Come on, Dr. Wu

Chapter 215 Come on, Doctor Wu

It’s been an hour!

Listening to the words of the patrol nurse, everyone was confused. It had only been an hour since the end of the pancreas had been cut off. If it was done roughly, forget it. It was clearly done very finely, and anyone could see it. Come on, the level of pancreatic tail surgery is top notch.

But it was all over in just one hour. Chen Zhendong thought about the time he spent doing pancreatic tail resection before. Because the number of cases has not increased, his experience is not enough. A pancreatic tail resection usually takes four or five hours. above.

Four or five hours! One hour!
He doesn't have much experience, does Wu Xiaofu have it? He has already understood that Wu Xiaofu is the second one and has much less experience than him. However, this second one actually dared to be so bold and started with a bang. He was heartbroken when he saw it. trembling.

It is said that a surgeon needs a big heart, but a big heart is not enough. If you have a big heart, you dare to do anything. There is a high probability that you will not be able to do a good operation, but you will cause a big disaster. If you have a big heart, The prerequisite is that you have enough strength.

Chen Zhendong didn't dare to have such a big heart anyway, and he wouldn't be able to heal it if it was broken.

Thinking in his mind, Wu Xiaofu has already started to take the next step.

Change the position of the scope hole and start to free the gastroduodenal part. During the preoperative discussion, the size and position of the gastric resection have been determined. The transferred part of the stomach is at the bottom of the stomach. This is actually good news and can be used for surgery. The other one preserves the space in the stomach.

Now it is a gastric metastasis, not a gastric ulcer after all. There is no need to worry about leaving too much stomach in the future, which will cause the ulcer to recur and require a second surgery. Therefore, it is still necessary to keep as much stomach as possible.

Usually, in subtotal gastrectomy, at most one-fifth of the stomach is left.

But this one is different. Because the gastric metastasis is in a good location, Wu Xiaofu can completely leave one third of the stomach, so that the patient's nutritional status after surgery is guaranteed. The most important thing is that the stomach is preserved enough and ten The risk will be much less after duodenal anastomosis.

Normally, the stomach is rarely preserved, so most surgeons choose gastrojejunostomy. After all, the small stomach is connected to the duodenum, and the risk of anastomotic degloving is very high. Many people do not wait until the patient is discharged from the hospital after gastroduodenal surgery. , and went into the operating room again.

Food leaked, which is why doctors now choose gastrojejunostomy more often, it’s safe.

Gastroduodenal anastomosis is the most popular option for cancer resection.

Doctors should think more on their own. Just copying the theories from books or other big names may not necessarily be good, and it will be difficult to make more progress. Wu Xiaofu is now very comfortable with surgery.

There are only three principles: fewer complications, good surgical results, and good for the patient. As long as these three principles are guaranteed, Wu Xiaofu will basically just do the surgery directly without thinking too much at all.

When other people saw Wu Xiaofu doing surgery, they always felt that Wu Xiaofu was very casual. In fact, he was indeed very casual. Of course, it was also a prerequisite for being confident enough.

After blocking the blood vessels, Wu Xiaofu cut the stomach faster and there was enough space. The gastric cancer focus was far away from the tangent line, so there was no need to worry about incomplete cut. The duodenum was not affected in Wu Xiaofu's field of vision.

After the incision, Wu Xiaofu also discovered that the condition of the patient in front of him seemed to be much better than imagined. The operation felt simpler than imagined. This was a magical thing. After all, in most cases, the patient's condition was much better than expected. It was harder than what he thought before the operation, but it was the other way around here for Wu Xiaofu.

“When performing gastroduodenal anastomosis, we must pay attention to the angle of the anastomosis. After retaining the pylorus, we can let the stomach and duodenum droop in a straight line. This will reduce folds and reduce the risk of fistula scars. ”

Fistula scar!
It's like rusting at the screw connection, causing the connection to be completely welded, or even blocking the heart of the tube. This is very dangerous. If the pylorus is blocked, the food will stay in the stomach and cannot go down, so a gastroscopy is performed. It may not be possible to solve it.

