General surgery, inside doctor's office.

Director Miao took off his thick glasses, wiped them twice with a glasses cloth, rubbed his eyes, and then put his glasses back on.

"Surgery is not just something you say you won't do. The patient is still conscious. As long as he agrees, the surgery can be done."

"I asked you to come, and I also invited the director of the anesthesiology department, not to discuss whether this operation should be performed, but to find a suitable operation method that everyone agrees with!"

"Are you listening to me?!"

The eyes of the middle-aged man and woman in front of them began to become dull again, and there was a faint drool dripping from the corners of their mouths. When they heard Director Miao suddenly raised his voice and scolded them, the two of them came back to their senses. The woman with the blood-painted mouth said:

"Then let's do it. It's okay for the old man to leave later. His monthly pension now is 18,000. If he saves a few more months, we can share more by then."

The man was a little unhappy: "Why don't you still have to wait? Why bother? Isn't it better to let the old man leave quickly?"

"You're not your biological father, are you? Are you cursing my father to death like this?"

"Why are you pretending to be a filial daughter now? You didn't call your daddy every day. How can he suddenly have such a problem now?"

"Are you saying that I cursed my father to death?"

"I don't mean that. If you insist on thinking that way, there's nothing I can do about it."

…

Hearing the bottomless quarrel between the two, Director Miao couldn't help but shake his head and silently mourned in his heart. They all said that a tiger father has no son. How could such a tough man like the old man raise such a beastly daughter?

Fortunately, the granddaughter seems to be quite filial and well-behaved, otherwise there would be no one to die for the old man.

Seeing that he could not talk to the family members, Director Miao could only turn his eyes to the director of the anesthesiology department sitting on the other side.

The director of the anesthesiology department, who had arrived early, was wearing a floral hat, washcloth, and plastic slippers. Seeing Director Miao turn his attention to himself, he said: "For this operation, we still have to ask Director Miao to come up with a feasible surgical plan, otherwise

We are really under too much pressure.”

"I will perform the laparoscopic appendicectomy myself, is that okay?" Director Miao asked.

"I'm afraid...it won't work."

The director of the anesthesiology department shook his head and glanced at the couple whose eyes were dull again. He leaned towards Director Miao and said in a low voice: "The patient at the beginning of the year has proven that laparoscopy alone cannot solve the problem of appendicitis in elderly patients. Miao

Director, why bother to do it again?"

"This patient's physical condition is even worse and his preparations are even less adequate. There is a high probability that laparoscopy will not be possible. If it is converted to laparotomy, the old man's body will not be able to support it."

"The final result is very likely that the operation will fail, and the patient will no longer have the possibility of conservative treatment. He will die on the operating table or in the ward."

Director Miao pondered for a long time, and then said: "Do you suggest we use single-port laparoscopy?"

The director of the anesthesiology department leaned back, sat back, and replied dryly: "We will not interfere with the surgeon's surgical decision. Our job is only to judge and ensure the safety of the surgery."

Director Miao was in distress.

In fact, as early as the beginning of last year, Jiang Wu from the emergency department had made this suggestion to him, using single-port laparoscopy to maximize the advantages of minimally invasive surgery!

Abandoning the traditional three-hole laparoscopic method of appendicitis resection, the umbilical approach is used to complete the operation under a single hole.

The difference between the two is, of course, not just a change from three holes to one, but also a change in surgical thinking.

Pursue, the ultimate minimally invasive approach.

Of course, correspondingly, extreme technology is required.

Director Miao and Jiang Wu have conflicting ideas.

He believes that laparoscopy, as a leader in minimally invasive surgery, has very obvious advantages. Doing a regular three-port laparoscopy is enough to deal with all situations. It is very thankless to waste energy on studying a single port.

one thing.

Of course, this is inseparable from the fact that Director Miao is old and has many chores as a director.

With his current energy, it is obvious that he is no longer able to challenge such a complicated single-port laparoscopic surgery. He cannot challenge and realize it, and naturally he cannot approve it from the bottom of his heart.

In fact, single-port laparoscopic surgery is currently only mastered by a few hospitals and a few doctors across the country, and it is a technology that belongs to the top of the laparoscopic pyramid.

Director Miao pondered for a long time and said: "The technical difficulty of single-port laparoscopy is too high. In the case of single-port, the two operating rods can only be operated at an extremely narrow angle. The requirements for the surgeon's visual conversion ability are too high.

There is currently no one in our department who can achieve this level.”

"What about the provincial hospital? If that doesn't work, we can consider transferring the patient for surgery."

The director of the anesthesiology department doesn't care about the dispute between the southeast and the province, nor does he care that the general surgery departments of the two hospitals are competing for the laparoscopy specialty base. The patient is now in critical condition, and he just wants to find a reasonable and safe solution.

"As far as I know, there are no provincial hospitals either. This is not a boast. In terms of solving difficult and complicated cases, provincial hospitals are still a long way from us. They rely solely on their large number of branches and large annual surgeries.

That's all." Director Miao narrowed his mung bean eyes with a hint of disdain in his tone.

"Then... this matter seems to have reached a dead end. Director Miao, this is what you need to think about. Corey is still busy, so I'll leave first." The director of the anesthesiology department stood up to leave.

At this moment, there was a sudden knock on the office door, and Director Miao shouted, "Come in." Su Jie, Jiang Wu, and Li Minghui hurriedly squeezed in.

"Why are you here? What's the matter?" Director Miao looked at the three people in confusion, especially Su Jie and Li Minghui. Both of them looked very ugly, as if they were about to die suddenly at any time.

The three of them looked at Director Miao, then at the Director of the Anesthesiology Department, and finally frowned when they saw the middle-aged man and woman whose eyes were completely dull and drooling.

"Are you discussing the elderly patient's emergency appendicitis surgery?" Su Jie asked.

"Yeah." Director Miao nodded.

"Why don't you seek consultation from our emergency department MDT?" Su Jie asked again.

"Huh?" Director Miao frowned and asked, "Why do you need to seek consultation from the emergency department MDT?"

"Because we can work together to perform single-port laparoscopic surgery on patients!" Su Jie said in a deep voice, and at the same time, he looked at Jiang Wu.

Jiang Wuze looked at Director Miao indifferently, just like a year ago, but at that time, Director Miao quickly rejected his proposal and finally formulated a conventional three-port laparoscopic surgery plan for the patient.

One year has passed.

Everything seems to be happening again.

This time, Director Miao hesitated.

After thinking for a long time, Director Miao looked at Jiang Wu and asked, "Jiang Wu, I'm sorry, I don't know if your original point of view was right, but at least the facts have proven that my idea was wrong. Maybe you are

Yes."

Jiang Wu shook his head: "It doesn't matter whether it's right or wrong. We all come up with the best surgical plan for the patient based on our own experience and knowledge. No one knows what the outcome of the surgery will be. Doctors can only do their best."

Director Miao sighed, turned to the director of the anesthesiology department and said: "The emergency department MDT and general surgery joint surgery, the operation is single-port laparoscopic appendicectomy. Is this surgical plan approved by the operating room and the anesthesiology department?"

The director of the anesthesiology department answered very quickly. It seemed that the answer given by Director Miao was exactly the standard answer he had already set in his heart:
Chapter completed!