Chapter 2700 One Step in Place

"Xiaocao, it's like what 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 are very long. After closing her eyes, her eyelids move up and down slightly, and she doesn't know what she is thinking.

Zheng Ren was not in a hurry, but checked the relevant equipment that Feng Xuhui had prepared.

Having performed several surgeries in the operating room of the system, Zheng Ren was fully aware of this "simple" surgical method that only required a change of mindset.

A few seconds later, Quan Xiaocao opened his eyes, the timid eyes disappeared like a cloud of smoke, only calmness. Even, it can be said to be indifferent, without the slightest emotion.

The gastroscope went down the patient's oropharynx, Quan Xiaocao's hands were steady and did not tremble. Her eyes were fixed on the opposite screen, watching without blinking.

As Zheng Ren said, the esophagojejunal anastomosis can be seen at a position 38cm away from the incisors.

It is the luckiest thing that there is no cicatricial stenosis at the anastomotic stoma. Just like the scar tissue of the epidermis, if there is a high raised narrow scar, the difficulty of the operation is at least doubled.

Quan Xiaocao steadily manipulated the endoscope through the anastomotic stoma, and clearly saw a fistula on the left anterior wall of the anastomotic stoma, with residual staples around the edge, about 0.8 cm in diameter.

Zheng Ren stretched out his hand to take over the endoscope tube, and exposed the operative field to Quan Xiaocao, just like what an ordinary surgical assistant would do.

Quan Xiaocao skillfully operated the double-arm forceps to clamp the mucous membranes at both ends of the fistula, and the moment he lifted it, the suction device in Zheng Ren's hand had already arrived.

As an assistant, Boss Zheng cooperated exquisitely without flaws.

With the force of the clamp and the suction force of the suction device, Quan Xiaocao pulls the tissue around the fistula into the transparent cap, and rotates the handle to release the OTSC anastomotic clip.

Her movements were very slow, and every time she rotated the handle, she was very serious. 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? A curve was drawn at the corner of Zheng Ren's mouth under the surgical mask, but no one could see it.

The OTSC anastomotic clip clamped the tissue to completely cover the 0.8cm fistula. The whole operation was a bit slow, but it was flawless. Zheng Ren knew what he just said, Quan Xiaocao understood it, and immediately used it in the operation.

What she did during this time, Zheng Ren didn't know.

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 should be studying hard day and night, and as the days and months accumulate, she finds time to dial in, breaks the bottleneck, and technical breakthroughs are logical.

Quan Xiaocao still had no expression on her face, nor did she have the habit of talking during surgery, all of this was very similar to Zheng Ren. She then switched to the ESD transparent cap and went into the mirror again, and saw that the OTSC anastomotic clip was closed well.

The main steps of the operation have been declared over.

Zheng Ren raised his hand and said with a smile, "Not bad!"

"Fang Lin, look at Xiaocao, then look at you!" Su Yun said contemptuously, "Can't we be serious?"

"Hey." Fang Lin witnessed the whole process of OTSC anastomotic clip sealing the opening of the esophageal fistula. He didn't pay attention to Su Yun's words, but was slightly at a loss in his heart.

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 researched about anastomotic leakage, and fears it like a tiger.

Once the patient has fistula after surgery, it means that there is only less than 50% chance of survival. There is a 50% possibility that the patient will spend a month or even longer in pain.

Sometimes the wards and corridors are filled with a rotten smell. As long as you smell this smell, you will know that there is an esophageal anastomotic fistula in the ward, so you should keep your voice down so as not to offend that unlucky doctor.

Even with continuous flushing, to ensure that the anastomotic leak is clean, and to perform a second-stage operation, the success rate of the operation is appallingly low.

Because of the low success rate, almost all doctors are reluctant to perform second-stage surgery, and most of them adopt conservative observation and let the fistula repair itself.

But this kind of problem that has plagued thoracic surgery for decades has been solved in this way?

Fang Lin didn't believe it.

"Let's go." Su Yun patted Fang Lin's shoulder and said.

"Brother Yun..." Fang Lin felt his voice was a little hoarse, and he tried his best to smile, "I'll take a look inside in a lead suit."

"It's going to be radiography, so I can see it more clearly outside." Su Yun pulled Fang Lin out of the operating room.

Everyone else went out as well, only Feng Xuhui was standing in a corner of the operating room in a lead suit holding some consumables that might be needed, as if he was integrated with the operating room.

The airtight lead door was closed, Su Yun pushed the technician aside, and manipulated it skillfully in front of the console.

"Xiaocao, what do you think is the possibility of success?" Su Yun asked.

Quan Xiaocao had already been replaced by Lin Yuan, and Boss Zheng in the next operating room performed the operation himself, and then installed a brace to achieve double insurance.

After leaving the operating room, Quan Xiaocao's self-psychological suggestion disappeared, and she became a timid little doctor again.

"Yun... Brother Yun, I think..."

"Xiaocao, what can I say, what can't be said about such an awesome operation." Su Yundao, "Your current level can directly open outpatient clinics and accept patients with anastomotic leakage after esophageal cancer surgery."

"..."

When Quan Xiaocao heard what Su Yun said, it was even more difficult to speak.

Hearing what Su Yun said, Professor Lu was slightly taken aback. This emotion was the same as Fang Lin's.

Accepting postoperative patients with esophageal cancer who have undergone surgery nationwide...

Making money is one thing, but saving lives is another. To wipe the ass of all thoracic surgeons, whoever meets each other can't call a teacher?

Famous, profitable, and have status in the world!

This is simply a pie falling from the sky! Professor Lu knew that even if he worked in 912 all his life, he would never reach this level.

And Quan Xiaocao, who has not yet graduated with a Ph.

Professor Lu had no doubts. He knew that if the angiography showed that no contrast agent had escaped from the esophagus to the mediastinum, it meant that Quan Xiaocao's entire operation just now was successful.

Even what Su Yun said was a little conservative, this is the rhythm of becoming a top expert in the country in one step.

I have been working hard for so many years but I still can't get to this point...Professor Lu is a little at a loss. He knew that medical care is becoming more and more detailed now, and Quan Xiaocao seized a sub-category and took the lead.

I can do it too! Professor Lu felt a fire in his heart.

The screen on the console started to move, and Professor Lu put aside distracting thoughts, and began to look at the radiography made by Boss Zheng seriously.

Whether it is successful or not, it still needs to be determined by imaging.