Therefore, during the first operation, you should think of these issues. If the gastroduodenum is straightened, scar contracture will not be so easy to occur.

In fact, everyone can think of this, but it is not easy to operate like this. After all, it is a laparoscopic operation. The stomach and duodenum have natural twists and turns, and they will curl up unconsciously. If you want to achieve a perfect fit like Wu Xiaofu said , easier said than done.

Then they saw Wu Xiaofu's operation, stretching the duodenum with one hand and suturing it with one hand, showing off their faces.

Sew with one hand!
It is not impossible to practice in a training room for several years, but the training room is a training room, and the operating room is an operating room. Individual surgeries must be distinguished. This kind of surgery, which can be sutured with one hand, is basically done by big guys, even big guys. No one is willing to try it.

After all, this is an anastomosis. Even the anastomosis with both hands is not reliable, let alone one-handed anastomosis. How much confidence does this require? You know, this leaves a third of the stomach. If it is done in this situation, In some cases, the problem of degloving occurs after surgery, which is a complete medical accident.

However, this is Wu Xiaofu. I don’t know what kind of magic power Wu Xiaofu has. After doing two operations with Wu Xiaofu, everyone became obsessed with Wu Xiaofu. Even the nurses and anesthesiologists in the operating room were conquered. , let alone these team members.

Even Chen Zhendong, the toughest talker, has no other ideas now. The boss is the strongest and the boss is the best.

They realized that Wu Xiaofu was obviously performing a cancer resection operation, but it was as easy and comfortable as a weight-loss operation. What they saw was that it felt much simpler. It seemed that this operation was just that difficult.

Illusions are all illusions.

Yuna and the others warned themselves that they must not have such thoughts, otherwise, they would really be poisoned by Wu Xiaofu.

Drainage and flush the abdominal cavity.

Yes, the operation is over.

"Two and a half hours."

The entire operation took only two and a half hours. This is why Chen Zhendong and the others like Wu Xiaofu. Watching Wu Xiaofu perform the operation is like watching a master shape a work of art.

There is only ease and beauty, no danger or tension.

Outside the operating room, Wu Xiaofu told the patient who was so excited that the operation went well.

The operation went well!

What a simple four words, but for the patient’s family, they are happier than hearing about the Chinese New Year.

"Thank you, thank you, Doctor Wu."

In the locker room, Wu Xiaofu drank hot water and read his blog.

Before the operation is over, the liver cancer patient has already been admitted, but this does not mean that after the operation is over, the next one will be seamlessly connected and start directly. All the surgical items used in the previous operation have to be replaced.

There are still the same two nurses. They need to send the patient from the previous surgery back to the ward first, and then prepare the instruments and medicines needed for the next surgery. The operating room also needs to be thoroughly cleaned and disinfected.

Many family members of patients don’t understand. It has been four hours since the patient entered the operating room, but you said the operation only lasted two hours. What about those two hours? Did you eat it?
The waiting time in between, as well as the waiting time for the anesthetist to wake up before the operation is over and the patient is admitted. After all this trouble, this is the preparation time before and after the operation. Sometimes it is longer than the operation time, just like what Wu Xiaofu did. Most surgeries are basically like this.

"Come on, Doctor Wu."

After opening his blog, Wu Xiaofu discovered that he had been @ crazy. It seemed that someone had posted a post and it had been forwarded countless times, with each person @ once, which made Wu Xiaofu's notification bar explode.

Pang Yao!

It turned out to be Pang Yao, the leader of Wu Jiajun, Wu Jiajun, Wu Xiaofu actually didn’t take Wu Jiajun seriously. Doctors don’t take the road of rice circles. This Wu Jiajun may just have some empathy. He hopes to use Wu Xiaofu Some young people who worked hard for the goal spontaneously gathered together and were organized by Pang Yao into a gathering of fans.

They are actually very pure. After all, Wu Xiaofu did not call for anything, and there is no profit at all.

