Surgical artist

Chapter 424 Ecstatic
In fact, for this complicated and difficult surgery for pancreatic head cancer, Chief Surgeon Cui is also under a lot of psychological pressure. His nerves are tense for six or seven hours, and his temper will become bad unconsciously. When the team fails to keep up with his movements Sometimes, he would subconsciously blurt out swear words.

"Fill the gallbladder."

"Puncture to decompress and explore the abdominal cavity."

"I told you to decompress, didn't you hear? I said, keep decompressing!"

Not long after the operation started, Cui Zhudao cursed angrily.

For such a complicated and critical operation, the requirements for the operation time are very strict. If there is an extra 10 minutes of delay, the frail and impatient elderly patients will be more likely to die on the operating table.

So when he saw that the assistant didn't cooperate well, his violent temper came up again.

Next to them, the itinerant nurse and the equipment nurse were all startled by the roar, trembling, and hurriedly worked silently, for fear of being hurt by Chi Yu.

At this moment, a nurse hurried in from the outside and said to the deputy director Cui, "Director Cui, the higher-ups asked you to suspend the operation."

Chief surgeon Cui froze for a moment and told him to suspend the operation?What does this mean?
He frowned and said, "Who said that?"

The little nurse said: "It was Director Yue who called, and it seems that Director Deng ordered it directly."

Cui's chief surgeon didn't know why.

The operation has already started, and there is still a pause?

Fortunately, the operation has just begun, and no irreversible operations have been done, and the patient's general anesthesia time is completely sufficient, and it's okay to pause for a while.

"Is there anything else to say? Why is there a pause?" Cui Zhudao asked.

The little nurse shook her head: "I don't know either."

Cui Zhudao frowned, "Go and ask Director Yue what he means." After he finished speaking, he simply sat beside him, just to let himself breathe a sigh of relief.

……

Outside the operating room.

More than 50 people in a mighty manner, took two elevators, and they all went up in batches three times.

A group of people came outside the operating room.

When the family members saw this battle, they were frightened and stupid.

Why are there so many doctors here?
What's going on here?
When the family members thought about the scary operation notice signed before the operation, they panicked even more.

Could it be that something happened?Alarmed all the doctors in the hospital?

The family members panicked to death.

Yue Qianyi stood outside the operating room, pressed his fingerprint, and the electric door opened automatically.

A group of people went in silently, entering the operating room and the observation room above.

Behind the crowd, Jia Yanjun and Shu Yun did not enter the operating room, but stood beside the family members to calm their emotions.

Both of them have another identity now, they are both the deputy directors of the headquarters of the provincial scientific research center, that is, Zhao Peiru, the right-hand man of the shopkeeper.

It is also commonly known as the position of wiping Zhao Peiru's ass.

The two of them couldn't help with today's operation, so they could only help with some outside help.

Seeing the panicked expressions of the family members, Jia Yanjun said, "Don't be afraid, it's not that something happened to the patient inside..."

He explained slowly and patiently.

Only then did the family members understand that most of these 50 people came here to learn some advanced technology.

It is said that it is to use an advanced medical technology for one's relatives, which is better for the patient's postoperative recovery.

Only then did the family feel relieved.

After Jia Yanjun left, a young man among the family members murmured in a low voice: "The doctor just said that among the people who came in, there are academicians? Isn't that a national honor that only famous doctors can get?"

"I don't know if it's true or not."

Thinking of this, he turned on his phone and searched for the word "academician".

As a result, a lot came out, academicians of the Academy of Engineering, academicians of the Academy of Sciences, including physics, aerospace and other fields.

The young man thought about it, added "medicine", then deleted it and replaced it with "pancreas".

After searching again, the young man's pupils shrank!
In the first few pictures, academicians Xu Qin and Peng Shu are clearly visible.

"Mom, Auntie, you're really an academician! I saw these two people in the crowd just now!"

The young man quickly handed the phone to his mother and aunt.

What the doctor who comforted them just now said was true!These academicians came all the way here not because of any problems with their relatives, but because they want to use the most advanced surgical technology in the country, which is more effective in the treatment of pancreatic head cancer!
The whole family felt a little more joyful, and the original uneasiness was diluted a little.

The family members suddenly have a little more confidence in the operation of their loved ones.

Perhaps, this operation can make loved ones stand up healthy and healthy again?
……

At the corner of the armrest not far from the operating room, Director Jia Yanjun and Professor Shu Yun sighed with emotion in a low voice.

