"Okay, let me go back and think about it carefully. Teacher, you are right, we have to train our own people." Director Yang said solemnly: "But it is difficult to grow interventional surgery talents. In the short term, it is impossible to have Boss Zheng like him." It’s just convenient.”
"The extent of tumor erosion looks good now. If you do it, can it be removed?" Mr. Shen did not continue the topic, but asked while watching the operation process.
"I've seen the movie before, and I can barely do it." Director Yang said: "If there are no unexpected things during the operation."
Mr. Shen nodded and looked at the live broadcast on the screen with sharp eyes. The gentle, elegant and generous smile and expression before were completely gone.
It was as if he was standing on the operating table and performing an operation himself. He entered the state in just a moment. Mr. Shen had a great aura, and Peng Jia sat next to him like an intern, not daring to say a word for fear of disturbing Mr. Shen's "surgery" process.
In the live broadcast of the surgery, Boss Zheng made an incision in the middle of the back of the neck, using blunt scissors, hemostatic forceps, and electric cautery 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 is displayed on the screen on the other side. Under infrared detection, the tumor tissue showed a strange green color, which was a little scary to look at.
"It looks good to use local contrast agent. If you don't have a particularly good interventional doctor, just find one first. Just accurately displaying the extent of the tumor tissue is of great significance." Mr. Shen is like a commander, giving instructions at any time. .
"This little patient is not in very good condition. I guess Boss Zheng is trying every means to reduce side injuries. Normally, intravenous administration is enough." Director Yang said softly.
The relationship between the two was extremely familiar, and there was no situation where Mr. Shen said what was 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 seize the opportunity, you will be left behind in five years. It will be difficult if you can’t catch up with the others.”
"Okay." Director Yang nodded.
Is it that serious? Peng Jia has also seen Boss Zheng perform interventional surgery in conjunction with other surgeries. For example, on the day he received the Nobel Prize, Boss Zheng did not wait for the Nobel Prize call, but performed emergency secondary valve replacement surgery in the live surgery room.
In this operation, interventional angiography was first used to determine the blood supply, and then the surgical approach was found and the surgery started.
It looked really high-end and classy. As a layman, Peng Jia didn't think it was necessary. But when he heard what Mr. Shen said today, his heart moved.
With Boss Zheng's meticulous operation, one or two healthy segments above and below the tumor segment have begun to reveal the spinous process, lamina and facet joints. The local anatomy was clear, the damage was minimal, and the sterile gauze held by the assistant had not been changed.
"Have you noticed that when the doctor who performed the intervention just did the imaging, Boss Zheng's field of vision stayed on the intervention screen for a long time." Mr. Shen asked.
"I noticed it." Director Yang replied, "Boss Zheng is looking at the local blood flow and analyzing that the surgery should avoid those larger capillaries."
"Well, he has a thorough understanding of imaging and local anatomy." Mr. Shen's eyes narrowed into a line, "It must be said that he is a doctor with a background in imaging, and his understanding of imaging is very thorough."
Director Yang didn't say anything, but Peng Jia wanted to tell Mr. Shen that Boss Zheng was not an imaging professional, he was a general surgery doctor!
But Peng Jia is not stupid. He has no reason to dampen Mr. 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 interventionalist
"Teacher, I watched Boss Zheng perform heart surgery last time. I couldn't understand some of the details, but I still understand the main points." Director Yang said, "I consulted the cardiothoracic doctors, and they said it definitely can't be done."
"This is a breakthrough in thinking. Before Boss Zheng, I had never seen anyone do this. Looking at it first, I think today's surgery will be very interesting."
Mr. Shen's voice became softer and softer, and there was a faint light coming out of his narrowed eyes.
In the surgical field, Su Yun used gauze pads to protect the healthy tissue around the tumor. The two then carefully dissected outside the tumor and exposed all the tumor bone that could be exposed from the posterior approach, including the affected spinous processes, laminae, facet joints and part of the lateral masses.
The intraoperative bleeding was still very little, indicating that the process of dissociation was not the surgical field seen with the naked eye, but the fine microscopic surgical field.
Exquisite free movement, the field of operation has never changed, and the technique of the surgeon and assistant is extremely stable. It's so easy to move within a square inch, and it's breathtaking to see.
After a few minutes, Director Yang smiled bitterly and said, "Teacher, I compared the infrared screen and the interventional screen, and I could barely understand Boss Zheng's surgery. But he didn't even raise his head. He just watched it for a few minutes and remembered everything? I’m still young, so my memory is really good.”
"Well, I guess so." Mr. Shen said: "In the CT room, there is a bad-tempered Doctor Ding. He will retire next year. Do you still remember him?"
"Remember." Director Yang said softly. He seemed to be observing the stage and did not 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 after watching them once. After so many years, I have Sometimes I can't remember the old movies, so I go to him. Some people have good memories, it's natural."
"My memory is good and my technique is not bad." Director Yang sighed and shook his head slightly.
"None of this is critical. The main thing is the idea of the operation." Shen Laodao: "Why does Boss Zheng take such a big risk to live broadcast the operation? It is not to provide an idea."
"Interventional guidance can cause as little intraoperative side damage to the patient as possible. This 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 watching it once, the worst thing you can do is watch it twice. You can see the infrared screen and interventional screen when you look up, and the images are all on them. It's amazing that Boss Zheng can complete the operation in one hour. Finished in 4 hours.”
"But the trauma for patients is much less than before."
Peng Jia didn't expect Mr. Shen's idea to be like this. It turned out that he didn't come to fix Boss Zheng's problems, but really came to observe the operation.
Although she still felt a little unbelievable, Peng Jia was no longer as uneasy as before.