Chapter 2696

Feng Jianguo was quite unhappy. Quan Xiaocao, the child, had already had a solution to the problem, but he didn't dare to say it at all.

Just forget it. In front of so many professors, directors and the director of the medical department, she should be silent as a student. But now boss Zheng obviously wants to support her. I really don't know what she's afraid of.

Although it's honest to say that there are few children, Quan Xiaocao is a little too honest. Feng Jianguo is a little distressed.

Quan Xiaocao was obviously afraid. He stood up with his head down and walked to Zheng Ren.

"Remember the last operation?" Zheng Ren asked with a smile, "you'd better do psychological construction for yourself. Think it's me here."

Quan Xiaocao raised his head and looked at Zheng Ren in some confusion, "boss Zheng, you said everything you should say..."

Zheng Ren said with a smile, "have you practiced surgery?"

"Yes... I'm practicing the treatment of anal fistula with rectal endoscope metal clip system. It's different from this." Quan Xiaocao said timidly, "I also suddenly remembered that they are fistulas. It seems that OTSC can also be used."

Linge and the people present were stunned when they heard Quan Xiaocao's words, especially director Luo, whose eyebrows twisted into a ball.

Quan Xiaocao has begun to study anorectal surgery? A great sense of crisis sprang up in his heart.

Director Wei of gastrointestinal surgery and other group professors did not bring that feeling to themselves, but now they clearly feel it from a student.

She is pure, without the arrogance of the surgeon at the top of the food chain, and she is most afraid of such newcomers. With the support of director Wei, who knows how much will happen.

Zheng Ren patted Quan Xiaocao on the shoulder and said, "wait for me."

With that, he ordered the film on the film reader and said, "the operation I'm considering will be done in two steps."

"First, I read the gastroscope report that the esophagojejunostomy can be seen 37-39cm away from the incisor, there is no stenosis, and the endoscope can pass smoothly. A fistula can be seen in the left wall and the front wall of the anastomosis, and the residual staples can be seen at the edge, with a diameter of about 0.8cm."

"Clamp the mucosa at both ends of the fistula with double arm pliers, attract at the same time, pull the tissue around the fistula into the transparent cap, and rotate the handle to release the OTSC anastomosis clamp."

"Because of the esophageal and jejunal anastomosis, the mucosal elasticity of the jejunum is still very large, so you can grab more tissue as much as possible. After the OTSC anastomosis clamp is clamped, it is equivalent to a new tissue seal to block the fistula, which is very likely to grow well."

"Second, remove the esophageal stent after endoscopic surgery. When the balloon is expanded, the stent should comply with the pressure, and the ischemia of the tissue clamped by the local OTSC anastomosis clip cannot occur."

While explaining the operation process, Zheng Ren looked at Quan Xiaocao with his eyes.

She began to be very excited. Zheng Ren felt that what he said was what she thought. But when it comes to the second step, Quan Xiaocao starts to be confused.

"The purpose of the lower support is to avoid the erosion of digestive juice. Whether to do or not to do this step is still between two options." Zheng Ren continued: "I still suggest doing it, which can shorten the rehabilitation period of patients."

"Well, I'm finished." Zheng Ren stood in front of the film reader and looked around at the people in the office.

"Boss Zheng, have you done it?" Director Luo asked.

"No." Zheng Ren smiled. "I read it when I read the report. The principle is very simple and has preliminary data support."

"According to the report, Arezzo and other doctors treated 14 patients with anastomotic leakage after colorectal surgery with OTSC anastomotic clip, including 8 cases of acute colorectal anastomotic leakage and 7 cases of successful closure under endoscopy; 6 cases of chronic colorectal anastomotic leakage and 5 cases of successful closure."

"Galizia and other doctors performed OTSC clip closure on 3 patients with anastomotic leakage after Roux-en-Y operation, and all the operations were successful."

"The existing data sample is a little small, so it can only be said to have a try. This is a new endoscopic treatment, and I think it is very suitable for the current treatment of patients."

"Boss Zheng, if the anastomotic leakage of stomach and esophagus is OK?" Professor Lu asked.

"Theoretically speaking, it is possible. The elasticity of the gastric wall is greater and the relative difficulty will be much lower." Zheng Ren finished, took a look at Fang Lin, and then continued: "whether we can do it or not, we need more data support."

Fang Lin saw boss Zheng's eyes and moved in his heart.

He knew exactly who Quan Xiaocao was. Just a student, but he was exposed to endoscopy and began to study minimally invasive treatment inspired by boss Zheng.

Although people are not 912 people, it is inevitable to stay in 912 after such things.

How can Professor Feng let such people go. Besides, even if gastrointestinal surgery doesn't cherish it, it's estimated that director Luo has to dig up Quan Xiaocao.

A student can get to where he is today. What about himself? Fang Lin began to think about it. He also knows that the trend of surgery is that the trauma is smaller and smaller, and the surgery is more and more sophisticated.

The original thoracic surgery from thoracotomy to endoscopy, and now endoscopic surgery has basically reached the peak. What kind of sleeve cutting and so on, the surgery that used to be difficult to do with large thoracotomy has now been treated with endoscopy.

Will it develop into endoscopic surgery in the future?

Fang Lin is a little confused. It seems that he wants to talk to Brother Yun about this in the future.

"Professor Lu, how is the patient? I suggest we prepare for emergency." Zheng Rendao, "the adventitia of the aorta has been affected to some extent, and may..."

"Good!" Professor Lu agreed without waiting for boss Zheng to finish.

Sneezing patients are gone. This kind of thing must be avoided. Besides, if you have an operation today, it seems that boss Zheng will follow.

With boss Zheng, he solved the problem directly. He has no reason to refuse.

"OK, then prepare."

"Boss Zheng, do you have any?" Professor Lu asked cautiously.

"I have it here, and the grass also does exercises. I should have it too." Zheng Ren looks at Quan Xiaocao.

Quan Xiaocao nodded hard.

Seeing boss Zheng holding a mobile phone to make a phone call, director Luo sat steadily in his chair and thought a lot.

Endoscopic surgery is often just a change in thinking.

Director Luo personally experienced this step from scratch. He is well aware of the difficulties. But sitting on the difficulties of the past? Director Luo doesn't think so.

OTSC surgery, see boss Zheng's, if it's suitable, can you carry out it?

Thinking, director Luo shook his head slightly. The main purpose of OTSC is to treat various anastomotic fistulas, which is a remedial measure for surgical complications.

There must be no patient source on your own, so you don't have to think about it. The pupil, I'm afraid, had a good chance to soar to the sky.