Surgical artist

Chapter 66

Zhao Peiru nodded slightly. There are still talents in this professional committee.

Director Chai Baoshan of the "Fifth City Hospital" proposed ideas that are not practical, but the direction of thinking is not bad.

Many pioneering techniques started with "unrealistic" ideas at the beginning.

"It's a pity for such a talent."

Zhao Peiru shook his head: "The fifth hospital has been renamed the 'Maternity Hospital', focusing on the development of obstetrics and gynecology, and it has been doing well. Obviously, the focus of development will no longer be on liver surgery."

"It's a pity that Chai Baoshan, a talented person in the field of liver disease, is placed in the 'Maternity Hospital'."

If possible in the future, Zhao Peiru would like to find a way to transfer Chai Baoshan to the fourth courtyard.

Of course, this is in the future,
Zhao Peiru's rank is not as high as the other party's now, so if he goes to recruit the other party like this, the other party probably won't come.

After hearing what Chai Baoshan said, everyone began to think.

And some experts have figured out that there are many problems in this line of thinking.

Yin Guanghai, the expert director of the Central Hospital, finally spoke. He frowned and said:
"This is a good direction of thinking, but it is still inappropriate to use hemostatic forceps. If the liver is lifted for a long time during the operation, the liver will curl up into a ball because it cannot bear it."

"At that time, once the hemostat or the liver band slipped off, the consequences would be unimaginable."

Everyone's expressions changed slightly when they thought of that possible scene!

Once it slips, the already fragile liver will fall down heavily!
Not only will the operation be forced to be interrupted, but all previous efforts will be wasted!

Moreover, the various instruments in the operation are more likely to cause mechanical damage to the liver!

Thinking of this, Chai Baoshan's expression also changed.

His way of thinking is indeed wrong!There are too many inherent problems.

The entire conference room fell silent again.

Each of them frowned and thought deeply.

Director Zhang of the Railway Hospital felt a little balanced after seeing that so many experts were not recruited.

When they first encountered this complicated patient, they also racked their brains and tried every means.

Because it couldn't be cured, they were scolded by one of their hospital leaders, saying that their level was poor.

Seeing so many experts can't help it now... When they go back to report, they will finally have something to say.

However, Director Zhang is also distressed. If everyone can't help, what will the patient do?The patients are hospitalized in the railway hospital, and the main body of responsibility is still with them.

Zhao Peiru looked around.

It was found that everyone was out of ideas.

Even expert Yin Guanghai frowned at the moment, shaking his head as he looked at the medical records.

It seems that the conditions of [Task [-]] are perfectly met.

Zhao Peiru said in his mind: "Use the blank skill card on "Huge Right Liver Tumor Resection"."

"Use advanced level cards to increase their level."

At this moment, Zhao Peiru's mind was filled with countless surgical techniques to treat this condition!

Roughly speaking, there are almost dozens of types, and each has its own advantages.

Soon, Zhao Peiru chose the most suitable operation method for this patient among them.

Anterior approach resection by lifting and surrounding the liver!
At first glance, this idea looks a bit like the idea proposed by Chai Baoshan, a "maternity hospital".

But if you look at it specifically, it is not only completely different, but also solves all the problems perfectly.

It can be said that this technique is quite mature, it has been improved for many generations, and it basically avoids the possibility of various accidents and hidden dangers.

simply speaking……

This is a method of "using the elastic band ring placed in the inferior vena cava to pull around the liver".

Zhao Peiru went through the technique quickly in his mind.

Incision on the right side, separation of the hepatic vein, and exposure of the operative field!
Establish a retrohepatic tunnel, draw out the traction belt, and fix it!
Ligate the blood vessels and separate the tumor from the parenchyma!

In the end, the entire huge tumor was easily and simply cut off!
The whole process is easy!There is no need to dissociate the liver at all, and there is no need to worry about the problem that the liver cannot bear it and curl up, let alone falling off.

This technique, which has been improved for many generations, has basically "prevented" all foreseeable accidents in advance.

At this moment, Zhao Peiru's level of treatment for this disease...

It can be said that it is the highest in the audience!

When everyone was still battering their heads and racking their brains.

Zhao Peiru could already lie leisurely on the seat and observe everyone's performance.

He didn't intend to stand up now.

Zhao Peiru intends to observe and observe...

Chai Baoshan from a "maternity hospital" was discovered just now. Perhaps, other talents in liver diseases can be found?

Look for it first, it may not be unusable in the future.

At this time, Wei Xiaobin, the director of the Liver Surgery Department of the Sixth Hospital of the City, now renamed the "Anorectal Specialized Hospital", suggested:

"Director Yin, do you think this is okay?"

"Add two belts around the liver, so that the liver will not slip off to the greatest extent."

"At the same time add the hemostatic version to minimize the abnormal reaction of the liver."

After saying this, after everyone thought for a while, their brows still did not relax.

Although these two proposals have a little effect, in fact, they treat the symptoms but not the root cause.

Still failed to fundamentally solve the problem.

Zhao Peiru also wrote down the name of "Wei Xiaobin of the Sixth Municipal Courtyard".

Although the level of this person is still slightly lower than that of Chai Baoshan from the Fifth Academy, he is still a talent that surpasses other people.

Yin Guanghai shook his head and said, "The most serious problem is not how to lift the liver."

"The most important thing about this operation is that when the operation reaches the parenchymal level of the liver, due to the huge tumor and adhesion problems, the operation space is extremely narrow and the exposure is difficult!"

"At that time, in case of deep bleeding in the liver section, the whole operation will become extremely uncontrollable!"

After hearing this, everyone's expressions changed drastically!
Yup!

Just now I was only thinking about the inability to dissociate the liver, and almost ignored this most serious problem!
Exposure is difficult and there is no room for manipulation!
This is the biggest problem caused by the huge tumor in this operation!
There is not even room for surgical operations, even if you can come up with a surgical method that "doesn't require dissociated liver", what's the use?

Zhao Peiru nodded slightly, finally someone raised this question.

Sure enough, Yin Guanghai's level is still high.

For a moment, the entire venue was gloomy.

Everyone said nothing, there was really no other way.

At this time, someone suggested: "Why don't you ask Professor Jiang to come over for a consultation?"

Professor Jiang has a very high status in everyone's mind. He is the leader of the province's liver disease department. It seems that there is no one who can't do it in this field.

But Yin Guanghai and the director of the committee shook their heads when they heard this.

Yin Guanghai shook his head with a wry smile: "I think it's probably enough to call Professor Jiang here."

"Professor Jiang is indeed the province's top talent in his discipline, but he is better at the field of hepatic portal vein and several other subdivisions..."

Yin Guanghai didn't say what he said later, for fear that others would say that he was arrogant.

But that's the truth.

Professor Jiang's level in this subdivision of huge tumors on the right side of the liver is comparable to Yin Guanghai's.

After all, the profession has a specialization.

No matter how good a person is, it is impossible to be good in all segments.

Everyone fell silent.

Is there no way for this patient?Can we only expand the scope of consultation?

(End of this chapter)