Come on, Dr. Wu

Chapter 258 Teaching Surgery
It’s a pity that Fei Jinpeng is not a general surgeon, otherwise he would have to be present at Wu Xiaofu’s first surgery at Jinhu County Hospital.

At that time, he had to be in the photos and in the articles. It was not like now, when he could only have his name listed under the article.

Alas, what a loss, what a loss.

No one knows what Fei Jinpeng is thinking. At least the doctors in the operating room are not at the same high level as Fei Jinpeng. Doctors are doctors, and their thinking is always about curing diseases and saving lives, at most they are a little bit beyond that.

The transition from doctor to leader is not easy.

After being a leader for a lifetime, it is not easy to suddenly do something shady and want to achieve political achievements.

The operation has begun.

There was a reason why Wu Xiaofu asked Dou Zhiming and the other two to take turns to assist him. The three were the strongest in the hepatobiliary surgery department of Jinhu County Hospital. After all, surgery cannot be completed by one person alone. Even if it is just holding a mirror, someone with higher skills can make the surgery better and faster.

The chief surgeon and the assistant are actually just like the driver and navigator in a rally, neither of them can be missing. Without the navigator, the driver may still be able to complete the race, but if you want good results, forget it, because why should others lose to you?

If Wu Xiaofu used a newly recruited graduate student as his assistant, the operation time could be delayed by more than half just by teaching him how to find the position.

It is also easy to discourage the enthusiasm of assistants, so Dou Zhiming and others are more suitable.

Punch a hole, insufflate, place a mirror, and punch a hole again.

After the operation started, the atmosphere in the operating room changed. No one spoke loudly anymore. Even if the doctors watching the operation had something they wanted to share, they had to hold it in.

The atmosphere in the operating room is determined by the chief surgeon. The operating room will become lively only if the chief surgeon takes the initiative to speak and bring up topics. Chatting about family matters and gossip shows that the chief surgeon feels the operation is simple and he can handle it with ease. This is what it means to be in a distracted mood.

However, if other people talk without thinking during the tense moment of the operation, it may make the surgeon angry and distract his concentration.

Of course, some nurses and anesthesiologists have been working with the surgeon for a long time and are familiar with the surgeon. They know what kind of operations are easy for the surgeon. They can also judge the situation themselves and create a relaxed atmosphere.

But this is definitely not the case at the moment. Wu Xiaofu has just arrived, and no one knows Wu Xiaofu's personality or temper. No one dares to speak without permission. Therefore, for a moment, the entire operating room was silent.

"Director, has our hospital ever performed pancreatic cancer surgery before?"

Wu Xiaofu quickly freed the adhesion tissue around the pancreas. His eyes were always on the surgical field, but his words were directed to other places. After hearing Wu Xiaofu's words, the cold atmosphere in the field seemed to loosen a little.

Dou Zhiming was an old hand, so he quickly replied. However, he didn't know the main point of Wu Xiaofu's question, nor was he sure whether Wu Xiaofu was just chatting or complaining that he wasn't holding the mirror well enough.

"Doctor Wu, pancreatic cancer, many tertiary hospitals dare not perform this operation. How can our Jinhu County Hospital keep such a patient? What's more, even if someone is willing to keep him, we dare not do it.

To be honest, this is my fourth time on the pancreatic cancer radical surgery table, and I was always an assistant. The last time I performed a pancreatic cancer radical surgery was about seven years ago. So, Dr. Wu, you have to give me some time to adapt. It is understandable that I can't help you well, but don't worry, I will adapt quickly."

Wu Xiaofu smiled immediately.

"Director, you don't look like you haven't performed pancreatic cancer surgery in a long time. You found the location so accurately that I thought we had performed this type of surgery before. Otherwise, Dean Fei would say that you are the pillar of our hospital's surgery department.

If there are similar surgical patients in the future, please give it a try, Director."

"real!"

