Chapter 2697 The General Trend of Surgery

Feng Jianguo was quite unhappy. The child Quan Xiaocao already had a solution to the problem, but he didn't dare to say it at all.

Forget it just now, in front of so many professors, directors, and the chief of the medical department, she, a student, should be silent. But now that Boss Zheng obviously wants to support her, I really don't know what she has to be afraid of.

Although it is said that honest children have few things to do, Quan Xiaocao is a little too honest, and Feng Jianguo is a little distressed.

Quan Xiaocao was obviously scared, stood up with her head down, and walked to Zheng Ren's side.

"Do you still remember the last operation?" Zheng Ren asked with a smile: "You should do some mental training for yourself, and treat it as if I were talking here."

Quan Xiaocao raised her head and looked at Zheng Ren in confusion, "Boss Zheng, you have said everything you need to say..."

Zheng Ren smiled and said, "Have you ever practiced surgery?"

"I've practiced... I practiced the treatment of anal fistula with the endoscopic metal clip system in the proctology department, which is different from this." Quan Xiaocao said timidly: "I also suddenly remembered that they are all fistulas, and it seems to be okay. Do it with OTSC."

Linger and everyone present were taken aback when they heard what Quan Xiaocao said, especially Director Luo, his eyebrows furrowed into a ball.

Quan Xiaocao has already started to study anorectal surgery? A huge sense of crisis suddenly rose in his heart.

Director Wei of the Department of Gastrointestinal Surgery and other professors leading the group did not bring me that feeling, but now I clearly feel it from a student.

She is very pure, without the arrogance of a surgeon at the top of the food chain, and she is most afraid of such newcomers. With Director Wei's support, who knows what big things will happen.

Zheng Ren patted Quan Xiaocao on the shoulder and said, "Wait for me."

After speaking, he clicked on the film on the film reader and said, "The operation I'm considering will be done in two steps."

"First, I read the gastroscope report that the anastomosis of the esophagus and jejunum can be seen at 37-39cm from the incisors, without stricture, and the endoscope can pass smoothly. A fistula can be seen on the anterior wall of the left wall of the anastomosis, and staple residues can be seen on the edge, with a diameter of about 0.8cm."

"The two-arm forceps clamps the mucous membranes at both ends of the fistula, attracts at the same time, pulls the tissue around the fistula into the transparent cap, and rotates the handle to release the OTSC anastomotic clip."

"Because it is an anastomosis of the esophagus and jejunum, the mucous membrane of the jejunum is still very elastic, and as much tissue as possible can be captured. After the OTSC anastomotic clip is clamped, it is equivalent to the possibility of new tissue blocking the fistula opening and growing well. Big."

"Secondly, lower esophageal stent after endoscopic surgery. When the balloon is expanded, the stent must conform to the pressure, and the tissue clamped by the local OTSC anastomotic clip cannot be ischemic."

While explaining the operation process, Zheng Ren looked at Quan Xiaocao out of the corner of his eye.

She was very excited at first, and Zheng Ren felt that what he said was what she thought in her heart. But when it came to the second step, Quan Xiaocao became confused.

"The purpose of lowering the stent is to avoid the erosion of digestive juices. Whether to do this step or not is still a matter of choice." Zheng Ren continued: "I still recommend doing it, which can shorten the recovery period of the patient."

"Well, I've finished." Zheng Ren stood in front of the film viewer and looked around at everyone in the office.

"Boss Zheng, have you ever done it?" Director Luo asked.

"No." Zheng Ren smiled. "I saw it when I read the report. The principle is very simple, supported by preliminary data."

"According to the report, Doctors such as Arezzo performed OTSC anastomotic clip treatment on 14 patients with anastomotic leakage after colorectal surgery, among which 8 cases were acute colorectal anastomotic leakage, 7 cases were successfully closed endoscopically; 6 cases were chronic colorectal anastomosis Fistulas were successfully closed in 5 cases."

"Galizia and other doctors performed OTSC clip closure on 3 patients with anastomotic leakage after Roux-en-Y surgery, all of which were successful."

"The existing data sample is a bit small, so it can only be said to be a trial. This is an emerging endoscopic treatment method, and I think it is very suitable for the current patient treatment."

"Boss Zheng, is it okay if the anastomotic leak of the stomach and esophagus is anastomotic?" Professor Lu asked.

"Theoretically, it is possible. The stomach wall is more elastic, so the relative difficulty will be much lower." After Zheng Ren finished speaking, he glanced at Fang Lin, and then continued: "Whether it can be done or not requires more data support. "

Fang Lin's heart skipped a beat when he saw Boss Zheng's gaze.

He knew who Quan Xiaocao was. He was just a student, but he was exposed to endoscopy, and under the inspiration of Boss Zheng, he began to study minimally invasive treatment.

Although he is not yet a member of 912, after such a series of incidents, it is inevitable to stay in 912.

How could Professor Feng let this kind of person go. Besides, even if the gastrointestinal surgery department doesn't cherish it, judging by Director Luo's appearance, he probably wants to dig Quan Xiaocao here.

A student can make it this far, how about myself? Fang Lin began to ponder. He also knows that the trend of surgery is that the trauma is getting smaller and the surgery is getting more and more delicate.

The original thoracic surgery ranged from large thoracotomy to laparoscopic surgery, and now laparoscopic surgery has basically reached its peak. Sleeve cuts and the like, which were difficult to handle with large thoracotomy, are now all treated with laparoscopy.

Will it develop into endoscopic surgery in the future?

Fang Lin was a little confused, and it seemed that he would talk to Brother Yun about this matter in the future.

"Professor Lu, how is the patient's condition? I suggest you prepare for emergency treatment." Zheng Ren said, "The adventitia of the aorta has been affected to a certain extent, it may be..."

"Okay!" Professor Lu agreed immediately without waiting for Boss Zheng to finish speaking.

The patient is gone with a sneeze. This kind of thing must be avoided. Besides, if the operation is performed today, it seems that Boss Zheng will follow.

With Boss Zheng here, he solved the problem directly, and he had no reason to refuse.

"Okay, let's get ready."

"Boss Zheng, do you have an OTSC anastomosis clip?" Professor Lu asked cautiously.

"I have it on my side, and Xiaocao also does exercises, so there should be some." Zheng Ren looked at Quan Xiaocao.

Quan Xiaocao nodded vigorously.

Seeing Boss Zheng going to make a call with his mobile phone, Director Luo sat firmly on the chair, thinking a lot.

Endoscopic surgery is often just a change in thinking.

Director Luo personally experienced this step from scratch, and he is well aware of the difficulties involved. But sitting on the previous difficulties and making no progress? Director Luo doesn't think so.

For OTSC surgery, see Boss Zheng's. If it suits you, can you carry it out?

Thinking about it, Director Luo shook his head slightly. The main purpose of OTSC surgery is to treat various anastomotic leaks, which is a remedy for surgical complications.

There must be no source of patients on my side, so I don't have to think about it. On the contrary, the primary school student may have a good opportunity to soar into the sky.