Come on, Dr. Wu

Chapter 375: Top Three Consultation
"Okay, I'll leave it to you guys next."

When Dr. Li heard what Wu Xiaofu said, he nodded quickly, with a look of admiration in his eyes. It was really the first time he had seen a doctor who turned surgery into art.

Two hours, precise dissection, bloodless liver removal.

During the entire operation, from beginning to end, the amount of bleeding was less than 20 milliliters. Nowadays, if the skin is scratched and sutured, the bleeding will be more than this. What's more, this operation also included vascular reconstruction. It's really a masterpiece.

Liu Lin's eyes were full of stars at this moment. This was the teacher chosen by Director Liu. She was indeed the first choice in the world.

With Dr. Li and Peng Xia following behind him, Wu Xiaofu doesn't have to worry about anything.

Just leave with Yu Shifu.

In the locker room, not long after, Peng Xia also sent the patient's condition. After the operation, the patient's liver ultrasound needs to be monitored to see whether the hepatic artery and portal vein are unobstructed. The reconstructed arteries and veins may still be blocked or bleeding.

All of these require extreme caution, so postoperative care is generally level one or even special level so that problems can be discovered in time.

Outside the operating room.

Wu Xiaofu looked at Cheng Shi and the others, and asked with a smile, "Tell me, what do you think?"

Jiang Bei gave a thumbs up.

"Boss is awesome."

The others hurried to catch up, and Wu Xiaofu rolled his eyes. "Go away, I didn't ask you to praise me, I asked you what you think of this operation."

So that’s how it is. It’s a test of every size.

Several people hurriedly fell into deep thought.

“I think the most important thing for this operation is to have the liver transplant technology. I originally thought that liver transplant technology was only used in liver transplantation, but now I find that liver transplant technology is also an important supplement to conventional hepatobiliary and pancreatic surgery.

It can make many impossible surgeries possible, and the anastomosis of the hepatic artery is the core technology, and the quality of the anastomosis is directly related to the patient's postoperative recovery."

"Yes, if you can't master the hepatic artery anastomosis technique, even if the patient's condition is good after the operation, we can't be assured. Moreover, the difficulty of the operation is completely different if you master the hepatic artery anastomosis technique or not. This type of operation is completely determined by whether you master it well or not."

"This operation made me truly understand the concept of precision surgery. It was the first time I saw preoperative positioning, structural determination, and quantitative evaluation being so comprehensively applied to the operation. The effect was very good, and we were able to have an absolute grasp of the patient's condition before the operation.

This way, I can perform the surgery with full confidence.”

"They have said so much, so let me tell you what I saw. The boss's exquisite operation, exposure of the middle hepatic vein, exploration and plastic surgery of the hepatic duct branches, and high-quality cholechojejunostomy are all worthy of learning for us doctors. However, I want to say that excellent postoperative management and monitoring of the patency of the liver vascular structure are also of paramount importance. We must not let the boss's achievements go to waste."

However, after You Zhiyi said this, he received a cold stare from Doctor Li. What does that mean? The operation has already been done, and you are worried that he won’t be able to get good care in the future?

Wu Xiaofu also shook his head and was about to say something, but Yu Shifu was in a hurry and didn't let him continue.

"Okay, I have something else to do, so I have to go. Xiaofu, you should come with me. There is a consultation at a tertiary hospital, so you should go and take a look. You will gain something."

Consultation at a tertiary hospital!

To be honest, a hospital of the level of the First Affiliated Hospital does not need to consult with other hospitals. The so-called consultation is actually just exchanging one's own cases and sharing successful experiences.

Of course, it would be even better if you could gain something from the communication process.

The cases that can be brought up at such consultation meetings are basically rare, complex, serious, and top-notch cases. For doctors, it is very beneficial to participate in more such consultations.

Otherwise, Yu Shifu wouldn't have said there would be gains.

"Okay, let's go."

Wu Xiaofu naturally had no objection. Anyway, there was no surgery scheduled for today and he had plenty of time, so he might as well go and see it for himself.

