Everyone looked to Dr. Xie for an answer.
"The reduced hole is an auxiliary hole, so when there is only one hole left, the size remains unchanged, and it can even be made smaller," said Dr. Xie Wanying.
In the past, the four holes of thoracoscopy consisted of a main operation hole, an observation hole, and two auxiliary holes. The auxiliary hole was definitely the first to be removed. The observation hole can actually be considered an auxiliary function. Ultimately, the only hole left for single-hole surgery was the main operation hole.
The benefits are certainly more than just scar reduction.
Whether it is four holes or three holes, the holes should be made on the chest wall. When the hole in the chest wall is made to enter the chest cavity, the doctor's knife should be inserted into the human chest cavity through the intercostal space, which is equivalent to injuring the intercostal nerves.
Even if cardiothoracic surgery becomes minimally invasive thoracoscopic surgery, surgery is still a traumatic job, and intercostal neuralgia is the most common postoperative sequelae of this type of surgery.
By analogy, it is easy to understand that the fewer surgical openings, the better.
"I understand." The patient's family summarized the doctor's words, "Small incision, less incision, less damage, faster recovery, and fewer sequelae."
Then, Liang Xiwang replied to his father: "This kind of surgery is good, why haven't I heard you talk about it before?"
...
...
"Our hospital is just researching it. It's like studying chemistry. Chemistry is endless, and the same is true for medicine."
"What they mean is, Dad, your hospital can't do this surgery, but Doctor Xie can? Why?"
Director Liang immediately explained to his daughter that his hospital was not incompetent: "Single-port surgery has many technical problems to solve. You have to understand that if single-port surgery was easy to perform at the beginning, it would not have been four-port surgery at the beginning."
What are the technical difficulties of single-port surgery?
Dr. Xie Wanying gave the family members another analogy: "Single-port surgery is equivalent to putting multiple chopsticks into a narrow bottle mouth. Then these chopsticks have to perform various operations in the bottle. It may be two chopsticks working together, or one chopstick can do one operation."
"this?"
"If you think about it, you will know that chopsticks will fight inside. This is a common phenomenon in laparoscopic surgery."
Ms. Liang Xi understood and whispered to her father, "Dr. Xie's explanation is really good. He must be a top student."
Dean Liang nodded, his daughter was right.
My daughter works in scientific research at a university and knows what top talents are. Top talents are those who can explain complex academic principles clearly and distinctly.
"There's more to it than that—" Dr. Xie Wanying continued.
"Why?"
Hearing the voice coming from his father, Liang Xi turned around and asked: Dad, don’t you know?
Dean Liang shut up: It’s okay if you don’t know how to solve the single-hole technical problem, but it’s really embarrassing if you don’t even know what the technical problems are.
In fact, it is not surprising. Clinical technology is a practical work. Many difficulties need to be discovered in continuous practice and cannot be discussed on paper alone.
Zhang Da Lao and his group of Guo Zhi people all pricked up their rabbit ears and listened with their eyes wide open.
There's no way, because they haven't even started the first step of the practical experiment and have no idea what difficulties are waiting for them ahead.
"This type of operation cannot be performed by one doctor alone," said Dr. Xie Wanying.
Don't think that single-port surgery only requires the surgeon to perform the surgery alone. Even robotic surgery cannot do this. Of course, the benefits of robotic surgery are self-evident, and it is the closest technical path to a surgery that can be performed by one person.
"In the future, if you want a doctor to complete an operation alone, you will have to use single-port robotic surgery," said Dr. Xie Wanying.
Dean Liang can finally breathe a sigh of relief.
According to what he knows, Guozhi is ahead of the National Association in surgical robot research.
"No one can ever surpass anyone in technology. Dean Liang, you are a thoracic surgeon. You know that lungs are like trees, and technology is also like trees. They develop in a cross-cutting manner."
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