Chapter 4253【342】Like trees

 Everyone looked at Dr. Xie again for answers.

“The reduced hole is an auxiliary hole, so when there is only one hole left, the size does not change, and it can even be smaller.” Dr. Xie Wanying said.

In the past, the four holes of thoracoscope were the main operating hole, observation hole and two auxiliary holes. The first thing to be removed must be the auxiliary holes. The observation holes can actually be regarded as auxiliary functions. In the end, what is left after single-hole surgery is one main operation hole. hole.

 The benefits certainly go beyond scar reduction.

Whether it is four holes or three holes, the holes should be located on the chest wall. When the chest wall is opened into the chest cavity, the doctor's knife must be inserted into the human chest from the intercostal space, which is equivalent to injuring the intercostal nerves.

Even if cardiothoracic surgery is minimally invasive via thoracoscopic surgery, it is still a traumatic activity, and intercostal neuralgia is the most common postoperative sequelae of this type of surgery.

 By analogy, we know that the fewer surgical openings, the better.

"I understand." The patient's family members summed up the doctor's words, "The opening is small, there are fewer openings, the damage is small, the recovery is fast, and there are few sequelae."

 Then, Liang Xi looked back at his father: "This kind of surgery is good, why haven't I heard you talk about it before?"

“Our hospital is just doing research. It’s like studying chemistry. Chemistry is endless, but medicine is the same.”

“They mean, Dad, the hospital here can’t do this surgery, but Dr. Xie can do it? Why?”

Dean Liang immediately explained to his daughter that his hospital was not incompetent: "There are many technical problems that need to be solved in single-port surgery. You have to understand that if single-port surgery is easy to achieve at the beginning, it will not be said that the initial form is four-port surgery." Had surgery."

  What are the technical difficulties in single-port surgery?

Dr. Xie Wanying gave another analogy to the family members: "Single-hole surgery is equivalent to putting multiple chopsticks into a narrow bottle mouth. Next, these chopsticks need to perform various operations in the bottle. It may be the cooperation of two chopsticks, or It could be a chopstick doing an operation.”

"this?"

“If you think about it, you know that chopsticks will fight inside. This is a common phenomenon in laparoscopic surgery.”

Ms. Liang Xi understood, and whispered to her father: "What Dr. Xie said is really good, he must be a top student." Dean Liang nodded, and her daughter guessed it right.

 My daughter can understand what top talents are by working in scientific research in universities. Top talents are, the more they can explain complex academic principles in a clear and transparent way, the more powerful they are.

 “It’s not just that—” Dr. Xie Wanying continued.

"Why?"

Hearing that the voice came from his father, Liang Xi turned around and asked: Dad, you don’t know?

Dean Liang shut up: It doesn’t matter if you don’t know how to solve the single-hole technical problems. If you don’t even know what the technical problems are, it’s a shame.

 In fact, it is not surprising. Clinical technology is a practical work, and many difficulties must continue to be discovered in practice, which cannot be discussed on paper alone.

 Big Brother Zhang and his gang of Guozhi people all listened with their rabbit ears raised and their eyes wide open.

No way, they have not yet entered the first step of the practical test, and have no idea what difficulties are waiting for them ahead.

“Such an operation cannot be completed by one doctor.” Dr. Xie Wanying said.

 Don’t think that single-hole surgery only requires one surgeon to perform the surgery. Even if you think about robotic surgery, this is not completely possible. Of course, the benefits of robotic surgery are self-evident, as it is the closest technical path that can be completed by one person.

“In the future, if you want a doctor to complete the surgery alone, you will have to use a single-hole robotic surgery.” Dr. Xie Wanying said again.

 Dean Liang was able to breathe out loudly.

As far as he knows, Guozhi is ahead of the National Association for Surgical Robot Research.

“Technically, no one can surpass anyone else. Dr. Liang, you are a thoracic surgeon. You know that lungs are like trees, and technology is like trees, with cross-development.”

 (End of this chapter)

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