Surgical artist

Chapter 393 Everyone Stand Up
It's time for surgery.

Patient Meng Beini kept cheering herself up.

Under the complex eyes of her family's encouragement and reluctance, Meng Beini was pushed inside and given general anesthesia.No one knows whether Meng Beini can wake up again after general anesthesia.

So this side, the whole family is very afraid, afraid that this is the last time they will meet.

After reluctantly sending Meng Beini inside, several people waited outside fidgeting.

"The operation is going to go well!"

"I hope that the accidents mentioned in the pre-operative notice will not happen."

Before the operation, they signed another notice.

The various complications and possible consequences that may be caused by the surgery listed above are simply shocking and frightening.

The possibility of causing death on the operating table, there are more than a dozen types written on it!
It really scared them.

All they can do now is to wait and trust the doctor inside.

In the face of life and death, the money, fame, contacts and other resources in the past are all useless.

I can only trust the director Zhao who is the chief surgeon inside.

……

In the office next door.

"Director Hao Xihua, Professor Shan Hongqi, are they all here?" Dean Song Xiaowen asked.

Pan Mingde checked the list and nodded: "All the observers in the province are here."

"The observers from other provinces have also arrived from Fuzhou and Guanzhou provinces, but those from Los Angeles province have not yet arrived."

As soon as the two finished talking, they heard voices outside.

The observation team from Los Angeles also came, led by Xiang Xinrong, followed by two doctors, both of which are top pancreas experts in Los Angeles.

Pan Mingde received Xiang Xinrong's team and led them into the observation room.

"Everyone on the list is here. All the observers are in place."

Everyone looked at each other.

"In this surgery, we share weal and woe with Director Zhao."

Everyone understands the meaning of this sentence.

If this operation is successful, the reputation of Jiangxin Hospital will immediately take off.

And if it fails, it is very likely that there will be overwhelming verbal criticism.

Even the newly transferred vice president, Qi Yuanren, had sweaty palms following nervousness.

When he was transferred, he also faced a similar choice as Song Xiaowen.

He was born in the Institute of Traumatology and Orthopedics, and he had a bright future. He could choose to be the vice president of Jiren Hospital, or he could choose to be the vice president of Jiangxin Hospital, which has just been promoted to a provincial hospital.Judging from the current point of time, of course Jiren Hospital is better.

But he, Qi Yuanren, also chose Jiangxin Hospital, optimistic about the huge growth potential of Jiangxin Hospital.

This time, it was time to test whether his choice was correct.

……

The observation room of the scientific research center in the West Campus is more advanced than that in the East Campus.

The observation room is located above the operating room, with transparent tempered glass as the floor, allowing you to look directly at the operating field below and the situation in the operating room.

At the same time, there are seven or eight screens hanging on the wall, displaying images of various instruments and close-up observation images of the surgical field.

In the observation room, first-class experts from various provinces are all in place.

All eyes were fixed on the operating table below and the screen on the wall.

On the screen, various examination results of the patient are displayed.

Professor Dong Yuanheng from Suzhou Province walked to a screen and frowned as he watched the repeated ultrasound and CT results.

"Such a serious ampulla cancer has spread to the entire pancreas and duodenum area."

Xiang Xinrong from Los Angeles stood beside him:
"Indeed, the scope of this resection must be expanded, and the ampulla and pancreas must be completely resected."

The expert next to him also nodded: "Don't forget, you have to take into account the contraindication of HIV."

"This critical type of HIV patients has low immunity, susceptibility to infection, malabsorption, metabolic disorders, malnutrition, and poor tolerance, all of which will bring great challenges to surgery."

"If you insist on doing surgery, you have to consider the patient's condition in every operation step, which will greatly affect the efficiency of the operation. If the operation efficiency is low, the weak and impatient patients will not be able to persist."

"It becomes a vicious circle."

"That's why HIV contraindications are so troublesome, and the industry does not recommend surgical treatment for such patients."

"This surgery is so difficult!"

The more a group of experts looked at the test results, the more they frowned.

If it is left to them, they will definitely allow conservative treatment.

For this kind of patients, conservative treatment and cherishing the last few years of life is the most suitable choice.

Many experts are shaking their heads and sighing.

"This requires a forced operation... Anything can happen during the operation."

