Secret in the schoolbag

Secret in the schoolbag
The easy reporter of staff reporter Lee's weather Wen ZhiQin Kidney stone is a kind of common disease. Surgery of a kidney stone treats the new technology and snatches the second prize of National Prize for Progress in Science and Technology of 2010. The reporter interviews to find, the successful answer to a riddle is unexpectedly in the researcher, Ji'nan University attach to the schoolbag of Professor Su ZeXuan, head of the department of surgery of first hospital. More than 260 kidneys accumulate a new discovery Kidney stone belong to ureteral calculus not merely " The birthplace " ,And apter to damage the kidney directly than calculus of any other positions. "Guangdong is the kidney stone hotspot, secretes in Pearl River Delta about 1/3 are the kidney stone patient in the surgical disease patient of the urine. " In 1983, Su ZeXuan began the research of surgical treatment of kidney stone. As a surgeon, Su ZeXuan is not limited to one's own " three points of ground of 0.067 hectares " ,But open up the path separately, hope to study and set about from renal anatomy, to improve the operation skill and seek the technological innovation. At that time, in Su ZeXuan's carry-on schoolbag, there are things different from other surgeons: Steel ruler, slide caliper rule, scalpel and tweezers,etc.. Rely on these kinds of simple tools, can be engaged in a kind of special research - -Renal dissection. Su ZeXuan recalls, wraps the renal sample of human body got with the plastic bag by oneself, put in the schoolbag, hand-carry, while having a rest or on duty and idle, dissect and study the kidney. This kind of sample soaked with formalin liquid, often give out the dense smell. But he indulges in it herein: Measure length with slide caliper rule, take out notebook, record data at any time, one finish, continue, make next. Under the bed in doctor's guards' room, there are more than 260 to accumulate renal samples finished. Kidney in pairs the intersection of French beans and organ, lie behind the peritoneum in the the intersection of backbone and the intersection of both sides and shallow nest. Such chocolate substantive organ, can be divided into two reason in inboard and outboard sides, outer reason eminence, inboard reason sunken, call renal hilum is renal pelvis, blood vessel, nerve, door that lymphatic vessel come in and go out. The structure of the renal hilum of coming in and going out of these, the parcel of connective tissue, concave in the kidney from the renal hilum, there is one bigger, call the kidney sinus. The kidney sinus is enclosed from kidney essence, contain renal artery, renal vein, lymphatic vessel, minor calyx of kidney, major calyx, renal pelvis and adipose tissue,etc. in the kidney sinus. Through the dissection to more than 260 renal samples, Su ZeXuan has found the thing never described on the textbook. Begin from the ureteral upside, have dense fibrous fat of one layer to wrap up the membrane at first, until around the kidney papilla, what is these bags of membrane? Secondly, interval of the membrane, is full of loose connective tissues outside this bag membrane and renal pelvis, without blood vessels, what is this interval? Look through and has not found either that there is any explanation all over the textbook. Then, Su ZeXuan names these two new discoveries as respectively fat in the kidney sinus to wrap up the interval outside membrane and renal pelvis. Textbook and dissecting clinically in descriptive disparity, confuse Su ZeXuan. Is this one's own new discovery? He asks anatomy authority, clock generation town professor of academician of Chinese Academy of Engineering, expert of urology surgery, the first affiliated hospital professor Mei Hua of Zhongshan University and refined medical college of Hunan of middle and southern university attach to the first hospital and explain rocs and fly to the professor, have received the definite answer. Solve the kidney stone operation and bleed " The soft rib " The intersection of kidney and sinus and the intersection of kidney and the intersection of blood vessel and new discovery of anatomy, let high to realize at these can apply to clinical pool Su, design, improve and improve the kidney stone surgery in help. What the kidney stone surgery faced was the biggest at that time " The soft rib " Bleed. Su ZeXuan introduces, in the face of enormous complexity kidney stone,etc. occuring frequently, it is very important to protect the blood vessel in the kidney sinus well, it is very difficult too. If it is not clear to separate the level the operation, will damage the kidney blood vessel, cause massive haemorrhage. Once some bleeding can not be controlled, the final result excises the kidney, bring the agony different to bear to patient. Su ZeXuan thinks, if the operation route can get around the blood vessel of the trouble, avoid damaging the blood vessel in the kidney directly, reduce