Chapter 2503 Surgical Ideas

"Okay, let me go back and think about it carefully. Teacher, you are right, we have to train our own people." Director Yang said in a deep voice: "But it is very difficult to grow interventional surgery talents. In the short term, it is impossible for Boss Zheng to It's convenient."

"Looking at the extent of the tumor's erosion now, it's okay. If you do it, can you take it off?" Mr. Shen didn't continue this topic, but asked while watching the operation process.

"I've seen the film before, and I can barely do it." Director Yang said: "If there are no accidents during the operation."

Old Shen nodded, watching the live broadcast on the screen with sharp eyes, completely gone from the gentle and elegant, generous smile and expression before.

It was as if he was standing on the operating table and performing the surgery himself, and he entered the state in just a moment. Old Shen had a strong aura, and Peng Jia sat beside him like an intern, not daring to say a word, for fear of disturbing Old Shen's "surgery" process.

In the live broadcast of the operation, Boss Zheng made a central incision on the back of the neck, blunt scissors, hemostatic forceps, and electric cauterization in a silent operation. The smoke that came out made Peng Jia smell a burning smell between his mouth and nose.

After opening the skin, the basic size of the tumor tissue has been displayed on the screen on the other side. Under the detection of infrared rays, the tumor tissue presents a strange green color, which makes people a little scary.

"It's very good to see the contrast agent locally. If you don't have a particularly good interventional doctor, just find one. It's very meaningful just to accurately display the extent of the tumor tissue." Like a commander, Mr. Shen gave orders at any time .

"This little patient's condition is not very good. I guess Boss Zheng is trying his best to reduce the secondary damage. Usually, intravenous administration is enough." Director Yang said softly.

The relationship between the two is very familiar, and there is no such thing as what Mr. Shen said. Director Yang still put forward his own opinion.

"Don't be lazy, Boss Zheng is already one step ahead." Mr. Shen said seriously: "In the future, more and more doctors will intervene. If you don't take the first step, you will be left behind in five years. It will be difficult if you can’t catch up with others.”

"Okay." Director Yang nodded.

Is it that serious? Peng Jia has also seen Boss Zheng's combination of interventional surgery and other surgeries. For example, on the day he won the Nobel Prize, Boss Zheng did not wait for the Nobel Prize call, but performed an emergency second valve replacement operation in the live surgery room.

In this operation, interventional angiography was first used to determine the blood flow supply, and then the surgical operation was performed after the access was found.

Looking at the high-end atmosphere, Peng Jia, as a layman, felt that it was not necessary. But hearing Mr. Shen say that today, his heart moved.

Boss Zheng's meticulous operation has begun to reveal one or two healthy spinous processes, lamina and facet joints above and below the tumor segment. The local anatomy is clear, the damage is minimal, and the sterile gauze held by the assistant has not been changed.

"Have you noticed that when the doctor who just intervened did the radiography, Boss Zheng's vision stayed on the intervention screen for a long time." Elder Shen asked.

"I have noticed." Director Yang replied, "Boss Zheng is looking at the local blood flow, and analyzing the operation should avoid those relatively large capillaries."

"Well, he has a thorough understanding of imaging and local anatomy." Old Shen's eyes narrowed into a line, "It must be said that he is a doctor with imaging background, and his understanding of imaging is thorough."

Director Yang didn't speak, but Peng Jia wanted to tell Mr. Shen that Boss Zheng was not from a medical background, but a doctor in general surgery!

But Peng Jia is not stupid, he has no reason to dampen old Shen's interest at this time. Maybe Zheng Ren won the Nobel Prize for the TIPS surgery, leaving a deep and indelible impression on everyone—he is an interventional doctor?

"Teacher, last time I saw Boss Zheng undergoing heart surgery, I didn't understand some of the details, but I still understand the main points." Director Yang said, "I consulted with cardiologists, and they said it definitely couldn't be done."

"This is a breakthrough in thinking. Before Boss Zheng, I haven't seen anyone who can do this. Let's watch first. I think today's surgery will be very interesting."

Old Shen's voice became smaller and smaller, and there was a faint glimmer of light from his narrowed eyes.

In the operative field, Su Yun used gauze pads to protect the healthy tissues around the tumor. Then the two men carefully dissected the tumor, exposing the tumor bone that can be exposed by the posterior approach, including the involved spinous process, lamina, facet joints and some lateral masses.

Intraoperative bleeding is still very little, showing that the process of dissociation is not the operative field seen with the naked eye, but the fine microscopic operative field.

Exquisite dissociation, the field of surgery has never changed, and the techniques of the operator and assistants are extremely stable. The ease between square inches is breathtaking.

After a few minutes, Director Yang smiled wryly, "Teacher, I compared the infrared screen and the intervention screen, and I could barely understand Boss Zheng's operation. But he didn't even look up, just watched for a few minutes, did he remember everything? Still young, this memory is really good."

"Well, I guess so." Old Shen said: "In the CT room, there is a bad-tempered Dr. Ding, who will retire next year, do you remember?"

"Remember." Director Yang said softly, as if he was watching the stage, he didn't dare to speak loudly, for fear of disturbing the surgeon's operation.

"Dr. Ding has a bad temper and is always complained by patients, but every time the medical office wants to punish him, he is stopped by the director of the CT room because he can remember the films he has seen once. After so many years, I have Sometimes I can’t remember the previous movies, so I go to him. Some people have a good memory, it’s innate.”

"Good memory, good technique." Director Yang sighed and shook his head slightly.

"It's not the key, the main thing is the idea of ​​the surgery." Shen Laodao: "Why did Boss Zheng take such a big risk to do the live broadcast of the surgery? It's not just to provide a way of thinking."

"Interventional guidance, causing as little intraoperative side damage to the patient as possible, is the general direction of future surgical operations."

"Yes, teacher."

"It's nothing to have a good memory. Even if you can't remember it after reading it once, it's a big deal to read it twice. The infrared screen and the interventional screen can be seen when you look up, and the images are all on it. Boss Zheng can complete the operation in an hour. It's amazing that you use it." 4 hours to finish."

"But patients are much less traumatized than before."

Peng Jia didn't expect that the idea given by Mr. Shen was like this. He didn't come here to talk about Boss Zheng's problems, but he really came to observe the operation.

Although she still couldn't believe it, Peng Jia's heart was not as uneasy as before.