Chapter 2896

Feng Jianguo was quite displeased; Quan Xiaocao already had a solution to the problem, but she simply didn't dare to say it.

Just now it would have been fine; facing so many professors, directors, and the Director of Medical Affairs, as a student it's only natural to stay silent. But now Zheng Lao Ban is clearly backing her up—I really don't know what she has to be afraid of.

Although honest children cause less trouble, Quan Xiaocao is just too honest, and Feng Jianguo is somewhat worried.

Quan Xiaocao was clearly afraid, head lowered, she stood up and walked over to Zheng Ren's side.

"Do you still remember the previous Shou Bing matter?" Zheng Ren asked with a smile: "You should just give yourself some psychological preparation; treat it as if I'm saying this here."

Quan Xiaocao lifted her head, looking at Zheng Ren somewhat bewildered, "Zheng Lao Ban, you've already said everything that needed to be said……

Zheng Ren smiled: "Have you practiced Shou Bing?"

"I've practiced…… I practiced the rectal endoscope metal clamp system's treatment of anal fistula tract, which is different from this." Quan Xiaocao said timidly: "I also just realized, they're all fistulas, so it seems OTSC could also be used."

Lin Ge and everyone present were stunned for a moment upon hearing Quan Xiaocao's words, especially Director Luo, whose brows knotted tightly.

Has Quan Xiaocao already started researching Gang Chang Ke Shou Bing? He felt a huge sense of crisis well up inside.

Director Wei of Gastroenterology Surgery and the other team-leading professors hadn't given me that feeling, but now I clearly sense it from a student.

She is pure, lacking the arrogance of surgeons at the top of the food chain; the thing I fear most is such a newcomer. With Director Wei's support, who knows what big things she could accomplish.

Zheng Ren patted Quan Xiaocao's shoulder and said, "Wait a moment."

After saying that, he pointed at the film on the viewbox and said, "The Shou Bing I'm considering will be done in two steps."

"First, according to the gastroscopy report, the esophagojejunal anastomosis is visible 37–39 cm from the incisors, with no stenosis, and the endoscope can pass smoothly. The anterior left wall of the anastomosis shows one fistula opening, with residual anastomotic staples at the edge, diameter about 0.8 cm."

"Bilateral forceps grasp the mucosa at both ends of the fistula opening, simultaneously suctioning, pulling the surrounding tissue into the Transparent Cap, then rotating the handle to release the OTSC anastomotic clip."

"Since it's an esophagojejunal anastomosis, the jejunal mucosa is still quite elastic, allowing us to grasp as much tissue as possible. After the OTSC anastomotic clip closes, it's equivalent to having new tissue sealing the fistula opening, making a good healing highly likely."

"Second, after completing the endoscopic Shou Bing, place an esophageal stent. During balloon dilation, the stent must conform to pressure, so as not to cause ischemia in the tissue where the OTSC anastomotic clip is closed."

Zheng Ren explained the Shou Bing process while glancing at Quan Xiaocao out of the corner of his eye.

She began to feel excited; Zheng Ren felt that what he was saying matched exactly what she had in mind. But when he got to the second step, Quan Xiaocao began to feel confused.

"The purpose of placing the stent is to prevent digestive fluid corrosion; whether to do this step or not is still up in the air." Zheng Ren continued: "I still recommend doing it, as it can shorten the patient's recovery period."

"Hmm, I've finished speaking." Zheng Ren stood before the viewbox, scanning everyone in the office.

"Zheng Lao Ban, have you done it before?" Director Luo asked.

"No." Zheng Ren chuckled: "I've seen it in reports; the principle is simple, with preliminary data supporting it."

According to reports, Dr. Arezzo and colleagues performed OTSC anastomotic clip treatment on 14 patients with postoperative anastomotic fistula after colorectal surgery; among them, 8 had acute colorectal anastomotic fistula, 7 of which were successfully closed under endoscopy; 6 had chronic colorectal anastomotic fistula, 5 of which were successfully closed.

Dr. Galizia and colleagues performed OTSC anastomotic clip closure on 3 patients with Roux-en-Y postoperative anastomotic fistula, and all procedures were successful.

The current data sample is small, so we can only say let's give it a try. This is an emerging endoscopic treatment method, and I think it's quite suitable for the current patient's treatment.

"Zheng Lao Ban, can it be done for a gastroesophageal anastomotic fistula?" Professor Lu asked.

"In theory, yes—the gastric wall is more elastic, so the difficulty would be greatly reduced." After saying that, Zheng Ren glanced at Fang Lin, then continued: "Whether it can actually be done still requires more data support."

Fang Lin felt a stir in his heart upon seeing Zheng Lao Ban's gaze.

What kind of person is Quan Xiaocao? He knows it perfectly well. She's just a student, but she has been exposed to endoscopy and, inspired by Zheng Lao Ban, has begun researching minimally invasive treatment.

Although she isn't officially part of 912 yet, after all these events, staying in 912 has become inevitable.

Professor Feng couldn't possibly let someone like her go. Moreover, even if Gastroenterology Surgery doesn't cherish her, judging by Director Luo's attitude, they're likely planning to poach her.

A student can get this far—what about me? Fang Lin began to ponder. He also knows that the trend of Shou Bing is ever-smaller trauma and ever-finer procedures.

Originally thoracic surgery ranged from open thoracotomy to thoracoscopy; now thoracoscopic surgery has basically reached the pinnacle. Procedures like sleeve resection, which were originally very difficult to handle with open thoracotomy, are now all performed via thoracoscopy.

Could it be that we still need to develop endoscopic surgery in the future?

Fang Lin felt somewhat at a loss; it seems he will need to have a good talk with Yun Ge'er about this matter later.

"Professor Lu, how is the patient's condition? I suggest we still prepare for emergency surgery." Zheng Ren said, "The outer membrane of the artery here has already been somewhat affected; it might……"

"Good!" Professor Lu didn't wait for Zheng Lao Ban to finish speaking, immediately agreed.

A sneeze could kill the patient; this kind of thing definitely must be avoided. Besides, if we do surgery today, it looks like Zheng Lao Ban will have to go along.

With Zheng Lao Ban present, the problem would be directly solved; I have no reason to refuse.

"Alright, then let's prepare."

"Zheng Lao Ban, do you have the OTSC anastomosis clamp?" Professor Lu asked carefully.

"I have it on my side, and Xiao Cao has also practiced, so she should have it too." Zheng Ren looked at Quan Xiaocao.

Quan Xiaocao nodded vigorously.

Seeing Zheng Lao Ban pick up his phone to make a call, Director Luo sat steadily in the chair, thinking a lot.

Endoscopic surgery, many times, is merely a change in thinking.

This step from nothing to something is something Director Luo personally experienced; he knows well the difficulties involved. But to sit on past difficulties and make no further progress? Director Luo does not think so.

OTSC surgery—let's see Zheng Lao Ban's; if it's suitable, maybe I can develop it myself?

Thinking thus, Director Luo slightly shook his head. The main purpose of OTSC surgery is to treat various anastomotic leaks; it is a remedial measure for surgical complications.

I definitely don't have a patient source on my side, so no need to think about it. On the other hand, that elementary school student probably has a great opportunity to soar to success.