Gu Xiujie's voice came from the video: "For this operation, we took an ultra-low rectal anterior surgery. This is the best-functional and a new surgery. The key to the success of this surgery is the complete removal of the tumor. If the tumor edge is inaccurate, the more you cut the tumor, the failure of the surgery will be caused by the failure of the surgery."

"It is generally believed that at least two centimeters of the end of the rectum should be kept to complete anastomosis. According to the tumor, it will infiltrate within two centimeters. After cutting off two centimeters, only one centimeter is left. It is impossible to operate with a tube stapler and a cutting closure because they require two centimeters to operate, so I decided to use manual suture and manual anastomosis."

"I retain the intestinal duct to the maximum extent on the excision of the rectal end. While ensuring the complete removal of cancer cells, I retain the intestinal duct to the maximum extent. The defecation nerve reflex of the rectal mucosa and the complete rectal ring of the intestinal duct are required so that the patient can maintain the function of close to normal anal defecation and exhaust. This is the biggest difficulty of this operation."

With Gu Xiujie's explanation, the operation was going on quickly, and only the surgical instruments were seen moving accurately in the video.

Of course, the main action is performed by one person, and the other person mainly performs some auxiliary technologies for knotting and hooking. Since the camera automatically rotates and shoots in order to adjust the field of view, the position of the main surgeon will appear at different angles in the field of view of the video, so it is very difficult to determine who the main surgeon is in the video.

No one who watched the video knew that the person who was the chief scientist this time was Kang Hong, the young assistant, and not Gu Xiujie, who was fairy-like.

Kang Hong used his finger to diagnose and found that the tumor was only three centimeters away from the anal margin. This was impossible in the eyes of ordinary doctors because the tumor would infiltrate two centimeters and only one centimeter was left. The stapler could not be used, nor could it maintain the normal atresia function of defecation and exhaust. For other doctors, this was a task that could not be completed at all.

However, when Kang Hong used his finger to detect, he had accurately used his fingers to understand the specific location of the tumor and the infiltration site. He found that the patient's tumor infiltration was ascending and infected upward along the lymph nodes, but the infiltration of the anal margin was only 1.2 cm, and the anal margin of 1.8 cm could be retained. That is to say, the limit of anal protection of 2 cm was shortened by zero point two cm, which increased the difficulty, but the possibility increased suddenly.

He also found that although the cancer cells exceeded the boundary of the lowest cleavage, they did not infiltrate the entire area of ​​1.2 cm. They only infiltrated a small part of one side, while the other parts did not exceed the lowest cleavage and were not infiltrated by cancer cells.

In other words, the invasion of cancer cells was not carried forward in a comprehensive and orderly manner. One of the soldiers infiltrated deeply to reach 1.2 centimeters, while the others were within one centimeter.

He immediately outlined a specific area map in his mind.

This is a jagged surgical area diagram that can accurately define the tissue invaded by cancer cells.

In the margin boundary diagram, about 10% of the area exceeds the limit margin, and the others are two centimeters away, so an accurate surgical plan is formed in the mind.

He will accurately remove the cancer cells that have invaded 1.2 cm deep, but most of the anus will be preserved, which means that the patient can ideally retain the bowel movement and exhaust functions.

This is basically close to normal and is within an acceptable range.

For the first time, Gu Xiujie discovered that he had a very good performance genius and commentary skills, no less than the commentator of a sports competition, because he had to speak quickly to catch up with Kang Hong's hand movements.

Kang Hong's hand speed is too fast. Fortunately, Kang Hong has communicated with Gu Xiujie in detail in the entire surgical plan, especially the difficulties and key points. Kang Hong wrote it very clearly in the surgical plan.

Gu Xiujie has spent most of the day memorizing it. In addition, he has had forty years of surgery, so it can be said that he can be easily understood at one point. Therefore, although he had difficulty copying the knife himself and could not complete such a difficult operation, it was still fine to explain after reading someone else's operation.

This is like a Go competition. The tour guide may not be a master, but it can be said with great qualities and wonderfulness.

Haiyin and Bai Xiaoman in the operating room clearly saw Kang Hong undergoing surgery at a dazzling speed. Gu Xiujie was performing himself. It was a bit funny to see that he couldn't help but feel funny. There was nothing he could do, this is the team - Kang Hong needs Gu Xiujie's fame, Gu Xiujie needs Kang Hong's skills, and none of them are missing.

As for the anesthesiologist in the city hospital, his vision was blocked by a huge obstruction cloth located on the transverse section of the patient's shoulder. He sat honestly on the patient's head and observed the patient's performance. According to the requirements, he could not walk around at will, because it affected the surgeon, so he could not see who the actual surgeon was.

At the most critical moment when the anal margin resection was performed, Gu Xiujie's voice became even more exciting.

Everyone saw that the electrosurgical knife was accurately cut in an unimaginable zigzag shape, retaining more than 90% of the anal edge.

A discussion broke out in the conference room again: "Impossible, how could his naked eyes determine so accurately which parts were attacked by tumors?"

"This is too risky. A little bit of cancer cells will grow wildly. In the end, not only will the anus not be saved, but the life may not be saved."

"If I were to do this, I would simply cut off the entire anus and re-astomoses it, which is the most worry-free and safest."

"This is why people can make flying knives, but you can only sit on the bench and watch others pretend to be b."

"Yes, Mr. Gu is so amazing. He seems to be able to see the boundaries of tumor infiltration."

This joke actually expressed the doubts in the hearts of most people in the venue.

Because in the video, it seems that the surgeon can see where the tumor cells are infiltrated, so that it can accurately define what should be cut off and what can be retained.

In an anus, where every inch of land is valuable, keep a little more, and the patient's quality of life will improve a lot, but no one can fight for it in an instant, because you don't know where the cancer cells are infiltrated, unless you see the cancer cells.

That's right, Kang Hong did see it.

When he used his fingers to diagnose, he could use his fingers to accurately sense the tumor infiltrate, thus designing a surgical plan.

During the operation, perfect insight accurately showed the scope of cancer cells.
Chapter completed!