"The mortality rate during the operation is indeed too high."

They really can't think of any way to bypass this taboo.

Therefore, they became more and more curious about what Zhao Peiru would do, even ignoring such a serious contraindication.

At this moment, the anesthetized patient and the surgical team entered the operating room.

Everyone shut their mouths and looked down with curiosity.

While observing, while thinking.

"The patient is in a supine position? Is this the approach through the rectus abdominis?"

Sure enough, the next moment, I saw Zhao Peiru and Meng Xiang cooperating, using a No. [-] scalpel to cut open the upper right abdomen, and the incision was two centimeters below the navel.

The experts in the observation room above guessed: "The next step is to decompress the gallbladder?"

They looked at patient films on a wall monitor.

"It can be clearly seen that the gallbladder is under a lot of pressure and there are obvious signs of expansion. Timely decompression can not only help the patient decompress, but also bring a good surgical field."

Another expert next to him also nodded and said: "Yes, a good surgical field can make a surgery more effective."

This operation brought together experts from various provinces and became a platform for them to communicate.

"The next step should be to explore the inferior vena cava, mesenteric vein, and portal vein."

Everyone held their breath and watched the operation in silence.

"Sure enough."

"Principal Zhao's operation is similar to our method, process, and steps, except that the operation is a little more sophisticated."

There was a look of disappointment in everyone's eyes.

They came to observe, because they wanted to see how Zhao Peiru was different from what they did, and how Zhao Peiru used new methods and techniques to bypass contraindications.

The results have been seen from the beginning to the present, except that the surgical team is more cautious, wearing impermeable double-layer protective clothing, double-layer surgical gloves, long rubber shoes, and self-protection in some operational details...

Others, it seemed, were no different than their routine pancreatodenodenectomy.

"If you do this, aren't you afraid of problems during the operation?"

"If this continues, the patient's low immunity, susceptibility to infection, metabolic disorder and other problems will start to make trouble?"

The pancreas expert in Fuzhou also frowned and said: "Indeed, from the beginning to the present, it seems that there is no difference from the current method in the industry."

Everyone didn't understand, so they frowned and continued to watch.

Director Hao Xihua, Professor Shan Hongqi and other observation experts in the province were a little more worried.

"Dean Zhao... is still using the old technique."

"If things go on like this, the patient's weakness and intolerance will soon start to explode, right?"

Several people looked at each other with worry in their eyes.

For such critical contraindication patients, if the conventional method is still used, serious intraoperative consequences may erupt anytime and anywhere!
For example, hemorrhage that is difficult to stop, or a rapid drop in heart rate, which cannot be rescued, etc.

Either one is enough to kill.

Just at this moment, a little operational change occurred on the operating table.

"Huh? It's starting to be different!"

"Look carefully, everyone, he uses a different anastomosis technique!"

Everyone quickly opened their eyes wide.

"He actually lifted the proximal jejunum directly from the transverse mesocolon hole. Is this going to perform pancreaticojejunostomy directly?"

Under the surprised and curious eyes of everyone, Zhao Peiru anastomosed the stump of the jejunum with the stump of the pancreas at a distance of six centimeters from the jejunum.

Everyone found that the suture method used by Zhao Peiru was also different from the conventional method, using the full-thickness pancreas and the seromuscular layer of the jejunum crossed mattress suture.

Subsequently, the jejunum wall was incised, and the posterior parenchyma of the pancreas was anastomosed with the full-thickness posterior wall of the jejunum, and the posterior edge of the pancreatic duct was anastomosed with a silk thread through the posterior wall of the pancreatic duct.

Finally, the pancreatic duct support drainage tube was poked out from the opposite edge of the mesentery at the blind end of the jejunum, and fixed with purse-string fixation.

This whole set of anastomosis made everyone look at it in a daze, their eyes widened, and they couldn't understand why.

"It shouldn't be, why do you have to match like this?"

"What does this have to do with AIDS contraindications?"

The experts didn't react at the first time.

But the eyes of Dong Yuanheng, who had a higher level, and the people from Fujian and Los Angeles, had a gleam in their eyes.

Several people looked at each other, and they understood that the other party also understood the meaning of this set of operations.

