Back in 2002 as a doctor
Page 336
Academician Chu held his breath and stared intently at Zhou Congwen's field of surgery.
For a moment, academician Chu even had the idea that Zhou Congwen made a mistake, which led to the failure of the operation.
But in an instant he blamed himself.
How is this kind of thinking a doctor should think!
Academician Chu was tangled and contradictory, and stared blankly at Zhou Congwen performing the tracheal anastomosis.
Suddenly, a strange thing appeared on the screen. After seeing this thing, there was an uproar in the grand staircase meeting room.
"what is that?"
"I don't know, why do I think it looks like a bronchoscope lens?"
"Why did you have a bronchoscopy so early? Isn't it possible to use a bronchoscopy after the anastomosis? Now..."
"I'm going! I got it! The operator is going to use a bronchoscope as an observation port, and perform an anastomosis by looking at the situation inside!"
There was a tidal wave of discussion, and academician Chu didn't understand what it meant, so he peeked at Huang Lao.Huang Lao remained motionless, but his eyes narrowed even tighter, as if he didn't want to miss a single frame.
On the screen, the assistant clamps the lower lobe of the right lung with oval forceps and fixes the lower bronchi of the right lung.
Zhou Congwen used 3-0 Prolene suture to continuously suture the right main bronchus and right lower lobe bronchus.At the same time, Academician Chu obviously felt that Huang Lao was no longer indifferent. He seemed a little nervous, and he no longer tapped the armrest of the chair with his fingers.
This is the most difficult part of the lobotomy sleeve surgery. Academician Chu stared at the screen intently, still tangled in his heart.
The surgical field of the bronchoscope cannot be seen on the surgical screen, but Zhou Congwen's anastomotic movements are still clear.
The order of the anastomosis is also said. Zhou Congwen's needle sutures the mediastinum side, the back side, the outside side, and the front side in sequence, tightens the sutures, and knots them closed.
Then he did not end the anastomosis, but strengthened the suture at the junction of the bronchial membrane and the cartilage to ensure safety.
The most difficult anastomosis was completed without any surprises. Academician Chu obviously felt that Huang Lao's body loosened, and his body bent again.
He turned his head to look at Chu Yuntian's surgery field. The surgeon didn't know if he changed it or not, but no matter whether he changed it or not, that side was still free...
This gap is really embarrassing.
Academician Chu even felt countless eyes cast on him from behind, whispering and slandering himself and Chu Yuntian, and even the Mayo Hospital was discussed and despised.
Ugh.
If you know today, why should you be in the beginning.
Academician Chu heaved a long sigh.
In Zhou Congwen's operation field, he has already begun to inject warm saline with a syringe for flushing.
After confirming that the warm saline overflowed the tracheal anastomosis, the operation was temporarily stopped, and the anesthesiologist began to inflate the lungs.
The airway pressure is <30cm H2O, and a small amount of gas leaks out.Zhou Congwen sewed up a stitch at the location of the air leak, and then checked again.
No air leaked out, a closed chest drainage tube was placed, and the operation was declared over.
Academician Chu slumped on his seat, watching Chu Yuntian's operation on the operation screen in a "stupid" manner.
Even Mayo's surgeon and Chu Yuntian's teacher personally held the knife, facing the tumor infiltration of the pulmonary artery, he couldn't take into account the speed and focused on freeing it.
Less than 10 minutes later, the screen on one side went dark, and Zhou Congwen's operation was successfully concluded.
Academician Chu felt sour and a little dazed.
He has only one thought now - don't open Chu Yuntian's chest during surgery!
If the laparoscopic surgery was performed to open the chest, my son would probably be stabbed in the spine for the rest of his life.
Although switching to thoracotomy is also a normal choice, who made this a demonstration operation!
The tolerance for demonstration surgery is extremely low, because this kind of behavior is to pretend to be aggressive in front of colleagues, and it is clear that you want to be a teacher of others, so you will do demonstration surgery.
In the end, he didn't show his face, but showed his butt instead. No matter how ugly it is, others will not begrudge their own ridicule. This matter will be a joke in the next year, a big joke!
