I really don't want to be a doctor

Chapter 164 The second topic

Whether it is a large-scale domestic medical conference or an international conference, there will be satellite conferences between official conferences.

It probably means some short meetings,

And the central idea of ​​this meeting,

It has nothing to do with medical progress.

They sell medicine.

After all, the success of a meeting requires a lot of money, and most of the sources of this money are various pharmaceutical manufacturers, and the purpose of these manufacturers sponsoring the meeting is

It is to hold a satellite meeting.

During the break time of the official meeting, at the meal point of the official meeting, satellite meetings are held in various conference halls to promote the medicines and equipment of various companies.

Therefore,
When Shangmei also asked Gu Jianjun to attend the satellite meeting, Gu Jianjun couldn't hold back all of a sudden, and scolded his mother.

Doesn't this mean that I sell medicine?
Pi De's complexion is also not good-looking,
If the subject brought by Gu Jianjun goes to the Satellite Conference,

That really lost the face of the general surgery department.
This is a groundbreaking development that can definitely be shown in a formal meeting.

but,
What Shangmei also said makes sense.

The subject involved in this topic is indeed the simplest in general surgery, that is, appendectomy.

Appendectomy is almost the simplest operation in general surgery.

It is also one of the oldest and most classic operations in general surgery.

There are already too many data studies on appendicitis or appendectomy.

Even if Gu Jianjun collects a large amount of data,
It doesn't make much sense in this meeting either.

after all,

In the final analysis, this operation is an appendectomy.

Seeing that Pi De started to think, Shang Mei also knew that her plan had succeeded,

Gu Jianjun's face was livid,

He never expected this outcome,

There is a little self-blame in my heart.

This is the first time he intends to give lectures at a formal meeting, and it is also the first time he has spoken at such a preparatory meeting,

For this part, he
so unfamiliar.

Pete thought for a long time but didn't speak.

Everyone in the organizing committee is also thinking,

Gu Jianjun's topic can definitely be used in a formal meeting.
But the time required for this project is too short.

Not suitable for meeting arrangements.

"Excuse me, is there anyone willing to complete a class with Professor Gu Jianjun?"

Pete asked suddenly.

This is a way he thought of,
The time for two people to complete a class together.

result,

It's cold.

Who really wants to complete the content of a class with others?

The topics that can be included in the formal meeting are all the best of the best.

Probably except for Gu Jianjun’s topic,

For almost every speaker, everyone will feel that there is not enough time,
And who would be willing to share the time of a class with others?

And the speakers who are willing to share,
Their subject has been denied again,

For example Shen Changchuan,
He raised his hand,
Peter glanced at him,
Then he turned his eyes away as if he didn't see it.

This made Shen Changchuan blush,

A little ashamed, he put his hand down again.

After looking around, Pi De's expression was stiff, and he thought for two seconds, "Well, when the time comes, I will share a class with Professor Gu on my subject."

"Chairman!"

A member of the organizing committee stood up,
Here's another big shot at the Mayo Clinic.

"Chairman, your topic has been compressed too much. If you compress it again, many things will not be able to be explained."

Another member of the organizing committee stood up,
He's also a fellow at the Mayo Clinic.

"It's okay, I don't hope that there will not be such an amazing creation at this year's conference!"

Pi De hated going to bed with a glance at Mei,
His tone was cold.

Everyone nodded silently, and the conference room fell silent.

Perhaps Pi De's own concession is the best result.

after all,

Although Gu Jianjun's topic is simple, he must talk for at least 10 minutes.

"Chairman, I still have a topic, how about I talk about the two topics at the same time?"

Gu Jianjun spoke suddenly, breaking the silence.

???

Mei also looked confused when she went to bed,
???

Pi De was surprised,
"Then Professor Gu will share with us the second topic, so that we can see the progress of Huaguo's medical level again."

Pi De hurriedly said.

"it is good."

Gu Jianjun nodded with a smile, glanced at Shangmei, and then spoke.

"My second subject is about mirizzi syndrome."

Upon hearing this topic,

Shen Changchuan seemed to have accidentally eaten a mosquito,
Uncomfortable!

Pi De was a little puzzled, and looked at Gu Jianjun and Shen Changchuan in confusion, wondering why two doctors from Huaguo would bring such an old topic.

It is very difficult to make new ideas on such an old topic.

but
Isn't appendicitis older?

Thinking of this, Pi De didn't say a word, quietly waiting for Gu Jianjun's next speech.

Shangmei was also stunned for a second, and almost couldn't laugh out loud.

Mirizzi syndrome?
Haha!

"My second topic is: a case study of laparoscopic treatment of Mirizzi syndrome type I."

Suddenly,

There was commotion in the conference room.

All talking to themselves, or whispering,
Discussions erupted one after another.

From the name alone, this subject

It was even more shocking than the first subject.

"Professor Gu, I would like to ask, is this a successful case or a failure?"

Pete asked.

Another topic about laparoscopy,

Pi was happy,
After all, minimally invasive surgery is the development direction of the entire surgery, and laparoscopy is one of the representatives of minimally invasive surgery.

"Of course it was a success!"

Gu Jianjun's voice was full of confidence.

"how is this possible!!"

"impossible?"

"God, is this true? How can I hear a subject like this?"

"Oh my god, is Huaguo's medical standard already this high?"

Unlike appendectomy,

Laparoscopic treatment of mirizzi syndrome has always been a very cutting-edge topic.
but,

This subject is really difficult.

So that no one has mentioned it anymore in recent years,

This has also led to the fact that now appearing in various journals, as long as the name of mirizzi syndrome is listed, it is either data about laparotomy that does not have much scientific value, or it is a summary of experience after failure.

