Surgical artist

Chapter 399 Zhao Peiru made a move
The colleague on the other end of the phone said: "Director Fu, Academician Zou is in the operating room. This morning, an elderly patient underwent cholangiopancreatectomy. He just entered the operating room 20 minutes ago."

When Fu Cheng heard this, his heart skipped a beat!
Just entered the operating room?
In his mind, he quickly judged that cholangiopancreatectomy for elderly patients generally takes about 3 hours.

And even if Teacher Zou is only responsible for the core part, it will take about 1 hour and 20 minutes.

It's only been in for 20 minutes...

Fu Cheng raised his brows high, what should we do?
In addition, there is another factor to consider.

Cholangiopancreatectomy itself is not a complicated operation.But if Mr. Zou can be alerted to do it himself, it must be a critically ill and complicated patient, let alone how long it will take for this kind of patient.

And how long can this patient last?

Subconsciously, Fu Cheng turned his head to look at the patient on the operating table, and glanced at the gradually declining data on the various instruments.

In Fu Cheng's mind, he quickly judged a few data.

In this case, the patient definitely couldn't wait for an hour to continue the operation. After waiting for half an hour at most, he had to continue the operation.

Otherwise, not only the expected time for anesthesia will pass, but also the exposure of the patient's wound and the various indicators that keep dropping will also urge them to complete the operation as soon as possible.

On the phone: "What's the matter, Director Fu? Do you need me to talk to Teacher Zou?"

They also know that Fu Cheng's phone call is very important, and his superb level usually won't alarm Academician Zou Bin, but once it alarms, it will be a major matter.

Fu Chengdao: "Try to say it. Just say that on my side, there is a patient with cancer around the ampulla. The field of vision is very poor, and the edge of the tumor cannot be seen. Let's see if he can spare time to help me take a long-distance look."

The other end hung up the phone and came back soon.

"Director Fu, I asked Academician Zou, and he said that it will take 10 minutes over there. He will talk to you remotely in 10 minutes."

As soon as he said this, Fu Cheng's face lightened instantly!
That's it!

Two 10 minutes, within safe time.

After feeling relieved, Fu Cheng was not in such a hurry anymore.Teacher Zou Bin is his reassurance. With Teacher Zou as his backing, he is completely at ease.

After having a leisurely mind, Fu Cheng readjusted his mentality and went through the follow-up part of the operation again in his mind.

I made a plan in my mind in advance for the places where Teacher Zou Bin might arrange for him to use the knife later.

In this way, after restarting the operation later, he would not be in a hurry.

After a while, Fu Cheng, who had finished the idea in his heart, raised a rare smile at the corner of his mouth, and now he has a relatively solid mind.

He even straightened his waist leisurely.

He said to everyone in the observation room: "This operation is indeed very difficult. For me, for everyone, and for the entire pancreas industry, it will be a classic and worthy of study."

"Now, if you have anything you want to share about this operation, you can just ask. I will try my best to answer what I can."

"Wait for Teacher Zou to come over remotely later, I can't take care of it."

In the observation room, everyone was overjoyed!
They already had a lot of doubts in their hearts, and they didn't dare to ask.Now I can finally ask the question.

And what Fu Cheng said was too right. This operation will definitely become a classic operation. It is very difficult, and it has two national-level masters, Fu Cheng and Zou Bin, to handle it.

In the future, this operation may be recorded in teaching case books.

So everyone seized the opportunity to ask Fu Cheng questions.

For a moment, everyone scrambled to raise their hands, asking questions that had been pent up in their hearts for a long time.

Fu Cheng answered one by one, appearing to be neither fast nor slow, very master-like, explaining every question to everyone in detail and thoroughly.

You can even draw inferences from one instance and talk about some details that no one thought of.

"Director Fu Cheng's level is really high. In just a few words, I understood everything, and I felt like I had an epiphany."

"It's really powerful. Every sentence hits the point. It solved a lot of doubts I had before."

"It is worthy of being a person who followed Academician Zou Bin to fight for the country. I heard that many pancreas theories were laid in the past. Although Academician Zou Bin was named, but in fact, some parts of it were also part of Fu Cheng, the founder of the mountain. Credit."

Everyone was pleasantly surprised and satisfied.

"With such a solid foundation, as long as academician Zou Bin connects remotely later, with a little judgment and guidance, it is estimated that this operation will be fine."