to renal material injury, OK? Su ZeXuan finds, along the interval outside the renal pelvis, it is extremely apt to organize separating around the kidney papilla. Membrane surface very smooth outside the renal pelvis, easy to separate from interval outside the renal pelvis, and piece combine with the intersection of renal pelvis and the intersection of skin and layer relatively urgent inside, and support outside the renal pelvis the blood vessel of membrane is moved towards other membrane by the skin layer, it is not apt to separate. To this discovery, Su ZeXuan sets about improving and designing the new scientific and technological skill outside: According to the anatomy characteristic of the kidney sinus, found the level that the fat of kidney sinus charters the membrane, interval go on, separate along renal pelvis, separate and cut renal hilum, make the membrane and separate and expand the renal hilum under kidney. Kidney after the improvement this renal pelvis cut fetch the intersection of stone and skill in the sinus, get around the blood vessel, have avoided bleeding. October of 1985, six provinces in the middle and southern (district) held in Zhuzhou of Hunan Province Secreting it at the surgery skill meeting of the urine, Su ZeXuan has reported this new technology for the first time. Wu Jieping, authority of urology surgery, comments on and says after after listening to the report: "The kidney sinus has vast field, know these new discoveries, a lot of kidney stone patients can get and treat. " Later, kidney renal pelvis cut fetch the intersection of stone and skill to put together into China most authoritative " secrete the urine surgery, learn " in the sinus. For over 20 years, this technology has already relieved the agony for more than 20,000 kidney stone patients. To the technical training of over 2000 clinicians in all parts of the country, make it become regular kidney stone operation, treat the current situation after changing kidney stone and surgery of our country. New discovery of anatomy, inspire and support high in bold change under clinic pool Su constantly. He according to the intersection of kidney and characteristic that blood vessel is distribute, design kidney renal pelvis add district cut treat the enormous deerhorn shape calculus in the kidney among the section behind the kidney in the sinus, introduce foreign to fetch stone at the foundation of skill by leather kidney, design, fetch the intersection of stone and security puncture area of skill by leather kidney, made very good result by clinical practice, the relevant thesis was issued in " secreting urine research " the magazine in 1987. Su ZeXuan and group also propose building treatment many kinds of complexity kidney stone of Lou many passways a little, have set up new fetching, rubble method, has improved the clearance rate of kidney stone; Because the anatomy law finding the artery of the liver kidney pancreas organ came from the belly aorta, the vein flowed back to the lower vena cava, researcher design the intersection of liver and the intersection of kidney and the intersection of pancreas and organ form a cluster, transplant skill, set up big the intersection of mouse and the intersection of liver and the intersection of kidney and the intersection of pancreas and organ, form a cluster artery model that transplant at first in the world, have established the foundation for launching the liver kidney pancreas organ clinically and forming a cluster and transplanting the skill. "The surgeon can't ignore anatomy, need to pay attention to foundation and clinical combination on scientific research. " Su ZeXuan says, " anatomy is a foundation of the surgery while summarizing one's own successful experience, any surgical innovative technology, there is no support of basic research such as anatomy, difficult ' halo flashes '. " Reporter write down notes pool and high kidney stone and surgery that head the list of signers Su treat the new technology and obtain the break-through, in expert's view Anatomy and result with perfect and interdynamic surgery. Su ZeXuan has chosen to proceed with most basic anatomy under the older generation's suggestion, use some to look very " Cumbersome " Method,go seek operation difficult problem break-through. The expert thinks, his thinking is worth everybody's drawing lessons from. This points out our pace-setter in scientific research, hospital and universities and colleges administrator too, if respect of merging, uniting in discipline etc. is promoted, perhaps clinical pathology and achievement of the domain of anatomy will make the improvement of clinical technology obtain more helping hand. Likewise, our many surgeon, when difficult problem that can not be solved on meeting clinically, don't be eager to rely on the new apparatus or new technology, begin from change in basic operation skill type most, begin with most basic human anatomy, can maybe find the answer.

|