Surgical artist

Chapter 375 Vascular Reverse Flow
"Dong dong dong."

There was a knock on the door of Zhao Peiru's office.

Director Hao Xihua from the special group pushed the door in and reported:

"Director Zhao, you asked me to call Mo Chang, a foreign aid expert..."

He looked a little embarrassed: "He said he couldn't come back for the time being, and it would take a few days."

Zhao Peiru frowned slightly.

What's the matter with Mo Chang, so anxious?
According to the regulations of foreign aid work, Mo Chang had to stay in the special team in principle and could not leave his post without authorization.Mo Chang went back to Guangren Hospital for a few days in an emergency, and Zhao Peiru didn't pursue it anymore, but why didn't he come back after he went back?
Zhao Peiru frowned and said, "Call Director Mo Chang again."

"Let's just say, we're about to start working on Project [-]. If he doesn't come back, we'll miss the project."

Hao Xihua nodded, had no choice but to go out again and make another call to Mo Chang.

But when he went out into the corridor and pondered what Zhao Peiru said just now, his heart moved.

Dean Zhao, what do you mean?

Want to start pushing?And if Mo Chang didn't come back, how could he miss it?Is Dean Zhao so confident?

Could it be that Director Zhao can invite other experts in the field of pancreatic cancer?Or is Zhao Peiru himself, with new ideas about this project?
With this feeling in mind, Hao Xihua called Mo Chang again.

At this moment, Mo Chang is in the administration department of Guangren Hospital.

"The dean hasn't come back yet?"

Mo Chang has come to the office of the administration department for the third time.

Seeing that the dean was not there, I had to ask the office again.

The female director of the office had to repeat: "The dean hasn't come back yet." She was a little annoyed, the elevator is there, can't you see that the dean has not come back yet?

Mo Chang felt a little annoyed, so he had to continue to wait.

For his promotion to the director of the three pancreas departments, it was worth waiting.

Just at this moment, Hao Xihua called again, and after explaining the content, he still urged him to go back.

Mo Chang felt a little irritable, and said: "I see, you guys start first, I know it well, I will go back anytime, don't wait for me."

Hao Xihua could only reply to Zhao Peiru again.

Zhao Peiru didn't care either.

He called this Mo Chang back only because of what he, the leader of the special team, should do.And if Mo Chang didn't come back, it would be his loss.

Zhao Peiru called Mu Sisi over: "Xiao Mu, please go and inform the members of the special task force and ask them to come to the conference room on the third floor at [-]:[-] pm. I want to talk about the overall idea of ​​Project [-]."

Mu Sisi obediently agreed and called.

And Hao Xihua, who was walking outside, was startled when he vaguely heard this!
The overall idea of ​​the project? !
Probably not, Director Zhao will come up with a mature treatment plan like before, right?

It should be impossible.

Because, this time it is a difficult pancreatic cancer.

This is different from preserving the spleen and removing the pancreas.

In the field of spleen-preserving and pancreasectomy, because Zhao Peiru has performed surgical operations in the field of spleen-preserving and pancreasectomy before, he has a relatively good foundation.

The technique that was brought out later can also be understood as "prepared for a long time".

As far as Hao Xihua knew, Zhao Peiru had never dabbled in the difficult pancreatic cancer this time.

Furthermore, difficult pancreatic cancer is not just a theory. Without a lot of experience in clinical treatment of pancreatic cancer, it is impossible to come up with a practical and feasible solution that can be applied clinically.

It's afternoon.

Everyone gathered in the former surgical building of the former Harbor Hospital.

At this time, this building has become the scientific research center building of the West Campus of "Jiangxin Hospital", and the interior has also been slightly remodeled. Various medical devices and facilities.

Everyone was discussing quietly.

The new academician Gao Xianmin and Professor Zhou Dandan were also in the crowd.

"The meeting in the afternoon was held by President Zhao?"

"Yeah, I don't know how he will arrange the next work."

"I heard that it is to explain the overall idea of ​​the project to us."

"Maybe it's... some macro direction decision?"

Everyone guessed one after another, based on the few words in the notice, they guessed what Zhao Peiru would say in the meeting.

At this time, Zhao Peiru's figure appeared at the door, and behind him were Mu Sisi and Xiao Meng.

"President Zhao."

"Group Leader Zhao."

