Chapter 3750 【3750】Technical Tools
"What kind of problem is it?" Boss Zhang's tone was worrying, and Director Fang asked several cardiac surgeons in detail.
Speaking of which, she may have seen this kind of operation, but she is not an expert in cardiac surgery, and has not personally performed this kind of operation in the operation, so she definitely does not have the experience of a surgeon in this area. Some doctors at the scene said it was OK, while others questioned whether it was OK. Whether it was OK or not may require further explanation from fellow cardiac surgeons.
Under such circumstances, Xie Wanying unexpectedly received meaningful glances from two top cardiologists, Mr. Zhang and Senior Brother Ren: You say yes, explain to the patient friend. Anyway, we don’t think it’s possible.
It is enough to show that this difficulty is well known and senior experts in cardiac surgery believe that it cannot be solved. She, Xie Wanying, cannot avoid such practical technical problems, because objectively they do exist.
"Mr. Fang, as Director Zhang said, some parts of the human body are very difficult for doctors to sew up by hand. This is determined by the special anatomical structure of certain parts of the human body." Xie Wanying said, "Director Zhang What I want to say is that it is for this reason that it is difficult to perform thoracoscopy surgery for four-vessel lesions under total thoracoscopy."
"Is it better to use a surgical robot? I heard that its magnification of the surgical field of view is much greater than that of a thoracoscope." Director Fang asked again, obviously trying to win the last hope for the patient.
"This question is not a one-sided question of whether one can see clearly the surgical field." Xie Wanying said.
To be exact, feel. It is more difficult for doctors to suture with long-distance tools than with short tools. As mentioned above, the slow or missing information of long-distance tools will lead to a serious lack of hand feeling for doctors. What's more, it is difficult for doctors to suture this area with sufficient touch, let alone without a doctor's touch.
"How to solve this problem?" After listening to Director Fang, he was troubled. What he didn't understand was that what she just said was something that could be considered. Isn't it hopeless according to the current statement.
"Ms. Fang, you know that you have seen many surgical operations, and you know that the progress of medical technology is the result of a combination of many aspects. It is difficult to achieve the overall surgical goal by relying on only one technological development. In addition to expanding the doctor's surgical field of view, endoscopic surgery , the technical difficulties of other operations for doctors must be solved at the same time, otherwise it will be useless.”
"I understand." As expected of a boss, Director Fang understood immediately, "You are talking about the stapler."
A stapler is used to assist the doctor in areas that are difficult to sew manually. Not to mention endoscopic surgery, there are also many surgical cases in which staplers are used to solve such difficulties in traditional surgery.
For laparoscopic surgery, due to the lack of hand feeling, staplers are used to assist more than traditional surgeries. It can be said that some places must require staplers to solve problems. For example, in the thoracoscopic surgery to treat single-vessel disease that is being discussed now, the success rate of the surgery has been greatly improved because of the use of staplers. The TECAB demonstrated by Company B also used a stapler.
Here comes another question. There are various types of staplers and they are not universal. The vascular stapler used for single-vessel lesions must have been specially developed for this type of surgery, and can be used to connect a special type of internal mammary artery and left anterior descending artery. The implication is that if laparoscopic surgery for four-vessel lesions requires the assistance of a more sophisticated vascular stapler, it has not yet been invented.