To this day, the biggest benefit of Wu Jiajun may be that after Wu Xiaofu releases medical science content, he will be pushed and viewed as soon as possible. Most of these are simple and easy-to-understand common sense of life. If these people are really able to read every article , I have a vague impression.

Not to mention growing up as a doctor, at least you should subconsciously avoid some possible disease-causing factors in your life, have a healthy living habit, or get attention at the early stage of symptoms and seek medical treatment as soon as possible.

Anyway, the purpose is to put health problems at the forefront, prevent the emergence of diseases, or detect and treat them early.

It is precisely because of the purity of Wu Xiaofu's blog that more and more people began to pay attention to Wu Xiaofu's blog. After all, now it is spread to ten people and hundreds of people know that Wu Xiaofu is indeed an authority in this field and has officially certified medical knowledge. Genius, there is no problem with the reliability of such knowledge.

It is much more reliable than the content on Du Niang on the Internet, and is professional and easy to understand. It is most suitable for medical novices. Many people have even given up using Du Niang to search for the medical content they want, and instead use Du Niang to search for the medical content they want. Come to Wu Xiaofu’s blog.

If you want to know something, search with keywords, and a relevant content will come up directly. After checking it, you can basically understand it as a whole. I am afraid it is more detailed and direct than what they would get if they registered to consult a doctor.

Who doesn’t love a blog like this?

In fact, this is also the reason why Wu Xiaofu can keep the Wu Family Army growing even though he does not show up or do any activities, and only posts one or two pieces of content on his blog.

Many experts online say this is what a fandom should be like.

Many experts have even compared Wu Jiajun with other celebrity fan groups, and called on other fan groups to learn and be positive and healthy. This seems to be confirmed by Wu Jiajun.

Many doctors who opened blogs and accounts made objective evaluations after reading the content published by Wu Xiaofu in the blog space. They all agreed that the content was easy to understand and in line with medical reality. They forwarded it one after another and called on people around them. ,watch together.

This makes Wu Xiaofu's blog account more and more active, with fans following it every day.

Today, the people who follow Wu Xiaofu's account are not just members of the Wu Family Army, but also many ordinary people who just want to learn about medical related knowledge. If you look closely, the number of fans following him has exceeded 20 million.

The article published by Pang Yao this time details Wu Xiaofu's career experience.

After graduating from a master's degree, he participated in the medical offer, and then started a legendary journey. He got the first place in the hospital and was admitted to the hospital. Every outstanding moment of Wu Xiaofu in the emergency department was also recorded by Pang Yao, and then he became the chief resident. , was accepted as a doctoral student by Yu Shifu, who performed the first laparoscopic extended radical resection of gallbladder cancer, and then achieved many firsts.

To this day, he is the leading doctor of the Hepatobiliary Surgery Department of the First Affiliated Hospital. Fans who watched it all thought they were watching a movie. It was so legendary. It looked like the protagonist had used a cheat to rise up, and he was so lucky.

Of course, Pang Yao's main purpose is to let more people know how powerful Wu Xiaofu is, and then tell them that Wu Xiaofu has gone to the Hepatobiliary Surgery Department and is still outpatient on Fridays. Anyone who wants to see a doctor has a schedule to follow.

That's right, it's Friday and the outpatient clinic is scheduled.

Before, Wu Xiaofu was in the emergency department and was short of time. It was still an experimental outpatient clinic, so he got it on Saturday, but it was obviously not possible anymore. Going out on Saturday would have affected the doctor's rest time.

Wu Xiaofu didn't need to say anything, the hospital took the initiative to communicate with Wu Xiaofu and helped Wu Xiaofu adjust his time.

"Wow, Pang Da Da, after you told me, I can't even register. Next time, how about we do it quietly."

"Yeah, it can't be passed at all, not at all. I was planning to take my family to see Dr. Wu for a check-up, but now I don't know when it will be scheduled."

