Endoscopes have gone through a long process from their birth to their maturity. The original rigid tube endoscope was invented in 1806. By 1995, it had been developed for nearly two hundred years.
During this period, endoscopes also evolved from the original rigid tube endoscope, semi-curved endoscope, fiber endoscope, to the current electronic endoscope.
However, endoscopy began to be used in abdominal surgery in the 1970s.
After entering the 1970s, due to the invention of the cold light source, the glass fiber endoscope, the artificial pneumoperitoneum monitoring device and the automatic pneumoperitoneum machine of the D country SEMM, laparoscopic surgery began to gradually develop.
The first laparoscopic surgery in China was in the late 1970s, in 1979, only fifteen or sixteen years ago.
Laparoscopic surgery is a new thing after all. Even though it has been fifteen or sixteen years, there are actually not many hospitals in China that are actually exposed to laparoscopic surgery, that is, some of the top hospitals, such as Union Medical College, West China, Yanjing Hospital, Shanghai Hospital, etc.
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Many hospitals are still in the exploratory stage regarding some difficulties encountered in laparoscopic surgery, such as the "operation reversal" of laparoscopic surgery.
Compared with liver transplant surgery, Fang Le actually has greater advantages in laparoscopic surgery.
In the operating room, Cen Dongyang glanced at the screen, then at Fang Le, and for a moment he felt a little bit hot.
Just now, he actually gave Fang Le a popular science lesson, but he didn't expect that Fang Le knew more about it than he did.
Fortunately, wearing a mask, no one can see Cen Dongyang's expression.
However, Cen Dongyang couldn't blame Fang Le. After all, it was his own preconception. Fang Le did not admit or deny anything, and from beginning to end, he did not steal his limelight.
If it weren't for the difficulty of the operation at this moment, Fang Le might not even say anything.
"In laparoscopic surgery, when the surgical angle of view is opposite to the direction of the surgical operation plane, the surgical operation will be reversed and a backhand operation will occur. In actual operations, there are many ways to adjust and avoid this backhand operation.
Place the trocar in a location prone to "backhand operation", or change the trocar position, etc."
Fang Le politely explained to Cen Dongyang.
"Thank you Dr. Fang."
Cen Dongyang smiled and continued the operation.
At the back of the classroom, Chen Jidong was also looking at the scene in the operating room.
After talking to Chen Qinghai on the phone, Chen Jidong arrived at the demonstration classroom, thinking about how to contact Fang Le.
Seeing Fang Le's command and operation in the picture, Chen Jidong was in disbelief.
Fang Le actually also understands laparoscopic surgery, and not just in general.
"Professor Fang really doesn't leave anyone a way to survive."
In the operating room, Xiao Conglin's face was full of bitterness.
Their hepatobiliary surgery department now has absolutely no confidence in front of Fang Le. Let alone liver transplant surgery, laparoscopic surgery is also within the scope of their hepatobiliary surgery department. Judging from Fang Le's operation, there is really no gap left.
"There really is no comparison between people."
Chu Jianlin shook his head bitterly, turned around and said to Meng Qingfei beside him: "From now on, just follow Professor Fang and eat ashes. Stop struggling."
Meng Qingfei glared at Chu Jianlin.
Lao Chu, don't you feel guilty when you say this?
Your Union Medical College completed the split liver transplant under the guidance of Fang Le. What did they do at Yanjing Hospital?
At this moment, Meng Qingfei was already very anxious.
There is no hope of the first case in the country, and there is no need to think about it, but the first case in Yanjing still needs to be fought for.
This split liver transplant was completed jointly by Union Hospital and Shanghai Hospital, or under the guidance of Fang Le, and the location was still at Shanghai Hospital. It is not the first case.
From this aspect, Chu Jianlin and him are the most direct competitors.
"There should be no suspense about the surgery."
Chu Jianlin said with a smile: "It was originally a relatively simple conventional laparoscopic left liver lobectomy. Laparoscopic surgery is not too difficult. The surgery is over and we should go back tomorrow. With this experience, we will go back
Let’s also summarize it.”
Meng Qingfei: "..."
Is it common for this person to be so arrogant?
"Director Cen's skill is beyond praise. The operation went very smoothly."
"Dr. Fang's cooperation is also crucial."
Showing the classroom, some knowledgeable people could see at this moment that the operation had reached the final stage and was going quite smoothly.
With Fang Le's cooperation, the progress of this operation will be faster.
"68 minutes!"
In the operating room, Cen Dongyang looked at the time, smiled and said to Fang Le: "This is the shortest laparoscopic surgery I have ever done."
At this time in 1995, laparoscopic left liver lobectomy usually took about one and a half hours.
With the development of endoscopy and the maturity of technology, the duration of surgery is getting shorter and shorter. It is normal for the surgery to be controlled within an hour, but at this time, 68 minutes really surprised Cen Dongyang.
"Director Cen is of high standard and has superb skills."
Fang Le said with a smile.
"Doctor Fang, please stop saying that, my face is burning."
Cen Dongyang was a little embarrassed.
Although Fang Le was mainly the deputy in this operation and only gave instructions on a small part, Cen Dongyang could see that Fang Le's level was not low.
