After raising a cat, the goddess doctor became popular in the interstellar

Chapter 338 ESD Surgery
The patient was a 65-year-old man who came to a hospital with upper abdominal discomfort.

Gastroscopy revealed a reddened and sunken lesion in the gastric antrum, which was suggested to be high-grade intraepithelial neoplasia and localized cancer after pathological biopsy.

Just the day before yesterday, the Department of Gastroenterology invited the Department of Oncology, Department of Radiation Therapy, and Department of Gastrointestinal Surgery to discuss together, and agreed that the patient met the characteristics of early cancer and was suitable for ESD surgery.

However, there is a difficulty in this operation because the lesion is a bit large.

The oval-shaped lesion of about 7 cm x 4 cm, with unclear boundaries, caused headaches for all the doctors in the hospital.

They haven't done endoscopic submucosal dissection on such a large area.

As soon as Director Xiao gritted his teeth and stamped his feet, he was ready to face the challenge himself.

But the family members seemed to hear the beating of drums in their hearts.

The patient's son immediately said that he didn't need to work for a doctor in the first hospital, and he would hire a famous doctor to make the flying knife.

Before he could make contact, Ai Yuan appeared.

His arrival was at the right time, and he perfectly solved the confusion between doctors and patients, so there is this teaching operation today.

Endotracheal intubation, general anesthesia.The anesthetist gestured and the operation began.

Ai Yuan skillfully operated the endoscope.

The endoscope has a handle, and there are various mechanism buttons on it, which is a bit like a stick-shaped game handle.

Doctors generally hold the mirror shaft with their right hand, and control the "steering wheel" that rotates up, down, left, and right with their left hand. The two hands cooperate with each other to complete various operations far in the stomach.

As soon as Ai Yuan made a move, he showed that the observers in the classroom all held their breath and were engrossed in watching.

This is not only because of the other party's reputation, but also because of the current teaching method, which makes it impossible for them to slip away.

Thanks to Tomio, the demonstration classroom of the First Academy was remodeled last week and turned into a holographic teaching method.

Every observer is personally on the scene, standing on the side of the operating table, and observing the operation up close.

In addition to not being able to get started with the interaction, this teaching mode is many times stronger than before.

Every movement, every word spoken, and every accident handled by the surgeon is intuitively presented in front of the observers.

Director Xiao could tell at a glance that Ai Yuan's mirror-holding gesture was very different from his own.

Like many endoscopists himself, he likes to hold the handle with his ring finger and little finger, and press the insufflation button and suction button with his middle finger, but Ai Yuan is not like this.

He uses the belly of his thumb, middle finger and ring finger to make a gesture of clamping the handle of the endoscope, and controls it in the palm of his hand—the ring finger can touch any of the up, down, left, and right buttons at any time.

His index finger was on the suction button, and his middle finger was on the insufflation button, so that there would be no delay when operating at the same time.

Director Xiao nodded frequently.No wonder when I do ESD, I always feel that I have more intentions but not enough energy. It turns out that I made a mistake in the gestures.

As expected, he is worthy of being an excellent doctor in the No. [-] Hospital of Haishi City, and he has benefited a lot from the operation technique of endoscopy alone.

Tao Le just performed more than 300 ESD surgeries of the same type in the Goldfinger space, and watching Ai Yuan's operation now, his experience is deeper than Director Xiao's.

The reason why she can achieve excellence after only making more than 300 units is naturally because she has already become very familiar with the operation of endoscopes in the battle of endoscope extraction before, so it will naturally be much easier now.

The operation of the endoscope is not only the flexibility of the fingers, but also the local conditions. By adjusting the gas in the lumen to control the movement of the endoscope, and using techniques such as forceps to expose the field of view, more precise treatment can be performed.

For example, if you want to drive an extended container truck, you can only turn the steering wheel, but you can't step on the accelerator and brake.

If you want to drive the car fast and stable, and even turn extremely flexibly, you must go through a lot of training for a long time.

