Back in 2002 as a doctor

"I thought it was impossible at the time, but you know Huang Lao's identity and status, I..."

Director Xue didn't say that he was going to drive away tigers and devour wolves, he was going to watch the fire from the other side, he was going to kill people with a knife, he had prepared a lot.

Especially the Cardiac Surgery Department just waited honestly outside the operating room. If you are done, you go to wipe your ass, why bother to rush for the operation.

I can't do it myself, and my teacher, Dr. Miyamoto, doesn't believe that Mr. Huang, a doctor in cardiac surgery, can do cardiac interventional surgery well.

Dr. Miyamoto's expression changed a few times, and finally he laughed, "I didn't expect that Ozawa and I have always wanted to defeat Dr. Huang, but this opportunity was left to me."

Hearing what Dr. Miyamoto said, Director Xue let out a sigh of relief.

"We, Shuntang, are ahead of the world in the research on the disadvantages of the classic crush technique. After communicating with major hospitals in the world, I found that we are 5-10 years ahead of them."

"Hush~~~" Director Xue was taken aback by the teacher's expression just now, and it was only at this moment that he was completely relieved after hearing what Dr. Miyamoto said.

5-10 years ahead of the world-class level, this is a crushing attitude.

Under the rolling torrent, can Mr. Huang's body bear it?Totally impossible.

"I must tell Ozawa that the person he has been thinking about all these years is going to be defeated by me!"

"Hahaha~"

Dr. Miyamoto was dazzled by the sudden surprise, and laughed loudly at the airport regardless of etiquette.

……

……

Note: I repeated it when copying... the description is in a single chapter, and tomorrow there will be a chapter changed to a free chapter, please don't blame me, adults.

Chapter 0663 The tacit understanding between father and mother

"Surgical changes like I said."

After Mr. Huang finished explaining the operation procedure, he looked at the many doctors below with a hale and hearty look.

Director Zhang Chunfang of the 912 Department of Circulatory Internal Medicine was dumbfounded. Mr. Huang made subversive changes to the classic crush technique, but everything was reasonable and well understood.

like……

like……

like……

Huang Lao is right.

But the huge doubts and cognitive gap hit Zhang Chunfang on Director Zhang's head like a big hammer, blood splattered everywhere.

How is this possible!

If it is as simple as Huang Lao said, why haven't relevant clinicians all over the world found a way to improve it so many years after Dr. Colombo invented this technique?

But Director Zhang Chunfang couldn't deny Huang Lao's technique.

Mr. Huang described his improved surgical technique in the most plain language, which was reasonable and completely unquestionable.

Why it came out like this?

In Xiaoshi's classroom, apart from Zhou Congwen, only Deng Ming was holding a thermos and could keep calm.

Because Deng Ming had heard the boss talk about a similar idea long ago, and had also seen the boss's rough "surgery" process.

There must be problems. For example, the boss's surgery requires a [-]-point guide wire to pass through the mesh of the two-layer bare frame, or it is in the coronary artery, which requires a very high level of technology.

If the boss was ten years younger, Deng Ming would not doubt whether the boss could do it.

But now the boss is almost 80 years old, and he is about to celebrate his [-]th birthday, and he is already standing on the threshold of an octogenarian.

An old man, use a [-]-point guide wire to penetrate the two layers of intertwined stents...

Is this so possible!

"This technique, I call it the Double Kiss Squeeze Technique, or the DK-crush technique for short."

Huang Lao glanced at the people below and said calmly.

"Because of the low success rate of interventional treatment of bifurcation lesions and poor prognosis, I have studied the newly developed drug-eluting stent, and it is still full of challenges for interventional treatment of bifurcation lesions."

"The success rate of final kissing dilation of the classic Crush technique is low, and the incidence of related complications such as stent thrombosis and restenosis of side branch vessels is relatively high.

On the basis of the classic Crush technology, the DK-crush technology proposes some improvements to solve the limitation of the residual stenosis of the SB port in the classic Crush technology. "

Improvement?

Zhang Chunfang was startled.

This is subversion, not improvement.If we really talk about improvement, drug-eluting stents are the means of improvement.

But Mr. Huang modestly said that his technique is just an improvement, which is an old man's modest words.

"DK-crush technology pushes away the stent that is squeezed and closed at the side branch opening through the first balloon kissing expansion, and ensures the full expansion of the mesh of the side branch opening stent.

It is convenient for the balloon to pass through the opening of the side branch smoothly and the guide wire to enter the side branch smoothly from the mesh of the main branch stent during the final kissing. "

"I have done some tests on the DK-crush technique through some simulation methods, and I think it is relatively complete. Let's see if there are any shortcomings."

Elder Huang asked calmly.

shortcoming……

Holding the thermos cup in his hand, Deng Ming lowered his head and took a sip of water.

But his lips did not leave the thermos, as if he was going to eat the thermos into his stomach.

I was drinking water and had no time to talk. Deng Ming expressed his attitude very clearly.

Director Zhang Chunfang and other 912 deputy directors and professors leading the group were also silent.

In a short period of time, they still haven't been able to digest Huang Lao's surgical technique, let alone improve it.

Shen Lang was the most relaxed person.

He didn't understand at all, but sitting with the top doctors in the country, Shen Lang found it very interesting to see them bewildered and no better than him.

Although this is not gossip, once it has been baptized by the years, no matter who you tell it to, what you say in the future will be shocked.

Therefore, the fire of Shen Lang's gossip was blazing, not letting go of even a single detail.

Seeing that no one spoke, Huang Lao's eyes fell on Zhou Congwen.

"Zhou Congwen, say a few words," Huang Lao said.

