Chapter 307 Non-famous and non-professional commentator·Lu Cheng

"That's okay, did you say so, Professor Yin?" Gu Zhangcheng didn't know what to say at this moment, so he directly diverted the trouble and called Yin Yu to express his final opinion.

Anyway, this is your Yin Yu's territory. You can take the final decision. Anyway, I don't dare to speak here.

What else can Yin Yu say? Lu Cheng was asked to do the surgery. Since Lu Cheng mentioned it, he must be sure that he has good skills. How can you criticize him? Besides, if another incision is to be made on the opposite side, it is

It will increase the trauma of surgery.

Well, the increased trauma is about 4mm!

Yin Yu feels that the savings from this opening are quite painful. Okay, you also want to save a 4 mm opening? Are you afraid that Zhuozhuo can't afford an extra introducer sheath or something?

You ancient measuring stick, a bad old man who has lived all his life and is still digging holes for others, is really bad in a relatively pure way. Can I say no?

Yin Yu then nodded solemnly and put away all his thoughts: "Xiao Lu said yes, it will definitely work."

Yin Yu and Gu Zhangwei both reached an agreement, and the surgeon made suggestions. The third assistant had no right to speak, and the hand-washing nurse did not dare to say more. The circulating nurse resentfully put the catheter sheath she had just prepared to open into the cabinet.

I went, thinking that it was a good thing I didn't react just now, otherwise, who would have paid for the introducer sheath?

The conversation between Lu Cheng, Yin Yu and Gu Zhangliang sounded frightening to Zhuo Zhuo.

Zhuo Zhuo is actually already lying on the operating table. Just do whatever you like and do it however you want. Don't ever end up with disagreements.

However, Yin Yu first said to speak, and Lu Cheng said not to speak. This sounds really exciting, you know?

It's like putting the patient on the operating table, putting down the anesthesia, opening the mouth, asking, "Come, come, come. If you see something that doesn't look right, I'll pull it out and take a look."

It's also like, is this okay? Is this no problem? It should always succeed, right?

This kind of thing can really scare people to death.

Fortunately, there is one thing Zhuo Zhuo can be sure of, that is, Xiao Lu is an acquaintance, and all surgeries in Taiwan are under Lu Cheng's control. The suggestions given by Lu Cheng have been adopted, and it is not a situation where opinions are very inconsistent.

.

That's fine.

After all, Lu Cheng is a person who is highly respected by ancient surveyors, so this old professor wouldn't be setting a trap for himself.

While he was thinking about it, Zhuo Zhuo felt very painful again!

Because, at this moment, he actually heard Professor Gu's voice again, asking Lu Cheng if he could explain it a little bit.

I'm stunned!

Have I become a teaching case again?

Brother, brother, can you not distract our little Lu?

I am being operated on, not in a SPA. Can you allow him to perform the operation safely?

Naturally, Lu Cheng didn't know Zhuo Zhuo's thoughts, so he began to explain, saying: "Teacher Yin, Teacher Gu, the place we are crossing now is the left common iliac artery. After passing through the left common iliac artery, we can

Once we reach the location of the abdominal aorta, we can clearly find the entrance of the right common iliac artery at this bifurcation."

"If we change the direction a little bit, we can..."

When I took the measurement, my balls started to hurt.

Is this human language? If you change the direction a little bit, you can tell me how to change it and how to evaluate it?

When you are a teacher, do you want to be more professional?

However, what disappointed Gu Zhang was that after Lu Cheng closed the stenosis of the right internal iliac artery from the left femoral artery, and then continued to the internal pudendal artery, a branch of the left internal iliac artery, he still said the same thing.

Turn the direction slightly, go downward, to the side, and further downward.

When I heard that Gu Zhangwei wanted to hit someone.

If you say it this way, it is better to say this, this, and this, and this, and this, and it will be simpler and more popular.

Now that the developer is there, I don't know where the tip of the guide wire goes?

This is not like you can enter the blood vessel by yourself and control your walking direction at will. This is already controlling the guide wire from an ultra-long distance, right?

Moreover, the most important thing is that even when it goes from the femoral artery to the blood vessels of the brain, it is relatively parallel. When it goes retrograde through the abdominal aorta to the aortic arch, and then to the cervical artery, there is only a certain amount of clamping.

Although it is difficult to control the angle.

However, you have basically reflected from the abdominal aorta to the common iliac artery on the opposite side?

If it's not straight, how do you adjust the direction? You need to explain clearly?

However, fortunately, China has a very excellent tradition, that is, when students are listening in class, they basically listen to what the teacher explains. As for whether they can understand it or not, they can learn it!

That’s called understanding!

If you have understanding, you have the fate of master and disciple. If you don't have understanding, you can just say that the relationship between master and disciple ends here. Your qualifications are too poor.

