Chapter 1405 ESD Microsurgery

"Well done, very good." Lei Yinghua looked at the screen and commented lightly.

Peng Jia was a little disappointed, but also a little relieved.

His emotions were complicated, and he didn't know how to express himself.

While watching the operation on the screen, he peeked at Lei Yinghua's expression.

Although Director Lei Yinghualei is over 500 years old, he looks young and handsome. It is no wonder that he was so concerned about the top traffic of operating PPT on the screen at first.

Peng Jia thought to himself.

He involuntarily lost his mind.

There are too many things in mind and too much pressure. This is a way of self-protection of the body.

Surgery, when I first saw it, there was still some freshness.

The red and white intestines become the background, and endoscopic equipment such as endoscopic cutters and separators are in the intestines, and they are a little boring.

There was no cardiac arrest bleeding, and no surprises.

All operations revealed a calmness, even a little indifference.

Although Peng Jia knew that this situation meant that the surgeon was in control of the operation, but his analysis from the perspective of viewing was not the best way.

Ups and downs, can attract people?

But not everyone had the same idea as Peng Jia. Director Lei Yinghualei looked at the LCD screen without blinking.

Peng Jian could feel that his breathing was uneven.

At certain moments of dissociation and polyp removal, Lei Yinghua's breathing sound would disappear briefly.

58′22″, Lei Yinghua didn’t feel tired. When a polyp with a diameter of 2-3cm appeared in the endoscopic field, his back straightened up.

The spray tube sprays the dye evenly, and the endoscopic incision knife cuts it open layer by layer.

It seems that the operator did not realize how this large polyp was different from other polyps.

"Director Lei, this polyp should have invaded the muscle layer." Peng Jia understood a little bit, he asked quietly beside Lei Yinghua.

"Well." Lei Yinghua said solemnly: "When free, the muscle layer can easily penetrate, causing the intestine to rupture."

Peng Jia was a little worried.

But when he saw the separation forceps on the screen, he had an inexplicable confidence from somewhere.

Can Boss Zheng make mistakes?

impossible!

This kind of confidence was inexplicable. It was accumulated through countless operations, but Peng Jia didn't notice it.

After the incision, the picture on the screen finally paused, and it seemed that the operator also realized that it was different from the smaller polyps before.

But after 6", the field of view begins to change, and the resolution of the endoscopic lens is maximized.

Some endoscopes have this function, and Lei Yinghua knows it.

But I have never used it myself, and the doctors in the endoscopy room rarely use it. Because this is already at the level of microsurgery, gastrointestinal surgery has little to do with microsurgery.

He looked at the camera in amazement. The colonic mucosa protruded many finger-like protrusions into the lumen, each of which looked so huge, like a forest.

The style of painting changed abruptly, from the rigorous endoscopic surgery, the modern technology style to the fantasy painting style, Lei Yinghuahuo stood up.

However, he then realized that his actions were a bit blunt, and he was so excited that he forgot that he was watching an ESD operation by a "junior" doctor.

He was embarrassed.

"Director Lei, can you tell us about it, we can't understand it anymore." Peng Jia quickly stood up and said modestly.

"Okay." Lei Yinghua said immediately, walking up to the LCD screen.

An assistant handed over a laser pointer, and Lei Yinghua turned it on.

This is the first time he has seen intestinal anatomy in high-power microscopic mode. But the deep theoretical foundation cleared all obstacles for him.

"Here is the villi in the mucosa of the small intestine, which is also a very important digestive organ." Lei Yinghua used a laser pointer to point to the "huge" villi that appeared on the screen, trying to keep calm and calm.

But he didn't notice that his voice had begun to hoarse.

The picture moves slightly, as if there is a microscope mount supporting the lens.

The surgeon is working slowly, and he is also looking for anatomical structures.

"Here are the small intestinal glands. The openings are between the villi. Pathological examinations can reveal that the gland cells are columnar cells or goblet cells." Lei Yinghua pointed at a point that appeared only after a few degrees of magnification, and said arrive.

"The mucosa of the small intestine also has a muscular layer, the inner ring and the outer longitudinal smooth muscle..." Just when I said this, the free forceps appeared on the screen.

On the LCD screen, the pliers are so huge that they seem to occupy more than half of the field of view.

But Lei Yinghua knew that this was just a head, and the surgeon controlled the movement of the separation forceps.

This is 50 times the field of view, right? Can it be controlled so accurately by artificial means? Lei Yinghua was a little dazed.

However, the separation forceps did not directly separate, and the endoscopic incision knife appeared, tapped the muscular layer of the mucosa, and then disappeared.

It turned out to be like this. Lei Yinghua saw this paragraph and understood what the slightly indifferent operation he had seen before.

No wonder there is so little bleeding!

The surgeon did not violently cut the muscularis mucosa with a scalpel at all, but lightly and then performed blunt dissection with dissection forceps.

Obviously, the operation in the 50x field of view fully demonstrates the surgeon's surgical level.

Because in ordinary vision, it is impossible to find that the operator has done so many operations.

But it is Lei Yinghua, an expert in ESD, who is replaced by others. Even under a high-power field of view, it is estimated that 99% of doctors cannot understand the power of the operation.

Some steps may even be considered invalid operations.

"Here is the smooth muscle of the inner ring of the intestinal mucosal layer. It is very thin and hard to see." Lei Yinghua was already a little excited.

It was written in the textbook, but he had never seen it so clearly.

It's a little different from what he imagined. Lei Yinghua explained the microscopic anatomy in his heart.

The separation forceps moved gently under the inner circular smooth muscle of the muscularis mucosae, and traveled in the submucosa connective tissue between the inner circular smooth muscle and the intestinal muscularis.

Lei Yinghua didn't see any confusion about the micromanipulation of the operator. This extremely fine microscopic operation did not bring any burden to the surgeon. As before, the operation was being done in a leisurely manner.

"Here are the blood vessels in the submucosa of the intestine, MD, how can it be so thick..." Lei Yinghua couldn't help sighing.

Usually this part, he is swept past.

Under the 50x field of view, a thick blood vessel appeared in the field of view. The surgeon stopped and separated the connective tissue with the separating forceps. Then, he saw the appearance of electric burns. With a little light, the blood vessels were blown off after a puff of blue smoke.

The broken end was frozen, and there was no bleeding.

"The operation was done very carefully, and the blood vessels in this position are difficult to see with the naked eye." Lei Yinghua's voice was a little astringent.

He finally discovered the reason why the operation was a little slow before.