"Our dean Zhao, what a great hand! He actually attracted people of this level, Xu and Peng."

Professor Shu Yun nodded deeply. Until now, the shock in her heart has not subsided.

She looked at the door of the operating room over there, and said, "After integrating the medical and scientific research forces in our province and establishing a scientific research center, I'm still thinking about how to take the first step."

"I didn't expect that Director Zhao would do such a trick. He directly attracted all the attention of the pancreas industry across the country. Now, our scientific research center has entered the field of vision of people in the industry across the country."

While talking, Professor Shu Yun's phone rang.

When she saw it, she couldn't help laughing: "It's Professor Jiang and Professor Feng."

As soon as the multi-person call was connected, Professor Feng's loud voice came from the mobile phone: "I heard that Dean Zhao has come up with a new concept of pancreas anatomy and resection? Professor Shu, have you arrived yet? How is the situation now?
When Shu Yun told the situation here, Jiang and Feng over there were all overjoyed.

"Dean Zhao is amazing!"

"With the approval of academicians Xu Qin, Peng Shu, and Zou Bin, his new concept of pancreas may really change the entire field of pancreas resection."

Professor Jiang said: "I heard that he has successfully done the concept of layered anatomy before, which has affected many people's nerves. This time, the concept is a further upgrade on the basis of layered anatomy. Once successful, most of them will It has a thorough and far-reaching impact on the field of pancreatic head cancer across the country."

Prof. Feng: "Just talking about the area of ​​the pancreatic head, if it is successful this time, Dean Zhao Peiru will rely on the 'total mesenteric resection concept', the 'improved bundled pancreaticojejunostomy', and the previous 'layered anatomy' 'idea……"

"He has become a forward-looking leader in the country in the field of pancreatic head, right?"

All four were happy for Zhao Peiru from the bottom of their hearts.

These are people from Jiangnan Province, and they are the ones who walked up the road together, so there is a sense of intimacy and pride.

……

In a temporary office not far away.

People from the Joint Organizing Committee and the Provincial Medical Association also waited and chatted here.

Ge Jianming shook his head and smiled: "Director Lin, this time I was really scared. I thought that the presence of Academician Zou Bin before would be a big enough force, but I didn't expect that the other two founders would also come today. .”

As the person in charge of the Jiangnan Provincial Medical Association, although he had dreamed of such a big scene, he did not expect that such a big battle would attract all the top talents in the field of pancreatic head cancer in the country.

Lin Jinsong laughed and said, "You, Dean Zhao, have done a great job!"

There was a light in his eyes: "It is not easy to find such a talent. This is the opportunity of your Jiangnan Province and the blessing of the entire southeast region. Director Ge, the next half of your energy will be devoted to Dean Zhao." , his future status is likely to be as high as the three founders of the pancreas."

"At that time, it will have a driving effect on our entire region, and your contribution will be great."

Ge Jianming was taken aback, and joy spread.

It seems that in the hearts of Director Lin and other leaders, Zhao Peiru's status is almost equal to that of the three founders.

To really have such a character, the driving effect is unparalleled.Isn't Xijing Hospital, Hexie Hospital, Shenshuitan Hospital and other places driven by the "locomotive" of academicians?
……

operating room.

Director Cui was dumbfounded when he saw so many people suddenly squeezed in.

Is this the reason for the suspension?It turns out that someone else is going to take over the operation?
Suddenly, he saw a few familiar figures in the crowd, and he was stunned!
Academician Xu Qin, Academician Peng Shu, Expert Xie Miao...

Each of them is well-known and has a huge weight in the medical field!
At this time, Director Yue Qianyi said: "Director Cui, come here and give the operating table to Director Zhao and the others."

Chief Knife Cui walked down in a daze, a strange thought flashed through his mind...

These academicians and experts came in, but they were not the chief surgeons?Instead, he consciously stood in the observation position?

But to observe Dean Zhao's operation?
Which Dean Zhao?
At this time, he saw Zhao Peiru, the dean of Jiangxin Hospital, already dressed and standing up.

Behind Zhao Peiru, Academician Peng Shu also got dressed, and he spontaneously stood next to Zhao Peiru's deputy, intending to be Zhao Peiru's assistant.

"This……"

Cui Zhudao was a little dumbfounded, but suddenly, something suddenly came to his mind, and he suddenly understood.