Therefore, basically students won’t ask too many questions even if they don’t quite understand.

Especially when this kind of surgery is in progress, it would be great if Lu Cheng could give some explanations.

What more could you ask for?

"We have finished the internal iliac artery, then turn it down, to the terminal end of the internal iliac artery and the entrance of the internal pudendal artery, and then turn it down again!"

"Here we go again..."

Well, Lu Cheng said it very casually and did it very casually. There was basically no sense of frustration like other vascular surgery or interventional doctors doing interventional surgeries and minimally invasive catheter surgeries at blood vessel bifurcations.

What is called a sense of frustration? In fact, it means that you are not sure that you can get it right at once, so you need to test it by rotating it forward, backward, left, right, and right a few times.

But Lu Cheng is a little brat. At least at this moment, Yin Yu and Gu Zhangshang regard Lu Cheng as something similar to a little brat. There is no such thing as being able to move forward, backward, left, right, and left.

Technique, just go straight to the point...

It clearly looks like he is inexperienced.

No, no, my thinking is a bit distorted.

Lu Cheng was not inexperienced, but had little experience in failure, so he was able to get the job done right away.

What follows next is really Lu Cheng's personal show. The guide wire and catheter, like Lu Cheng's hands, return from the internal pudendal artery, return to the bifurcation of the right common iliac artery, and exit from the internal iliac artery.

The artery passes to the right external iliac artery, and then continues downward to the femoral artery.

After finding the interface between the femoral artery and the external pudendal artery, I made a right-angle turn without warning!

The guidewire entered the external pudendal artery.

It seems that from the perspective of physics, it is not the same thing for Lu Cheng.

In fact, perhaps Gu Zhangjiang and Yin Yu didn't know that Lu Cheng's operations, especially micro-operations, had reached an extreme state, so this was also the reason why he could do it so smoothly under direct vision.

As for the skills, the top level is all achieved by one's own operation. Now it is better, at least a lot of theoretical knowledge has been supplemented. But in the beginning, it was all skill levels supported by operation skills.

Is that a level that ordinary people can achieve?

impossible.

However, if you need to achieve a rapid jump in skills, then the basic skills, the stability of the micro-manipulation of the hands and reaching the top are necessities!

Theoretical things are absolutely impossible to achieve overnight in a short period of time!

While Lu Cheng was performing operations at an appalling level, he was still saying some words that even normal people could not understand.

"In this way, our guide wire has reached the stenosis, and we will continue to let the balloon catheter enter the stenosis, and then repeat!" Lu Cheng said very naturally, and this is indeed what he wanted to say.

It's not that difficult to perform surgery under direct vision, right?

At this point, five minutes later, the operation was over.

The total time spent on the entire operation, including the angioplasty of the six vascular stenosis locations, including preoperative preparation, was only about one hundred minutes.

After finishing the last narrow spot, Lu Cheng said to Zhuo Zhuo: "Teacher Zhuo, the operation has been completed. Fortunately, it has been successful! But after the operation, you still need to have regular check-ups and take medicine on time. These will be done when the time comes.

Professor Yin and the others will definitely tell you."

"The effects of surgery may not be restored immediately, but in your case, you can basically recover in a short time after the vascular stenosis is relieved."

This is what Zhuo Zhuo wants to hear. It is concise, concise and easy to understand. The most important thing is that the last sentence can be restored in a short time.

Zhuo Zhuo immediately replied with great joy: "Thank you, Xiao Lu! Thank you very, very much. After I am discharged from the hospital, I will definitely have a few more drinks with you."

After hearing this, Lu Cheng immediately poured a basin of cold water on it: "That's not possible. After you are discharged from the hospital, the first thing you should do is to stop drinking. In the formation of atherosclerotic plaques, drinking is a very high-risk factor. If

If you continue to drink alcohol after surgery, the likelihood of recurrence will be higher.”

Zhuo Zhuo was a little frightened when he heard this. Drinking would make his little brother stand up and then sit down again. But Zhuo Zhuo didn't smoke. After his little brother got sick, he had no interest in going out to play anymore. His only hobby was drinking.

Should I quit it now? Wouldn’t life lose some flavor?

However, compared to being able to let his little brother who has been with him for many years stand up again, Zhuo Zhuo gritted his teeth and said: "Then let's drink tea, let's drink tea at the main office?"

"Xiao Lu, you may be too young to realize the help you have given me and the pain you have solved for me, but I know it myself, so you must not refuse. Otherwise, I will really be angry.

"

How many nights have you been soft and I've been soft as well? I've been so anxious here, but you're like an old well, soft as soon as you're soft. Anyway, you just won't stand up. What can you do to me?

That feeling is really uncomfortable.
To be continued...