I can extract side effects.

Chapter 491 Participating Surgery Video
Since that day, He Shengcai has been studying even harder like chicken blood.

At the same time, he is also practicing more surgical procedures, such as endoscopic biliary stent implantation, endoscopic duodenal polypectomy, pediatric endoscopic surgery, and so on.

From the inside to the outside, from the outside to the inside, from the organic to the functional, as long as the endoscope can touch, he is eager to learn.

Among them, the fourth-level digestive endoscopic surgery is the scope of his focus.

Digestive endoscopic surgery is divided into four levels. According to the surgical classification management system of tertiary hospitals, doctors with different seniority and levels can perform different surgeries.

Level [-] is the easiest, and appendectomy is a level [-] operation.

Secondary surgery includes small bowel fistula, gastric ulcer perforation repair, splenectomy, and rectal tumor biopsy.

These two levels of surgery are not very difficult, and any low-level attending physician can do it, even a better resident doctor can do it.

Tertiary surgery is cholecystectomy, intestinal polypectomy, gastrectomy and other partial organ resection operations, which belong to the battlefield of senior attending physicians.

As for the fourth-level surgery, one of the rigid requirements of the deputy senior doctor is to be able to perform most of the fourth-level surgery.

Zhou Ruping chuckled: "Let's go, let me go to the office and have a chat."

At this moment, he thought of the "Great Craftsman of the Great Country" program filmed by the TV station. Zhou Ruping became the only doctor selected because he brought great honor to the country on the international stage. Bringing it to the forefront of the world, it has been recognized by people all over the world.

"Actually, I performed this operation logically, but cases of ESD surgery around the esophagus are very rare. The difficulty of this operation is not ordinary. I think you just need a case to do the operation video, so I will leave it to you."

He Sheng pondered for a moment, and said seriously: "Naturally, there are difficulties. This is a new thing. The doctors are familiar with the electric knife, and they suddenly switch to the ultrasonic knife. I am afraid that they are not used to it, but once they get used to it, they will definitely like it. Ultrasound knife."

He soon became excited. The greater the difficulty, the greater the challenge. This is an excellent opportunity to verify what he has learned. Presumably Professor Zhou also thought of this and made such an arrangement.

As for organ transplantation and other operations, it is a pity that Director Zhu can't do it, and Kun City is a small place after all, so close to Hai City. Whenever a patient needs a transplant, the first choice is to go to a third-class hospital in Hai City.

"I'm not the first assistant, but the main knife."

"Not long after your operation started, I came here and have been watching until now. Sure enough, as I expected, you have completely completed the ESD operation."

"Haha, this is all the result of your own hard work, I don't dare to be greedy for credit." A laugh sounded behind him.

Therefore, the profession of doctor is extremely technical, and the upgrade conditions for each level are very clear. There are exact requirements for what level of surgery, whether it can be done, and to what extent it can be done. The promotion process is also a journey of fighting monsters and upgrading.

"Mark around the lesion under the gastroscope, and inject epinephrine melanin injection around the lesion."

"A person's destiny and personal struggle are important, but the process of history must also be considered."

He Shengcai was suddenly surprised and delighted: "Teacher, thank you, this is all because of your good teaching."

Therefore, there is no room for rejection, and we can only face difficulties.

I asked myself, I am just an ordinary person, learning technology is not only for interest, but also for promotion, but I don't have such a profound awareness.

He looked at the patient's case and frowned.

He Sheng scratched his head, and said with some embarrassment: "That's thanks to the use of the ultrasonic scalpel. If other people also use the ultrasonic scalpel instead of the electric scalpel, they will definitely be able to make it as clean as me."

After several beautiful surgeries, he gained a bit of fame for him, but also made him a thorn in Zhu Zhu's side.

"From this moment on, prove yourself well."

"It's really gratifying to congratulate, the great fortune of the country!"

He Sheng shook his head and was about to say something.

"Following the rise of Huaxia's endoscopic surgery, Huaxia's endoscopic equipment has also risen."

"How is it? Have you selected the surgery video for the competition?" Zhou Ruping asked straight to the point.

Before He Shengcai came to study, he was very proficient in level [-] surgery and a little bit in level [-] surgery, but due to limited conditions, he didn't have many opportunities to practice.

Only when Director Zhu is on a business trip for meetings or throwing knives, can he pick up the leaks and perform some fourth-level surgeries.

In the afternoon, He Sheng got ready and entered the operating room.

Zhou Ruping waved his hand: "That's why I called you here. From what you've seen, how does the ultrasonic knife under the hose work? Compared with the electric knife? Is it too difficult?"

