Chapter 1292: Funny! (Please subscribe)

The duodenoscopy steadily passed through the pylorus and entered the duodenum. The few turns seemed to have no interference with the operator. The fiber pipes in his hand seemed to be given life and traveled through the intestine without any obstacles.

Academician Chu has had gastroscopy and colonoscopy all his life, and his experience can be said to be quite rich.

When he saw this scene in front of him, he felt a little desperate.

Huang Lao is really old and stronger, and old and more spicy.

His major is cardiothoracic surgery, but the operation of duodenoscopy is more than a little better than that of myself.

The ability to send the duodenoscope in without barriers is amazing just this move.

Academician Chu doesn’t know about it all over the world. But just a pre-action can be done by anyone across the country.

Doctors from all over the world in the venue were experts in duodenoscopy, but none of them could do this.

Suddenly sounds one after another.

But everyone still restrained their emotions.

After all, the old man said he wanted to complete the treatment of ampulla cancer. If he couldn't even get into a duodenoscope, it would be the biggest joke in the medical field this year.

This step is indeed good, but it is also necessary and inevitable.

Lu Tiancheng looked silently at the image data transmitted on the projection. After a period of operation, he had already touched the threshold of gastroenteroscope.

To achieve the level of Huang Lao’s fingers in front of him, it may be the legend of the unity of man and sword in martial arts novels?

No matter what, you can't do it yourself.

Moreover, Lu Tiancheng knew that not only was he not able to do it now, but he probably wouldn't expect to achieve the state of unity of human management in this life.

Old Huang is eighty and is still so powerful!

Lu Tiancheng suddenly thought that Mr. Huang was the ancestor of cardiothoracic surgery. He was so skilled in gastroenteroscope that he didn't seem to be a change in career.

In addition, Mr. Huang said that ESD surgery was studied by him more than ten years ago to treat early lesions and severe atypical hyperplasia of esophageal cancer. Lu Tiancheng's mentality has changed that he had not noticed.

ESD surgery should not be considered a career change, it is also the scope of cardiothoracic surgery.

The last hurdle in Lu Tiancheng's heart was invisibly passed, and the surging rivers flowed to the sea.

The lesions quickly appeared on the screen, and there was a bulge change in the ampulla of the duodenum, shaped like an ulcer.

"Academician Chu, you think this is early cancerous." Lu Tiancheng looked at the screen without blinking and asked in a low voice.

"According to Mr. Huang's opinion, a series of examinations should have been done before this. There should be no doubt about the diagnosis of early cancer. If you don't know the specific stage or type, you will not know." Academician Chu replied.

As he was speaking, the surgeon had already used a needle-shaped incision surgery to position the edge of the lesion.

Six incision points fell around the lesion like plum blossoms, 0.8cm away from the center of the lesion.

Even with a duodenoscope, Huang Lao's operation is still as stable as Mount Tai, and it is extremely accurate.

0.8cm, 6 points, ordinary people have no "mistakes".

Experts can tell if there is any one.

Even if they were not surgeons, the doctors attending the meeting knew that the surgeon seemed to be very casual and accurate to the point where they were outrageous.

Moreover, he did not hesitate at all. He rotated the duodenoscope like eating and drinking water, and instantly marked the edge of the lesion.

The sci-fi sniper is like a experienced top sniper, without using a scope to raise his hand and shoot the head.

Academician Chu's fingers moved slightly. He had done similar training recently, and there were so many surgeries that he could not help but put himself in the picture when he saw it.

But he could not simulate the operation of the surgeon at all. It was a kind of skill that was deeply rooted in the bone marrow and was like ESD surgery that had been going through life.

Academician Chu knew very well that just this step, it would take at least 5 minutes to change himself to the main surgery.

Not to mention the long time, the positioning position is absolutely impossible to be correct at all. It is 0.8cm to say that it is 0.8cm.

Mr. Huang is like a machine, standing in the position of the surgeon. Whether it is undergoing ordinary thoracic surgery or thoracoscopy, heart surgery, interventional surgery, or even duodenoscopy for ESD surgery, it is generally calm and accurate.

It's really amazing! Academician Chu sighed in his heart.

It was only a moment of emotion. The scheduling and his assistant cooperated very well. After setting the position at 6 positioning points under the camera, the needle of the syringe was sent in and appeared in the field of art.

At a position 0.4cm outside the positioning point, inject submucosal multiple points, about 2ml per point.

Not only is it fast, but the assistant is also injected completely according to the standard of the exercise script, from the anal side to the oral side, simple and standard, just like the exercise script.

This step lasts a little longer. After injection at multiple locations, the lesion position similar to the ulcer surface is "lifted" by the injection.

Academician Chu held his breath and concentrated, he knew that the most critical step was finally coming.

Next is incision, using a needle-shaped incision knife, a HOOK knife, and an IT knife to incise the mucosa along the marking point of the lesion edge.

The special test for the incision was to take the school skills. Once, the intestine perforation was caused by the intestine. Academician Chu was very scared when he encountered this situation.

But Zhou Congwen said nothing was wrong and helped Academician Chu clamp the perforation position with a titanium clip to continue the ESD surgery.

After the operation, Academician Chu observed the patient's condition with fear. It seemed that nothing was wrong with the clamped perforation. It was not until Academician Chu personally followed up for half a month after the patient was discharged from the hospital that he was relieved.

Although it's okay, it's definitely a hundred times better than having a perforation.

Moreover, it involves bleeding. In the narrow and cramped space of the duodenum, the effect of bleeding is more difficult to deal with than stomach bleeding.

It's coming, Academician Chu's hands can no longer be simulated. Following the operation of the craftsman Huang Lao, he clenched his fists tightly, as if he was cheering Huang Lao Lao.

The surgeon did not change the equipment, and the needle-shaped incision surgery that was sent in at the beginning was always there.

The needle-type incision is then gently pointed at the edge of the ulcer surface.

A little bit of red that seemed negligible appeared in Shuye. Academician Chu looked at this scene in shock, unable to believe it.

This step cannot be deep or shallow, it must be just right.

If it is deeper, it will cause intestinal perforation and you need to apply titanium clips. If you apply titanium clips in the duodenum, it will not be said about what will happen after the operation, but there will be some negative effects during the operation.

If you are afraid of perforation and bleeding, you will not be able to cut the position at all. You need to cut one knife, one knife, and one knife... The cutting pattern is renovated and the cutting is terrible.

Academician Chu has done such a thing.

However, the patient was diagnosed with ampulla carcinoma, and the tumor was repeatedly cut, which was highly likely to develop tumor implantation.

On the screen in front of him, Mr. Huang fell down with one knife, neither deep nor shallow, just outside the muscle layer. What Academician Chu couldn't accept the most was that there was almost no bleeding!

This is impossible!
Chapter completed!