"Then let me say a few words." Zhou Congwen stood up with a rare solemn expression.

He understands how much pressure and suffering a new technique has to face from research to formation.

In the operating room of the system in the previous life, the simulated man who failed the operation can prove all this.

In the operating room of the system in the previous life, the skill points and surgical training time that were exhausted like running water can also prove this point.

And his own boss is so talented that he almost perfected the DK-crush technique through brain simulation surgery, which is unbelievable to Zhou Congwen.

Because he understands the difficulty too well.

The boss is mighty!

Zhou Congwen read a sentence silently in his heart.

This is not flattery, Zhou Congwen really thinks so.

Seeing Zhou Congwen walking to the blackboard, Mr. Huang smiled slightly, "Zhou Congwen, have you remembered the operation process?"

"I forgot part of it." Zhou Congwen said lightly.

Shen Lang's eyes suddenly lit up. In his opinion, this is not an improvement of the classic crush operation at all, but the most classic pretense of Mr. Jin Yong.

Zhang Sanfeng asked Zhang Wuji, do you remember?Zhang Wuji replied, I forgot something.

Until the end, Zhang Wuji forgot everything, and won the battle.

The fire of gossip on Shen Lang's body is blazing, what a pity!

It would be great if this scene didn't appear here, but in front of circulatory doctors across the country. At the annual meeting, it would be the most reasonable for Mr. Huang to ask this sentence!

pity!

pity! !

pity! ! !

"Just forget it at the beginning. The principle is very simple. Human anatomy is ever-changing, so don't stick to it." Huang Lao said lightly.

"Yes." Zhou Congwen nodded, and drew a diagram of the anatomical structure of coronary arteries on the blackboard with a pen, "Boss, after you finished speaking, I thought of a few details. Let me invite Director Zhang to take a look."

Huang Lao bent down, bowed his hands behind his back, walked slowly back to his seat and sat down, leaving Zhou Congwen on the stage.

"First, in terms of approach, DK-Crush can be completed through radial artery approach and 6F guiding catheter.

However, in complex bifurcation lesions, such as severe calcification and distortion, it is recommended to use 7F or 8F guiding catheter and femoral artery access to strengthen the support, and it is easier to complete the operation. "

"In fact, in actual situations, the opening angle of the side branch is abnormal, and the guide wire cannot be fed. Of course, when the circumflex branch is used as a side branch, such problems rarely exist, and it is more common in diagonal branches."

"If the diagonal branch is very large and there is a lesion in the opening, the initial double-stent technique should be considered, but if the guide wire cannot enter the side branch, no double-stent technique can be completed. At this time, the most commonly used is the double-lumen microcatheter assisted Inverted wire technique."

Zhou Congwen stood on the stage, holding a marker pen in his hand and speaking on the blackboard about his detailed understanding of the DK-crush technique.

His expression was focused and serious, as if he was undergoing surgery.

It was so!

Similar emotions kept popping up in the minds of other people in the audience. Although what Huang Lao said was simple and easy to understand, countless technical details could not be comprehended in a short period of time.

But Zhou Congwen's explanation paid attention to details, which were basically things that the doctors present did not notice.

The combination of the words of the two fathers is so perfect that people are speechless.

Zhou Congwen explained for a long time. After three hours, he put down the marker pen in his hand when there was no room to draw anatomical diagrams or write on the blackboard.

"That's about it, you see, boss."

"Almost." Huang Lao looked relieved.

His comfort lies in two points - there is nothing wrong with his operation, and Zhou Congwen can think of so many details after only hearing the general idea.

What a gifted kid.

"Boss, do you want to have two surgeries?" Zhou Congwen asked in a low voice, standing beside Mr. Huang, hunched over slightly.

Elder Huang looked sideways at Director Zhang Chunfang and asked with his eyes.

"Huang Lao, we have similar patients and are ordering T-shaped brackets."

Zhang Chunfang said, a little ashamed.

She has not mastered the classic crush surgery. When encountering patients with coronary artery bifurcation, Zhang Chunfang can only choose the oldest T technique.

The so-called T technology is to use a special "T" stent to solve the narrowing problem of main blood vessels and branch blood vessels in one fell swoop.

In fact, the effect of doing so is more scientific than classic crush and Huang Lao's DK-crush technique.

But the problem is that the "T" stent needs to be customized, the cost is high, and the time is long. In fact, not many people can really wait for the "T" stent to be ready before undergoing surgery.

Because many patients died when the "T" bracket was ordered, even if they were alive, some patients' condition changed, and the customized "T" bracket could not be used.

So Director Zhang felt a little ashamed.

"Then it's hard work, Director Zhang." Huang Lao said lightly, "Explain to the patient that it is an improved operation. It is the first time it has appeared in the clinic. If you want to try it, you can try it. I will try my best to ensure that patients Safety."

"The operation is performed in the hybrid operating room. If there is any problem, the chest will be opened immediately. I will lead the whole team to guard, so don't worry." Deng Ming added.

Fire burst out of Teng Fei's envious eyes, she looked the same as Shen Lang.

It's just that one is the flame of envy and jealousy, and the other is the flame of gossip.

It's great, you don't need to ask for help, you can directly open your chest after the operation... Or you can also learn heart surgery?

As soon as this idea appeared in Teng Fei's mind, she was stunned for a moment, and immediately burst into tears.

What are you thinking.

Zhang You's making things difficult for him and being eccentric, these are contradictions that cannot be bridged.

That's why Teng Fei envied the atmosphere of 912, Huang Lao, Deng Ming, and Director Zhang.

With such a strong escort of cardiac surgery, can interventional cardiac surgery be carried out?What a joke!