Vol 3 Chapter 2505: Surgical ideas

"Okay, I will go back and think about it carefully. Teacher you are right, we have to train our own people." Director Yang Shen said: "But the interventional surgery talents are difficult to grow up. In the short term, it is impossible for boss Zheng to do so It's convenient. "
"Now the scope of tumor erosion is okay. If you do, can you take it down?" Shen Lao did not continue the topic, but looked at the surgical process and asked.
"I've watched the film before, and I can barely make it." Director Yang said, "If there are no accidents during the operation."
Shen Lao bowed his head, staring sharply at the live broadcast on the screen, completely gone before the gentle and elegant face, with a broad smile and expression.
He seemed to be standing on the operating table himself, performing the operation himself, and entered the state in an instant. Shen Lao's gas field is very large. Peng Jia is sitting next to him like an intern student. He dare not say a word, for fear of disturbing Shen Lao's "surgical" process.
In the live broadcast of the operation, Boss Zheng took a midline incision at the back of the neck, blunt scissors, hemostatic forceps, and silent operation of electric burning. The smoke that made Peng Jia smell a scorched smell between his nose and nose.
Open the skin, and the basic size of the tumor tissue has been shown on the screen on the other side. Under the detection of infrared rays, the tumor tissue showed a weird green color, which looked a little scary.
"It looks good to show the contrast agent locally. If you don't have a good intervention doctor, find one first. It is of great significance just to accurately display the tumor tissue range." Shen Lao, like a commander, gives instructions at any time. .
"This small patient is not very good in all kinds of conditions. I guess Boss Zheng is doing everything possible to reduce side injuries. Usually, intravenous administration is enough." Director Yang said softly.
The relationship between the two is extremely familiar, and there is no such situation as what Shen Lao said and what, Director Yang still put forward his own views.
"Can't be lazy, Boss Zheng is already one step ahead." Shen Lao said very seriously: "In the future, there will be more and more doctors involved. If you don't take the lead, you will be thrown off by people within five years, and then It can be difficult to catch up with others. "
"Okay." Director Yang nodded.
Is it so serious? Peng Jia has also seen Boss Zheng use interventional surgery combined with other operations. For example, on the day he received the Nobel Prize, Boss Zheng did not wait for the Nobel Prize phone, but performed an emergency second valve replacement operation in the live broadcast room.
This operation is also used to determine the blood supply situation using interventional angiography, and then find the way before starting surgery.
Looking at the high-end atmosphere, Peng Jia as a layman felt that there was not much need. But today, when Mr. Shen said so, his heart moved.
Under the careful operation of boss Zheng, he has begun to reveal spinous processes, lamina, and facet joints of one or two healthy segments above and below the tumor segment. The local anatomy is clear and the damage is minimal, and the sterile gauze held in the assistant's hand has not been changed.
"Did you notice that when the doctor who was just involved in the radiography, Boss Zheng's vision stayed on the intervention screen for a long time." Shen old asked.
"I noticed." Director Yang replied, "It is Boss Zheng who is watching the local blood flow. The analysis of the surgery should avoid those larger capillaries."
"Well, he has a thorough understanding of imaging and local anatomy." Shen's eyes narrowed into a line. "It must be said that a doctor of image origin has a thorough understanding of images."
Director Yang didn't say anything, but Peng Jia wanted to tell Mr. Shen that Boss Zheng wasn't from a video background. He was a doctor outside the country!
But Peng Jia is not stupid, he has no reason to swipe Shen Lao's interest at this time. Maybe Zheng Ren won the Nobel Prize for TIPS surgery, leaving everyone with an indelible impression-is he an interventionist?
"Teacher, the last time I saw Boss Zheng performing heart surgery, I couldn't understand some of the details, but the main points are still known." Director Yang said, "I consulted a cardiologist and they meant that they definitely couldn't."
"This is a breakthrough in thinking. Before Boss Zheng, I didn't see anyone doing that. Looking at it first, I think today's surgery will be very interesting."
Shen Lao's voice was getting weaker and softer, his eyes narrowed into a line, and there was a faint light emitted.
In the surgical field, Su Yun used gauze pads to protect the healthy tissue around the tumor. The two then carefully dissipated outside the tumor, exposing the tumor bones that could be revealed posteriorly, including the affected spinous processes, lamina, facets, and some lateral masses.
Intraoperative bleeding is still rare, showing that the process of dissociation is not the surgical field seen with the naked eye, but a fine microscopic field.
The exquisite disengagement has never changed the operation field, and the technique of the surgeon and assistant has stabilized to the extreme. There is a lot of freedom between square inches and it's amazing to see.
After a few minutes, Director Yang smiled bitterly, "Teacher, I can barely understand Boss Zheng's operation by comparing the infrared screen with the intervention screen. But he didn't even lift his head ~ EbookFREE.me ~ Do you remember everything? Still young, this memory is really good. "
"Well, I guess so." Shen said, "There is a bad-tempered Dr. D in the CT room. Do you remember that next year?"
"Remember." Director Yang said softly, as if he was watching a stage, he did not dare to speak loudly, for fear of disturbing the surgeon's operation.
"Dr. D has a bad temper and is always complained by patients, but he is stopped by the director of the CT room every time the medical office punishes him because he can remember the videos he has seen. After so many years, I have When I couldn't remember the previous film, I went to him. Some people have a good memory, which is born. "
"Good memory, good technique." Director Yang sighed and shook his head slightly.
"This is not critical. It mainly lies in the thinking of the operation." Shen Lao said: "Why Boss Zheng is taking such a big risk to do the live broadcasting of the operation, not to provide an idea."
"Interventional guidance, as far as possible to cause side injuries to the patient, this is the general direction of future surgery."
"Yes, teacher."
"It's nothing to remember well, even if you can't remember it once, it's a big deal. You can see the infrared screen and the intervention screen by looking up, and the images are on it. The operation that Boss Zheng can complete in one hour is amazing. Finished in 4 hours. "
"But the patient's trauma is much smaller than before."
Peng Jia did not expect that the thinking given by Mr. Shen was like this. He didn't come to trouble Boss Zheng, but he really came to observe the operation.
Although there was something unbelievable in her heart, Peng Jia's heart was not as disturbed as before.