Academician Chu silently watched the operation process on the only lit screen, while Chu Yuntian and his teacher continued the operation with difficulty.
Suddenly, the door opened, and a group of people in isolation suits walked in.
The leader was Director Deng Mingdeng of the 912 Hospital. He seemed a little embarrassed, and walked in with his body slightly sideways in an awkward posture.
This is the beauty of unwillingness to take away, and everyone knows it.
Then came the familiar face of academician Zhang Chu - Zhou Congwen.
There was a tidal wave of applause behind him, and the doctors of thoracic surgery across the country didn't mind giving the warmest applause to the operator who successfully completed a surgery with difficulty breaking through the sky.
Zhou Congwen smiled and went straight to Mr. Huang.
When passing by the rostrum, Zhou Congwen glanced sideways at the screen and paused slightly.
Li Ran who was behind accidentally bumped into Zhou Congwen's back, he quickly raised his hand and pulled the corner of his mouth, "showing" a smiling face.
"Boss, what happened to that operation?" The smile on Zhou Congwen's face disappeared, and his serious expression seemed a little angry, as if he disliked his opponent for not being strong enough.
Those who watched the live surgery were stunned, and their applause died down.
The operation has already been won, so how come he still utters sarcasm without showing any sympathy, there is no room for...
Academician Chu's face was livid, and he really wanted to stand up and kick Zhou Congwen out.
Doesn't he know the truth about being forgiving and forgiving?When he came in, he seriously reprimanded his son for not finishing the surgery.
Is there anyone like him!
mad!
It's crazy! !
Crazy to the limit! ! !
"Oh." Huang Laobi did not reprimand Zhou Congwen, but shook his head helplessly.
"As for the preoperative documents, let me take a look." Zhou Congwen looked at a director of thoracic surgery sitting in the second row behind Mr. Huang.
The director quickly stood up, smiled admiringly at Zhou Congwen, who had just completed the difficult task, and handed over the preoperative materials.
"There is nothing wrong with the video. This is an accident." The director said something "fair", which made Academician Chu feel a little better.
The other doctors were still applauding, but in an instant they saw Zhou Congwen about to tear him apart, and everyone was stunned.
Huang Laoxin's young apprentice has great skills and even more temper.
He has already won a game, so why not give people a way to survive.In the future, if you don't look up and see you down, you won't just tear down the bridge now and don't give the other party a way out.
However, the surgery was so ugly that it couldn't be compared with Zhou Congwen's surgery, so it's normal to be scolded.
Some people had already lowered their heads, unable to bear to see Academician Chu embarrassed; others watched with great interest, to see how this little apprentice Huang Laoxin had taken in was going to deal with Mayo's group of guys with their eyes above the top.
But more people were confused and had no idea what Zhou Congwen was talking about.
After flipping through the materials, Zhou Congwen frowned and asked, "Boss, I remember you reminded Academician Chu before the operation."
Huang Lao nodded slightly.
"Why do you need laparoscopic surgery!" Zhou Congwen looked at Academician Chu coldly and asked condescendingly.
Chapter 0584 bad luck?nonexistent
Academician Chu thought over and over again, wondering why this kind of thing happened.
With Zhou Congwen's identity and status, it is completely unreasonable to speak in this tone, even if he is Huang Lao's closed disciple.
Deng Ming wanted to pull Zhou Congwen away, but he caught a glimpse of his boss with eyes closed, as if dozing off, without any thought of persuasion, so he swallowed back what he was about to say.
Strange, Zhou Congwen usually has a good temper, why did he start to lose his temper at this time?
Is it because Academician Chu's son, the Mayo boy, came to challenge and offended Zhou Congwen, and now he is using the power of the big victory to vent his anger?
It shouldn't be, Zhou Congwen is not this kind of person.
Deng Ming glanced at the projection screen in confusion, and another operation was being done clumsily.
The battles at the National Academy of Sciences have always focused on technology.
Zhou Congwen's operation has been completed, and the other party's operation has not yet been completed. Depending on the situation, it will be converted to a thoracotomy.
