Surgical artist

Chapter 338 Who Says It's Difficult To Protect The Spleen?
A group of pancreas and spleen experts agreed to the plan of "removing the spleen".

Headed by Chairman Hao Xihua, they began to discuss the second plan of spleen cutting.

Zhao Peiru, who was next to him, was looking for a suitable "spleen protection" plan in his mind.

Soon, a smile appeared on the corner of Zhao Peiru's mouth.

"Sure enough, there are many spleen-preserving surgeries, and they are much more advanced than the current splenectomy surgeries."

The new surgical method can not only protect the spleen.

Also because of advanced surgical techniques, it can greatly simplify the surgical operation process and optimize the surgical steps.

On the contrary, it also makes the operation simpler and easier to operate.

When "preserving the spleen" itself has advantages, and it is more advantageous than "cutting the spleen", the operation is simpler, and the surgical effect is better...

Why not "protect the spleen"?
This advantage is enough for the new technique to completely replace the old technique, or even eliminate it directly.

Zhao Peiru's heart skipped a beat.

"Isn't this a good opportunity for me to complete [Task [-]]?"

The fourth requirement of the task is to get rid of an old technology.

Just in time, use this opportunity to complete it.

Zhao Peiru smiled inwardly, he first "preserved his gallbladder", and then "kept his pancreas".But now it is necessary to "protect the spleen", which is a competition with the refined technology to protect various organs of the body.

To put it bluntly, this whole set of "protecting organs" is a technique to refine the operation. Because the previous medical workers could not overcome the technical problems, they had no choice but to directly cut off various organs to prioritize the preservation of patients. life.

However, Zhao Peiru has made refined improvements to advance the surgical technique one step further, using technology to overcome difficulties, making it possible to protect various organs during various operations.

Zhao Peiru said: "President Hao, Director Shi, all experts."

When he spoke suddenly, everyone looked over subconsciously.

Zhao Peiru has made a lot of achievements in spleen surgery recently, especially the repair of the pancreas and the resection of the head of the pancreas, which are very impressive.

Therefore, everyone still attaches great importance to Zhao Peiru's opinion.

But Zhao Peiru has been silent since he came in.Afterwards, everyone talked about the perfect operation plan, and no one cared about Zhao Peiru anymore.

"Director Zhao, you are very accomplished in pancreatectomy."

Vice President Hao Xihua said with a smile: "It's just right, you come to help everyone and improve this splenectomy plan together."

Zhao Peiru shook his head and said, "No, the second plan of cutting the spleen is not appropriate."

When he said this, everyone's heart skipped a beat.

Everyone looked over: "Director Zhao, what do you mean?"

Zhao Peiru: "The spleen is the largest immune organ in the human body. It is very important to fight infection and increase the immune function of the body."

"After the spleen is removed, the patient is likely to have a secondary infection after the operation. The macrophages produced by the spleen itself, which act as the body's spontaneous barrier function, will also disappear."

"At the same time, the pancreas also has important physiological functions of hematopoiesis, blood storage, and blood filtration, removes aging and deformed red blood cells in the blood circulation, and balances the physiological balance of inflammatory mediators and hormones."

"The condition of this injured person, the broken spleen is not serious, and should not be removed at the same time."

As soon as he said this, everyone fell silent.

Indeed, the immune function of the spleen is very important to the human body.

If possible, no medical worker would be willing to cut out someone else's spleen.

But there is no way, the spleen and pancreas are tightly bound together like "twin brothers", and the arteries and veins are closely connected with each other. Once the operation starts, there is no turning back. If it is not removed as soon as possible, it will bring big troubles to the operation. If that is the case if……

A rescue operation may turn into a murder operation!
An expert shook his head helplessly at this moment: "Director Zhao, why don't we know what you said?"

"It is true that the spleen should not be removed, but what is the first principle of rescue surgery? Life comes first, safety comes first!"

"Save your life first, then talk about other things!"

"During the rescue operation, the blind pursuit of spleen protection may delay the progress of the operation, causing uncontrollable bleeding during the operation, making the already tense rescue operation worse, and eventually harming the patient and causing the patient to die on the operating table. superior……"

"Such cases have happened before in our Jiangnan province."

All the experts sighed in a low voice when they heard this.

Chairman Hao Xihua also said: "Oh, yes, life-saving is the number one priority at this time. Especially, the attention of the society is still very high for this injured person, and the leaders are also very concerned about it. We are not allowed to take risks!"