All kinds of names in the population.

Zhao Peiru smiled and nodded to everyone, and then came to the top position.

"Everyone, after the past few days, everyone must have enough understanding and in-depth exploration of Project Two."

"I should have some understanding of the difficulty of this item two."

Everyone nodded in unison.

Not only did they know each other, they were almost out of recruits!The difficulty of the second project is because it involves pancreatic cancer, which is more difficult, and the 180-degree envelopment is even more difficult...

Especially when he realized the huge gap between him and Suzhou, he felt more and more like "I want to catch up but I can't catch up".

It's like a 1000-meter, 800-meter running race.

When I ran to the second lap, I obviously couldn't keep up with my physical strength, but I saw that No.1 had passed me by half a lap, I was very anxious, I really wanted to catch up, I wanted to get a passing score, but my legs were like It's like being filled with lead, I can't even lift it, it seems to be numb, and I feel powerless.

Facing Su Sheng now, they felt powerless.

Zhao Peiru said: "For pancreatic cancer that surrounds more than 180 degrees, if separation, dissociation, and partial resection techniques are used, the difficulty will increase exponentially."

"Moreover, because the symptoms of pancreatic cancer are generally discovered late, when the examination is discovered, the surrounding important blood vessels and tissues are generally involved. Partial resection and separation methods cannot eradicate the cancer cells."

"So I think the best way to solve it is to perform an overall resection together with the affected blood vessels."

Everyone's heart moved.

Isn't this direction consistent with the rumored direction of Suzhou Province?
Is our Jiangnan province planning to go in this direction?

Everyone's mood is complicated.

This direction is indeed the most correct direction.

But once they decide to take this path, it means that they will be on the same track as Suzhou Province.

However, Suzhou Province has already run half of the way on this track.

It is equivalent to other people's 1000-meter running, and they have run 500 meters, but we in Jiangnan Province have just stood on the starting line.

How does this compare?
What these experts were worried about, Zhao Peiru knew all too well.

Over the past few days, Mu Sisi, who was in charge of meeting minutes, listened to the discussions and concerns of the experts, and passed them all on to Zhao Peiru.

But is it really the same track?
In the general category, it is indeed the same track.However, the concept applied in Zhao Peiru's new surgical method is kind of advanced, not to mention Jiangsu Province, even many large hospitals in Kyoto do not yet have this new idea.

As for subdivision, his technique is different from Suzhou's.

The specific subdivision of the track is really not the same, Zhao Peiru explained slowly:

"I don't know if you have heard of the resection method that does not require vascular reconstruction or digestive tract reconstruction?"

As soon as these words were said, everyone was stunned.

He looked dazed.

What kind of excision is this?

Among the crowd, Academician Zhou Xianmin's eyes suddenly lit up!
Do you go this way?
He had heard about this direction in a medical academic forum.

However, this is only a theoretical direction, and no one has passed it.

But at least, it can form a differentiated competition with Suzhou Province!It is not possible to catch up on a track that others have already run 500 meters!
but……

This road is actually more difficult to walk!

It will undoubtedly be more beneficial to patients to use other methods to ensure blood supply and nutrition to the liver instead of rebuilding blood vessels or digestive tract.But it also puts forward higher requirements and greater tests for the treatment of medical solutions.

Here, there are more difficulties to be overcome than the track in Suzhou Province.

Simply put, this is a "shortcut road full of thorns".

Although it is a shortcut, but beforehand, all the obstacles and thorns above are cleaned up.

Zhao Peiru slowly explained his philosophy: "If you have studied the anatomy of the liver, gallbladder and pancreas in depth, you will know that the common hepatic artery gives off the proper hepatic artery, the gastroduodenal artery gives off the pancreaticoduodenal artery, and the superior mesenteric artery gives off the pancreatic ten. Inferior duodenal artery.”

"Using this anatomical principle, we can come up with the idea that..."

"Assuming that we cut off the common hepatic artery during the operation, the arterial blood flow can flow from the superior mesenteric artery, pass through the pancreaticoduodenal artery arch, and the gastroduodenal artery, and flow back into the proper hepatic artery to ensure liver blood flow. for."

After everyone listened, there was a bang in their minds!
Vascular reflux?

Use the original blood vessels as new pipelines, and then "reverse flow" to ensure the blood supply?
Dean Zhao, how dare you think about it!