At least for now,
Mirizzi syndrome, there is no successful laparoscopic case.

And now.
Gu Jianjun actually said it was a success!
The surprise brought by this was countless times stronger than the first subject.

after all,

Even if there is no single-hole method, there is still a three-hole method for appendectomy, and the damage is very small.

However, for mirizzi syndrome, so far only laparotomy can be performed.
Progress from laparotomy to laparoscopy,
It's really too big.

Shangmei also opened her mouth wide in shock,
He never imagined,

This Gu Jianjun,
He even started to counterattack his own professional field.

As an expert in hepatobiliary surgery, the microscopic treatment of Mirizzi syndrome is also a topic he is currently researching.

and,

He has had many failed cases,

he thinks,
As long as you give yourself another three to five years, there may be a successful case.

after all,

Everyone knows,

To make mirizzi under laparoscopy, what is needed is fineness,
Incomparably fine.

There is no way to do this, it can only be improved by continuous practice.

"The number of patients in Huaguo is really too high, I'm so envious!"

Shangmei also sighed inwardly, her eyes fixed on Gu Jianjun.

Pi De pursed his lips and nodded, and raised his hand after a while, "Please continue."

Gu Jianjun continued talking.

In fact, the specific process of this operation is also lackluster. The only bright spot is the process of removing the stone.

Everyone didn't even listen to what Gu Jianjun was talking about.
Everyone watched the video with bated breath.

surgical steps,

They know very well,
but,
all of them,

There is no such fine control.

Yu Wenxing's ability to control the joystick has already surpassed everyone in this world.

The operation took 74 minutes in total, and after a long time at the 4 times fast-forward speed,
heavy exhalation,

That's when it sounded.

There was another round of applause.Peter stood up, "Professor Gu, you have made pioneering progress again, at least let us know that Mirizzi syndrome is not an absolute contraindication to surgery, as long as we handle it properly, we still have a chance to do this surgery .”

Pi had to read it again and saw a lot of things.

There is a coincidence in this operation,

This patient was mirizzi type I, and the incarceration of the stone was not very severe. Although he could not push it, he was finally pulled out.

But Gu Jianjun didn't talk about what to do if he couldn't pull it out.
Open your stomach?
Or continue to intensify?
obviously,
Gu Jianjun hadn't thought about these issues either, so he didn't give an explanation.

but,
unimportant.

Importantly, Pide clearly saw that the cystic duct in patients with mirizzi syndrome was separated to skeletalized.

In his eyes,

Undoubtedly a miracle.

He also tried this subject, but without exception ended in failure.

the reason is simple,
In patients with mirizzi syndrome, the trigone of the gallbladder is so adherent that it cannot be dissected.

And even if the cystic duct is slightly exposed,

He was also unable to deal with the stones in the cystic duct.

The closest he came to success,
It was a very mild patient, diagnosed under MRCP, but in the end, after the stone was removed, the adhesion between the cystic duct and the common hepatic duct prevented him from doing it.

He couldn't believe how the surgeon in front of him dared to touch the junction between the back wall of the cystic duct and the common hepatic duct.

because there,

Really too fragile.

A slight touch may cause damage to the common hepatic duct,
Not worth the candle!

"Chairman,"

Going to bed Mei also raised her hand again.

Pi De didn't stop him with his eyes this time, and nodded slightly.

"I would like to ask Professor Gu, if the stone cannot be pulled out, or the common hepatic duct is damaged during the pulling process, how to deal with it!"

Bed beauty also asked.

In fact, this is the difference between a case analysis and a technique.

A case analysis is just a case, without much reference value,
But if it becomes a technique, then you have to consider all aspects.

"I'm still thinking about it for now."

Gu Jianjun shook his head.

If during the laparotomy process, there are many ways to deal with stones, but under laparoscopy, many methods cannot be implemented.

For example, subtotal cholecystectomy + common bile duct incision + T tube drainage,
This is the most commonly used method of opening the abdomen.
But under laparoscopy,

The incision of the common bile duct is also a great difficulty.

Shang bed beauty also nodded, expressing approval, "Chairman, I think this technique has a relatively large coincidence, which is not conducive to promotion."

After finishing speaking, Mei also sat down directly without waiting for Pi De's answer.

Obviously,

Although he raised objections, he was very convinced about this operation.

He did not have the courage to dissect the adhesion to such an obvious gallbladder triangle.

Peter nodded,

This is also what he considered,
The risk of this approach is very high. After all, there is no follow-up treatment for problems. If the bile duct is really damaged and the laparotomy is performed, it is better to open the laparotomy directly.

"I think so too."

Someone in the organizing committee agreed with Miya's words.

"I agree."

Gu Jianjun's face was dark,

Of course he knew the significance of this operation, probably because the viewing value was far better than the reference value.

but,

being so denied,
He still felt a little uncomfortable.

"How about this, Professor Gu, can you find a time to do another operation like this, we will actually visit it at that time, so as to judge the indications for this kind of operation under laparoscopy, do you think it will work?"

Pete thought of another way.

Gu Jianjun froze for a moment, then became ecstatic,

This is a good thing!
As the most authoritative doctor in the field of general surgery in the world, Peter has a very high status in general surgery. If he can invite Peter to give on-site guidance,

That.
The picture is so beautiful,

Gu Jianjun dare not imagine.

"Yes, but I have to communicate with the operator of this operation first."

"Isn't this the operation you performed?"

Pete asked.

"Uh" Gu Jianjun was a little shy,

"This surgeon is Doctor Yu Wenxing Yu."

(End of this chapter)