sovbooks Chapter 147 X-CONE Single Channel Entrance System
Chapter 147 X-CONE Single Channel Entrance System
Chapter 147 X-CONE Single Channel Entrance System
After Tang Lou returned to the office, he met Yan Ruoyun.
"Tang Lou, come with me to Director Cheng's office, there is something important."
As Yan Ruoyun walked, he introduced to Tang Lou: "It's like this. STORZ is promoting the X-CONE single-channel entrance system in Hecheng, so they want to cooperate with our institute."
"X-CONE single-channel entry system? Is it used to perform single-channel laparoscopic cholecystectomy."
Under the two-star cholecystectomy, Tanglou naturally has some understanding of single-channel laparoscopic cholecystectomy.
The two soon came to Director Cheng's office. In the office, apart from Cheng Jian, there was also a middle-aged man in his forties, wearing a neat suit and shiny hair. When he saw Tang Lou and Yan Ruoyun, he immediately stood up and said hello. .
"Tanglou, this is Tang Qichen, the sales manager of STORZ Hecheng. This time they will provide our hospital with the X-CONE single-channel entrance system for free. They hope to carry out some single-channel laparoscopic cholecystectomies in our hospital."
Cheng Jian introduced to Tang Lou.
Looking at such a young Tang Lou, Tang Qichen was slightly surprised, but with a smile on his face, he reached out and took Tang Lou's hand: "Doctor Tang, you are indeed young and promising, it's a pleasure to meet you."
Tang Lou nodded, shook hands, and then sat aside, guessing in his heart, could it be that Director Cheng deliberately asked him to learn single-channel laparoscopic cholecystectomy.
After Cheng Jian and others sat down, he slowly said:
"As we all know, single-channel laparoscopic cholecystectomy generally uses a single incision to insert multiple ordinary puncture devices to establish the operation channel in the early stage. Conventional laparoscopic instruments are used to complete the operation. There are air leakage, insufficient instrument length, and mutual interference between left and right hand instruments. Problems such as the inability to establish an effective triangle operation make the operation extremely difficult."
"In addition, because the endoscope is coaxially parallel to the operating instruments, the field of view is limited, which increases the risk of iatrogenic bile duct injury, which makes most surgeons have a negative attitude towards this technology. In recent years, some special instruments for single-channel surgery have been introduced.”
"The X-CONE and its single-channel special device developed and launched by STORZ are the best among them. It has been successfully proved by many hospitals in Hangzhou and Shanghai to prove its reliability, safety, and feasibility."
"As long as these problems can be solved, compared with traditional laparotomy or four-port laparoscopic cholecystectomy, single-channel is obviously very advantageous. Minimally invasive is also the development direction of future surgical operations, with smaller incisions and even Scarless surgery is the pursuit of our generation of surgeons."
Cheng Jian looked at Tang Lou and Yan Ruoyun and expressed his thoughts.
Tang Qichen also added: "Transumbilical single-port laparoscopic surgery can achieve a nearly scarless effect because the wound is hidden after the umbilical incision heals. It is an ideal "scarless" surgery at this stage. In order to promote this time and your hospital For cooperation, as well as publicity and promotion of our company's X-CONE and its single-channel special equipment, I have contacted and arranged a patient with Director Cheng, and will also invite Huang Yao, a well-known professor in Hangzhou, to perform the surgery."
"As for this operation, I hope that you, Tang Lou, can participate in the whole process and study like Professor Huang."
Cheng Jian said the purpose of calling Tang Lou to come this time.
Yan Ruoyun sighed inwardly that Director Cheng really valued Tanglou. It was obvious that he wanted to train Tanglou to lead the single-channel laparoscopic cholecystectomy in the general surgery department of the first hospital in the city.
In addition, being able to exchange and study with Professor Huang Yao throughout the whole process is also paving the way for Tang Lou's future development in the medical circle of Jiangxia Province.
"Professor Huang, when will you arrive at our hospital?"
As the organizer of this cooperation, Tang Qichen is naturally responsible for the communication and various matters involved.
"I have already contacted Professor Huang's team and confirmed that I will be in your hospital tomorrow afternoon."