"The most important thing about minimally invasive surgery is the word minimally invasive. The smaller the trauma, the better, and the less bleeding, the better. No blood and no trauma, it is the best surgery for patients."

It's just that He Sheng was a little surprised that the highly difficult ESD surgery was usually performed by the chief physician and entrusted to an attending doctor.

He could only shake his head in regret as to whether he could achieve the same result in the teacher's position.

Zhou Ruping nodded: "You're right. I was told by someone from Sanqing that he wanted to sponsor the World Cup of Endoscopy and compete with Olympus on the same stage. I didn't take it seriously. Now it seems that my thinking is too narrow. gone."

After the operation was over, the patient was quickly sent away, and there was thunderous applause all around.

"Of course, the mastery of any new technique requires a lot of practice, which is unavoidable."

He silently recited the operation steps in his heart, and his mood gradually calmed down like water, without any waves.

"These sets of prototypes sent by Sanqing are not inferior to Olympus, and the hose and hard tube ultrasonic knife equipped with them are even more powerful than Johnson & Johnson's. I am really impressed."

He is also self-taught for difficult level [-] surgeries like ESD surgery and G-POEM technique, and only after meeting a few patients with not too serious illnesses did he have the opportunity to practice.

He Shengcai took two steps forward, watching his smooth operation on the video of the operation, without a trace of bleeding, and without the slightest trace of fireworks, it was simply extremely pleasing to the eye.

ESD surgery is a level 4 surgery with very high technical difficulty. The thickness of the esophageal wall of ordinary people is only 1.5 mm, and the mucosa layer is at most 1.5 mm. It is difficult to imagine the difficulty of ESD surgery to completely peel off the lesions within this [-] mm.

He Shengcai was stunned when he saw the operation arrangements.

This is a recognition of his strength and a compliment to his technique.

Soon, everything was ready and the operation began.

"The bulge of the lesion is not good, and the ultrasonic scalpel is used to gradually separate it in the tunnel, and the lesion is resected throughout the week."

In the end, the 14 cm-long cancerous mucosa buried deep in the esophagus was completely stripped off.

On this day, he received a notice as soon as he arrived at the hospital in the morning.

He picked up the endoscope, looked at it, and was suddenly surprised.

If there is no accident, he should either take Wannian to retire from the Buddhism Department, or be squeezed out by Director Zhu.

"Twenty years later, domestic endoscopes have become better than blue, with their own technology and breakthroughs."

The operation lasted two hours, and the patient's blood pressure was stable during the operation without any mistakes.

"That's right," Zhou Ruping said with a smile, "Don't blame me for not telling you earlier, I also don't want to put too much pressure on you, I want you to play freely."

He Shengcai looked back, Zhou Ruping was standing behind him, looking at him with a smile.

Zhou Ruping clicked on the mouse and said, "I recorded your operation just now, and it just happened to be a video of the operation. What do you think?"

"I heard that you are still the attending doctor? This time, you came here for further training in order to be promoted. To be honest, at your level, it is more than enough to be the deputy director of a tertiary hospital."

He lowered his head and operated skillfully. With solid technical skills and rich surgical experience, he avoided blood vessels, carefully built a tunnel, and then gradually peeled off the mucous membrane.

"I know you still have doubts about my strength, but after this operation, you won't have any doubts."

He Shengcai was dizzy and his heart was numb. He came to the office and poured a glass of water to calm down.

After all, for a minimally invasive surgery, it costs [-] to [-] yuan, and the cheap one is a few thousand yuan, which is much more cost-effective than the hundreds of thousands of anticancer drugs.

After Zhou Ruping finished speaking, he suddenly stretched out his hands to straighten his hair, smoothed out the messy strands, and sat upright.

In two words, it is smooth + clean.

Fortunately, there was an accident, and the hospital received strong support from above to support key departments.

"It's decided. This time I'll let go of my old face. Based on the face of the past ten years, I must send Sanqing's equipment to the endoscopy World Cup operating room."

"Iodine staining under the endoscope before the operation revealed that the lesion mucosa was 14 cm long. It is extremely difficult to completely peel off the entire lesion mucosa."

"Doctor He, your skills are amazing."

"It seems to be the prototype sent by Sanqing. It's great. Sanqing's ultrasonic scalpel is much easier to use than the electric scalpel. It causes less tissue trauma and almost no bleeding."

"A technique like yours can only be used as an attending in your hospital? This is too complicated."

"The intubation was successful under anesthesia. During the operation, the mucosa of the esophagus 23-35 cm away from the incisors was rough and eroded."

If I had to use one word to describe the entire procedure, it would be clean.