Although the surgical steps of laparoscopic surgery and open surgery are similar, the actual operations are quite different.
Whether it is the dissociation of surrounding ligaments, thoracic adhesions, abdominal adhesions, or the dissociation of hepatic arteries, hepatic veins, and bile ducts, all operations are performed under the guidance of endoscopic surgery.
Especially the operation of short liver instruments.
For laparoscopic liver resection, the main operating instrument is electrosurgery.
The electric knife used in Fushan Hospital is a self-adjusting electric knife manufactured by Erbe Company, which can intelligently adjust the cutting and electrocoagulation power.
Cen Dongyang didn't use this set of electrosurgery for a long time, but Fang Le was able to operate it very naturally.
The more you get in touch with Fang Le, the more you will find that you are surprised all the time.
"Director Cen, Doctor Fang, Director Han..."
As soon as Fang Le, Cen Dongyang and others walked out of the operating room, Chen Jidong and others came up to him with a smile on his face.
"Lunch has been prepared at the hotel, shall we go there right away?"
After the operation, the afternoon was followed by the postoperative analysis meeting and the latest laparoscopy promotion meeting of Haisen Group.
Because of the liver transplant surgery at Shanghai Hospital, the experts invited by Haisen Group for this event have been staying in Shanghai for a long time.
Haisen Group doesn't care about the two days of food and lodging, but the experts who came here can't stay here in Shanghai endlessly.
Therefore, the activities for these two days are quite tightly arranged. The original three-day activities have been reduced to two days. The postoperative analysis and promotion meeting will end this afternoon, and all experts can return tomorrow.
"Let's go and follow Mr. Chen's arrangements."
Cen Dongyang chuckled.
The operation went smoothly today, and at the same time, he was able to share the stage with Fang Le. Cen Dongyang was in a good mood.
Although it was a little awkward during the operation because I didn't expect it at first, but compared to the friendship I had with Fang Le during the same surgery, everything else was nothing.
The operation went well, and I got to know Fang Le again. There were so many experts at this event, so at least I got some face, right?
It doesn't really matter if you have face or not.
While talking, a group of people left the operating room.
There are cars prepared by Haisen Group outside.
Not only Fang Le and others went to the hotel, but also a large group of experts who were watching the surgery in the demonstration classroom.
There were two buses waiting outside.
"Doctor Fang!"
After walking out of the outpatient clinic building and arriving near the parking lot, Chen Jidong hesitated for a long time and called Fang Le.
"Mr. Chen, is there something wrong?"
Fang Le looked back at Chen Jidong.
"Dr. Fang, can you lend me a moment to speak?" Chen Jidong said politely.
Fang Le took a step to the side.
Chen Jidong: "……."
Borrowing a step, really borrowing a step?
Fortunately, Fang Le didn't ask when he would return it.
"Just kidding."
Fang Le smiled and walked to the side again.
"Dr. Fang, please take my car and let's chat for a while." Chen Jidong suppressed his temper.
"We are not on our way."
Fang Le pursed his lips not far away, while Han Shengxue was still waiting for Fang Le.
"Doctor Fang won't go to the hotel?"
Chen Jidong asked.
"I won't go to the hotel. There is still something to do at the Shanghai Hospital."
Fang Le glanced at Chen Jidong
Fang Le did not intend to attend the afternoon meeting.
He came here today to see the laparoscopic surgeries here, and also to learn about the latest endoscopes from Haisen Group. He had an idea in mind. As for the analysis meeting and promotion meeting in the afternoon, Fang Le was not interested.
Not only was Fang Le not interested, Han Shengxue was not interested either.
At present, the emergency department of Xijing Hospital has made great progress, and Director Han is not in a hurry when it comes to laparoscopy.
Fang Le and Han Shengxue also talked last night. As far as endoscopes are concerned, Olympus is actually more useful.
Not to mention other aspects, Fang Le has been coveting the Olympus endoscope for a long time.
According to the timeline before the rebirth, Olympus will launch a 1080i high-definition endoscope in 2006, and Pentax will also launch a megapixel high-definition electronic endoscope in 2007.
Fang Le's plan is to try to develop a megapixel endoscope before Olympus and Pentax before 2000.
If you want to surpass others based on your current poverty, you must still build on their existing foundation.
As for Haisen Group, this set of endoscopes may be quite good in China, but in the United States, it is definitely not the best product.
If you have the time, you might as well find an opportunity to start from Ariro Tanabe and get a set of the latest Olympus products to take a look at.
When it comes to endoscopy, Fang Le definitely knows more than anyone else.
Over the past year, Fang Le has not hesitated to draw attention to himself, and has rapidly carried out the first semi-ex vivo liver transplantation, the first living donor liver transplantation, and the first split liver transplantation in the extrahepatic field. In addition to filling the domestic gap, he also has
Make yourself more valuable and have a higher status, so that you can meet top talents and have access to top equipment.
Chen Jidong opened his mouth and wanted to say something. Fang Le continued: "Both of us know very well that I don't like you, and you probably don't like me very much. There's no need to deal with me, so don't mess with me."
After that, Fang Le walked directly to Han Shengxue.