Chapter 1539: Microscopy

If there is a technology that can alleviate the damage of patients, perhaps early cancer, precancerous lesions can be contained and no longer progress.
As a doctor, this is also the dream of Director Wei.
"Small grass, you listen well." Director Wei whispered but said very seriously.
Quan Xiaocao nodded hard.
For Director Wei, Quan Xiaocao is like her name, insignificant. But in a sense, she represents the future!
The specific equipment fixed the intestines of the general teacher, Zheng Ren felt that Su Yun was really a genius.
This device is really suitable for demonstration, although the remaining colon is only 20 cm, but it does not affect the operation of the colonoscopy and the display of ESD technology.
This time he did not come, the patient did not know if the thymoma was not diagnosed and there was no surgery. As for the surgery, it will not succeed, Zheng Ren did not think.
The emperor's cardiothoracic surgery star of tomorrow, even the thymoma can not do it, it is a joke.
Zheng Ren’s mind was thinking about the misdiagnosis that was stopped by himself, and he took a deep breath.
Spit out the turbidity, put on the microscope, and take a pair of new sterile gloves.
"microscope?"
"Yeah, I saw a teacher doing microsurgery when I was intern."

Isn't endoscopic mucosal dissection? Why wear a microscope?

The students saw Zheng Ren wearing the equipment, and they began to show their own insights and discussions.
President Zhang, sideways, approached Vice President Yuan and asked: "Old Yuan, Dr. Zheng is trying to wear a microscope?"
Vice President Yuan did not know, but some people around him knew it.
"Director Luo, why does Dr. Zheng wear a microscope?" asked Vice President Yuan.
"This is the case. In the first two days, Zheng Boss did an ESD operation and stripped a precancerous lesion that invaded the muscular layer. Normally, the current ESD technique is unable to remove the diseased tissue that invades the muscle layer, but Zheng Boss uses it. The microscope was done with the colonoscopy." Director Luo looked at the front and looked at Zheng Ren with a straight hook, explaining to the dean.
"Surgical contraindications?" Vice-President Yuan is also somewhat surprised.
"It is a surgical contraindication under the current technology. Zheng Boss used technology to overcome this difficulty." Director Luo looked at Zheng Ren and was ready to rush, and he no longer spoke, but he looked at Zheng Ren. Operation.
At this moment, Vice President Yuan was dismissed.
As Zheng Ren was ready, there was a huge change on the big screens on both sides.
The image that appears on the screen is the screen of the endoscope and Zheng Ren is wearing a white suit and holding a colonoscope.
The two are combined into one, which is incomparably natural and does not work at all.
"The colon is divided into four anatomical structures: mucosa, submucosa, muscular layer, and adventitia. We have just said this." Zheng Ren's voice echoed in 2 teachings, and more and more students poured in.
The aisles on both sides are already full of people.
The first batch of people was very happy, at least there was a better position.
Because Su Yun uses the design of mind, 2 teaches that there is no blind zone, and every corner can see the most detailed operation on the screen.
This technology has only been developed in the clinic for a few years, and it is a big deal to peel off the mucosa of the stomach wall.
Cutting the appendicitis with a colonoscopy is even more a move of the flying fairy.
Not to mention the students of the Imperial Medical University, even the directors of the 912, Director Wei and Director Luo, are not very familiar with ESD surgery.
The students watched the excitement, and Director Luo and Director Wei looked at the doorway.
Professor Stephen Jones was silent and looked at Zheng Ren’s movements quietly.
"Small grass, just the anatomical structure, have you seen it clearly?" Director Wei asked.

See clearly!
Quan Xiaocao said with some excitement:
Zheng boss’s anatomy is very detailed, and it’s hard to understand.

Director Wei shook his head and saw that the grass was really excited. She usually only talked with her head down to cover up her shame.
At this point, Zheng Ren has begun to operate, Director Wei did not continue to say, but focused on watching.
operating……
One hand is the micromanipulation, which is the blind spot in the technical direction of Director Wei.
Gastrointestinal surgery, without a microscope at all.
I used it before, now I don't need it, in the future... Director Wei looked at Zheng Ren's operation and sighed in his heart.
In the future, it is hard to say.
The forceps in front of the lens bluntly separate the colonic mucosa and then separate the mucosa a little bit.
The field of vision is the microscopic field of view of Zheng Ren. Before the students who had only a broad concept of the colonic mucosa, but there was no actual impression, the exclamations of one after another sounded in 2 teachings.
At the same time, in the body of Director Luo and Director Wei, the hormone level is as high as that of the 2 teachings, rising, falling, and rising again.
The students looked at the excitement, but the two directors of the 912 Gastrointestinal Surgery looked at the real doorway.
The method of blunt separation is exquisite to the extreme, the speed is fast, the technique is gentle, and the mucous membrane and submucosa are quickly separated from the muscle layer.
This general specimen is a normal human tissue with no lesions.
But the two directors know that delicate separation to this extent, precancerous lesions and the like can not stop Zheng Boss's method ~ EbookFREE.me ~ If the tumor is bigger, then beyond the scope of ESD surgery, you can proceed Surgical removal.
That is another concept.
"Director Luo, would you use a microscope?" Director Wei said with emotion, asked the director Luo.
"No." Director Luo was a bit depressed. After eight hundred ESD surgery to remove the gastric mucosa, what he did was not perfect, let alone the more advanced surgery for mucosal dissection under the microscope.
Director Wei was relieved and smiled slightly.
Director Luo felt a little different. He stared at the screen with his eyes fixed. He watched Zheng Ren strip the colonic mucosa and submucosal tissue, and the forceps swam between the muscular layer and the submucosa without damaging the muscle layer.
The technique is so wonderful that Director Luo feels embarrassed.
"What do you mean?" he asked casually.
Director Wei just smiled and was also seriously watching the operation of Zheng Ren on the big screen. He did not answer the question from Director Luo.
His hand moved gently to simulate Zheng Ren's operation. Director Wei knows that it seems that he should be able to do it, but it just looks.
This is a micromanipulation, not an operation under direct vision.
If you wear a microscope yourself, you can't do such a skilled micro-operation in a small space.
He is a bit bitter, he is still old, and his mastery of new technology is definitely much worse than that of young people.
When I went back, I took the right grass to the boss of Zheng Bo, and Director Wei thought. Or I will go out for the clinic in the future, and I will find some patients to do ESD surgery. All the operations will be followed by Quan Xiaocao.
I don't believe that gastrointestinal surgery can't find a person to learn new technology.
Even if you raise it, you have to take a big outfit for ESD surgery, or you will have the same gastrointestinal surgery as your heart surgery a few years later.