Tang Qichen continued to add: "This time the patient is quite special. She is a member of a girl idol group and is only 20 years old. This is also the reason why she was chosen for this minimally invasive cholecystectomy. As long as it can be successfully completed, X -CONE and its single-channel special instruments and the General Surgery Department of the Municipal First Hospital will play a very good role in publicity.”
Cheng Jian nodded. For this single-channel cholecystectomy, he naturally wants to promote it in the city's first hospital. This minimally invasive operation will be very helpful for the successful establishment of the provincial acute abdomen department in the future. .
"Tang Lou, Yan Ruoyun, you will cooperate well with Manager Tang in the future, and you must complete this operation successfully. At the same time, it is also a very good learning opportunity for you."
"Okay, Director Cheng, we must work hard to complete the task."
Yan Ruoyun certainly understands the significance of this technique. As long as it is successfully promoted, it will be the first step for Hecheng.
He is naturally honored.
"Then please."
As the organizer of this time, Tang Qichen spent a lot of money and contacts. The promotion this time must be successful.
After Cheng Jian gave some more instructions, he started a WeChat communication group with Tang Lou, Tang Qichen and Yan Ruoyun.
Several people left the office.
After Tang Lou and Yan Ruoyun returned to the office, they soon received Tang Qichen's first call.
"In order to ensure the success of tomorrow's operation, Professor Huang needs you to give the patient a physical examination, CT and ultrasound examination in advance."
"Okay, we will pass the information to Professor Huang as soon as possible."
After putting down the phone, Tang Lou went to Yan Ruoyun to arrange CT and ultrasound examination.
Patient Lai Meiyun is a member of a girl idol group. She is small but has an extremely delicate face.
Lying on the hospital bed with a pale face.
Tang Lou was in charge of examining her, accompanied by her manager.
Lai Meiyun reported that she had experienced severe pain in her upper right abdomen 2 times in 3 years. The previous 4 times were after practicing dance for a long time. The pain relieved on its own in about 5-[-] hours. Since she hadn’t made her debut at that time, she didn’t seek medical treatment in order not to affect her future selection.
Due to self-relief, I didn't pay too much attention to it. I had another pain half a month ago. The symptoms were more serious. After seeking medical treatment, I received intravenous infusions of cimetidine and floxacin for 1 day.
Then, the most recent time, I had abdominal pain for 4 consecutive days, accompanied by a body temperature as high as 38.5°C, no nausea, no vomiting, no diarrhea.
With the clinic intravenous "ceftriaxone sodium", "tinidazole" 1 day without improvement.
Since the physical examination data had to be sorted out to Professor Huang, Tang Lou naturally carried out routine physical examination and consultation, and carefully recorded in the medical record:
Patient: Lai Meiyun, female, 20 years old
Brief medical history: The main cause was right upper quadrant pain for 4 days, accompanied by fever and admission.The body temperature was as high as 38.5, no nausea and vomiting, no diarrhea, and "ceftriaxone sodium" and "tinidazole" were given intravenously in the clinic for 1 day without improvement.
Physical examination: conscious, flat and symmetrical abdomen, right upper quadrant tenderness, mixed muscle tension, rebound tenderness
After doing this, wait for the ultrasound and abdominal CT to come out.
Two hours later, check it out:
Auxiliary examination: white blood cell 10.05×109/L, neutral 0.93, blood amylase 30U/L, urine amylase 108U/L, prothrombin time 17.3s, international normalized ratio 1.45, activated partial thromboplastin time 51.3s, kidney Performance: creatinine 154.4umol/L, blood urea nitrogen 13.65 mmol/L.
Ultrasound showed acute cholecystitis and gallstones, with two abdominal CT pictures attached.
Clinical diagnosis: acute cholecystitis, gallstones
After completing this, Tanglou packaged the compiled information and sent it to Tang Qichen, who then forwarded it to Professor Huang's team.
Half an hour later, Professor Huang's team replied: In order to make a more accurate judgment, please cooperate with your hospital in performing contrast-enhanced ultrasound and enhanced CT.
After receiving the reply, Tang Lou and Yan Ruoyun were both a little surprised!
Yan Ruoyun, in particular, looked a little unhappy. The contrast-enhanced ultrasound and enhanced CT were not so simple to do.
And, is it really necessary?
(End of this chapter)