Although cancer can be cured now, anticancer drugs are very expensive, and are generally used to treat advanced cancers. Such early cancers are eradicated by surgery, which not only speeds up the recovery, but also greatly reduces the economic burden.

He Sheng showed a slight smile, and habitually said humbly: "Where is it, everyone praises me, and I only have the current skills after I came to study. If I want to praise, I should praise Professor Zhou for teaching well."

When it comes to the chief physician, in addition to various difficult operations, organ transplantation operations are also required, which also puts forward higher requirements for innovation capabilities, and needs to develop and design new surgical procedures by itself.

"Teacher, how long have you been here?"

Zhou Ruping said with emotion: "That's right, I am used to using foreign equipment, and I have formed a fixed mindset. In addition, other domestic manufacturers are not up to date, and have not been able to break the monopoly of Olympus. Who would have thought that domestic endoscopes could be able to so smart."

Everyone congratulated, and some foreign doctors were amazed.

"The greatness of the country is for the country and the people. The dignity of the country is one of honor and disgrace. The honor won by doctors is inseparable from the development of the country in addition to their own strength."

"Now, Huaxia's endoscopy equipment is famous internationally for the first time, and I should be the one to start."

"My God, China is really a big country, and your technology can be used as the director of a national hospital in our country."

"After all, the electric knife uses heat to burn to stop bleeding, and the damage to the surrounding tissues is inevitable. If you use an ultrasonic knife, it is much more convenient to hemorrhage and stop bleeding during the operation, and the trauma to the patient is also smaller."

In addition to being able to perform severe and difficult operations, senior deputy senior doctors also require the introduction of new surgeries or newly designed surgeries.

He has also watched some award-winning videos in the past, and his surgical performance can be said to be extraordinary, and it is not inferior to those finalists.

He Shengcai smiled and said, "I can't blame you for thinking that way. After all, Olympus has been monopolizing endoscopes for decades, and everyone is used to it."

When Sanqing was sent to the hospital in Kunming for the first time for trial, he had tried it many times.

The equipment was very familiar, and he recognized it at a glance. It was Sanqing's endoscope, and it was also equipped with an ultrasonic scalpel that could adjust the angle.

"This," he was so moved in his heart that he blurted out, "Teacher, have you already prepared?"

He Shengcai was immediately in awe. What he admired most about Professor Zhou was that he always put the country and the people in his heart, and always worked hard for everything about the patient.

Elderly patients, basic diseases, peripheral lesions, intraoperative bleeding, endoscopic stripping treatment, all kinds of information seem to be challenging the treatment limit of endoscopists.

"An elderly patient was diagnosed with an extremely rare early-stage esophageal cancer of the whole circumference in China, and needed ESD surgery."

"The first time Huaxia's endoscopic surgery became famous internationally, it started with me."

Standing on the operating table, looking around, he couldn't help smiling when he saw everyone's suspicious eyes.

In addition to the anesthesiologist, the second assistant, the nurse, there are also some young doctors who are observing.

You must know that the operation under the endoscope is very different. If the cut is not thorough, it is equivalent to not doing it. If you cut too much, the risk of bleeding and perforation will also increase sharply. In addition, the degree of esophageal stenosis after surgery You can't ignore it either.

Because most of the difficult operations in the department are controlled by Director Zhu, he usually performs second- and third-level operations.

He slapped his thigh with excitement on his face.

"I didn't expect that," he said approvingly, "You did it better than I imagined. You didn't even bleed from the wound. You just missed a step. Other students might have to use hot forceps to stop the bleeding. It doesn't look so pretty anymore."

"At first, I thought, if you can do it, even if you are a teacher, you can record it and participate in the competition. If you can't do it, you can continue to study. I can watch it by the side."

There was never such a moment when He Sheng had an incomparably deep understanding of that familiar words.

As a disadvantaged subject with the most patients and the weakest strength, general surgery was naturally the first to be targeted by the hospital, and it was called the highlight of reform and innovation.

"Twenty years ago, I wanted an Olympus endoscope but couldn't get it, so I had to modify it myself and make crude instruments with crochet hooks."

The expected blood oozing from the wound did not appear. Under the ultrasonic scalpel, the mucosal tissue was cut and stripped smoothly like a hot knife cutting through butter, and there was no trauma to the nearby blood vessels.

The thought flashed through his mind.

I thought that I would have the opportunity to take over this glorious and great task from my teacher and make my mark on the international stage.

He couldn't help but his heart trembled violently, his limbs trembled, and his eyes were moist for a while.

"Teacher, don't worry, I will not let you down."

He Sheng clenched his fists, and resolutely uttered these words.

(End of this chapter)