Feng Jianguo was quite unhappy. Quan Xiaocao already had a solution to the problem, but she did not dare to say it.
It was fine just now. In front of so many professors, chief physicians, and the chief of the medical administration division, she was a student. It was only right for her to remain silent. However, now that Boss Zheng was obviously supporting her, he really did not know what she had to be afraid of.
Although it was said that honest children had fewer troubles, Quan Xiaocao was a little too honest. Feng Jianguo was a little distressed.
Quan Xiaocao was obviously afraid. She lowered her head, stood up, and walked to Zheng Ren's side.
"Do you still remember the last surgery?" Zheng Ren asked with a smile. "You'd better prepare yourself mentally. Just pretend that I'm talking here."
Quan Xiaocao raised her head and looked at Zheng Ren in confusion. "Boss Zheng, you've said everything you need to say …"
Zheng Ren smiled and said, "Have you practiced surgery before?"
"I have … I practice the treatment of anal fistulas using the endoscopic metal clip system in the proctology department. It's different from this," Quan Xiaocao said timidly. "I also suddenly remembered that they're both fistulas. It seems that they can also be treated with OTSC."
Lin Ge and the people present were stunned when they heard Quan Xiaocao's words, especially Chief Luo. His eyebrows furrowed.
Quan Xiaocao had already started to study colorectal surgery? A huge sense of crisis suddenly rose in his heart.
Chief Wei and the other professors in the gastrointestinal surgery department did not give him that kind of feeling, but now he could clearly feel it from a student.
She was very pure. She did not have the arrogance of a surgeon at the top of the food chain. She was most afraid of such newcomers. With the support of Chief Wei, who knew what kind of trouble she would cause?
Zheng Ren patted Quan Xiaocao's shoulder and said, "Wait for me."
After saying that, he pointed at the radiographic films on the radiographic film viewer and said, "The surgery I'm thinking about will be done in two steps.
"First, I saw the gastroscopy report that the esophageal jejunal anastomosis is 37-39 cm away from the incisors. There is no stenosis, so the endoscope can be passed smoothly. "There is a fistula on the left front wall of the anastomosis. There are remnants of the anastomosis nail at the edge, about 0.8 cm in diameter.
"Clamp the mucosa at both ends of the fistula with both arms. At the same time, suction is used to pull the tissue around the fistula into the transparent cap. Rotate the handle to release the OTSC anastomosis clip.
"Because it's an esophago-jejunum anastomosis, the mucosa of the jejunum is still very elastic, so we can try to grab as much tissue as possible. After the OTSC anastomosis clip is clamped, it is equivalent to new tissue sealing the fistula, and the possibility of growth is very high. "
"Second, after the endoscopic surgery, the esophageal stent is placed. When the balloon is dilated, the stent has to adapt to the pressure. We can't let the tissue clamped by the OTSC anastomosis have ischemia. "
Zheng Ren watched Quan Xiaocao from the corner of his eye as he explained the procedure.
At first, she was very excited. Zheng Ren felt that what he said was exactly what she was thinking. However, when it came to the second step, Quan Xiaocao began to feel lost.
"The purpose of placing the stent is to prevent digestive fluid from eroding. It's still a choice whether to do this step or not," Zheng Ren continued. "I still suggest doing it. This can shorten the patient's recovery period."
"Okay, I'm done." Zheng Ren stood in front of the film viewer and looked around at the people in the office.
"Boss Zheng, have you done it before?" Chief Luo asked.
"No." Zheng Ren smiled. "I've seen it in the report. The principle is very simple and has preliminary data to support it."
"According to the report, Arezzo and other doctors performed OTSC anastomosis clip treatment on 14 patients with postoperative colorectal anastomosis leakage. Of the 8 cases of acute colorectal anastomosis leakage, 7 cases were successfully closed under endoscopy. Of the 6 cases of chronic colorectal anastomosis leakage, 5 cases were successfully closed."
"Galizia and other doctors performed OTSC clamp closure on 3 patients with postoperative Roux-en-Y anastomosis leakage, and the surgery was all successful."
"The existing data sample is a little small, so it can only be said to be a try. This is a new endoscopic treatment method, and I think it's very suitable for the current treatment of patients. "
"Boss Zheng, can it be done if it's an anastomosis leakage of the stomach and esophagus?" Professor Lu asked.
"In theory, it's possible. The stomach wall is more elastic, so the relative difficulty will be much lower." After Zheng Ren said that, he glanced at Fang Lin and continued, "Whether it can be done or not, we need more data to support it."
Fang Lin saw Boss Zheng's gaze and his heart skipped a beat.
He knew very well what kind of person Quan Xiaocao was. She was just a student, but she came into contact with endoscopy and began to study minimally invasive treatment under the inspiration of Boss Zheng.
Although she was not considered a member of the 912, after so many things, it was inevitable that she would stay in the 912.
How could Professor Feng let such a person go? Moreover, even if the gastrointestinal surgery department did not cherish her, judging from Chief Luo's appearance, he would probably poach Quan Xiaocao.
A student could reach this stage. What about him? Fang Lin began to ponder. He also knew that the trend of surgery was that the trauma would become smaller and the surgery would become more and more delicate.
The original thoracic surgery went from large thoracotomy to laparoscopy. Now, laparoscopy had basically reached the peak of perfection. Things like cuff cuts, which were originally difficult to do with large thoracotomy, were now all treated with laparoscopy.
Could it be that it would develop into endoscopic surgery in the future?
Fang Lin was a little confused. It seemed that he had to find Brother Yun in the future to have a good chat about this.
"Professor Lu, how is the patient's condition? I suggest that we prepare to do it in the emergency department, "Zheng Ren said." The adventitia of the aorta has been affected to a certain extent. It might … "
"Okay!" Professor Lu did not wait for Boss Zheng to finish and immediately agreed.
The patient would be gone with a sneeze. This kind of thing had to be avoided. Besides, if he were to perform the surgery today, it seemed that Boss Zheng would have to follow him.
With Boss Zheng around, the problem would be solved directly. He had no reason to refuse.
"Okay, then let's get ready."
"Boss Zheng, do you have an OTSC anastomosis clip?" Professor Lu asked carefully.
"I have it here, and Xiaocao is also practicing. She should have it too." Zheng Ren looked at Quan Xiaocao.
Quan Xiaocao nodded vigorously.
Seeing Boss Zheng take his phone to make a call, Chief Luo sat steadily on the chair and thought a lot.
Most of the time, endoscopic surgery was just a change in thinking.
Chief Luo had personally experienced this step from nothing to something. He knew very well how difficult it was. But sitting on the difficult path of the past and not making any progress? Chief Luo did not think so.
He wanted to see Boss Zheng's OTSC surgery. If it was suitable, could he carry it out?
As he thought about it, Chief Luo shook his head slightly. The main purpose of OTSC surgery was to treat all kinds of anastomotic leakage. This was a remedial measure for surgical complications.
He definitely did not have a source of patients on his side, so there was no need to think about it. On the other hand, that primary school student probably had a good chance to soar into the sky.
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