"Just kidding." Zhou Congwen laughed, "What technique is Director Deng going to do?"

Deng Ming held the thermos and really didn't know how to evaluate his junior brother.

"Can you do minimally invasive coronary artery bypass surgery?" Huang Lao Youyou asked.

"Can do it." Zhou Congwen said with certainty, "Boss, when it comes to minimally invasive coronary bypass surgery, I have something to report to you."

"Oh?" Old Huang suddenly became interested. Although it was separated by the phone and thousands of miles, it seemed that Zhou Congwen was right in front of him. He looked at his phone, "Don't say it for now, I'll think about it."

"One-stop?" Old Huang frowned and said to himself.

"..." Deng Ming's hand tightened, and the hands holding the thermos and the thermos made a creaking sound.

Cardiac bypass surgery is now a ceiling surgery for municipal hospitals. Even in large public hospitals at the provincial capital level, the heart is constantly beating and bypassing is also the ceiling of the surgery.

In the large hospitals in the imperial capital and the Magic City, there are many people who can perform heartbeat and bypass surgery, but it is far from saying that individuals can do it.

But the boss has already set his sights on another plane of technique...

The so-called one-stop method generally refers to the patient's lesions with more serious lesions. Moreover, the patient is very old and cannot withstand greater surgical trauma, so similar surgery is required under minimally invasive.

But minimally invasive also has its own problems, that is, technique field and blood vessel selection.

A high-level doctor performs stent surgery on coronary blood vessels that have not been opened within several months after recovering blood supply to a part of the patient's heart. This is clinically called sub-station surgery.

The boss said that he wanted to do a one-stop shop, which means that he should directly remove the stent during the operation and solve the problem at one time.

"No, the one-stop necessity is actually not very high." Mr. Huang said immediately.

Deng Ming was a little relieved, but when he thought about it carefully, what the boss said was not that he could not do it, but that it was not very necessary.

What if Zhou Congwen opens his mouth and says I can.

"The boss is wise and one-stop surgery can be done, but it has no promotional significance. Moreover, it takes too long and the risks the patients bear are too high, so it is not recommended." Zhou Congwen said.

“…”

Deng Ming sighed deeply.

His junior brother took a lot of money and made him a little crazy.

The boss said he could do it, but it was not necessary. Zhou Congwen refined the boss's words and said it more clearly.

Alas, I thought I had accepted a capable junior brother, and I was the eldest brother, and I had to take on the responsibility of the teacher and lead Zhou Congwen to grow up.

But I didn’t expect that this junior brother would be like a Tianshu, and he could do any surgery or any surgery.

Deng Ming looked at his boss helplessly.

"If the elderly who are older and have limited functions, the difficulty of the surgery will suddenly increase. And even if you can take the internal mammary artery on the left and right sides, it is not enough for the three lesions.

The patient is old, it is better to have the radial artery still to remain unmoved."

"Yes, so what I want is to use the large saphenous vein to build the third bridge. Because the time for patency after the bridge is limited, the drug is directly used to elute the stent, so that the patient can survive for a longer time after the operation."

Huang Lao stopped, and his hunched fingers kept beating on the table.

After a full minute, he continued, "Find time to come to 912, or if you are busy with your side, let Deng Ming fly over if there are patients."

"Okay, boss." Zhou Congwen smiled, "Are you here?"

Speaking of this, Mr. Huang’s expression was slightly dim.

"I can't go." Old Huang sighed, "You guys do it first, come to me if you have any questions."

Zhou Congwen responded, chatted for a few more words, asked Mr. Huang about his physical condition and hung up the phone.

After hanging up the phone, Deng Ming couldn't wait to ask, "Boss, is it minimally invasive? Can it work?"

Coronary artery bypass surgery has been around for half a century, and minimally invasive surgery has been studied a long time ago, but it has been abandoned for various reasons.

In 1967, before the extracorporeal circulation technology was still mature, the former Soviet Union doctor Kolessov successfully performed a surgery to bypass LIMA and LAD under non-extracorporeal circulation through the left anterior-lateral incision.

After that, many scholars made efforts to promote this technique, but they eventually failed to become popular.

With the maturity of extracorporeal circulation technology, minimally invasive coronary bypass surgery has been abandoned.

Deng Ming speculated that the reason why this technique was abandoned at that time was almost the same.

First, the acquisition of the internal thoracic artery on the left side of the small incision is larger than that of conventional thoracic opening and requires a long time of training to master it; second, traditional small incision coronary artery bypass surgery generally can only treat single lesions of the left anterior descending branch, and the surgical indications limit their clinical application.

"Are you thinking that the minimally invasive coronary artery bypass surgery is an abandoned surgery?" Huang Lao glanced at Deng Ming and asked lightly.

Deng Ming knew that his boss knew him well, and he was not surprised why the boss knew what he was thinking, so he nodded.

"Is the technology developing?" Huang Lao smiled, "As surgical instruments become more and more effective, minimally invasive technology is also improving, and recently someone has tried it out."

"..." Deng Ming looked at his boss and was speechless.

Even though he is eighty years old, the boss's eyes have not stopped, but always look at the forefront of technology.

"Ten years ago, Dr. Bei and Dr. Calafiore used small incisions on the left anterior chest to continuously jump down the non-extracorporeal circulation heart to directly anastomoses the internal mammary artery with the left anterior descending branch."

"Is there any progress now?" Deng Ming asked with a frown.

"The progress is very slow, but I still can't overcome the previous problems." Huang Laodao, "For example, if you want to perform bypass surgery for three lesions, you can only use veins if you don't have enough arteries. The occlusion rate after the large saphenous vein bypass surgery is too high, so it's not stable."

"Then..." Deng Ming's hand holding the thermos tightened a little again. He looked at his boss and vaguely guessed, "Boss, have you found a way?"

"I can't say, I'm thinking about it." Old Huang was obviously a little sad. His deformed fingers gently tapped on the table. "If there is a way to change the art and magnify the function, all difficulties will be solved."

Deng Ming scratched his head.

My boss is dreaming, if there is such a good thing... Deng Ming dared not think about it anyway.

"Don't think about this for now, the machine will always improve, and similar surgery can still be performed under the existing technical conditions." Huang Laodao.

“How to do it?”

"If you don't have a suitable blood vessel, use the saphenous vein. After the operation, use a coronary intervention bypass surgery and place a new drug-eluting stent in the bypassed blood vessels."

"Miyamoto and Abbott from Shuntiantang Hospital jointly developed a drug-eluting stent. You can't underestimate this new consumable just because the classic breast sh surgery is not available. Although the coronary bifurcation lesions cannot be used, it can be used on this side."

Buckle + bracket?

Bridge + bracket!

Deng Ming knew that this was the advantage of cardiac surgeons who had always said that learning interventional surgery was.

Since venous bridges have various shortcomings, just put a stent inside. Anyway, it’s not difficult to take care of your feet.

The thinking pulses of the boss and Zhou Congwen are always surprisingly consistent.
Chapter completed!