Everyone was full of confidence in Fu Cheng again.

Fu Cheng looked at the time, 20 minutes away, there are still about 5 minutes.

He saw that Mr. Zou Bin hadn't called yet, so he opened his mouth and said into the microphone: "I heard from President Luo of Jiangsu Province that the people watching the live broadcast now are doctors in the field of pancreas in the entire southeast region. There must be 10,000+ people." ?”

"If you have any questions, you can also ask them. The quality questions I see will be answered. Of course, you have to hurry up, time is running out."

Fu Cheng was really there, picked a few questions, and answered them.

After a while, the time has come to 20 minutes.

"Have you called in yet?"

Fu Cheng looked at his phone, but there was no caller ID.

After waiting for another 2 minutes, Fu Cheng couldn't sit still.

Looking at the electronic clock above the operating room, one minute and one second passed by, and then looking at the various indications that the patient has fallen to a somewhat unsafe level...

Fu Cheng asked the little nurse to take his mobile phone again and call back to Xijing Hospital.

As soon as the call was connected, Fu Cheng said, "Ms. Zou hasn't come down from the operating table yet?"

The other side of the phone quickly said: "Director Fu, I just wanted to call you. Academician Zou had an accident during the operation. Academician Zou and the others are in emergency rescue. It is estimated that it will take another hour..."

Fu Cheng was still talking on the phone, but Fu Cheng's mind buzzed.

problem occurs.

He glanced subconsciously, and the various values ​​of the patient in front of him were approaching the dangerous range.

The operation must be continued as soon as possible!

In fact, when he learned that Xijing Hospital used a relatively simple pancreaticobiliary duct plastic surgery, but used such a high-level doctor as Mr. Zou, he had already had a hunch that it must be because the patient's condition was complicated and the difficulty was too high. It is very likely that various accidents will occur during the operation.

The people nearby also heard the voice on the phone.

When they heard "one hour", their hearts also thumped!
Wait another hour?

The current patient is almost at the limit and cannot afford to wait.

I really have to wait another hour, and after the operation officially starts, it will take about another four hours.Adding up the ins and outs, it takes five hours.

Whether it's the patient's tolerance or the expiration date of the anesthetic, I'm afraid they won't last that long.

Moreover, even if we really wait another hour, what should we do if Dean Zou Bin still won't be able to make a move?
Many experts and leaders of Suzhou Province have already begun to sweat on their foreheads.

For this operation, they invited Fu Cheng, and finally applied for the live broadcast permission of the APP, and gave the viewing permission to the entire five southeastern provinces.It's all so much fanfare, but if it turns out to be a medical malpractice, it's really screwed up.

There was also tension in the observation room, all eyes were on Fu Cheng in the field, waiting for him to make up his mind.

In the comment area, people have already started a heated discussion.

Comments flew out like snowflakes, with hundreds of comments sliding by every minute.

"I heard on the phone that it's an hour away, which sucks."

"The indications are already dangerous, and the patient must not be able to wait."

"It's really not possible. I can only ask Director Fu Cheng to perform this operation forcibly, right?"

"Or close the abdomen now, put back the previously free part, and then tell the patient that he can only receive conservative treatment, and it is estimated that he can only live for another two weeks."

As soon as this was said, the comment area was silent.

This is the last word they are willing to say to patients and their families as doctors.

But if you really can only make that kind of decision, no one can do anything about it.

"Or, Director Fu Cheng took the risk to force blind sex. In that case, it all depends on luck."

While there was a lot of discussion in the comment area, the leaders of Suzhou Medical Association were also seriously considering this matter.

They are also paying close attention to this live broadcast, and the live broadcast is always on on the computer in the office of the chairman Luo Wenjing.

Vice President Sun Pengju asked anxiously: "What should I do?"

Luo Wenjing also frowned.

As the organizers of this live broadcast, they not only have to consider the success of the operation, but also the safety of the operation, as well as the positive and negative impacts of this live broadcast.

If there is a medical accident in front of 10,000+ doctors, it will definitely have a major negative impact.

Luo Wenjingteng got up, grabbed the keys on the table, picked up the coat on the hanger, and went straight out.

"Let's talk to Director Fu Cheng."

A while later, Luo Wenjing, the president of the conference, and Sun Pengju, the vice president, came outside the operating room of Yuanda Hospital.

He waved to Fu Cheng inside.