This consultation was convened by the First Municipal People's Hospital. It's not that the First Municipal People's Hospital happened to have this type of case, but it just happened to be the First Municipal People's Hospital's turn. Such city-level tertiary consultations are generally held once a month.

Each tertiary hospital takes turns to hold the meeting. Of course, if any hospital really has a case that it cannot handle and needs help from other hospitals for consultation, it can also be held immediately. Generally, when encountering such a situation, each hospital will send capable personnel to participate.

We should help each other. No one can guarantee that their hospital will not encounter difficult cases in the future.

Medicine is also a circle.

The meeting place is at the First City Hospital.

These hospitals in Donghai all have large conference rooms that can accommodate more than a thousand people, which are very suitable for holding this kind of meetings.

The meeting started in the afternoon. However, as the organizer, you can't just invite people to attend the meeting. You have to show your appreciation, such as having lunch together at noon to keep in touch with them.

Yu Shifu originally thought that the operation would start at nine o'clock and would be completed by three or four in the afternoon. He had previously thought of letting Wu Xiaofu do it, and then he went to the meeting. Anyway, with Wu Xiaofu's current level, the people with connections would not have any objection if Wu Xiaofu did the operation.

What's more, he followed the whole time.

However, he could never have imagined that Wu Xiaofu could complete such a major operation in just two hours. What a talent! So there would be no need to worry so much. He could just take him to the meeting.

It just so happened that Wu Xiaofu had never participated in a similar large-scale consultation before, so he could go and broaden his horizons. If he didn't want to come out in the future, he could just let Wu Xiaofu go directly.

Well, thinking about it this way, this disciple is really becoming more and more worthwhile.

Wu Xiaofu had no idea what Yu Shifu was thinking. At this moment, he was already sitting in the restaurant, enjoying his meal.

In fact, they didn't go to any big restaurant or anything like that. They were just in the First City People's Hospital. However, the First City People's Hospital had the largest cafeteria in Donghai Hospital, with seven or eight cafeterias alone. The one they were in now was the First Staff Cafeteria.

Because of today's consultation, the staff canteen was vacated and specially provided for Wu Xiaofu and his friends to eat.

The food quality has also been upgraded.

The cafeteria is also equipped with large round tables. Doctors from various hospitals gather here. Most of them know each other, and this is more like a rare reunion.

Well, it is indeed rare.

Apart from business exchanges, most people don’t have the chance to meet each other even if they are familiar with each other. After all, everyone is busy, working day and night, and it is rare to have a rest. It is not the doctor’s turn to get together with a few friends.

This kind of meeting or something like that, getting together, might be one of the few opportunities for them.

Exchanges within the industry are really necessary. Just like Wu Xiaofu now, he can hear some industry information that he doesn't usually pay attention to, the latest top papers, the latest scientific research progress, etc. So many top industry experts are sitting here, even if only one person says one thing, it is enough for Wu Xiaofu to digest for a long time.

When it comes to surgical exchanges, they will find that almost no one performs surgery according to the standard surgical procedures. Everyone has their own unique ideas and tricks, which cannot be seen in textbooks or videos. It is natural for the industry to be self-taught.

Unless it's something like this, you bring out your own tips and other people bring out theirs, and everyone exchanges and communicates with each other.

It’s true. Wu Xiaofu felt that he gained more from just eating for a short while than from watching papers and videos for a month.

This is the importance of circles. There is a kind of knowledge that is forced into your mind in a rigid way.

If you stay in this kind of circle for a long time, even if you are a loser, you can pretend to be an elite.

What's more, those who can enter this circle are real elites.

"Director Wu, please stop talking nonsense. Tell us what surgeries you've had recently."

Although Wu Xiaofu is now an associate chief physician, ward director, and graduate student supervisor, and is recognized in the industry as being as good as some of the older directors, Wu Xiaofu has always maintained a humble attitude and generally does not put himself in a high-profile position.

Not to mention the passive one, the active one is absolutely impossible.

It is not said that the tallest tree in the forest will be destroyed by the wind. Doctors are professionals. They do not need such a high-gloss filter, nor do they need to stand in a very conspicuous position. When Wu Xiaofu attends such banquets, he usually just sits there and listens quietly, ensuring that he listens and learns.