"Preserving the spleen is very important. However, the splenic vein fits on the upper edge of the pancreas. The vein wall is thin and the venous cavity is large, and the surrounding blood vessels are rich. It is easy to confuse the blood vessels and branches. If you blindly protect the spleen, if it is not handled properly, it will be too easy. There was a lot of bleeding during the operation."

"Even, it will cause postoperative pancreatic fistula bleeding, cause multiple organ failure, and eventually lead to the death of the patient."

Hao Xihua's few words pointed out all the difficulties of protecting the spleen.

He looked at the time, stood up, and said, "Time waits for no one."

"We have been discussing here, and it has been delayed for a long time."

"This rescue operation must be carried out as soon as possible, and every second counts!"

"Everyone get ready, let's go into the operating room."

Zhao Peiru said: "President Hao."

"What if I had a technique that would be safer, easier, and more efficient for the injured, and at the same time, protect the spleen?"

As soon as he said this, the people who were about to leave all stood still.

Is there such a formula?
While protecting the spleen, can it be safer, simpler and more efficient?
Hao Xihua also hesitated: "Are you sure?"

Zhao Peiru nodded: "If you know anything about me, you probably know that I am also the leader of the provincial 'Biatric Preservation Special Team'. At the same time, I also proposed pancreatectomy with the head of the pancreas preserved. "

"I have a lot of experience in preserving organs."

Hao Xihua looked at the time, "Director Zhao, let's go to the operating room first, and tell me about your thinking while walking on the road."

"Let's see if you can convince me."

If there is a surgical plan that can preserve the spleen and make the operation safer, easier, more efficient, and smoother, he is of course willing to use it.

There are countless pairs of eyes in the society now, staring at this place. Not only can there be no mistakes in this operation, but we must do our best to do it well and provide the best medical treatment conditions.

Therefore, the "safer" in Zhao Peiru's words just now made him tempted immediately.

Everyone left the conference room and walked towards the operating room below.

Zhao Peiru sorted out his thoughts and organized his language.

Today, he had to "teach Hao Xihua a lesson" so that he would be convinced by himself.

"President Hao, the most damaged part of the patient is the rupture of the body and tail of the pancreas."

"Our surgical breakthrough for spleen preservation can completely start from here."

Hao Xihua was taken aback, what does this mean?
Use the damaged part of the patient as a breakthrough?

Is there such a surgical plan in the world?
While walking, Zhao Peiru explained his new technology of "protecting the spleen" in the simplest words.

"We can separate the spleen and the splenic arteriovenous. Cut at the head and neck of the pancreas, and ligate the lateral pancreatic duct at the head of the pancreas. Dissect upward and left along the face of the splenic arteriovenous, and separate the splenic arteriovenous from the branch between the body and tail of the pancreas, from The splenic hilum is severed..."

Chairman Hao listened intently, the more he listened, the calm sea surface in his heart was filled with monstrous waves!

He finally understood what Zhao Peiru meant by "taking the ruptured body and tail of the pancreas as a breakthrough point"!

This kind of plan is simply taking the patient's breach as the breakthrough of the plan!
The patient's damage has instead become the most suitable access point in this plan, which makes it easier to protect the spleen.

In other words, if another patient comes over, this "spleen protection" plan cannot be implemented so smoothly.

I don't know how Zhao Peiru came up with such a wonderful plan.

"Director Zhao, you...how did you think?"

"You can even consider the patient's damage as part of your plan?"

This... This kind of operation plan is really too personalized, it is tailor-made for the injured patient in front of me!
It's like industrial mass-produced clothes, and carefully crafted, tailor-made private custom clothes.

From the beginning of the design, it was completely different.

Industrialized mass-produced clothes take into account the tastes of the public, which is the "common ground" that suits everyone to the greatest extent.

Tailor-made and personalized private orders are completely based on personal characteristics from the first step of design.

Hao Xihua looked at Zhao Peiru in surprise and admiration.

If it wasn't for the rich knowledge of pancreas and spleen in mind, how could it be possible to tailor such a plan?

The many pancreas and spleen experts who followed behind felt as if shocking waves were set off in their hearts at this moment, and they were all overwhelmed by this plan.

"In this way, it can really protect the spleen!"

"After deducing the whole operation process, it is indeed safer!"

"Not only did it not increase the burden of the operation, but it also made the operation easier than before."

"The places that need to involve risk accidents are also greatly reduced, making the whole operation relatively controllable."