……

Looking at these contents, Wu Xiaofu also hurriedly looked at the registration page. Sure enough, the sixty numbers were already empty.

Not only was the number empty, the hospital opened an online consultation page for Wu Xiaofu.

You know, this page is also paid, but the effect is definitely not as good as face-to-face treatment, so there are still very few people choosing it. However, after opening the hospital's official account, Wu Xiaofu discovered that his consultation page was already crowded. Yes.

Good guy, these are thousands of messages, all for consultation.

There really is work.

Come on, Dr. Wu, is the title of Pang Yao's post. The last thing is to encourage Wu Xiaofu to grow into a generation of Chinese medicine. While removing the pain of the Chinese people, he can also promote the development of China's medical industry and win glory for the country.

The height immediately went up, and other people also followed suit and retweeted it, followed by saying, "Come on, Doctor Wu," Wu Xiaofu's blood boiled with excitement.

However, the patient’s pain still needs to be addressed first.

Open the consultation page.

Look at them one by one, from top to bottom.

"Dr. Wu, I feel like my mouth has always been bitter recently. What do you think is the best thing for me to check?"

This is the disadvantage of online consultation. The symptom is a bitter taste in the mouth, and there is no time of onset and duration, whether there are other accompanying symptoms, and whether there is any relevant medical history. Only by combining these can Wu Xiaofu make a judgment. Otherwise, It’s also difficult to see a doctor.

Wu Xiaofu was not in a hurry to reply, he directly opened his blog and edited a piece of content.

Online consultation process.

Main symptoms (where do you feel uncomfortable, how long has it lasted, and when did it start), related symptoms (in addition to the main symptoms, are there other uncomfortable places), diagnosis and treatment records (where have you been, and what tests have you done? Have you taken any medicine, and what is the effect?)...

After Wu Xiaofu posted it, many people immediately liked and retweeted it. They also said that the way the previous question was unfolded was wrong and they would try it again.

Wu Xiaofu also smiled and continued to read the online consultation information in the public account.

It is not all content that cannot be judged. Maybe it is someone who has medical knowledge, or someone who has been a doctor for a long time, or a medical student comes for consultation. This consultation can also be seen. Wu Xiaofu picks those who can judge and answers. .

"Dr. Wu, I am a fellow countryman of yours. I was recently diagnosed with liver cancer. The doctor said that I must have a liver transplant. But for a liver transplant, I am afraid that I will not be able to wait for a liver source, let alone use the liver of a relative. Can you help me take a look? No. Is liver replacement okay?”

There is also a checklist attached below, and the film was also taken on the board, which is quite clear.

Diffuse liver cancer.

With just one glance, Wu Xiaofu was sure that it was the same type of liver cancer patient that Wu Xiaofu saw last Saturday, but the condition was actually milder. That patient Wu Xiaofu was only sure to save one-sixth of his liver, and this one might have more. Moreover, this one's The physical condition should also be better.

The local hospital advocates liver transplantation because this type of diffuse liver cancer can easily be inoperable, and if the operation cannot be performed cleanly, it is better to transplant the liver. Fast, because the surgery will leave a lot of trauma on the body.

Originally, I could survive two years without surgery, but with surgery, I might not be able to survive even a few months. In this case, the medical controversy is huge, and doctors are naturally unwilling to take risks, so they are so conservative. suggestions.

However, as the patients said, patients also have their own difficulties.

Many times, this is the case, and this patient is not an exception, Wu Xiaofu replied directly.

"Based on the current situation, if there is no progress, the operation can be performed without liver replacement. I'll leave you my phone number. Come to Donghai to find me within a week and I will do it for you."

After sending the message, Wu Xiaofu continued to scroll to the next item. This matter was not difficult for Wu Xiaofu, but for the patient, it might be a big deal. Wu Xiaofu had no reason to ignore it.

Next, Wu Xiaofu also continued to clear unread messages.

"Doctor Wu, the operation has begun."

After the call came, Wu Xiaofu closed his official account and walked to the operating room.

