207, Laparoscopic combined surgery plan
As soon as Academician Ke spoke, all eyes in the office focused on Su Jie and Jiang Wu.
In fact, many doctors have already noticed the two of them since they first entered the office.
Su Jie and Jiang Wu both took their white coats with them, got out of the car, entered the hospital, and put on their white coats.
Although our hospital and the high-tech campus both have the name Southeast Hospital on their chests, the font of the high-tech campus is smaller, and there is a line of high-tech branches underneath, so the distinction is still relatively large.
Therefore, as soon as Su Jie and Jiang Wu appeared, the doctors present could tell through their white coats that they were doctors from our hospital.
Although the two hospitals share the same origin, they do not deal with each other privately.
Especially today is the first intra-department discussion of the High-Tech General Surgery Department. The presence of two doctors from our hospital here makes the doctors in the High-Tech Campus a little unconvinced.
Why? You really think that we are just a motley crew, holding a meeting, and we need doctors from our hospital to guide us in our work?
It’s too bullying!
The people who had been having a heated discussion just now suddenly cooled down. They all crossed their arms and stared at Su Jie and Jiang Wu, waiting for their "insights and true knowledge".
Faced with this situation, Jiang Wu said very calmly: "I don't have any better ideas. My colleagues at Gaoxin have done a good job in analysis. The current treatment plan for this patient is open surgery, or laparoscopic exploration converted to laparotomy."
These are the two kinds.”
The doctors at the General Surgery Department of the High-tech Branch all laughed.
It is certainly a joy to be recognized by colleagues in our hospital for your treatment plan.
But at the same time, they can't help but feel that if you just agree to the plan we come up with, it's over, and you don't have any ideas of your own?
Colleagues, it is not a good habit to follow others' opinions.
Doctors still need to have the ability to think independently!
"Why can't we combine cholecystitis and appendicitis with laparoscopy?"
At this time, Su Jie suddenly asked.
Jiang Wu turned his head and glanced at Su Jie without saying a word. Academician Ke nodded and said, "Continue."
The smiles on the faces of the general surgeons of the High-tech Branch disappeared, and their eyes focused on Su Jie. They seemed a little dismissive of the young doctor's statement in front of them.
Su Jie didn't pay attention to other people's eyes, looked at Academician Ke, and said slowly:
"Now it seems that the most ideal situation is of course that the improved antibiotic program is effective, the patient's chronic appendicitis is controlled, and laparoscopy alone solves the cholecystitis situation."
"But it has been three days since this patient became ill. As the cholecystitis continues to develop and the adhesions become serious, the operation will become more and more difficult. It takes time for antibiotics to take effect, but we obviously don't have that much time now."
"If the appendicitis situation is not optimistic during laparoscopic exploration, and then the patient is converted to laparotomy, it will be a burden to the patient, both in terms of cost and surgical trauma."
Su Jie's words were objective and fair, but they basically overturned the results just discussed by the general surgeons at the High-Tech Hospital.
Although the doctors present were holding their breath, they could not refute verbally.
Because they knew that what Su Jie said was correct and there was nothing wrong with him.
"Appendicitis and cholecystitis are actually located relatively close to each other in the abdominal cavity, and the technology of laparoscopic resection is now relatively mature."
"Considering that cholecystitis is more difficult, I think we can first design the holes with the main purpose of removing cholecystitis. After the cholecystitis is resolved, we can then replace the operating holes and observation holes. Based on the original surgery, we can
Removal of appendicitis."
Academician Ke finally showed a smile on his face and said: "You mean, a laparoscopic surgery can remove cholecystitis and appendicitis at the same time while keeping the three holes unchanged."
"right."
Su Jie nodded and added: "Of course, this will be more difficult and risky, but it is the surgical option that best meets the patient's needs."
"Is this technique too idealistic?"
As soon as Su Jie finished speaking, a doctor from the General Surgery Department of the High-Tech Branch stood up to refute:
"Although the gallbladder and appendix are both in the abdominal cavity and are close to each other, they are still some distance apart. If the gallbladder is used as the basis for hole design, it will inevitably cause obstacles to the subsequent appendicitis removal."
"What's more, if you follow your surgical plan, can the duration of the surgery be effectively controlled? In the end, the duration of the surgery far exceeds that of open surgery. So what's the point of minimally invasive surgery?"
"More importantly, where can you find a doctor who specializes in laparoscopic surgery and is also very good at removing cholecystitis and appendicitis?"
There are specialties in the profession, especially the more sophisticated the field, the more so.
The doctors in the general surgery department of the High-tech Campus are all familiar with laparoscopic technology, but some of them are better at appendicitis resection, while others are better at dissection of the gallbladder triangle.
If we switch to other ordinary surgeries, it is not impossible to occasionally perform guest appearances. After all, both surgeries are relatively basic and introductory. The doctors here are still confident in their own skills!
But when faced with operations for combined cholecystitis and appendicitis, they can't help but ask themselves, are they confident enough to solve two difficult problems at the same time in one operation?
This is not a simple 1 1=2 problem.
This is an exponential explosion!
Any small problem may become a big problem that hinders the ultimate failure of the operation!
Just like building blocks, if one of the bottom blocks is in the wrong position, it is very likely that it will become the culprit of the collapse of the entire block building at the last moment!
In particular, none of the doctors present had experience in combining two laparoscopic surgeries at the same time. Once a deviation occurs during the operation, they will inevitably be at a loss. And once a problem that is difficult to solve arises, they will really be helpless.
"In other words, you want two doctors to complete this operation together, each completing the part of the operation that he is good at, but I can tell you that unless there is a complete tacit understanding in clinical practice, it will often achieve half the result with twice the result!"
Su Jie shrugged and did not answer these questions.
Academician Ke asked him to put forward his own ideas, and he just put them forward. As for whether he could convince everyone, or whether it could be truly determined as the final surgical plan, that was not his decision.
Academician Ke said in a deep voice at this time: "Discuss the condition rationally and don't be aggressive."
After a pause, he continued: "For acute cholecystitis, the operation cannot be postponed any longer. This afternoon, the General Surgery Department of the High-tech Campus will join forces with the MDT of the Emergency Department of our hospital for a joint operation. We will try the combined operation plan first. If it doesn't work, we will transfer it to another hospital."
Disembowel yourself!"
Having said this, Academician Ke looked at Su Jie and Jiang Wu, and then asked, "Is this okay?"
Chapter completed!