The pancreas and spleen experts, including Shi Changqing, Hao Xihua and others, were thinking about Zhao Peiru's plan in their minds.

The more I thought about it, the more I felt it was better than the "spleen cutting plan" they discussed!
At this moment, everyone has entered the operating room, Hao Xihua and other core figures have all changed into surgical gowns.

Hao Xihua glanced at everyone: "Let's do it."

"Director Zhao's plan for protecting the spleen is really excellent and worth considering."

"But whether to use it or not depends on the patient's condition."

Everyone nodded.

An exploratory laparotomy must be performed first.

If the patient does not have a transection of the pancreas, the situation is simple.

If the patient has a transverse injury, then you have to consider using Zhao Peiru's advanced technology.

"Begin laparotomy."

Hao Xihua made an incision from the rectus abdominis muscle in the left upper abdomen of the wounded under general anesthesia, separated the gastrocolic ligament to the lower pole of the spleen, turned the stomach upwards, and exposed the pancreas.

Zhao Peiru looked at Hao Xihua's operation and nodded slightly.

Don't look at this old man, he is about 10 years older than him. These operations are still very stable, but the physical strength is estimated to not last long, and he will have to change in about an hour.

Hao Xihua said while probing:

"Main pancreatic duct ruptured."

"The body and tail of the pancreas are severely ruptured."

"The liver ruptured, and the colon, small intestine, and mesentery were damaged."

"Injury to the pancreas...there is a transverse injury!"

Hao Xihua seemed to be pronouncing a sentence. Every time he said a sentence, everyone's mood became a little heavier.

The injured fell from the building, the height was too high, and the impact injury was too serious!

And when the last word "transverse injury" came out, everyone's expressions changed slightly!
This extremely rare transection of the pancreas is also the last thing doctors want to encounter.

Not to mention extremely difficult to deal with, the spleen of the patient and the injured had to be removed.

But soon, everyone's eyes focused on Zhao Peiru.

This time is different, this time there is Zhao Peiru!There is his new technology of "preserving the spleen"!

Hao Xihua's gaze also looked over.

"Director Zhao, how sure are you of the new technology for protecting the spleen?"

Although Hao Xihua is looking forward to the new technology, after listening to it just now, he deduces it in his heart, and he is also very optimistic.

But since it is a new technology, it also means that there is a lack of accumulated experience in practical surgery.Many details in the process have not been deliberated and polished, and have not been accumulated. Not only are they worried that they will not be done well, but some steps may not work.

Zhao Peiru said directly: "There is a lot of confidence, the overall safety is higher than splenectomy."

Hao Xihua's heart skipped a beat!
So much confidence!
A person of Zhao Peiru's status must be credible if he can say such a thing.

Hao Xihua also guessed in his heart, did Zhao Peiru already use this method in the emergency rescue operating room of the Fourth Hospital?
Otherwise, how could he have such strong self-confidence?

Hao Xihua said quickly: "Okay! Then I will repair the damage to the small intestine, colon, and mesentery first, and I will leave it to you."

Zhao Peiru nodded.

Everyone's mood, can't help but get excited.

They were very interested in this new technology idea when Zhao Peiru explained the idea just now.In particular, I want to see if this kind of plan is feasible in the example operation, and whether it can achieve the good operation effect described by Zhao Peiru.Especially the spleen, whether it can really be preserved.

Now, they are going to witness it with their own eyes!
Director Shi Changqing of Huakang Hospital also had bright eyes.

"It's been a long time since I watched Mr. Zhao's live lecture."

"This time, I have another chance!"

It's just a pity that what Shi Changqing is best at is the technology in the field of liver and gallbladder. The pancreas is only slightly involved, and it is not his main direction of attack.

After a while.Hao Xihua got down and moved out of the middle position.

Replace Zhao Peiru, the chief of the emergency department of Huakang Hospital, as his assistant.

……

At this moment, outside the operating room, many journalists from the news media were waiting for the final result of the operation.

People from all walks of life who are concerned about this incident are also constantly swiping their mobile phone messages, waiting for the news of whether the rescuer is safe or not.

Lu Guangxuan, the vice president of the Provincial Medical Association, also hurried over.

After meeting the leaders of the city first, he came to the chief of the medical department of Huakang Hospital.

"Which expert is doing the surgery?"

Medical Section Chief: "It's Chairman Hao Xihua, and Director Zhao Peiru."

(End of this chapter)