This operation was a simple liver cancer resection. The right upper lobe lesion was a six-centimeter primary lesion. Zhang Xuewen performed it, and Wu Xiaofu followed to see it.

When I entered the operating room, the operation had already begun.

Zhang Xuewen was the surgeon, with Yuna and Lu Xu as assistants. Today, there was an appointment for gallbladder and appendix surgery in the day ward. Feng Lingling performed it, and Deng Yimin was the assistant, so Feng Lingling did not come to the operating room.

Laparoscopic surgery is now almost the specialty of Wu Xiaofu’s group. It can be done laparoscopically without any surgery.

Zhang Xuewen has a lot of experience. He is not as fast as Wu Xiaofu, but he is stable enough.

The perihepatic vascular ligaments were freed in an orderly manner. The patient's physical condition was still good, and there was only the primary lesion. There was no need to rush to do it. Within an hour, the perihepatic periphery was completely exposed. Wu Xiaofu was processing the information in the public account. He watched the operation without interrupting.

The main thing he wanted to check was to see if there was any missed cancerous area. The main purpose was to cut it clean, and the rest were just small details.

Because Wu Xiaofu posted a blog, many people re-edited the information and sent it over, which made the diagnosis much easier.

"Dr. Wu, for the past month, I have been experiencing pain in my liver occasionally. I need to check it out."

"Let's do a color ultrasound of the liver, gallbladder, pancreas and spleen. The gallbladder problem is more serious."

"Dr. Wu, I have had hepatitis B for ten years. Recently, it suddenly became hepatitis B. Should I check it locally first, or should I go directly to you?"

"Check locally first. There may be a liver function problem. Check it. If the transaminase is too high, protect the liver first, and then continue to check the color ultrasound to determine the cause. If there is a minor problem, just check it locally."

……

In fact, many problems are not difficult to solve, but the public lacks professional judgment and direction.

With Wu Xiaofu's words, they had the direction and confidence for further diagnosis and examination.

With his eyes fixed on the mirror, Zhang Xuewen was about to cut his liver.

"Director Zhang, I actually have a little trick for judging the edge of the lesion. From the surface of the liver, the patient's lesion is just a circle. Judging from the patient's influence, it is about six centimeters in diameter. It is not necessary to cut it downwards. Judge it from left to right, keep it within seven centimeters, and look at it while cutting. Just draw an arc and cut downward. You cut first, and I will watch it for you. "

Ah!
Zhang Xuewen instantly understood what Wu Xiaofu meant, but he didn’t dare to come if he really cut it down. Although the film was displayed there and the patient’s liver was right in front of him, the auxiliary diagnosis was auxiliary diagnosis. The patient’s actual lesions could also be seen at a glance. Can't see clearly, no one can be sure of the real situation.

With this knife, even if you are somewhat confident, you will probably be able to cut out a trick.

However, Wu Xiaofu said so, so Zhang Xuewen was naturally willing to believe it. He didn't believe himself, but he also wanted to believe Wu Xiaofu. After all, Wu Xiaofu had done so many cuts, and he had never seen anything happen to Wu Xiaofu. Come.

Following his feeling, Zhang Xuewen began to cut slowly, and Wu Xiaofu didn't say much. The condition of the patient's lesions was in Wu Xiaofu's eyes at this time. If Zhang Xuewen cuts like this, he will never cut into the lesions, and he can still perform better than Zhang Xuewen. , cutting a lot less normal tissue.

"Okay, come down."

Wu Xiaofu did not stop during the whole process, and Zhang Xuewen was under great pressure. Even after the liver chunk came out, Zhang Xuewen was still under great pressure. He said something, took out the liver chunk, and quickly asked the patrol nurse to send it for examination.

While waiting, Zhang Xuewen felt even more uneasy. It was the first time to cut like this. Who knows whether something would happen, but what if he succeeded? He was not a martial artist. If he succeeded this time, what would happen to him? For Zhang Xuewen, it is definitely a huge success.

(End of this chapter)