Chapter 3750: 【3750】tech tools
Chapter 3750 [3750] Technical Tools
"What kind of problem doesn't work?" Hearing Mr. Zhang's tone was worrying, Director Fang asked several heart surgeons carefully.
She may have seen this kind of operation, but she is not an expert in heart surgery, and has never done this kind of operation in the operation, so she definitely does not have the experience of a surgeon in this area. Some doctors at the scene said it was okay, and some big bosses questioned whether it was okay. Whether it is okay or not may require a further explanation from colleagues in the cardiac surgery department.
Under such circumstances, Xie Wanying received meaningful glances from two top cardiac surgery experts, Da Lao Zhang and Senior Brother Ren: You say yes, explain to the patient friend. Anyway, we don't think so.
It is enough to show that this difficulty is well known and senior experts in cardiac surgery believe that it cannot be solved. It is impossible for her, Xie Wanying, to avoid such practical technical problems, because they do exist objectively.
"Mr. Fang, as Director Zhang said, some parts of the human body are very difficult for doctors to sew up by hand. This is determined by the special anatomical structure of certain parts of the human body." Xie Wanying said, "Director Zhang What I want to say is that it is precisely because of this reason that it is difficult to perform thoracoscopic surgery for four-vessel lesions.”
"Is it better to use a surgical robot? I heard that its magnification of the surgical field of view is much greater than that of a thoracoscope." Director Fang asked again, obviously trying to win the last hope for the patient.
"This question is not about whether you can see or not see clearly the unilateral issue of the surgical field of vision." Xie Wanying said.
To be precise, feel. It is much more difficult for the doctor to suture with long-distance tools than with short-distance tools. As mentioned above, the slow or missing information transmitted by long-distance tools will lead to a serious lack of hand feeling for doctors. What's more, it is difficult for a doctor to sew this place with sufficient feel, let alone suture without a doctor's feel.
"How to solve this problem?" After listening to Director Fang, he felt troubled. What he didn't understand was that what she just said was something that could be considered. Isn't it hopeless according to the current statement.
"Mr. Fang, you know that you have seen many surgical operations, and you know that the progress of medical technology is the result of a combination of many aspects. It is difficult to achieve the overall surgical goal by relying on only one technological development. In addition to expanding the doctor's surgical field of view, endoscopic surgery , must solve the technical difficulties of other operations of doctors at the same time, or it will be useless.”
"I see." As expected of a boss, Director Fang knew everything at once, "You're talking about a stapler."
Doctors use staplers to assist in places that are difficult to sew by hand. Not to mention endoscopic surgery, there are also many surgical cases in which staplers are used to solve such difficulties in traditional surgery.
Due to the lack of hand feeling in laparoscopic surgery, staplers are used to assist more than traditional operations. It can be said that some places must need staplers to solve problems. For example, in the thoracoscopic treatment of single-vessel lesions that is being discussed now, the success rate of the operation is greatly improved because of the use of staplers. The TECAB demonstrated by Company B also uses a stapler.
Here comes another question. There are various types of staplers and they are not universal. The vascular stapler used for single-vessel lesions must have been specially developed for this type of laparoscopic surgery, and it is a special model specially used to connect the internal mammary artery and the left anterior descending artery. The implication is that surgery for four-vessel disease requires the assistance of a vascular stapler, which has not yet been invented.
(end of this chapter)
