Chapter 4377: 【466】Arrangement

 Everyone turned around and found that it was Dr. Cao Yong, the husband of Deputy Leader Xie, who finally spoke. Dr. Cao Yong now cherishes his words like gold and does not want to interfere with his wife by speaking casually. To be a good husband, he must be a good wife.

“Do you two usually get along like this at home?” Teacher Xiao took the opportunity to care about Junior Cao’s private life.

Dr. Cao Yong was equally unkind to his seniors in the department: Seriously!

 “Esophageal leiomyoma.” Dr. Xie Wanying said.

 Let me first review what this tumor is for those who don’t know much about digestive tumor diseases.

Esophageal tumors are generally malignant, and if they are found to be benign, most of them are esophageal leiomyomas. It can be said that esophageal leiomyoma is a tumor with a low malignant tendency, and surgery is very meaningful. It rarely recurs after resection and can become a curable benign tumor.

As mentioned before, the anatomy of the esophagus is divided into three layers. From the inside to the outside, there are the mucosal layer, the muscular layer and the adventitial layer. The muscular layer is divided into two longitudinal layers: the inner ring and the outer layer. The upper third of the outer layer is skeletal muscle. , the middle third is a mixture of skeletal and smooth muscle, and the lower third is smooth muscle.

 From here you can know where the leiomyoma grows.

The tumor resection surgery is to cut open the outer layer of the esophageal muscle to expose the tumor. During the incision, the patient's esophageal structure without disease should be preserved as much as possible. What is needed is a precise dissection surgery, which means to remove the tumor from the mucosa. separate the layers.

Everyone’s thinking seemed to become clearer and yet confusing after hearing this. As someone from the Department of Gastroenterology said, how do physicians use gastroscopy to help surgeons separate tumors from the mucosal layer?

 No one can imagine it.

 Every word of Dr. Xie Wanying’s words needs to be listened to carefully.

Dr. Fan Yunyun’s little fan girl repeatedly made famous quotes from fans: “Senior sister just said that I learned skills from Teacher Zhang before.”

 Junior Sister Fan remembers every word of Senior Sister Xie.

At this time, Dr. Cao Yong, who was watching the operation at the time, understood what his wife was thinking: "Inflate."

 Young people should naturally react more slowly.

 Other bosses all followed suit and responded: "Inflate to expand and expose the area."

 Many tissues of the human body are soft, and the inner cavity space is like a balloon. After being inflated and expanded, the tissue boundaries will be more clearly visible on the surface like an inflated balloon.

After everyone understood the principle of the surgery, Teacher Ming immediately turned back and asked the young doctor in his department: "Dr. Jiang, can you do this technique?"

 It’s easy to inflate, just pump it up and you’re done.

 That said, where to inflate and how much to inflate are very particular endoscopic techniques.

 If you inflate a balloon, it will cause trouble if it explodes.

If the air is not inflated enough or the air is not in place, inflating the esophagus can be like inflating several gourd-shaped conjoined balloons connected together, which does not help the surgeon at all.

Let’s recall that Jiang Mingzhu’s previous gastroscopy surgery was also at this technical level, and Dr. Xie finally helped her. Dr. Jiang’s face was stiff and his lips were stiff.

It is obvious that Dr. Jiang did not consider this at all before. He had considered it before hesitating from the beginning, and in the end he had to show his determination with courage.

 “I’ll do it for her.”

 A hand was raised from behind the crowd.

Teacher Ming turned around and asked, "Doctor Yu, have you always been here?"

 Doctor Yu Xuexian quickly explained: "No, I just arrived."

 “You don’t need to, I know how to do it.” Dr. Jiang Mingzhu spoke again.

 “Are you sure you can?”

"Yes, I think I can do this better than Dr. Yu." Dr. Jiang Mingzhu explained seriously that she was not arguing with her husband. "If it is a technique he is good at, I will let him do it." of."

This technique should require the most care and patience, which she is better than Doctor Yu.

 It was Demon King Zhang's turn to trick Deputy Leader Xie again: "Doctor Xie, who do you choose?"

Cardiology: Senior Brother Shen and Senior Brother Jin looked at her.

 Department of Gastroenterology: Senior Sister Jiang and Senior Brother Yu looked at her.

 Can’t it be? Classmate Li Qian felt that he was smarter, and the words that others seemed to dare not say came out of his mouth: "Can't you do all four?"

With all four, it becomes a combination of Teacher Tan and Senior Brother Tao? The problem: gastroscopic cardiac interventional surgery has always been a single-person operation, and it is impossible to have two surgeons.

Monitor Yue went up and slapped Mr. Li on the head: I finally caught you, you idiot.

But Devil Zhang was happy. He grabbed the National Association Rabbit Li and said: "Okay, everyone comes, more people will do their best."

 No one thought that the big devil had good intentions in his words, although they certainly sounded right.

 Thank you for your support, good night, dear friends~