Dou Zhiming was also a little surprised when he heard this. Although he felt that Wu Xiaofu was just trying to save face for him, he couldn't help but feel happy. Moreover, Wu Xiaofu said that there would be such an operation in the future and he was willing to let him do it. He was really sure of getting the job.

"That must be true. The director has enough experience and ability, but there are no patients. Otherwise, this kind of operation would definitely not be difficult for you."

Wu Xiaofu was not really just complimenting Dou Zhiming. Dou Zhiming's foundation was indeed good, much better than Wu Xiaofu had imagined, and his level of holding a mirror was not much worse than Fan Xin's.

If there is such an operation in the future, it will give Dou Zhiming some opportunities to get started. Of course, he needs Wu Xiaofu to hold the mirror. With Wu Xiaofu's teaching, not only do assistants learn quickly, but there have been no problems so far. For details, please see Peng Xia and Zheng Hua.

After hearing what Wu Xiaofu said, Dou Zhiming became even more motivated and worked more actively. His efficiency increased immediately. Wu Xiaofu couldn't help but smile. He didn't expect that he could fool Yuna, Peng Xia and others in the past, but now he could even fool Dou Zhiming.

This was taught to him by Yu Shifu, who said that subordinates must be properly encouraged in order to motivate them to work more enthusiastically. Wu Xiaofu learned very quickly, and during the time he led the team, he had already applied it very skillfully.

When I came to Jinhu, I couldn't adapt to it for a while, so I just used it on Dou Zhiming out of habit. Unexpectedly, it worked just as well.

"The nurse is very cooperative. She handed the things to me without me saying anything. Has this nurse been working in the general surgery department?"

The instrument nurse who was setting up the stage for Wu Xiaofu turned red in the ears when Wu Xiaofu called her "sister" twice. She really didn't expect that Wu Xiaofu would suddenly direct the conversation to her and call her "sister" all the time. How could she not be confused?

This instrument nurse is actually only 32 years old this year. Of course, at this age, she can actually be called an old nurse in the hospital.

"Doctor Wu, Lin Yin is the most proficient in general surgery instruments among our operating room nurses. This is your first operation, so we must bring out our trump card. Besides, our Lin Yin is a golden flower in the operating room."

Lin Yin couldn't handle the compliments from the two. "Director Dou, please stop praising me. I'm going to faint."

The atmosphere instantly brightened up.

The atmosphere during the following surgery was suddenly less tense, people began to talk and laugh, and there was no burden in the discussion anymore. Qu Tianqi even took the initiative to ask Wu Xiaofu questions, and Wu Xiaofu answered them all.

As the operation progressed, Wu Xiaofu nodded.

Unlike the First Affiliated Hospital, the surgeries in Jinhu County are actually more teaching surgeries. He wants to teach these doctors the techniques. The atmosphere cannot be too tense. He has to give them a learning environment so that they dare to ask questions actively. Only then will he be good at teaching. Everything is going well now.

With Wu Xiaofu's current skills, radical resection of pancreatic cancer, although difficult, is not a problem for Wu Xiaofu. He can handle the surgery with ease while dealing with everyone.

This patient's pancreatic cancer was discovered early. Although there was lymph node infiltration, there was no organ metastasis. If the cancer is completely removed during surgery, the subsequent prognosis will still be good.

"Come on, take it."

When everyone heard the sound and looked at the part of the pancreas that Wu Xiaofu had already taken out, they were all shocked. The pancreas part had been taken out?

I looked at the time. It was less than an hour. Just less than an hour. Wu Xiaofu's progress was too fast.

Only at this moment did they realize Wu Xiaofu's level.

The most important thing is that she performed the surgery well, has a nice personality, is willing to joke with them, and is not at all impatient with their questions. It's hard not to love her, isn't it?

"Pancreatic head cancer is one of the more aggressive types of pancreatic cancer. It has a strong tendency to metastasize, so when we remove it, we usually remove the head and body of the pancreas. In more serious cases, we remove the entire pancreas. In the later stages, the function of the pancreas is completely replaced by drugs.

