layered matching" mentioned by Academician Zhao also penetrated into their minds.

It seems that this layered anastomosis method has many advantages over their full-layer anastomosis!
Why didn't they think of it before?

Zhao Peiru still didn't stop, he continued: "In addition, the intestinal cavity itself is small, I think your anastomotic method must make the input end and output end seem to be U-shaped and embedded on both sides of the esophagus, so that the anastomosis can be achieved. right against the bowel wall."

Everyone nodded, this was a phenomenon they discovered during operation, and it was also a "last resort" solution they thought of.

Zhao Peiru: "However, in this way, the esophagus will be bumped when passing through the anastomosis, which will cause the patient's swallowing discomfort."

Everyone recalled that after their experimental surgery, patients did often report postoperative symptoms of swallowing discomfort.

"Academician Zhao is... so smart!"

"Yeah, his brain can deduce anything. If we could ask him to deduce it earlier, many simulated surgeries would not have to be done at all. No wonder the project team he is in is always progressing very fast. "

Everyone admired Zhao Peiru.

Zhao Peiru continued: "The layered anastomosis method I mentioned has an additional benefit, the anti-reflux effect is better."

"I see from your data that the incidence of reflux esophagitis in your patients reached 31% after surgery. This value is a bit high."

Zhao Peiru was very dissatisfied with this value.

"I think the esophagojejunostomy should have a natural anti-reflux function. For example, the esophageal mucosa can fold itself and be inserted into the jejunum lumen to form a structure similar to the cardia leaflets."

After hearing this, everyone was like enlightened!

Academician Zhao has a great idea!
With just a few pointers, let them wake up like a dream!

Yes, the esophageal mucosa can be fully utilized to build an anti-reflux structure, why didn't they think of it?

They have such a high rate of post-op reflux, and no one has ever actually addressed it.

Zhao Peiru continued to raise a point and everyone said: "In addition, a layer of muscular layer can be embedded above the anastomotic area to form a contractile ring, which can be called a high-pressure ring zone, which can prevent the reversal of the mucosa and further prevent gastric contents from regurgitation, acting as a one-way valve."

I don't know who it is, "Gudong" swallowed.

Academician Zhao's casual pointers lit a bright light for them!
If such a good idea can be implemented earlier, their 31% reflux esophagitis will not happen, right?

After a meeting...

Everyone was completely shocked.

The notebooks in front of them also recorded densely packed countless small dots.

Every small point can greatly improve the curative effect of their research direction.

"Where... can it be improved a little bit? If it is combined, it can probably increase the growth rate by 30% to 70%?"

The crowd was stunned.

They have been busy for more than a year in order to increase by 3%, and they are still complacent and talk about it.

As a result, Academician Zhao looked at his information, counted all the before and after, and in a day at most, he came up with so many correct ways to improve.

At the same time, everyone couldn't sit still.

With such a good idea, they can't wait to implement it, implement it, and implement it.

If it is said that their research results were only small achievements before, then now, once all the academician Zhao Peiru said is realized, then this is the rhythm of winning the big prize!

……

National Gastric Tumor Institute.

Two old academicians came to the office of the chief director, Xu Lingling.

The two old academicians both had kind eyebrows and kind eyes, and smiled at Xu Lingling, "I heard that Academician Zhao is here?"

Since Zhao Peiru joined their National Stomach Tumor Research Institute, he has only been here twice. It happened that the two old academicians were not in Kyoto before, so they never had the chance to meet.This time, he finally seized the opportunity.

Xu Lingling smiled and said, "Yes, Academician Zhao is on the seventh floor now."

The two old academicians laughed and said, "Okay, let's go up quickly."

These two old academicians, one is an academician of the Academy of Sciences and the other is an academician of the Academy of Engineering. Both of them are very interested in Zhao Peiru, especially after reading Zhao Peiru's achievements and papers, they can't wait to meet Zhao Peiru up.

(End of this chapter)