Everyone turned around and found that it was Dr. Cao Yong, the husband of Vice Leader Xie, who spoke. Dr. Cao Yong was very frugal with words now, and didn't want to speak carelessly and offend his wife. To be a good husband, one must be a good wife.
"Do you two usually get along like this at home?" Teacher Xiao took the opportunity to show concern for Cao's private life.
Doctor Cao Yong was equally blunt when addressing his senior colleagues in the department: Let’s be serious!
"Esophageal leiomyoma." said Dr. Xie Wanying.
Let’s first review what this tumor is for those who don’t know much about gastrointestinal tumors.
Esophageal tumors are usually malignant. If they are found to be benign, they are mostly esophageal leiomyoma. It can be said that esophageal leiomyoma is a tumor with a very low malignant tendency. Surgery is very meaningful. After resection, it rarely recurs and can become a benign tumor that can be cured.
The anatomical structure of the esophagus has been mentioned before. It is divided into three layers, from the inside to the outside, the mucosal layer, the muscular layer, and the adventitia layer. The muscular layer is divided into two layers: the inner circular layer and the outer longitudinal layer. The outer layer of the upper third is skeletal muscle, the middle third is a mixture of skeletal muscle and smooth muscle, and the lower third is smooth muscle.
From this you can know where the leiomyoma grows from.
The tumor resection surgery requires cutting open the outer layer of esophageal muscle to expose the tumor. When cutting, the patient's esophageal structure without disease should be preserved as much as possible. A precise dissection surgery is required, which means separating the tumor from the mucosal layer.
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After hearing this, everyone's thoughts seemed to become clearer but also very confused. As the gastroenterologists said, how can internists use gastroscopy to help surgeons separate the tumor from the mucosal layer?
People can't imagine it.
We need to listen carefully to every word Dr. Xie Wanying says.
Doctor Fan Yunyun's little fan repeatedly threw out the famous quotes of fans: "Senior sister just said that she learned the skills from Teacher Zhang before."
Junior Sister Fan remembered every word of Senior Sister Xie.
Now, Dr. Cao Yong, who was watching the operation, understood his wife's idea: "Inflate."
Young people naturally take longer to react.
The other big guys all followed suit and responded, "Inflate and expand, expose the area."
Many tissues in the human body are soft, and the inner space is like a balloon. After being inflated and expanded, the tissue boundaries will become more clearly visible, like the surface of the inflated balloon.
After everyone understood the principle of the operation, Teacher Ming immediately turned around and asked the young doctor in his department: "Doctor Jiang, can you do this technique?"
Inflating is easy, just pump it up and you're done.
Having said that, where to inflate and how much to inflate is a very sophisticated endoscopic technique.
If you inflate a balloon and it bursts, you will be in trouble.
If the air is not pumped enough or not injected into the right place, inflating the esophagus can be like inflating several gourd-shaped balloons connected together, which is of no help to the surgeon.
Let’s recall that Jiang Mingzhu also encountered this technical hurdle when she underwent gastroscopy surgery before, and she was finally helped by Dr. Xie.
Doctor Jiang's face and lips were stiff.
It is obvious that Dr. Jiang did not fail to consider these things before. He hesitated at the beginning because he had considered them, but in the end he had to show his determination with courage.
"I'll do it for her."
A hand was raised from behind the crowd.
Teacher Ming turned around and said, "Doctor Yu, have you been here?"
Doctor Yu Xuexian quickly explained: "No, I just arrived."
"No need for you, I know what to do." Doctor Jiang Mingzhu spoke again.
"Are you sure you can?"
"Yes, I think I can do better than Dr. Yu in this area." Dr. Jiang Mingzhu said seriously that she was not arguing with her husband out of anger. "If it is a technique that he is good at, I will let him do it."
This technique requires the most carefulness and patience, in this respect she is better than Dr. Yu.
It was Zhang the Great Demon's turn to trick Deputy Leader Xie: "Doctor Xie, who do you choose?"
Department of Cardiology: Senior Brothers Shen and Jin looked at her.
Department of Gastroenterology: Senior Sister Jiang and Senior Brother Yu looked at her.
Can't it be? Li Qi'an felt smart and said something that others didn't seem to dare to say: "Can't all four of them go?"
If all four of them come together, will it become a combination of Teacher Tan and Senior Brother Tao? The problem is that endoscopic cardiac interventional surgery has always been a one-person operation, and it is impossible to have two surgeons.
Squad leader Yue went up and slapped Li on the head: I finally caught you, you idiot.
The big devil Zhang was happy, and he grabbed the words of the National Association rabbit Li and said, "Okay, everyone, more people will do their best."
No one thought that the Big Devil had good intentions when he said this, although it sounded right.
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