Feng Jianguo was quite unhappy. Quan Xiaocao already had a solution to the problem, but he didn't dare to say it.
Forget it just now, in front of so many professors, directors and the director of the medical department, she, a student, should remain silent. But now that Boss Zheng is clearly trying to support her, I really don't know what she has to be afraid of.
Although honest children have fewer problems, Quan Xiaocao is a little too honest, which makes Feng Jianguo a little distressed.
Quan Xiaocao was obviously scared, he stood up with his head lowered and walked to Zheng Ren.
"Do you still remember the last surgery?" Zheng Ren asked with a smile: "You'd better do some psychological training for yourself and treat it as if I'm talking here."
Quan Xiaocao raised his head and looked at Zheng Ren with some confusion, "Boss Zheng, you have said everything that needs to be said..."
Zheng Ren smiled and said, "Have you practiced surgery?"
"I have practiced... I practiced the treatment of anal fistulas with the metal clip system of proctology endoscope, which is different from this." Quan Xiaocao said timidly: "I also suddenly remembered that they are all fistulas, and it seems that they can also be used. OTSC will do it.”
Lin Ge and everyone present were startled after hearing Quan Xiaocao's words, especially Director Luo, whose eyebrows knitted together.
Quan Xiaocao has already started studying anorectal surgery? A huge sense of crisis suddenly arose in his heart.
Director Wei of the Department of Gastrointestinal Surgery and other leading professors did not bring that feeling to themselves, but now they can clearly feel it from a student.
She is very pure and does not have the arrogance of a surgeon at the top of the food chain. What she fears most is newcomers like this. With Director Wei's support, who knows how 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 reader and said, "The surgery I am considering will be done in two steps."
"First, I saw a gastroscopy report and said that the esophagojejunal anastomosis can be seen 37-39cm away from the incisors. There is no stenosis, and the endoscope can pass smoothly. A fistula can be seen on the left and anterior wall of the anastomosis, and the residual staples can be seen on the edge. The diameter is about 0.8cm.”
"Clamp the mucosa at both ends of the fistula with the two-arm forceps and suction at the same time. Pull the tissue around the fistula into the transparent cap. Rotate the handle to release the OTSC anastomosis clip."
"Because it is an anastomosis between the esophagus and the jejunum, the mucous membrane of the jejunum is still very elastic, so you can try to capture as much tissue as possible. After the OTSC anastomosis clip is closed, it is equivalent to new tissue blocking the fistula, and it is possible for it to grow well. It’s huge.”
"Second, lower the esophageal stent after endoscopic surgery. When the balloon is expanded, the stent must comply with the pressure and not cause ischemia in the tissue clamped by the local OTSC anastomosis clip."
While Zheng Ren explained the operation process, he looked at Quan Xiaocao from the corner of his eye.
She started to get excited, and Zheng Ren felt that what he said was what she was thinking. But when it came to the second step, Quan Xiaocao became confused.
"The purpose of removing the stent is to avoid erosion by digestive juices. There is still a choice between doing this step or not." Zheng Ren continued: "I still recommend doing it, as this can shorten the patient's recovery period."
"Well, I'm done." Zheng Ren stood in front of the reader and looked around at everyone in the office.
"Boss Zheng, have you done this?" Director Luo asked.
"No." Zheng Ren smiled, "I saw it when I read the report. The principle is very simple and is supported by preliminary data."
“According to reports, doctors such as Arezzo used OTSC anastomotic clips to treat 14 patients with anastomotic leakage after colorectal surgery. Among them, 8 cases of acute colorectal anastomotic leakage were successfully closed endoscopically in 7 cases; 6 cases of chronic colorectal anastomosis Oral fistula was successfully closed in 5 cases.”
"Galizia et al. performed OTSC clip closure on 3 patients with anastomotic leakage after Roux-en-Y surgery, and all operations were successful."
"The existing data sample is a bit small, so we can only give it a try. This is a newly emerging endoscopic treatment method, and I think it is very suitable for the treatment of current patients."
"Boss Zheng, is it okay to have an anastomotic leak when the stomach and esophagus anastomose?" Professor Lu asked.
"Theoretically, it's 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, we need more data to support it. "
Fang Lin saw Boss Zheng's gaze and his heart moved.
He knew exactly who Quan Xiaocao was. He was just a student, but he was exposed to endoscopy. Inspired by Boss Zheng, he began to study minimally invasive treatments.
Although I am not yet a member of 912, after such events, it is inevitable to stay in 912.
How could Professor Feng let such a person go? Besides, even if the gastrointestinal surgery department doesn't take it seriously, judging from Director Luo's appearance, he is probably going to dig up Quan Xiaocao.
A student can reach this point, what about you? Fang Lin began to think about it. He also knows that the trend of surgery is that the trauma is getting smaller and smaller, and the surgery is becoming more and more sophisticated.
The original thoracic surgery ranged from large thoracotomy to laparoscopic surgery, and now laparoscopic surgery has basically reached its peak. Sleeve incisions and other surgeries that were once difficult to perform with a large thoracotomy are now all treated with laparoscopic surgery.
Will it develop into endoscopic surgery in the future
Fang Lin was a little confused. It seemed that he would have a good chat with Brother Yun about this matter in the future.
"Professor Lu, how is the patient's condition? I suggest we prepare for emergency treatment." Zheng Ren said, "The adventitia of the aorta has been affected to a certain extent, and it may..."
"Okay!" Professor Lu agreed immediately before Boss Zheng finished speaking.
If you sneeze, the patient will be gone. 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 the OTSC anastomosis clip?" Professor Lu asked cautiously.
"I have it here, and Xiaocao also practices, so there should be some." Zheng Ren looked at Quan Xiaocao.
Quan Xiaocao nodded vigorously.
Seeing Boss Zheng taking his mobile phone to make a call, Director Luo sat firmly in his chair, thinking a lot.
Endoscopic surgery is often just a change in thinking.
Director Luo has personally experienced this step of starting from scratch, and he is very aware of the difficulties involved. But sitting on the past difficulties and making no progress? Director Luo doesn't think so.
For OTSC surgery, take a look at Boss Zheng’s. If it’s suitable for you, can you perform it
After thinking about it, Director Luo shook his head slightly. The main purpose of OTSC surgery is to treat various anastomotic leaks, which is a remedial measure for surgical complications.
I definitely don’t have any sources of patients on my side, so there’s no need to think about it. That elementary school student, on the other hand, might have a good opportunity to soar into the sky.