Fu Cheng walked a few steps and came to a place where the radio in the live broadcast room could not receive it.

Chairman Luo Wenjing: "Director Fu, what are your plans in this situation?"

Fu Cheng pondered: "Although there are some problems with the exposure of the surgical field, I have considered a few positions for the knife, and the success rate should be about [-]%."

"If this operation is placed in Xijing Hospital, and the patient and family members are willing to do it, we will generally continue the operation."

The success rate of the operation is [-]%. For this critically ill patient, it seems that there are options, but in fact there is no option.If the operation is not performed, the patient can only live another half a month to a month.

But this is not Xijing Hospital.

And it is still live broadcasting to 10,000+ doctors, the situation is different.

If the result of the operation falls into the 10,000% probability of failure and fails in the eyes of [-]+ people, then no one will look good.

When Luo Wenjing heard that the success rate was [-]%, he was troubled.

If the success rate is lower, then he will simply give up, turn off the live broadcast, and just issue an explanation announcement.

It would be even better if the success rate was higher.

This is the most uncomfortable.

Luo Wenjing, the chairman of the conference, knew that time waited for no one, so he had to make a decision as soon as possible.

He looked at Professor Dong Yuanheng next to him with a questioning look.

Dong Yuanheng immediately said: "This patient and his family members are very willing to undergo the operation, and they don't want any more palliative care. All the possible consequences of the operation have been clearly explained to them."

Chairman Luo Wenjing took a few deep breaths, and finally said: "Okay, Director Fu Cheng, please take care of this operation."

Fu Cheng nodded and turned back directly.

Without the guidance of Academician Zou Bin, this operation can only be done by myself.

After Director Fu Cheng entered, Vice President Sun Pengju said worriedly: "President Luo, what about the live broadcast?"

He was worried, in case the operation failed...

Luo Wenjing said: "You go to the information department and be prepared to turn off the live broadcast at any time."

Sun Peng nodded and left in a hurry.

Luo Wenjing looked at the situation inside, and sighed in his heart, and then, he could only resign himself to fate.

……

Fu Cheng hurriedly walked back to the operating room.

At this time, a voice sounded at the connection between the observation room and the operating room.

"Director Fu, since the exposure of the field of vision is poor and it is difficult to perform the operation, why not consider changing the scope of resection?"

When Fu Cheng heard the voice, he subconsciously turned his head to look over.

It was discovered that the other party was the leading doctor from Jiangnan Province, Zhao Peiru.

He has also heard of this person.He once won the 863 project, and was honored to be awarded by the vice president of the pancreas branch of the National Medical Association.

In Fu Cheng's eyes, this Zhao Peiru is the best pancreatic doctor in the southeast region.

So seeing Zhao Peiru speak, Fu Cheng also planned to take ten seconds to listen.

At this time, Zhao Peiru stood at the junction of the operating room and said, "You are using the ampullary pancreatoduodenectomy. The few surgical sites you conceived should be very close to the cancerous tissue, right?"

"And if you change the scope of resection to the descending part of the duodenum, one to two centimeters away from the bile-pancreatic duct junction, and below the junction of the left and right hepatic ducts, clear the lymph nodes, will it be better to deal with it this way? a lot of?"

Fu Cheng's heart skipped a beat when he heard this, "You mean resection of the biliopancreatic-duodenal junction, right?"

Zhao Peiru smiled: "Yes."

This Fu Cheng's level is still good, just listen to a few words, you can tell that he has changed the resection method.

Fu Cheng's mind was spinning rapidly, deliberating and judging.

"Using junction resection to treat periampullary cancer?"

"The resection range of this type of surgery...does not depend much on the judgment of the tumor margin, which reduces a lot of blind operations."

As soon as the spell was changed, the number of times of blind luck was directly reduced by half.

"It is less dependent on the direct viewing angle of the visual field, and it is more suitable for patients with poor visual field exposure."

The more Fu Cheng thought about it, a little light began to appear in his eyes.

"In this way, the bleeding caused by the lesion can be reduced, the uncertainty of the operation can be reduced, and the postoperative quality of life of the patient can also be improved."

His frown, which was originally tightly frowned, relaxed a little again.

"Moreover, this kind of junctional resection can be interspersed with some fine operations in the middle, so that no tumor remains at the incision margin, the anastomosis is fine, and the lymph nodes are thoroughly cleaned."

(End of this chapter)