Xiang Xinrong from Los Angeles said in a complicated tone: "The biggest problem with our previous anastomotic method is that it will leave a pancreaticojejunostomy leak, which will easily lead to pancreatic fistula, biliary fistula, and pancreatic fistula activated by bile-enteric juice. Enzymes fistula into the abdominal cavity, eroding and digesting surrounding tissues."

"That leads to increased chances of bleeding and infection."

"For ordinary patients, the problems caused by our method are not too serious, and the probability of complications is not high."

"Even if it happens, there is a remedy."

"But for people with serious taboos like AIDS patients, these are fatal problems everywhere, and as long as one happens, it is enough to kill!"

Speaking of this, the eyes of many people have already revealed a sudden look!
Started to react!

"And Dean Zhao..."

Speaking of this, Xiang Xinrong's tone was full of admiration, admiration, and worship!

"The new anastomosis method he used can prevent the occurrence of pancreatic fistula and biliary fistula from the root when dealing with the stump of pancreas and jejunum."

With such an explanation, the rest of the people also understood.

The eyes of the experts in Fuzhou are also full of admiration: "This AIDS contraindication is like a catalyst that can make a bad result worse."

"But Dean Zhao's method is to directly prevent bad results from happening at the root. Then this kind of catalyst will naturally be useless and invalid."

"In addition, Dean Zhao optimized the operation steps, simplified the operation process, and reduced the pressure of the patient's operation tolerance."

"It's a lot more friendly to patients who are intolerant."

"After a set of combined punches, this surgery... can really be done!"

Everyone's eyes began to shine brightly!
"This method is not only exquisite, but also bold!"

Doctors in the past had many scruples about this contraindication to AIDS. In addition, there are relatively few patients who are willing to become volunteers and contribute to medical research. Due to multiple factors, the research progress on contraindications to AIDS has been relatively slow. .

And Zhao Peiru's set of handling methods simply filled up the slow progress bar in one go!
"This operation, if there are no accidents, will definitely succeed!"

Many experts were short of breath.

The significance of this operation is too great!

This means that the contraindication AIDS of "ampullary cancer combined with pancreatic cancer" in the medical field has been crossed out!

This is unprecedented progress!

"It's not just AIDS patients who benefit." Fuzhou experts suddenly said.

"Think about it, Dean Zhao's new anastomosis method can also be applied to ordinary ampullary cancer patients."

"It can also greatly reduce the probability of pancreatic fistula, biliary fistula, and massive bleeding in ordinary patients."

"This is a good surgical procedure that benefits the entire ampullary cancer patients!"

Everyone also reacted one after another.

Yup!

This improved anastomosis method applied to ordinary patients can also greatly reduce the probability of surgical complications, optimize surgical efficiency, reduce patient stress, and improve safety!
For ordinary patients, it is a very high-benefit technical improvement!
"Professor Dong." Xiang Xinrong of Luo Province smiled and said, "Now, your Suzhou Province will be hit."

All the experts also looked at Su Sheng tacitly.

Dong Yuanheng's expression changed slightly.

Half of their Jiangsu province in the pancreas area had already been captured by Zhao Peiru before.

The other half of the country is the junction of the pancreas and the area of ​​the ampulla.

And the emergence of this operation indicates that Jiangnan Province's technology in the field of ampulla has also caught up.Even better!

Its technological advancement is no worse than their Suzhou Province.And most importantly, it also broke through the barrier of taboos.

In other words...

The ampullary surgery that they can do in Jiangsu Province can be done in Jiangnan Province.The ampullary contraindication surgery that they couldn't do in Jiangsu Province, Jiangnan Province can still do!
Through this operation, it is enough to show Zhao Peiru's excellent strength in this field.

Su Sheng's leading position in the ampulla suddenly became precarious.

Professor Dong Yuanheng's expression turned ugly.

But immediately, he thought of something, and his complexion became even worse.

Over the years, Suzhou Province has been absorbing patients in the ampulla field from the five southeastern provinces.

It can be said that they, Suzhou Province, are the benchmark and the flag in the field of ampulla!Patients in this area in the entire southeastern region are willing to go to Jiangsu Province for treatment.

After all, fame is there, and healing effects are there.

Can……

The patient in the operating room below has a special status, and its huge social influence will definitely be a big positive publicity point.

(End of this chapter)