As mentioned before, it is not difficult to place a stent by following standard procedures. What is difficult is the surgeon's advance planning: he must think carefully about where to place the stent.
Determining where to place the stent will affect the difficulty and success of the operation.
This is where most of the time is spent in the interventional surgery room with big guys. This is why some patients don’t understand and always mistakenly think that the doctor is not working in the operating room but chatting.
Only when doctors can "chat thoroughly" and perform the operation in one step, can patients truly suffer less pain.
This is the complete difference between the big guys and the shrimp.
This is exactly the topic that Dr. Lin Chenrong and Dr. Shen Youhuan were talking about.
The magic that Dr. Xie mentioned should be reflected in this: finding where to place the stent is like magic.
"Move it down a bit?" Dr. Lin Chenrong said, pointing to the patient data graph collected on the machine screen.
Doctor Xu and Professor Zhang, who were standing nearby, watched the two teachers discussing stent placement for a long time and felt very nervous. Could it be that the two teachers felt that this operation was extremely difficult and they could not do it themselves?
...
...
Wrong.
Doctor Lin Chenrong turned around and said to Doctor Xu who had replaced Professor Zhang on stage, "Get ready. You will be asked to do it yourself soon."
Dr. Xu was frightened on the spot: Ah, are you really going to let him do it?
The people in Professor Zhang's team may not be as skilled as the bigwigs in the capital, but they have basic judgment on the difficulty of surgery. The surgery here is obviously much more difficult than the cerebrovascular part, so the cerebrovascular surgery was done first.
Just by comparing the imaging images of the lesions required for the two parts of the surgery, a layman can probably tell at a glance how difficult the surgery is.
Simply put, the diseased section of the cerebral blood vessel where the stent is placed is clearly visible in the picture and gives the impression of being straighter and thicker.
The section with cardiovascular disease is divided into two forked blood vessels. In the picture, it looks like two small branches that are not growing smoothly and are twisted and have many branches.
It is obvious that it is more difficult to place a stent in a twisted blood vessel than in a straight one. The difficulty lies firstly in the doctor's ability to determine the specific three-dimensional direction of the blood vessel from the image. Secondly, the doctor's brain needs to coordinate the conversion between vision and tactile feel. The more complex the graphics, the more complex the hand-brain coordination required.
Even though it is so difficult, we really have to let Dr. Xu do it. Don't forget that their mission this time is to help people improve their skills, not simply perform surgery on people.
Xie Da Mo Wang's request was indeed not outrageous and followed the rules.
It was obvious that Dr. Shen, Dr. Lin and others were motivated by Xie Juanwang and could not resist this volume.
Doctor Lai Hui was watching from the next room and nodded: Come and roll with me quickly.
Professor Zhang in the audience dared to ask for Dr. Xu: "Is he okay?"
Is it okay? Professor Jiao in the control room turned around and looked at Dr. Xie again with a deep gaze, and said, "What do you think they should do?"
You were the first one to say "magic trick", and it seemed that in the eyes of the seemingly old-fashioned teacher Jiao, this kind of joke would easily backfire.
Doctor Xie Wanying said seriously: "First of all, in this case, we generally do not place two vascular stents in the heart at the same time during the acute phase of the operation. First, we are afraid that the patient's heart cannot bear it, and second, interventional surgery emphasizes the principle of placing as few stents as possible."
As mentioned before, the subsequent side effects of the stent are that the stent placement process involves implanting a foreign body into the human body, which is particularly irritating to the patient's heart. Sudden heart problems in patients during interventional surgery are a relatively common accident.
Placing fewer stents can reduce side effects, so doctors are required to be more precise when placing stents.
In fact, if the patient's condition is really serious and two stents are needed to save his life, it is possible. And even if only one stent is placed, the difficulty of the operation is not reduced.
Emergency surgeries like this mean first aid, and the blood vessel chosen to be inserted must be the one with the most severe stenosis, requiring emergency treatment.
This patient happened to have the most severe circumflex artery stenosis.
Compared with the anterior descending branch, the circumflex branch is more like a branch extending horizontally with a tricky angle, no wonder it is called the circumflex branch.
The images taken by the "smoking" film are from a two-dimensional angle, and the doctor needs to rely on himself to associate the two-dimensional image into a three-dimensional image and then apply it to the feel of the hand.
Moreover, such a difficult operation needs to be performed successfully in one try by a young man like Dr. Xu.
"Yes." Professor Jiao said, "I don't think you can do it."
Professor Jiao pointed out the points he could see from the current case examination pictures and said, "As you said, it is difficult to put this alone in."
Don't underestimate the masters of modern Chinese medicine and acupuncture, they also know human anatomy very well.
Dr. Xu in the interventional room looked like he was about to tremble.
Doctor Xie Wanying said: "It's not difficult. You can change the patient's position slightly. This is the same as acupuncture for difficult acupoints. Acupuncture points should be selected based on the patient's condition and the doctor's convenience to ensure the patient's maximum safety. It's the same with Western medicine."
When Dr. Xie said this, teachers Shen and Lin were performing magic. They were really instructing the surgeon on the angle to adjust the operating table before operating.
The people around watched as Boss Jiao's expression gradually turned stiff.
Jiao didn't look back. He knew that he had been slapped in the face without watching the operation. What embarrassed him was that Dr. Xie actually used his expertise in traditional Chinese medicine to refute his precise point.
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