Back in 2002 as a doctor

The guide wire at [-] penetrates through the mesh of the double-layer stent. This step alone is beyond the reach of ordinary people.

But what Zhou Congwen said was the truth.

It is the most difficult to come up with ideas, otherwise the crush technique cannot go through so many editions, and finally the conclusion of the academic circle becomes the classic crush technique.

The boss is still great!Deng Ming sighed.

"Go back, I don't have any regrets after this surgery." Huang Lao smiled slightly.

"Look at what you said, there are still so many techniques waiting for you to improve." Zhou Congwen said, "What do you mean no regrets, how unlucky."

"Human, I have to be old. Just now, I used a [-]-point guide wire to pass through the mesh of the double-layer stent at one time. I have basically burned out my energy. I can sleep well today."

Zhou Congwen looked at the gray-haired boss with a strange mood.

The boss is so strong that he even forgot his age.

This genius method of creating a spell is a very routine operation for the boss.For example, shifted lobectomy, such as DK-crush.

You have to work harder!Zhou Congwen thought to himself.

Taking the cigarette butt from the boss's hand, Zhou Congwen smiled when he saw that the boss was so greedy that he almost took out the filter.

Half picking and half snatching, Zhou Congwen snuffed out the cigarette butt.

"Boss, let's go."

"Just one cigarette, you still grab it, you don't know how tiring the operation is. I am an 80-year-old old man!" Huang Lao muttered.

"Do you still know that you are an old man? Who said that you should work for the people in good health for another 50 years." Zhou Congwen poured water on the cigarette butt and threw it into the trash can. "You can't lie to us juniors when you say you will do it. "

Mr. Huang sighed, and watched Zhou Congwen helplessly after throwing away the cigarette butt before getting up, bowing his hands behind his back, pulling on his shoes, and walking out of the locker room slowly.

Zhou Congwen and Deng Ming followed, and Shen Lang became a little transparent.

"Zhou Congwen, have you understood the operation?" Elder Huang suddenly asked again.

This sentence was a bit long-winded, but Zhou Congwen understood what his boss meant.

"Boss, I basically understand."

"Well, if necessary, you can explain after Miyamoto's demonstration operation is over."

"it is good."

Back in the Great Hall, Zhou Congwen turned sideways and pushed the door open, and Huang Lao walked in slowly with his arms behind his back.

The atmosphere in the Great Hall was still odd.

No one wondered why there was another public operation that had not been performed, and Dr. Miyamoto had no idea of ​​performing an operation at all.

On the screen, the video of Huang Lao's operation just now was played.

The doctors present couldn't wait to start watching the recording.

As for the "finale" demonstration operation, everyone has forgotten, even Dr. Miyamoto does not remember the fact that he still has one operation that he has not performed.

It's okay if you don't watch it, everyone is just silent, and only a few people shed tears.After watching the video of the surgery again, most of them started to cry.

How stupid I was at that time. When Mr. Huang got the first stent and went in, he thought that the operation was done, and he thought Mr. Huang was confused.

This is a genius idea, and the successful operation cannot be successful again.

Using ordinary stents can achieve better results than drug-eluting stents!

Step by step, the operation is simple, clear and clear.

The louder the ridicule was at that time, looking back now, the more stupid I was at that time, the stupider I was.

"Boss, sit down." Zhou Congwen helped Huang Lao's arm to let the boss sit down, and then walked slowly onto the podium.

Zhou Congwen looked around at the doctors present solemnly, and then asked, "The conference organizer, when will the next public surgery start?"

"..." Director Xue's eyes were straightened, he never thought that the crush technique would be out of date just after he learned it.But let’s not talk about the time, Zhou Congwen blocked his view of watching the video, he said in a hoarse voice, “Don’t do it for now, you get out of the way.”

"Can you understand?" Zhou Congwen asked softly, with the corners of his mouth raised.

The atmosphere in the venue became weird again.

"Well, if everyone is interested, I will explain the main points of the DK-crush technique from the beginning."

"..." Dr. Miyamoto was inexplicably astonished.

"..." Director Xue was inexplicably astonished.

"..." Everyone was stunned.

The new technique, how much painstaking effort is contained in it, is displayed in front of other people, not to mention that most people just watch it for fun, even if they can understand it, they just look at it.

There are still thousands of mountains and rivers to do, and there are many difficulties.

If someone who understands can explain the main points of the operation...

The promotion of DK-crush surgery can reduce the time by at least 3 years.

But these are all untold secrets, it’s fine to show them that you are very good, and teach them hand in hand?

Have you paid the money, do you have the face to learn? !

Chapter 0678 breaking apart the teaching of crushing

Zhang You and Director Miao returned to their original seats. At this time, the two of them were proud and proud.

It turned out that not only myself, but everyone was wrong!

If you say Huang Lao is Huang Lao, the new technique is amazing.

Seeing Dr. Miyamoto kneeling on the ground and looking up at the operation, Zhang You even had the illusion that Dr. Miyamoto was bowing his head devoutly and worshiping Huang Lao who was sitting on the altar.

The established procedures arranged at the annual meeting were also disrupted by Mr. Huang's shocking and weeping surgery. No one wanted to see the finale surgery, and even the surgeon, Dr. Miyamoto, didn't seem to remember it.

At this moment, Zhou Congwen stood in front of the stage in high spirits, asking if he wanted to listen to the technical details.

Zhang Youyou almost stood up and grabbed Zhou Congwen.

Why do you have to tell the technical details?

If I had spent more than ten years of painstaking research to understand a highly difficult surgical procedure, I would definitely not make it public.