The trend of blood supply is the first course for everyone who studies anatomy.

It is also a deep-rooted cognition formed in the minds of all doctors.

In their inherent thinking, the flow of blood is irreversible.

The premise of all treatment plans and all surgical procedures is to conform to the trend of blood circulation.

Otherwise, it is a failed innovation, and this treatment plan will not be established.

For a long time, every doctor has formed an inertial thinking that the trend of blood supply is irreversible.

This can prevent them from making mistakes when doing medical research, but it also limits their innovation in a subtle way.

So when Zhao Peiru proposed the concept of "countercurrent", they were shocked beyond measure!
In the minds of everyone, it was like overwhelming the river and the sea!
Academician Gao Xianmin's pupils also trembled, and he turned his head several times before turning around and catching up with Zhao Peiru's train of thought.

"The arterial blood flow reverses from the superior mesenteric artery, and finally flows into the liver to ensure the liver's blood supply..."

"In this way, the celiac trunk can be completely cut off, together with the common hepatic artery and the splenic artery! It will not be affected, and there will be no liver ischemia!"

"Wonderful!"

"A brilliant idea!"

Gao Xianmin figured it out immediately!

The whole person, as if the whole body is transparent!
It was like an electric current, which came from the soles of his feet and went straight to the Tianling Gai, making him feel comfortable and transparent! .

The last time this feeling appeared was when he heard the most advanced ideas in the world when he was studying abroad.

This is so exciting for him!

Zhao Peiru scanned the crowd, saw Gao Xianmin's appearance, and said with a smile: "It seems that Academician Gao has understood, please explain it to everyone."

Gao Xianmin nodded deeply, fell silent for a moment, organized his words well, and then spoke slowly, in the countercurrent way he understood.

"Dean Zhao means that there is no need to rebuild the blood vessels, but to use the pancreaticoduodenal artery arch and gastroduodenal vein after cutting off the free blood vessels, so that the blood can flow back in it..."

"In short, this is a method of using the patient's own blood vessels, which is equivalent to re-establishing the local blood flow in the patient's body."

Although everyone was greatly shocked by what they heard just now, they are still vague about how the reverse flow will realize the blood supply.At this moment, after Gao Xianmin answered again, he gradually understood.

The eyes of everyone looking at Zhao Peiru again were filled with fiery light!

The idea is amazing!It was so unexpected!

This is simply an idea that can turn the anatomy world upside down!
After Gao Xianmin finished speaking, he looked at Zhao Peiru respectfully: "Dean Zhao, am I right? If there is anything wrong, please correct me."

At this moment, his tone and attitude towards Zhao Peiru became very respectful.

If he can come up with the "counterflow" method to change the patient's local blood flow, it is really worthy of him to treat it with this attitude.

Zhao Peiru smiled and nodded slightly: "That's right."

"As I said before, this new surgical technique does not require reconstruction of blood vessels or digestive tract."

"Its core supporting idea is the reverse flow of blood vessels and the method of changing local blood supply."

"Without the support of this vascular reflux method, it is almost impossible to realize this kind of surgery. The further you go, the more difficult it will be to increase exponentially."

"Using this vascular counterflow method is equivalent to directly applying a set of ready-made advanced formulas to complex math problems, and directly bringing them into the solution, which can be completed in two to three steps."

"Let this operation become easier all of a sudden."

Everyone nodded, this kind of vascular backflow method really opened up their eyes.

Gao Xianmin also nodded deeply. The new surgical method is not only more patient-friendly, but also makes it easier for the surgeon to operate and improves the efficiency of the operation.

Xiao Meng and Mu Sisi, two young men, watched silently.

Mu Sisi watched the expressions of the experts change back and forth, looked at the respectful attitude of the people towards Zhao Peiru from the bottom of their hearts, and even looked at them with admiration...

I am also very proud.

She followed the right teacher.

Now her little sisters are envious of her. Every time they get together, a group of sisters envy her the most, Mu Sisi.

……

Joint Organizing Committee.

Chief Director Lin Jinsong asked Director Nie:

"Su Province and Jiangnan Province are both advancing Project [-], right?"

Director Nie nodded: "Yes, especially Suzhou Province, is very concerned about this project two."

(End of this chapter)