The specific extent of the resection depends on the degree of pancreatic infiltration, the location of the cancer and the experience of our doctors. Looking at this patient, the infiltration of the pancreatic head is still within half. In my opinion, part of the pancreatic body can be retained.

If you perform this type of surgery in the future, you must make your own judgment. If you can be sure to keep more of the pancreas, that would be the best."

Everyone looked at each other. They naturally knew that it would be best if they could stay a little longer. The function of the pancreas in the human body is very important. It includes the digestion and absorption of fat, the digestion and absorption of carbohydrates, the secretion of digestive enzymes, the secretion of insulin, and the secretion of glucagon. These five functions, if you look closely, are all key parts of the human body's digestive regulation.

If the pancreas is removed and the patient has to rely entirely on drugs in the later stages, you can imagine how bad the quality of life will be in the later stages. Not to mention other things, just look at insulin and glucagon. One lowers blood sugar and the other raises blood sugar. They play an irreplaceable role in regulating blood sugar in the human body.

The human body's suffering from diabetes is related to the regulation of these two hormones.

For some people, their pancreatic islets completely lose their function and in the later stages they can only rely on injections of insulin.

If the pancreas is completely removed and the islet function is lost, insulin will be needed to maintain the condition. But it is not necessary. Insulin only lowers blood sugar. The situation of hypoglycemia must also be considered. Sometimes the human body is too late to absorb and replenish the blood sugar, and hormones are needed to increase blood sugar concentration.

So you can see that people who have had their pancreas completely removed have to wear a blood sugar watch, bracelet, or something like that, and get an injection at regular intervals. If the blood sugar level is high, they have to get an injection right away, and that’s only part of it.

The pancreas affects the entire digestive system. Without the pancreas, digestion and absorption are poor, and diarrhea is just a minor problem. In many cases, obstruction will occur directly, and only immediate surgery can be performed to relieve the obstruction.

Therefore, every doctor, when performing pancreatic cancer surgery, is thinking about one thing, and that is how to preserve more of the pancreas. However, when it comes to cutting, they usually cut as much as they can. After all, if they cut more, there will be some digestive problems in the later stage, which will prevent a rapid recurrence. But if they cut less, it will quickly relapse and be fatal.

Wu Xiaofu's performance was definitely a display of great skill and courage. He even dared to retain part of the pancreas. According to their understanding, not removing the tail of the pancreas would be a fair treatment to the patient.

At this moment, they finally understood why high-level doctors are so popular. There are not many doctors like Wu Xiaofu who dare to keep more of the pancreas. It's not that they can't, but they are not sure it will give the patient a better prognosis.

This is the gap in level, experience and knowledge.

Then Wu Xiaofu explained why he retained the remaining part of the pancreas, making the doctors feel like they had learned some martial arts secrets. They were all practical stuff that could not be learned from textbooks or seen on the Internet.

With this knowledge, if Wu Xiaofu were to teach a class, I'm afraid many doctors would not be able to grab a seat.

And now they could hear it so easily.

I heard that the reason why Wu Xiaofu came here was because the new county magistrate was Wu Xiaofu's cousin. Well, I'm grateful, brother. Thank you, brother.

"This patient was lucky because the disease was discovered early. Based on my experience, there was no problem with the patient's bile duct, so there was no need to deal with it. Then the duodenum was removed, which was also an important part of the operation. The duodenum was removed and a gastrojejunostomy was performed.

From this, you can see why we didn’t divide general surgery into so many parts before. The digestive system is a whole system. As hepatobiliary surgeons, we can’t just study hepatobiliary surgery, we also have to study gastrointestinal surgery. ..."

Wu Xiaofu was explaining the procedure to them while performing duodenectomy and gastrojejunostomy.

Wu Xiaofu explained it to them almost in pieces. Most of these doctors were postgraduates, or at least undergraduates. They had no problem with comprehension. As long as they studied hard, they would be able to grasp the essence of it. After Wu Xiaofu performed more operations and gave more lectures, they would be able to form their own theoretical system.