It has already been divided into superior and inferior, and it is not the kind with a slight difference. It can be said that Zhou Congwen has the upper hand, and there is no need to be aggressive at this time.
In everyone's consciousness, now Zhou Congwen should say a few polite words, and it seems better to give the other party a step down.
pity.
Neither Mr. Huang nor Zhou Congwen seemed to have that intention.
"Before the operation, I had an X-ray at the Imperial Hospital. The boss reminded this patient that there is something wrong. It is best not to have a laparoscopy. Why do you want to do it? There is not enough time, can't you find a suitable patient?"
Zhou Congwen pointed out the truth in one sentence.
"After consulting with Mayo's expert team, they think it's all right." Academician Chu said as calmly as possible, "It's just an accident, bad luck."
Zhou Congwen sneered.
luck?
He didn't think that his boss and Mr. Li from the Imperial Hospital were lucky enough to see the "unbeautiful" imaging.
Indeed, due to limited technical conditions, in 2002, there were only 8 rows of CT machines worldwide, which is incomparable with CTs with 128, 256 and higher rows in the future.
In addition, there is a more important point - the current CT machine is a high-energy CT, and the tube voltage is 100-140KV.
If you want to see the lung image clearly, the voltage above 100KV is too high, so that many abnormal images will be ignored.
In the future, the tube voltage of CT machines will be lower and lower, and the tube voltage of the 64-row three-dimensional reconstruction required for thoracic surgery will also drop from 100-140KV to about 80KV.
However, the reason why high voltage is used all over the world is due to historical limitations, and Zhou Congwen is very clear about it.
Many doctors have already realized this, such as the boss and Mr. Li from the Imperial Hospital. When they look at the image data, they feel that the image is not beautiful through their rich clinical experience.
Beauty is just a feeling.
Not beautiful, which means there is something wrong with the image.
However, due to the limitations of existing technology and cognition, even the elderly at the top can't tell clearly, so they can only make judgments subconsciously and take evasive actions in advance.
This is called clinical experience.
"This meeting is organized by the boss to promote thoracoscopy. The Mayo boy is very good, I know." Zhou Congwen said seriously with narrowed eyes, "If the operation is done well, even if it is better than mine, I will only happy."
"But!" Zhou Congwen lowered his voice, but his tone became more and more fierce, "This kind of situation happened at the society promoting thoracoscopic surgery! Academician Chu, don't you want to give me an explanation!"
Academician Chu was speechless.
Explanation?
What explanation can I give?
"Zhou Congwen, what can you see from the video data?" Mr. Huang suddenly interrupted Zhou Congwen's questioning and brought the topic back to technology.
"Boss, the tube voltage is too high, so I can only make some guesses. If I were on site, I would suggest giving the patient a voltage of 80KV to do it again."
Huang Lao's hand froze above the armrest, without trembling or moving, like a stone sculpture.
The old age dissipated like smoke, and the sharpness of the blade was revealed in an instant.
"The machine doesn't seem to work, but if you are interested, you can go back and ask Mr. Li to ask if Philips or Siemens can make a special low-voltage CT."
Academician Chu was dumbfounded.
This Zhou Congwen was so crazy!
Low-voltage CT, is it special?It was a big project worth hundreds of millions of dollars. How could it be as easy as playing a house to say it from his mouth?
And what is the tube voltage?Although academician Chu is a high academician, he is not an expert in imaging.Even imaging experts study films, not CT voltages.
That's something that only the engineers of the manufacturer will understand, okay?
A few seconds later, Mr. Huang suddenly opened his eyes, his eyes were shining brightly, which startled Deng Ming.
He thought of an old idiom - return to the light.
It was very unlucky, Deng Ming immediately got rid of this thought from his mind, and never thought about it for the rest of his life.
The boss is still young and in good health, so it is no problem to live another few decades, Deng Ming added in his heart.
"I didn't expect this." Mr. Huang stared at Zhou Congwen, "Old Sister Li didn't expect that either. After the study is over, I will rush back to the imperial capital immediately and talk to Old Sister Li face to face."
Zhou Congwen smiled slightly.
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