Famous Among Top Surgeons in the 90s
Chapter 1133: 【1133】Propose a new concept

Chapter 1133: 【1133】Propose a new concept

The doctors here are not unwilling to think of new methods, but every surgical plan that comes out must be one hundred percent viable, a display of highly responsible attitude.

"I have something to say," Xie Wanying decided and raised her hand.

Perhaps there are things Senior Tao is not quite comfortable to say, she will say it.

Others looked at her, wondering what she could possibly say at this time.

"Alright, speak," Zhang Huayao turned around and pointed at her.

"The biggest drawback of performing the surgery entirely laparoscopically is that the steps are too complex. If we follow the laparoscopic procedure, it will be more time-consuming compared to traditional surgery, meaning that the chief surgeon alone isn’t enough. Therefore, I suggest adding another chief surgeon to the laparoscopic surgery to greatly reduce the operation time," Xie Wanying said.

The doctors present could only be stunned by her words: A double surgeon strategy?

"Are you talking about this double surgeon strategy?" Section Chief Yang frowned, not thinking she was talking nonsense—after all, having seen her capabilities, he had some trust in her talent. It’s just that this concept of a double surgeon strategy did seem somewhat detached from practice.

"The double surgeon strategy has been tried before," Fang Xueqing, who was not from the department of surgery, knew the surgical history and explained, "but it never took off. Having two chief surgeons does not show any advantage over having one."

In traditional open surgery, there’s only one incision, and with the chief surgeon’s two hands occupying the surgical field, there’s no room for another set of hands. Moreover, in case of any emergency, one chief surgeon’s ten fingers are enough.

Indeed, the surgeon’s hands are the greatest weapon in a surgery. Inside the open abdominal cavity of the patient, the surgeon’s hands can change angles at will, and fingers can move as desired. The flexibility and dexterity of human fingers cannot be matched by any instrument, thus, the use of a double surgeon strategy is unnecessary and can even appear disordered.

However, laparoscopic surgery might differ.

This epoch-making technology has developed on the basis of traditional surgery with the help of other technological revolutions and has some characteristics that are very different from open surgery.

In the face of other’s skepticism, Xie Wanying began to explain: "Laparoscopic surgery involves the surgeon manipulating instruments through trocars to enter the patient’s abdomen, using the instruments in place of their hands. The functions of surgical instruments are mostly single-purpose, and the chief surgeon may need to change instruments during the operation, which takes time to move in and out of the trocars, resulting in delays. If the surgery goes smoothly, the timing is flexible, allowing for various trials to solve problems. The real fear is encountering emergencies, like sudden massive bleeding where the source can’t be located. In such cases, the surgeon does not have the same time as usual and must quickly convert to open surgery."

Others listened: Right, this is correct. These are the disadvantages of laparoscopic surgery. Many laparoscopic surgeries are urgently converted to open surgeries based on such situations and reasons. That’s why, for a long period of time, hepatobiliary surgeries even for liver cancer did not dare to use laparoscopic technique. Because cutting the liver is prone to heavy bleeding, and the surgeons cannot react quickly enough using only surgical instruments.

The question is, can adding another surgeon as chief actually solve this problem?

Xie Wanying continued to analyze the characteristics of laparoscopic surgery: "The port is fixed. If there is only one chief surgeon, he is standing in a fixed position, trying to manipulate the instruments in both hands to cooperate. Due to the fixed angle, it’s impossible to have the same level of freedom and coordination as one can in open surgeries. Not to mention, the human hand can freely bend in ways no surgical instrument can. Therefore, if another chief surgeon is added, standing in the opposite position, it can effectively resolve the issue of operation angles."