When they really get the hang of it in the future, these theories will become the foundation for their take-off, allowing them to quickly master radical resection of pancreatic cancer and make rapid progress.

This is why people need a teacher, and a good teacher.

You really can’t learn these things from textbooks.

And some theoretical knowledge cannot be written in textbooks.

"When dealing with lymph nodes, my consistent theory is to determine the part of the lymph nodes that need to be treated based on the condition of the cancer, rather than blindly clearing all of them. Of course, this is based on the fact that you have enough experience. For example, in this operation, I divided the lymph nodes around the pancreas into eight groups based on the eight directions.

My judgment is that we only need to clean up five of them, and the basis for this is…"

Listening to Wu Xiaofu's explanation, many doctors were smart and had already started recording it. If they couldn't understand it this time, they could just listen to it or watch it a few more times later. The important thing is that if they missed it today, they don't know if there will be a next time.

Wu Xiaofu's explanations were something they had never heard before during surgery.

It's too profound and too private. If he is not a biological disciple, who would teach him these things? Only Wu Xiaofu would. As for others, even professors, I'm afraid they would not really explain it to them. It's mainly because they find it troublesome and they don't want to reveal too much.

They felt that what Wu Xiaofu had said could be compiled into a textbook that was no thinner than the internal medicine book.

Wu Xiaofu did not explain many things, which were all basic theoretical knowledge. If they did not understand something, they had to supplement it themselves. For example, Qu Tianqi was really glad that he chose Jinhu County Hospital, otherwise, he probably would never be able to hear this class in his life.

He likes to take notes. After today's operation, he took notes and made supplements while referring to the video. It will probably take him a month and several notebooks to complete it. This is the value of this class.

"Okay, get ready to rinse."

Everyone looked at the time again. In an hour and a half, the operation would be over.

The speed of God.

After one operation and one class, everyone was completely impressed by Wu Xiaofu, even Dou Zhiming. He knew that his choice was right. After following Wu Xiaofu for two months, he would definitely make great progress.

What's wrong with being in his fifties? He still has great ambitions.

It is not for the purpose of becoming a bigger leader, but to be able to perform some major surgeries in Jinhu County, and to allow patients who are unable to go to farther places for treatment to enjoy high-end surgical treatment at their doorstep.

Dou Zhiming saw hope in Wu Xiaofu.

"Okay, the operation is over, let's get ready for the next one."

The operation lasted one hour and fifty minutes.

Everyone took a look and they knew that if it wasn't for teaching them, the time would be even shorter. No wonder Wu Xiaofu said that he had to complete these six operations before six o'clock today. At this speed, it would not be a problem at all.

Immediately after the operation, Fei Jinpeng received a call from the Publicity Department.

"Director, the operation is over and the footage has been filmed."

"Okay, hurry up and write the article and publish it as soon as possible. I want the public to know firsthand what an incredible operation our Jinhu County Hospital performed."

"clear."

To be honest, the propaganda officer is a layman after all. To write this kind of article, he should consult professionals like Wu Xiaofu while writing, but now the propaganda officer feels that this is not necessary.

Wu Xiaofu explained this operation clearly enough. Although he didn't understand a lot of it, he didn't want to learn how to perform the operation. It was enough for him to know the general idea. He recorded the entire operation.

Whatever he needs later, he can just take from what Wu Xiaofu said.

To be honest, if all doctors did this when performing surgery, it would be much easier for them to promote it.

For the next operation, another propaganda department officer will take over this officer's job and they will take turns working. This officer is in a hurry to finish the manuscript.

In the operating room, the patient woke up from anesthesia, was sent to the operating room, and was prepared. Wu Xiaofu went outside the operating room to explain the situation to the patient's family.

Upon hearing that the operation was successful, the patient's family was so excited that they were speechless.

