Feng Jianguo was quite unhappy. Quan Xiaocao, the child, had already had a solution to the problem, but he didn't dare to say it at all.

It’s okay just now. She is a student in front of so many professors, director and director of the Medical Department, and it’s worth silence. But now Boss Zheng obviously wants to support her, and I really don’t know what she has to be afraid of.

Although honest children are not good at doing anything, Quan Xiaocao is a little too honest, and Feng Jianguo is a little worried.

Quan Xiaocao was obviously scared, so he stood up with his head down and walked to Zheng Ren.

"Do you remember the last surgery?" Zheng Ren asked with a smile: "You should do psychological construction for yourself, treat it as if I were talking here."

Quan Xiaocao raised his head and looked at Zheng Ren with some confusion, "Boss Zheng, you have said everything you should say..."

Zheng Ren smiled and said, "Have you practiced the surgery?"

"I have practiced... I'm practicing the treatment of anal fistula by the endoscopic metal clamping system of rectal department, which is different from this." Quan Xiaocao said timidly: "I suddenly remembered that they are all fistulas, and it seems that they can also be done with otsc."

Linge and the people present were stunned when they heard Quan Xiaocao's words, especially Director Luo, whose eyebrows were twisted.

Quan Xiaocao has already begun to study the surgery in the anorectal department? A huge sense of crisis suddenly arose in his heart.

Director Wei of the Department of Gastroenterology and other professors in the group did not bring him the feeling, but now he clearly felt it from a student.

She is very pure, without the arrogance at the top of the food chain like a surgeon, and she is most afraid of such a newcomer. With Director Wei's support, who knows how big a thing will happen?

Zheng Ren patted Quan Xiaocao on the shoulder and said, "Wait for me."

After saying that, he clicked on the video reader and said, "The surgery I am considering will be done in two steps."

"First, I saw the gastroscopy and reported that the esophageal jejunal anastomosis can be seen 37-39cm away from the incisors. There is no stenosis. The endoscopy can pass smoothly. There is a fistula visible on the anterior wall of the left side of the anastomosis, and there is residual anastomosis staple at the edge, with a diameter of about 0.8cm."

"The two-arm clamp the mucosa at both ends of the fistula, and at the same time, pull the tissue around the fistula into the transparent cap, and rotate the handle to release the otsc anastomosis clip."

"Because it is an esophageal tube and jejunal anastomosis, the mucosal elasticity of the jejunal cavity is still very strong, so you can try to grab more tissues. After the otsc anastomosis clamp is closed, it is equivalent to a new tissue blocking the fistula, and it is very likely that it will grow well."

"Second, after endoscopic surgery, the esophageal stent should be lowered. When the balloon is expanded, the stent should be subject to pressure and should not cause ischemia to the tissues clamped in the local otsc anastomosis clamp."

While explaining the operation process, Zheng Ren looked at Quan Xiaocao from the corner of his eyes.

She was very excited at first, and Zheng Ren felt that what she was talking about was what she was thinking. But when she talked about the second step, Quan Xiaocao began to get confused.

"The purpose of lowering the stent is to avoid digestive fluid erosion. It is still between doing this step or not." Zheng Ren continued: "I still recommend doing it, which can shorten the patient's recovery period."

"Well, I'll finish." Zheng Ren stood in front of the video reading device and looked around the people in the office.

"Boss Zheng, have you done it?" Director Luo asked.

"No." Zheng Ren smiled, "I read it when I read the report. The principle is very simple and has preliminary data support."

"According to reports, arezzo and other doctors performed OTSC anastomosis clip treatment on 14 patients with anastomosis after colorectal surgery, of which 8 were acute colorectal anastomosis and 7 were successfully closed under endoscopy; 6 were chronic colorectal anastomosis and 5 were successfully closed."

"Doctors such as Galizia performed OTSC clamp closure on three patients with anastomotic fistula after Roux-en-y surgery, and all the surgery was successful."

"The existing data samples are a bit small, so I can only say that I can try it. This is an emerging endoscopic treatment method, and I think it is very suitable for current patients' treatment."

"Boss Zheng, can it be an anastomotic fistula of the stomach and esophageal anastomosis?" Professor Lu asked.

"Theoretically, it's OK. The elasticity of the stomach wall is greater, and the relative difficulty will be much lower." Zheng Ren finished speaking, glanced at Fang Lin, and then continued: "Whether it can be done, more data support is needed."

Fang Lin saw Boss Zheng's gaze and his heart moved.

He knew exactly who Quan Xiaocao was. He was just a student, but he was exposed to endoscopy and began to study minimally invasive treatment under the inspiration of Boss Zheng.

Although people are not considered 912 people, after all these things, it is inevitable to stay in 912.

How could Professor Feng let this person go? Besides, even if the gastrointestinal surgery department doesn’t cherish it, judging from Director Luo’s appearance, he probably would have to dig Quan Xiaocao over.

Even a student can reach this point today. What about himself? Fang Lin began to think about it. He also knew that the trend of surgery is that the trauma is getting smaller and smaller, and the surgery is getting more and more refined.

The original thoracic surgery ranged from large thoracic opening to laparoscopy, and now laparoscopy surgery has basically reached its peak. Surgery such as sleeve cutting and the like, which were originally difficult to handle with large thoracic opening, have now been treated with laparoscopy.

Will it develop endoscopic surgery in the future?

Fang Lin was a little confused. It seemed that he would like to talk to Brother Yun about this in the future.

"Professor Lu, how is the patient's condition? I suggest you prepare for the emergency department." Zheng Ren said, "The outer membrane of the aorta has been affected to a certain extent, and it may..."

"Okay!" Professor Lu agreed immediately before Boss Zheng finished speaking.

The patient will be gone after a sneeze, so this kind of thing must be avoided. Besides, if the surgery is done today, it seems that Boss Zheng will follow him.

With Boss Zheng here, he solved the problem directly, but he had no reason to refuse.

"Okay, then prepare."

"Boss Zheng, is it that otsc fitting you?" Professor Lu asked carefully.

"I have it on my side, and Xiaocao is also doing exercises, so it should be." Zheng Ren looked at Quan Xiaocao.

Quan Xiaocao nodded vigorously.

Seeing Boss Zheng taking his cell phone to make the phone call, Director Luo sat steadily on the chair and thought a lot.

Endoscopic surgery is often just a change in thinking.

This step from scratch was experienced by Director Luo personally. He knew the difficulties very well. But he had no inspiration to sit in the difficulties of the past? Director Luo doesn't think so.

For OTSC surgery, let’s see Boss Zheng. If it’s appropriate for me, can I do it?

As he thought about it, Director Luo shook his head slightly. The main purpose of otsc surgery is to treat various anastomotic fistulas, which is a remedy for surgical complications.
Chapter completed!