The doctors here are not unwilling to think of new methods, but they must ensure that every surgical plan is 100% feasible. This is a manifestation of a highly responsible attitude.
"I have something to say." Xie Wanying thought it through and raised her hand.
Maybe there are some things that Senior Brother Tao is not easy to say, so let her say them.
The others looked at her, wondering what she could say at this time.
"Okay, you go ahead." Zhang Huayao turned around and pointed at her.
"The biggest disadvantage of performing this surgery entirely laparoscopically is that the surgical procedures are too complicated. If we follow the steps of laparoscopic surgery, it will be more time-consuming than traditional surgery, which means that one surgeon is not enough. Therefore, I suggest adding a surgeon to this entirely laparoscopic surgery to greatly shorten the operation time," said Xie Wanying.
The doctors present were stunned after hearing what she said: Two surgeons?
"You mean this dual-surgery?" Section Chief Yang frowned. He didn't think she was talking nonsense. After all, he had seen her hands-on ability and had some trust in her talent. It was just that the concept of dual-surgery was indeed somewhat different from practice.
"It's not like there has never been a dual-chief surgeon." Fang Xueqing, who is not a surgeon, knew about this surgical past and recounted it, "but it was not popularized. Dual-chief surgeons have no advantage over a single chief surgeon."
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In traditional laparotomy, there is only one incision, and if the surgeon uses both hands to operate, the operating area will be almost completely occupied, leaving no room for another person's hand. In addition, if there is anything, the surgeon's ten fingers are enough.
Because the doctor's hands are the biggest weapon in surgery. In the open abdominal cavity of the patient, the doctor's hands can change angles as he pleases, and his fingers can move as he pleases. The ten fingers of a person are so flexible and ingenious that no other instruments can match them, so there is no need to use two surgeons. Using two surgeons would make the operation look messy.
However, laparoscopy may be different.
This epoch-making new technology, which is developed based on traditional surgery with the help of other scientific and technological revolutions, has its own characteristics that are very different from open surgery.
Facing the doubts of others, Xie Wanying began to talk: "Laparoscopy is a procedure in which the surgeon holds instruments and enters the patient's abdominal cavity through an operating hole, using the instruments instead of the doctor's hands to perform the operation. The functions of surgical instruments are basically relatively single, and the surgeon may need to replace the surgical instruments when he wants to change the operation. The instruments go back and forth in the operating hole, which takes a lot of time. If the operation goes smoothly, there is ample operating time, which allows the doctor to make various attempts to solve the problem. The most feared situation is an emergency, such as sudden heavy bleeding and not being able to find where the bleeding is. In this case, the doctor does not have time like usual, so he can only quickly switch to open surgery."
Others listened: Yes, yes, that's what she said. These are the shortcomings of laparoscopy. Many laparoscopic surgeries are urgently converted to open surgeries based on such situations and reasons. Therefore, for a long time, hepatobiliary surgery did not even dare to perform laparoscopy on liver cancer. Who said that liver resection is too prone to heavy bleeding, and doctors can't react to it with only surgical instruments.
The question is, can adding another doctor to perform the surgery really solve this problem?
Xie Wanying continued to analyze the characteristics of laparoscopes: "The operating hole is fixed. If there is only one surgeon, he will stand in a fixed position and want to coordinate the instruments held in his two hands. Because the angle is fixed in some way, it is impossible for the two hands of the doctor to coordinate freely like in open surgery. Not to mention that human hands can bend freely. No surgical instrument can bend like human hands. Therefore, if an additional surgeon is added and stands at the opposite position, this operating angle problem can be solved well."
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