While thanking Wu Xiaofu profusely, he said that the patient was lucky as he didn't have to go to the provincial capital and had surgery by the best doctor in the country. Wu Xiaofu even said he didn't dare, because he knew that the patient was complimenting him and he couldn't get carried away by it.

The next case is gallbladder cancer, which has metastasized to the bile duct and liver.

In Wu Xiaofu's opinion, this operation is slightly more difficult than the one for pancreatic cancer.

In fact, to date, China has ranked among the top in the world in the fields of gallbladder cancer and bile duct cancer.

And the main reason is Wu Xiaofu.

The first laparoscopic radical resection of gallbladder cancer made Wu Xiaofu internationally famous in the field of gallbladder cancer. Other Wu Xiaofu may need to be humble, but in the field of laparoscopic gallbladder cancer, Wu Xiaofu is now recognized as the first in the country.

Those listed alongside Wu Xiaofu are all veteran academicians.

Well, many people say that this arrangement is made out of consideration for the face of the old academicians, so in terms of gallbladder cancer, Wu Xiaofu is undoubtedly the most authoritative.

During this year, Wu Xiaofu published the most articles on gallbladder cancer, even more than those on liver cancer. Various improvements have enabled the laparoscopic gallbladder cancer technology to advance step by step, making it increasingly difficult for others to learn it.

What does the word authority mean?
Although it is not absolutely unique, it is also the kind that no one can replace in this regard. This is the case with Wu Xiaofu today. Regarding gallbladder cancer, Wu Xiaofu is now ahead of others. Wu Xiaofu's surgical video is posted on the Internet, but so far no one has been able to perfectly replicate it.

Therefore, Dou Zhiming and others are very much looking forward to Wu Xiaofu's laparoscopic extended radical resection of gallbladder cancer.

The assistant is still Dou Zhiming.

As soon as the operation began, everyone felt that Wu Xiaofu seemed to be more at ease.

“The biggest difficulty in laparoscopic gallbladder cancer surgery is actually the operation.

Because there is very little space for gallbladder treatment under laparoscopy, you have little chance to maneuver. Therefore, this will test your brainpower, eyesight and manual dexterity. Apart from that, your chance of trial and error is almost zero.

You see, the gallbladder of patients with gallbladder cancer is basically like this, or even more serious. To be honest, let alone dissecting the gallbladder, when you free the tissues around the gallbladder, the gallbladder may even rupture due to traction.

You have to know that if bile flows out, the operation is actually half failed.

Therefore, the moment you see the gallbladder under laparoscopy, the three-dimensional spatial composition around the gallbladder and the subsequent overall surgical plan should have appeared in your mind.

At this time, if you are not completely sure that you can complete the operation under laparoscopy, do not hesitate, just open the abdomen, and do not force it, because if you hesitate for a moment, the operation has actually failed.

......"

Wu Xiaofu was talking as he was doing it, and the gallbladder displayed in front of everyone was a gallbladder that had grown at least twice as large. Under laparoscopy, the area around the gallbladder was squeezed out of shape, and the tissues around the gallbladder were severely adhered, making it difficult to tell what was what.

In this situation, their scalps tingled just watching it, not to mention the need to decompose and free the adhesions of the tissues around the gallbladder.

In fact, they didn't need Wu Xiaofu to warn them, they knew their own strengths and weaknesses.

Moreover, many people have told them with their own blood and tears how difficult this operation is. On medical websites, there have been many reports of patients who wanted to try laparoscopic radical cholecystectomy and failed, most of which were caused by forcing the operation.

There are always people who think that if others can do it, they can do it too, but the fact is, don't be willful, he really may not be able to do it.

If the operation fails and you meet someone who is easy to talk to, you might be able to get away with it. After all, for patients of this severity, the family members wouldn't have much hope, and the hospital would just symbolically waive some of the operation fees.

But there are examples of some doctors who really have their reputations ruined because of this.

Not only domestically, but also abroad.

Therefore, after such fermentation, Wu Xiaofu's success becomes even more great.

(End of this chapter)