Chapter 491 Competition Surgery Video

From that day on, He Shengcai studied even harder as if he had been given a shot of blood.

At the same time, he is also practicing more surgical procedures, such as endoscopic bile duct stent implantation, endoscopic duodenal polypectomy, pediatric endoscopic surgery, etc.

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

Among them, level 4 gastrointestinal endoscopic surgery is his focus.

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

First-level surgery is the simplest, and appendectomy is a first-level surgery.

Second-level surgeries include enterostomy, perforated gastric ulcer repair, splenectomy, and rectal mass biopsy.

These two levels of surgery are not very difficult and can be performed by any junior attending physician, or even by an excellent resident doctor.

Tertiary surgeries include cholecystectomy, intestinal polypectomy, gastrectomy and other partial organ resection surgeries, which are the battlefield of senior attending physicians.

As for level 4 surgeries, a mandatory requirement for associate senior doctors is that they can perform most level 4 surgeries.

He also taught himself difficult fourth-level surgeries such as ESD surgery and G-POEM technology, and then he met several patients whose symptoms were not too serious, and then he had the opportunity to practice them.

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

"Teacher, how long have you been here?"

He has also watched some award-winning videos from previous years, and his surgical performance was extraordinary, not inferior to those of the finalists.

"Chinese endoscopic surgery became famous internationally for the first time, and it started with me."

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

"Twenty years later, domestic endoscopes have actually outperformed the previous ones, with their own technologies and breakthroughs."

"Now, for the first time, China's endoscopic equipment has become internationally famous, and I am the one who started it."

He Shengcai's head was dizzy and his heart was numb. He came to the office and drank a glass of water to calm down.

He silently recited the surgical procedures in his mind, and his mood gradually became as calm as water, without any disturbance.

"From this moment on, prove yourself."

Only when Director Zhu is on a business trip for a meeting or flying a knife, he can pick up leaks and perform some level 4 surgeries.

He Shengcai showed a smile and said humbly as usual: "No, no, everyone deserves the praise. I only have the skills I have now after coming here for further training. If I want to praise him, I should praise Professor Zhou for his teachings."

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

If he were in the teacher's position, would he be able to achieve the same results? He could only shake his head with regret.

He lowered his head and operated skillfully, relying on his solid technical skills and rich surgical experience to avoid blood vessels, carefully build tunnels, and then gradually peel off the mucosa.

"Actually, I was the one to perform this surgery, but full-esophageal ESD surgery cases are very rare. This surgery is not particularly difficult. I think you just need a case to make a video of the surgery, so I'll leave it to you."

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

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

"Preoperative endoscopic iodine staining revealed that the diseased mucosa was 14 centimeters long. It was extremely difficult to completely peel off the entire diseased mucosa."

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

"The intubation was successful under anesthesia. During the operation, it was found that the mucosa of the esophagus 23-35 cm from the front teeth was rough and eroded."

Elderly patients, underlying diseases, peripheral lesions, intraoperative bleeding, endoscopic dissection treatment, all kinds of information seem to challenge the treatment limits of endoscopists.

After Zhou Ruping said these words, he suddenly reached out to straighten his hair, smoothed the messy hair, and sat upright.

Zhou Ruping waved his hand: "I called you here just for this reason. According to your opinion, how is the ultrasonic scalpel under the hose used? Compared with the electric scalpel? Is it more difficult?"

He Shengcai scratched his head and said with some embarrassment: "That's the result of using the ultrasonic scalpel. If others use the ultrasonic scalpel instead of the electric scalpel, they can definitely do it as cleanly as me."

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

Soon, everything was ready and the operation began.

Asking yourself carefully, I am just a layman. Apart from my interest in learning technology, I mainly do it for promotion, but I don’t have such a profound consciousness.

After all, a minimally invasive surgery costs 10,000 to 20,000 yuan, or costs several thousand yuan, which is much more cost-effective than anti-cancer drug treatment that costs more than 100,000 yuan.

"How's it going? Have you selected the surgery videos for the competition?" Zhou Ruping got straight to the point and asked directly.

This thought flashed through his mind.

However, He Shengcai was a little surprised that difficult ESD surgeries were usually performed by the chief physician and were handed over to an attending surgeon.

He Shengcai looked at the surgery arrangements and couldn't help but be stunned.