Could it be related to the rumored new idea?
He came under the operating table, and said in a jiffy, "Director Yue, can I stay here to observe?"

Yue Qianyi nodded slightly: "Go to the farthest position in the observation room, and don't make a sound."

Chief knife Cui was ecstatic!

He understands the importance of technology.Look around the academicians, experts, and famous doctors in this room.If it wasn't for him being close to the water, I'm afraid there would be no chance to observe it.

The equipment nurses and itinerant nurses next to them were even more shocked and dared not speak.

They were usually terrified by Cui Zhudao's violent temper, but now that so many big figures suddenly appeared, and the dean Deng Yucai was watching, it made them tremble even more.

At this time, Zhao Peiru seemed to see their embarrassment, and comforted him with a smile: "Take it easy, just pretend you can't see those people in the observation room above."

He looked at one of the equipment nurses: "You look familiar, the last time I came to the tumor hospital for surgery, you gave me the scalpel, right?"

The little nurse said excitedly: "Do you still remember me?"

She thought that a big shot like Zhao Peiru would forget about herself when he turned around.

When he came last time, Zhao Peiru was only relatively well-known in the province, but he did not expect that he would bring the top academicians and experts in the country with him this time.

Zhao Peiru looked at Academician Peng Shu next to him: "Let's start."

Academician Peng Shu's eyes also flashed with excitement.

The position of his assistant was still taken from Academician Xu Qin.It was said that Xu Qin had already partnered with Zhao Peiru once last time, and it was his turn this time.

From Xu and Zou, he had heard praises for Zhao Peiru's operation level more than once, and he also wanted to experience the sense of presence for himself.

The operation begins.

Zhao Peiru began to explore the abdominal cavity and pelvic cavity, took a look, and said: "There is no metastasis in the abdominal cavity and pelvic cavity."

While speaking, Zhao Peiru opened the gastrocolic ligament, freed the anterior lobe of the mesentery, incised the ventral sheath, fully exposed the inferior mesenteric artery, and explored the common hepatic artery and the celiac trunk.

"The common hepatic artery and celiac trunk were not invaded by the tumor."

After saying this, the atmosphere in the operating room suddenly became a little more relaxed!
This means that the patient's pancreatic head cancer is still within the scope of the pancreas and has not spread, so the subject operation can be continued without having to find a new patient.

The second step is to free the posterior border of the pancreatic mesentery.

Zhao Peiru asked Academician Peng Shu to expand the incision, flip the duodenum, pancreatic head, and the hepatic flexure of the colon to the upper left side, and expose the inferior vena cava, and then cut the right nerve plexus from head to tail, and cleaned the root, abdominal aorta and the lymph nodes between the inferior vena cava.

As an assistant, Academician Peng Shu silently watched Zhao Peiru's on-site operation, and immediately understood why Zou Bin was so excited.

"President Zhao Peiru put his four fingers behind the head of the pancreas to protect the abdominal aorta and inferior vena cava. At the same time, he used blood vessel clamps on the right side to penetrate from top to bottom..."

This method is extremely mature, sophisticated, and clever at first glance!
With just a small movement, it gave the weak bleeding point a strong support!
If someone else came and lacked this seemingly "indifferent" small action, an intraoperative accident might occur here, and it would take an extra 20 minutes for the rescue.

Academician Peng Shu has observed such small movements more than ten times since the beginning.

I dare not say that these small actions will work every time.But it can effectively prevent the occurrence of accidents during the operation.

Then, the third step is bone cleaning.

The cystic artery was dissected, ligated and severed, the gallbladder bed was dissected retrogradely, the hepatoduodenal ligament was dissected and hepatic duodenal ligament was dissected, and the common hepatic duct was divided one centimeter from the confluence of the left and right hepatic ducts, and the gastric vessels and gastroduodenum were ligated and severed The artery exposes the upper edge of the pancreas and cuts off the gastric antrum.

In the observation room, academician Xu Qin looked serious, but his heart was a little bit relaxed.

"Finally, an isolated tunnel has been formed that traverses behind the common hepatic artery to the inferior border of the left liver."

She looked at Zhao Peiru, step by step, steadily.

"The concept of total mesenteric resection deserves to unify and standardize the entire operation process. It is done in a rigorous and steady manner, which can give the operator confidence."

(End of this chapter)