Ai Yuan has performed nearly [-] ESD surgeries, and there are various types of surgeries—a sky-high compared to Director Xiao.

But if it is only for the patient in front of him, Tao Le's experience can throw him countless miles away.

The operation was carried out in an orderly manner.The lesion is marked and a submucosal injection is made to raise the lesion.Mark the lesion around the ring with a needle incision knife.

Do this step, has passed three 10 minutes.

Next, it is cut and peeled.

Ai Yuan was about to make a move when Tao Le said, "Doctor Ai, please wait a moment."

Ai Yuan attaches great importance to Tao Le's opinion.He came to Yunshi No. [-] hospital, and he was aiming at her, but he stopped immediately when he heard that.

"Doctor Tao, if you have any comments, feel free to ask."

"I will do acupuncture to stop the bleeding first, and then you will cut and peel." She said while taking out the prepared disposable needle.

Ai Yuan's pupils shrank instantly.

Acupuncture and moxibustion, he saw it in the operation last night, but he didn't know why.

But now he knows, it turns out its function is to stop the bleeding.

Intraoperative acupuncture to stop bleeding?Literally unheard of, can this work?Ai Yuan was full of questions.

Not only him, but also everyone watching in the demonstration classroom holographically.

Among them, Director Xiao had heard some rumors, but the others knew nothing about it, so they didn't believe it at all.

This little Tao, instead of taking this opportunity to study hard with Dr. Ai, uttered big words instead.

If acupuncture and moxibustion can stop bleeding, we have already collectively organized and studied it. Who cares whether it is a method of traditional Chinese medicine or western medicine?

What is useful is a good means, and doctors have always been practical.

Tao Le didn't know, let alone what they were thinking.

She shot out the needle like the wind, and quickly pierced several acupuncture points around the stomach, and then signaled Ai Yuan to continue.

The latter did not hesitate to use a needle incision knife to open, and then use an IT knife to cut and peel.

With such a large wound peeled off, bleeding is inevitable.

Intraoperative bleeding is the difficulty in ESD surgery.

The commonly used clinical method is to use hot biopsy forceps to coagulate blood.However, bleeding often occurs repeatedly, and after repeated coagulation, eschar will appear and the wound surface will harden, greatly increasing the difficulty of complete peeling.

But something magical happened. Wherever the IT knife passed, not a single drop of blood seeped out.

Until the entire lesion was completely peeled off, exposing the huge bottom muscularis propria, the operative field was still clean without even a drop of blood.

Seeing this scene, the observers outside the classroom fell into collective silence, and then became excited.

Even in the environment of holographic vision, many people still couldn't restrain themselves and cheered.

Xiao Tao's hand is really handsome!

It's just a few needles, just a simple insertion, but not a drop of blood can flow out. What kind of fairy technology is this?
The older directors and attending physicians are nothing more than amazement and admiration at most, but the young people in Corey have active thoughts and have already thought of apprenticeship and study.

Young doctors in the new era have never thought about any unique skills at all. When they see new technologies, they want to share and learn.

We don't know anything about complicated acupuncture, so we want to learn acupuncture to stop bleeding.

If you can learn this, why are you afraid of ESD surgery in the future?No matter how big the wound is, it doesn't matter at all!
Moreover, ESD surgery is not the only place where bleeding needs to be stopped in gastroenterology.

At this moment, when everyone looked at Tao Le again, they felt completely different from before.

　The child will resume classes next Monday, and will go to school to do nucleic acid this morning, and the second shift at noon may be slightly delayed.Well, in fact, the second watch time was a little later a few days ago, so please bear with me.

　　Thank you Yingying Yingying for the one hundred starting point coins!Thank you for your monthly tickets, subscriptions, recommendation tickets and comment support!In the near future, Xiaohai will speed up the pace of the plot and optimize your reading experience. Please continue to support this book!
　　
　
(End of this chapter)