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

"Originally I thought that if you can do it, even if you are a teacher, you can record it and compete. If you can't do it, you can continue to study. I can watch from the side and tell the truth."

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

"Not long after your operation started, I came here and have been watching until now. As I expected, you have completely mastered the ESD operation."

"It's decided, this time I will put my old face on the line, and I will send Sanqing's equipment into the endoscopic surgery room even if I don't have the reputation of the past ten years or so."

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

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

"An elderly patient was diagnosed with an extremely rare circumferential early esophageal cancer in China and required ESD surgery."

"Of course, mastering any new technique requires a lot of practice, which is inevitable."

"Twenty years ago, I wanted an Olympus endoscope but couldn't get one, so I had to modify it myself, using a crochet hook to make a simple instrument."

ESD surgery is inherently a level four surgery with very high technical difficulties. The thickness of the esophageal wall of an average person is only 4 mm, and the mucosal layer is at most 1.5 mm. ESD surgery must completely peel off the lesions within 1.5 mm, so the difficulty can be imagined.

"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. If it can be done without blood and trauma, it is the best surgery for the patient."

He Sheng took two steps forward and watched his smooth operation on the surgery video. There was no bleeding or fireworks at all. It was extremely pleasing to the eye.

"This," he was so moved that he blurted out: "Teacher, have you been prepared for this?"

"I'm actually not the first assistant, but the chief surgeon."

"After all, electrosurgery relies on heat to stop bleeding, and damage to surrounding tissues during cutting is inevitable. If ultrasonic scalpel is used, intraoperative bleeding and hemostasis will be much more convenient, and the trauma to the patient will be less."

"Mark the area around the lesion under gastroscopy, and inject epinephrine-melan injection around the lesion."

If nothing else goes wrong, he should either take the path of retiring after being in charge of Buddhism for ten thousand years, or be squeezed out by Director Zhu.

Zhou Ruping sighed with emotion: "Yes, I am used to using foreign equipment and have formed a fixed mindset. In addition, other domestic manufacturers have not been able to live up to their expectations and have not been able to break the monopoly of Olympus. Who would have thought that domestic endoscopes can actually

So powerful."

Before He Shengcai came to study, he was very proficient in level 3 surgeries and a little bit better in level 4 surgeries. However, due to limited conditions, he did not have many opportunities to practice.

"The lesion was not raised well, so we used an ultrasonic scalpel to gradually separate it in the tunnel and remove the entire lesion."

In two words, it is smooth + clean.

"I heard that you are still the attending doctor? This time you came to study for promotion. To be honest, with your level, you are more than enough to be the deputy director of a tertiary hospital."

He Shengcai smiled apologetically and said, "I can't blame you for thinking so. After all, Olympus endoscopes have been a monopoly for decades, and everyone is used to it."

In addition to performing severe and difficult surgeries, senior associate senior doctors are also required to introduce new surgeries or newly designed procedures.

As for operations such as organ transplantation, unfortunately, Director Zhu does not know how to do it. Moreover, Kunshi is a small place after all, so close to Haishi. Whenever a patient needs a transplant, the first choice is to go to a top-level hospital in Haishi.

Everyone was talking congratulations, including some foreign doctors who were amazed.

He slapped his thigh, his face showing excitement.

He had used Sanqing many times when he was first sent to the hospital in Kunming for trial use.

When you become a chief physician, in addition to various difficult surgeries, you also have to perform organ transplant surgeries, which also puts forward higher requirements on innovation ability and requires you to develop and design new surgical procedures yourself.

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

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

"Your skills can only be used as primary care in your hospital? This is too complicated."

Fortunately, the accident happened and the hospital received strong support from above to support key departments.

As a disadvantaged subject with the largest number of patients and the weakest capabilities, general surgery is naturally the first to be targeted by the hospital and is called the highlight of reform and innovation.

"Dr. He, your skills are really amazing."

He looked at the patient's case and frowned.

"The prototypes sent by Sanqing are not only no worse than Olympus, but the flexible and hard-tube ultrasonic scalpels they are equipped with are even more powerful than Johnson & Johnson's. I am really impressed."

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

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

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

At this moment, he thought of the "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 and single-handedly transformed China's endoscopic surgery.
To be continued...