Chapter 283 pattern
"The anastomosis from the left hemicolon artery to the left anterior descending artery, you two are really brave! Even the preparatory plan has been worked out, but I still like the first plan you put forward. It's a promising new field for interventional vascular anastomosis from the inside to the outside. Well, I'll arrange a team to assist you in the operation practice immediately. We must make sure that everything is safe. "
Looking at the operation plan submitted by Chen Qun, academician Yang Xiaoquan could hardly find many loopholes and defects. He took into account the common accidents in several operations and made corresponding methods one by one.
However, the most important thing is that the operation is very difficult, even cardiovascular surgery experts dare not try it easily. Even if Gu Ning, a student of his own, wants to have such an operation on a three-year-old child, he will think about it again and again. He will only consider coronary bypass surgery with cardiopulmonary bypass as a last resort.
The blood vessels of children are twice as thin as those of adults, and the pressure and difficulty of operation are increased by at least 20 times. But now fortunately, it was discovered early, otherwise it would have to be replaced by artificial heart, which is also a way out.
This difficult operation, for Chen Qun, is infinitely less difficult. After all, it is a coronary artery, which is much thicker than the capillaries in the brain. He successfully completed 37 capillary anastomosis, which has proved his strength.
For a heart artery that is at least six or seven times larger, its probability of success is at least six or seven percent. This is the only way to solve this problem. At the present medical level, the little girl is lucky. If as early as 10 years, even if they can still on the operating table, the probability of success is not big.
After carefully considering the whole process of the operation, Yang Xiaoquan suddenly felt a sense of absurdity. More than ten kinds of cardiac surgery, which he successfully built in China, have just been perfected and popularized, so he has to ask students to overthrow these skills and adopt more advanced minimally invasive intervention methods.
I don't know what kind of expression will be on the faces of the Department Directors and deputy directors of the major hospitals who have come to train and know that their painstaking learning techniques are out of date when they haven't been successful?
However, in the blink of an eye, Yang Xiaoquan was dumbfounded. The population base and doctors who can ensure the completion of level 4 cardiac surgery in China alone have always been rare. His procedures and improvements, at least for decades, will help thousands of cardiovascular patients.
As for Chen Qun's technique, it will take three or five years for it to take shape, and it will take several years for it to be popularized. Even so, the equipment needed for surgery alone is enough to frighten all hospitals in second - and third tier cities. There are about a dozen hospitals nationwide that can afford these equipment.
When Yang Koizumi thought of this, his mind suddenly changed. Although Gu Ning, his student, is only forty-one years old, he can still operate on the operating table for at least ten or twenty years. Why don't he get involved in this new field. Even if his hand is not as flexible and stable as Chen Qun, he is one of the few experts in China.
If Gu Ning can't learn Chen Qun's method, then Chen Qun's new technique can't be popularized. A lot of difficult surgeries are not born with the talent of seeing doctors. The best surgeries are those that can be popularized and benefit the public. The more high-end the better, the simpler and easier the better.
Yang Xiaoquan thinks that this simple and practical principle should be handed over to the two little guys in front of him. Otherwise, depending on their appearance, they will probably become more and more complicated. They will gradually climb to all kinds of strange and difficult operations, forgetting that conventional surgery is the largest number of patients.
It's better to improve a routine scheme than to develop an unsuitable and difficult operation.
Yang Xiaoquan put down his tablet, took his finger and knocked twice, and finally gave his own opinion.
"You go to prepare the simulated operation training first. When you're ready, I'll ask Gu Ning to pass it to you. I have to guide two operations later, so I won't go to see you. But you have to remember that the most difficult thing to improve is the simple and boring routine surgery. The last step in any technological progress is to change the routine surgery. "
When Chen Qun heard this suggestion, he looked at his old man in tears and laughter. Does he really think he can attack the cornerstone of surgery?
However, this requirement is similar to the suggestions given by the system. If he wants to promote the operation, he can only promote the simple and applicable, rather than aiming at the world problems of locked in syndrome all day long.
The little girl's operation was confirmed in the evening, and minimally invasive surgery was performed the next morning. Cao Yumeng and his parents and grandmother met academician Yang Xiaoquan, who often appeared on TV, and gave a diagnosis and treatment plan. They agreed without much hesitation. After all, this is the best expert they can find in China. There are no more than ten experts at this level all over the world.Going abroad for surgery? The cost of surgery alone is beyond their average family.
During the operation the next morning, Gu Ning saw that the teacher himself didn't go to be a teacher himself. Instead, he let himself be a guide. His heart became more and more strange and he couldn't help asking.
"Teacher, why do you set the operation in the ordinary operating room and let me guide you? Do you have stomach trouble again! Besides, they have their own operating room. Why don't they let them out first? "
Yang Xiaoquan picked up the newspaper in his hand and tapped his disciple on the head.
"You are not as good as your younger martial sister and the boy surnamed Chen. If there were no advanced equipment, there would be no operation? Xiao Chen knows that this heart surgery doesn't need too many sophisticated instruments. It's more complicated. It is suggested that this operation be performed in the first operating room, so that there is a place for you experts to have a look. But you have to row the mountain and learn something bad from old man Liu. You are really angry. "
Gu Ning rubbed his forehead and laughed.
"The teacher is very reasonable this time. Xiao Chen and Qi Shimei are from the school of president Liu. They are very simple, rude and unrestrained. I'm afraid if they are in a hurry, even if they have only one scalpel, they will not be able to create conditions for patients to operate. It's just that both of them have delicate and gentle personalities, so they can complete many delicate operations. But in essence, it's still a military doctor's system. It's not the same as the teacher's from beginning to end
Yang Koizumi nodded with satisfaction, "if you can't see the way of the two little guys up to now, it means that your eyesight is limited and you can't become a big weapon. Now it seems that you are ready to be a teacher. Next year, you will help me with those interns. I will concentrate on teaching your younger martial brothers and sisters and mind less about some things. "
After a pause, the old academician said to him, "remember, in an emergency, old man Liu's style is the most effective. Of course, there are many sequelae. You can also learn from Xiao Chen to see how he controls this balance. If you can integrate in your own operation, you can take over my position as an academician. No one can compete with you. "
Gu Ning was stunned. He didn't expect that the teacher's evaluation of him was so high. Last year, he said that he had to practice for at least four or five years. Why did he get such a high evaluation? I couldn't help laughing.
"At least Xiao Chen is the most powerful competitor!"
"That's a heresy. Like your younger martial sister, they don't play cards according to common sense. Your junior sister's achievement is not in surgical ability, she will be the best general practitioner. According to this situation, in another 20 years, she will be eligible to be elected an academician! Her pattern is much bigger than yours. "