"Xiaocao, it's just like Brother Yun taught you." Zheng Ren stood in front of the patient and said softly, "The operation will start in 10 seconds."
Quan Xiaocao nodded, knowing what Boss Zheng meant. She took a deep breath and closed her eyes.
Her eyelashes were very long. After she closed her eyes, her eyelids moved up and down slightly, not knowing what she was thinking in her mind.
Zheng Ren was not in a hurry, but checked the relevant equipment prepared by Feng Xuhui.
Having performed several operations in the system's operating room, Zheng Ren was well versed in this "simple" surgical method that only required changing his mindset.
A few seconds later, Quan Xiaocao opened his eyes. His timid eyes disappeared like smoke, leaving him calm. In fact, it can be said to be indifferent, without any emotion.
The gastroscope was passed down the patient's oropharynx. Quan Xiaocao's hand was steady and did not tremble. Her eyes were fixed on the screen opposite, unblinking.
As Zheng Ren said, the esophagojejunal anastomosis can be seen 38cm away from the front teeth.
There was no scarring stenosis at the anastomosis, which is the most fortunate thing. Just like epidermal scar tissue, if there is a raised, narrow scar, the difficulty of the operation will be at least doubled.
Quan Xiaocao steadily controlled the endoscope to pass through the anastomosis smoothly, and clearly saw a fistula on the left front wall of the anastomosis, with residual staples on the edge, about 0.8cm in diameter.
Zheng Ren reached out to take the endoscope tube and exposed the surgical field to Quan Xiaocao, just like what a normal surgical assistant would do.
Quan Xiaocao skillfully operated the forceps with both arms to clamp the mucosa at both ends of the fistula. The moment he lifted it up, the suction device in Zheng Ren's hand had already arrived.
As an assistant, Boss Zheng cooperates exquisitely without any flaws.
With the force of the clamp and the suction force of the suction device, Quan Xiaocao pulled the tissue around the fistula into the transparent cap and rotated the handle to release the OTSC anastomosis clip.
Her movements were very slow, and she was very serious when rotating the handle. Zheng Ren judged from Quan Xiaocao's movements that she seemed to be feeling the power transmitted from the handle.
This is the introductory experience of hand feeling. Has she already started? Under the surgical mask, a curve was drawn at the corner of Zheng Ren's mouth, but no one could see it.
The OTSC anastomotic clip clamps the tissue and completely covers the 0.8cm fistula. The entire operation was a bit slow, but without any flaws. Zheng Ren knew what he just said. Quan Xiaocao understood it and immediately used it in the operation.
Zheng Ren didn't know what she did during this time.
But Zheng Ren knew that being able to understand so thoroughly in a short period of time did not mean that Quan Xiaocao had the same talent as Su Yun. She must have been studying hard day and night. As time went by, she found time to dial it in and broke the bottleneck, and technical breakthroughs became a matter of course.
Quan Xiaocao was still expressionless and had no habit of talking during surgery. All of this was very similar to Zheng Ren. She then switched to the ESD transparent cap and entered the mirror again, and saw that the OTSC anastomotic clip was well closed.
The main steps of the operation have come to an end.
Zheng Ren raised his hand and said with a smile: "Not bad!"
"Fang Lin, look at Xiaocao, then look at you!" Su Yun said disdainfully: "Can't you get down to business?"
"Hey." Fang Lin witnessed the entire process of sealing the esophageal fistula with the OTSC anastomotic clip. He didn't pay attention to Su Yun's words, but felt slightly confused.
He has a deep understanding of anastomotic leakage after esophageal cancer surgery since he was a graduate student.
Not only him, but every thoracic surgeon has studied anastomotic fistula and is afraid of it.
Once a patient develops a fistula after surgery, it means that there is less than a 50% chance of survival. There is a 50% chance that the patient will spend 1 month or even longer in pain.
Sometimes the ward and corridors are filled with a putrid smell. As soon as you smell this smell, you will know that there is a patient with esophageal anastomotic fistula in the ward, and you have to keep your voice down to avoid offending the unlucky doctor.
Even with constant flushing to ensure the location of the anastomotic fistula is clean and second-stage surgery is performed, the success rate of the surgery is appallingly low.
Because the success rate is low, almost all doctors are unwilling to perform second-stage surgery. Most of them adopt conservative observation and let the fistula repair itself.
But this problem that has plagued thoracic surgery for decades has been solved like this
Fang Lin didn't believe it.
"Let's go." Su Yun patted Fang Lin on the shoulder and said.
"Brother Yun..." Fang Lin felt that his voice was a little hoarse, and he tried his best to smile, "I'll wear a lead suit and take a look inside."
"It's time to perform angiography. You can see more clearly outside." Su Yun pulled Fang Lin out of the operating room.
Everyone else followed them out. Only Feng Xuhui stood in a corner of the operating room holding some consumables that he might need and wearing a lead suit. He seemed to be integrated into the operating room.
The airtight lead door was closed. Su Yun pushed the technician aside and skillfully operated in front of the operating table.
"Xiaocao, what do you think is the possibility of success?" Su Yun asked.
Quan Xiaocao has been replaced by Lin Yuan. Next, Boss Zheng of the operating room performs the surgery himself and installs a stent to achieve double insurance.
After leaving the operating room, Quan Xiaocao's self-awareness disappeared and he became the timid little doctor again.
"Yun...Brother Yun, I think..."
"Xiaocao, what can I say? The surgery is so awesome, what can't you say?" Su Yundao said, "At your current level, you can directly open an outpatient clinic to receive patients with anastomotic leakage after esophageal cancer surgery across the country."
“…”
When Quan Xiaocao heard what Su Yun said, it was even harder to speak.
Professor Lu was slightly startled when he heard what Su Yun said. This emotion was the same as Fang Lin's.
Recruiting post-operative esophageal cancer patients from all over the country...
Making money is one thing, saving lives is another. Wiping the butt of all thoracic surgeons, who can't be called "teacher" when meeting them
Famous, profitable, and prestigious!
This is simply pie in the sky! Professor Lu knew that even if he worked in 912 for a lifetime, he would never reach this point.
And Quan Xiaocao, who has not yet graduated with a Ph.D., is a coward, but he is already able to do this
Professor Lu had no doubts. He knew that if the imaging showed that no contrast agent ran from the esophagus to the mediastinum, it would mean that the entire operation that Quan Xiaocao had just performed was successful.
Even what Su Yun said was a bit conservative. This is the rhythm of becoming the top expert in the country in one step.
He has worked hard for many years but has not reached this point... Professor Lu was a little confused. He knew that medical treatment was becoming more and more detailed nowadays, so Quan Xiaocao grasped a subdivision and took advantage of it.
I can do it too! Professor Lu felt a fire rising in his heart.
The screen on the operating table began to move. Professor Lu abandoned his distracting thoughts and began to look at the angiography done by Boss Zheng seriously.
Whether it is successful or not depends on imaging to determine.