After the urology department manager breathed a sigh of relief, he couldn't help but turn his head and continue to observe the stone that had turned into powder in the virtual ureter.

"How did Dr. Su grow the seeds on his head? How did he train his hands? Even though he was very rough and had just started using ureteroscopic lithotripsy, he was able to break the stones to such an extent?"

"Is it due to talent? Or does Li Minghui also know some inside information, so he specially let him practice related techniques?"

After thinking for a moment, the CEO of the Urology Department thought that Director Dou had spoken anyway and agreed to let Su Jie participate in the staghorn stone surgery. So there would be no problem in informing him of the key points and techniques of the surgery in advance!

In fact, the boss of the Department of Urology desperately wanted to share this technology with Su Jie, just to see what Su Jie, who was so talented, could do after mastering this technology.

The expectation for a "perfect" ureteroscopic holmium laser lithotripsy made the CEO of the Department of Urology temporarily put aside his worries about Yamashita Oda's conspiracy.

After pondering for a moment, the CEO of the Department of Urology said solemnly: "Dr. Su, are you free now? Can you take some time and let me explain to you the techniques of flexible ureteroscopy for staghorn stones that our Department of Urology has summarized."

Of course, Su Jie was willing to learn this cutting-edge technology, especially after a period of practice, when he also had a preliminary understanding of flexible ureteroscopy surgery, and his desire for cutting-edge technology became even stronger.

"Actually speaking, the key technology of using flexible ureteroscope to treat antlers is not complicated, it can even be said to be very simple."

"The key is to powder it."

"To be more specific, we use various stone crushing techniques to break the stones into powders smaller than 2mm as much as possible."

"Clinically, as long as the residual stone fragments are less than 4mm, they are called 'meaningless residual stones'. Eighty percent of the 'meaningless residual stones' will be directly excreted from the body through the ureter, which can be said to be the best way to expel stones."

"However, we have summed up experience from a large amount of data statistics and found that residual stone fragments in the 3 to 4 mm range will still have a high probability to remain in the ureter and become the core of new stones, becoming a hotbed for the next round of stone growth."

"Therefore, we use less than 2mm as the standard for powdering. Stones of this size are the safest, and the expulsion rate can even reach more than 90%."

Su Jie subconsciously glanced at the stone powder in the simulated ureter he had just practiced. The yellow turbid stone powder was slowly floating in the liquid. A visual inspection showed that the size of the particles should be close to 2mm.

but……

That was the product of more than two hours of continuous lithotripsy, and a flexible ureteroscope and holmium laser lithotripsy did not have that much time to slowly polish the stones.

Moreover, the patient's ureter cannot be as tough as the simulated ureter and can remain intact despite repeated abuse.

The CEO of the Department of Urology continued: "If you want to grind it to a powdery level, just relying on time and slowly polishing it is definitely the least efficient method, and it will also cause damage to the ureteral wall."

"For stones with space around them, we usually use the 'peripheral chipping method' to eat away at the stones step by step."

"For stones with less water accumulation and narrow surrounding space, we usually use the 'middle drilling gravel method', which hollows out the middle of the stone and then crushes the surrounding empty shell."

…

The CEO of the Department of Urology told Su Jie almost everything he knew and talked about. He imparted all his experience in lithotripsy to Su Jie.

The two of them were originally standing next to the virtual operating table, but slowly, they walked to the operating table together in tacit understanding and began to practice and explain at the same time.

During this time, Su Jie not only practiced in the simulated operating room of the Department of Urology, but also went into the virtual operating room to review his shortcomings during the day after returning to the dormitory at night.

High-intensity practice allowed him to quickly enter the door of flexible ureteroscopy surgery.

At the same time, it is precisely because of the solid foundation that when the boss of the Department of Urology began to demonstrate various lithotripsy techniques to Su Jie, he was able to understand them instantly and demonstrate them almost as if they were replicas.

The ureteroscope is aimed at a stone, and then the location and structure are accurately analyzed, and then the corresponding lithotripsy technique is selected to crush it into powder less than 2mm step by step...

"Powdering is just a concept."

The CEO of the Department of Urology watched Su Jie's wonderful operation with admiration, and then slowly explained: "The really important technique is to use different lithotripsy techniques for different stones to break them into pieces of less than 2mm as much as possible.

Fragments of broken stone.”

“This is the key point of the technique for treating staghorn stones with flexible ureteroscope and holmium laser lithotripsy!”

Su Jie also understood at this time and said: "This is indeed a technique that is not easy to see through. The surgeon uses different stone crushing techniques for different stones to crush the stones into powder as much as possible."

"If you just watch and don't have a detailed explanation from the surgeon, it will only make others think that the surgeon has rich experience, superb skills, and a high degree of mastery of gravel."

"It's hard to imagine that the Department of Urology has summarized so many specific lithotripsy techniques for different stones."

"Very confusing."

The CEO of the Department of Urology smiled and said: "Actually, it is not that confusing. If you are a doctor who often uses flexible ureteroscopy and holmium laser lithotripsy, you may be able to find some clues by watching a few more surgeries and summarize them.

Get some experience."

"But Yamashita Oda cannot. He is an expert in percutaneous nephroscopic surgery. As far as I know, in his annual surgical composition, he does not perform many stone operations. Among these very few operations, percutaneous nephroscopic surgery is performed."

Nephroscopy accounts for more than 90% of cases."

"After all, he is still relatively new to flexible ureteroscopy surgery. It is difficult to master this powdering technology through observation."

The two looked at each other and couldn't help laughing.

My little Japan, conspiracy theories are going to go bankrupt after all.

"Then I will be the one to perform this operation?" Su Jie asked.

"Let's discuss it with the patient later and see if we can change his mind... But I think it's quite difficult. This patient is too accepting of death."

The CEO of the Department of Urology said thoughtfully: "Doctor Su, it's not impossible for you to perform this surgery. You have experience in laparoscopic surgery before, and I just saw your operation, and you are also very talented in lithotripsy."

"This patient's staghorn-shaped calculus is not particularly complicated. With me assisting you, there shouldn't be any big problems."

Su Jie also said at this time: "Besides, if there is really a problem during the operation, you will take over the operation, or another senior doctor will come to the rescue. Yamashita Oda will have nothing to say."

"That's right."

The boss of the Department of Urology smiled and said: "But I think you should be fine, Dr. Su. The powdering technique doesn't seem to be a problem for you, but the time is too short..."

The CEO of the Department of Urology is somewhat regretful.

Time is too hasty.

If the time is longer, Su Jie will be given more opportunities to practice.

Then how wonderful this surgery will be...
Chapter completed!