Even if you come to study, if you want to learn, you have to hide it. Such a thought emerged in Zhang You's heart.

Yes, why make it public!

That is the crystallization of years of hard work!Even Huang Lao probably thought about it in private for a long, long, long time.

Just say it so simply, how is it possible!Why do you want to do this!

Countless question marks and exclamation points rose above Zhang You's head.

What Zhou Congwen did was too much, did he ask Mr. Huang?Such a thought suddenly appeared in Zhang You's heart.

That's right, he asked Mr. Huang!

As an assistant, Zhou Congwen did too much, how could he make up his own mind.

I'm afraid Huang Lao will scold him.

And even if he was speaking, Huang Lao, who was a magician, came to the stage to speak. When was Zhou Congwen so willing to show off?

Countless questions appeared in Zhang You's mind.

If he were Mr. Huang, he would definitely put Zhou Congwen in the cold palace, and no matter how capable he was, he would destroy this ignorant boy.

However, in the next second, Huang Lao's words shattered all Zhang You's "delusions".

"Go and talk about it briefly." Huang Lao said lightly, "I'll also see how much you understand."

"Okay, boss." Zhou Congwen bowed deeply, then turned and came to the podium.

He first contacted the technical staff, called up the operation video, and started to talk from the beginning.

At the beginning of the pre-operation preparation, Zhou Congwen was not idle, and briefly explained the origin of the DK-crush operation.

"The DK-crush technology is proposed by the boss on the basis of the classic Crush technology to solve the limitation of residual stenosis at the bifurcation of blood vessels in the classic Crush technology."

"DK-crush technology pushes away the stent that is squeezed and closed at the opening of the side branch through the first kissing expansion of the balloon, and ensures the full expansion of the mesh of the stent at the opening of the side branch. Everyone has seen this in the operation just now." .”

Zhang You laughed.

"Director Zhang, what are you laughing at?" Director Miao asked.

"Xiao Zhou is doing Tai Chi." Zhang You said understandingly.

I originally thought that Zhou Congwen would talk about technical details, but in fact, he also gave a vague overview.

Can't understand?That's because the listener's own ability is not enough, and it has nothing to do with Zhou Congwen.

"The advantage of this operation is that the balloon can pass through the opening of the side branch smoothly and the guide wire can enter the side branch smoothly from the mesh of the main branch stent during the final kissing.

It can improve the success rate and quality of the final anastomosis of the balloon, thereby improving the possibility of side branch opening restriction and in-stent restenosis. "

Zhou Congwen talked eloquently on the podium, and Zhang You's smile became more intense.

Huang Lao is really awesome, why is the crush technique dubbed a classic?

It was the result of countless years, countless interventional cardiologists, and countless surgeries.

Scope - Worldwide.

No matter how many talented and brilliant people can't modify the crush technique, they can only do this step.

However, Mr. Huang "casually" made changes to the surgical procedures, and there were earth-shaking changes.

Although Mr. Huang said that the operation is called DK-crush operation, which is still a branch of the classic crush operation, but judging from the operation just now, it is a completely different operation method.

"Next, I'll start with the recording and broadcasting of the operation and tell you a few technical details." Seeing that the operation had already started, Zhou Congwen adjusted the speed of the recording and broadcasting of the operation.

It proceeded at double speed and suddenly paused.

"The first technical detail - the release of the stent in the branch vessel: determine the condition of the main branch and the side branch, send the side branch stent, and protrude into the main branch vessel by 2~3mm."

"Why should it protrude by 2-3mm? It's because..."

Zhou Congwen stood on the stage, broke up the operation and explained clearly.

Zhang You was dumbfounded all of a sudden.

He just imagined that if he were himself, he would only speak in a general way, and it would be the best way for everyone to listen to it in a cloud.

Why let others learn it?

But Zhou Congwen seemed to be afraid that many doctors present would not understand, so what he said was meticulous.

This is not teaching, but chewing it up and feeding it directly... It's so disgusting, Zhang You was taken aback, and smiled wryly.

What is Zhou Congwen trying to do by doing this?

The branch vascular stent protrudes 2-3mm, whether it is 2 or 3, he also tells the whole story according to the different conditions of different patients, and there is no need for other doctors who are attending the lecture to go back and think about it by themselves.

Zhang You was about to cry.

When Zhou Congwen said this, even a layman himself could almost understand it, and he could do it when he went back and tried it.

"Does anyone have any questions?" Zhou Congwen asked after finishing the first point, looking around.

No one spoke.

It has been explained in such detail that no one can understand it, even Zhang You, who has never had an interventional heart operation, can understand it clearly.

"Okay then, on to the second point."

"Main branch balloon pre-implantation of a transitional extrusion balloon in the main branch, the pre-embedded balloon is large enough for subsequent extrusion operations, we should pay attention to the diameter of the main branch balloon and the proximal vessel The ratio is 1:1."

"In terms of details, when choosing the main branch balloon..."

Zhou Congwen's style is the same as before, simply put, it is meticulous.

Cooperating with the fast-forwarding and paused operation recording and broadcasting, the mysterious veil of a newly appeared DK-crush operation is directly lifted off and displayed in front of people.

"Third point, main branch balloon extrusion.

Expand the pre-embedded balloon of the main branch vessel to fully squeeze the side branch stent to make it adhere to the wall as much as possible, and then send the balloon to the distal end of the vessel to make room for subsequent wire side branch vessels. "

"Why do you say you should stick to the wall as much as possible? It's because during the operation..."

Zhang You no longer complained, and no longer had strange words in his heart. His big teeth seemed to be shining with a strange light, as if they had mutated instantly under Zhou Congwen's blessing.