Of course, Wu Xiaofu's current reputation does not allow him to be too low-key.

For example, now some people are fed up with Wu Xiaofu's voracious eating.

Wu Xiaofu hurriedly stopped what he was doing and was about to say something when Yu Shifu took over the conversation, "Don't say that I'm showing off my disciples. To be honest, at nine o'clock in the morning, I had a patient with hilar cholangiocarcinoma, and I gave him to Xiaofu to treat. I originally thought that he would do the surgery and I would attend the consultation.

Who would have thought that this guy could complete the operation in just two hours, and that's why we came together for the consultation."

Hilar cholangiocarcinoma! Two hours!

Everyone at the table was shocked when he heard this. "Come on, tell me in detail. I just did a case yesterday, with portal vein involvement, and it took me six hours. Director Wu finished it in two hours? Even if there was no blood vessel involvement, it wouldn't be so fast. What's more, for hilar bile duct cancer, how can there be no blood vessel involvement?"

Seeing that everyone was so interested, Yu Shifu had already started describing it vividly without Wu Xiaofu saying anything.

When they heard that both the right hepatic artery and portal vein were affected in this operation, the look in everyone's eyes when they looked at Wu Xiaofu became even more complicated. It wasn't just Yu Shifu who was knocked down by this wave of trouble. It knocked all of them down. The right hepatic artery and portal vein were affected. It was such a complicated operation, and none of them dared to say that they could complete it in two hours.

As for whether the blood vessel reconstruction would be too rough, in order to speed up the process, no one would have such doubts. Not to mention that no fool would be so eager to do so, this is not just about speed, this is about gambling on one's career. What's more, several of the people present here have watched Wu Xiaofu perform surgery before.

They had seen Wu Xiaofu's vascular anastomosis technique when he was performing laparoscopic surgery for gallbladder cancer, and it was indeed fast and good.

The next step was the flattery stage. Wu Xiaofu quickly waved his hands and used other cases to cover up the matter.

Wu Xiaofu has handled quite a few interesting cases recently. After he talked about them, everyone present had no other ideas and just started discussing. Wu Xiaofu was quite experienced in guiding the topic and quickly led the discussion from the lecture.

In the academic discussion, everyone present was actually very pure, and gradually, people at other tables were also infected and joined in.

For a while, the cafeteria became a classroom for academic exchanges for everyone.

Some of the discussions were so heated that they stood up directly. Wu Xiaofu also interjected from time to time. Everyone shared the cases they had worked on. For a while, everyone gained a lot.

They didn't stop until it was past two o'clock and the organizer asked them to go to the conference room.

There is still something unfinished about this.

In the conference room.

A case has been shown on the screen. This is a common practice. Usually the organizer will show the consultation case first. After all, it is a consultation meeting. There will not be any opening ceremony, speeches, or anything like that, and there will be no special introduction to the doctors in the venue.

It is a purely academic consultation and discussion.

It is not bound by formalities, which is why so many doctors are willing to participate. In fact, doctors really don’t like the kind of meetings with a lot of opening and closing ceremonies. They are a waste of time. After being a doctor for a long time, they will be particularly afraid of wasting time.

Every day it feels like something is chasing me, and I always want to seize every moment to do something useful.

This kind of tertiary consultation has been held in Donghai for many years, and the format has not changed. To be honest, it is really rare, but it is mainly because there are no pharmaceutical companies joining in. Otherwise, meals would not be taken only in the cafeteria, and the meeting place would not be in the hospital.

This kind of pure consultation and discussion is actually very rare.

"Thank you all for coming to this consultation. Without further ado, let's start the case discussion. To be honest, I personally think that this case is really worth our discussion and study. The patient is still in the hospital. I also hope that everyone can express their opinions and give us some valuable suggestions so that the patient can recover better and faster."

The person who presided over this consultation was actually an acquaintance, Director Wang, the director of the hepatobiliary surgery department of the First Hospital of the city, whom Wen Xinhan had introduced to Wu Xiaofu before.

Director Wang spoke concisely and started directly with the practical stuff, which was consistent with the character of Wu Xiaofu when he had communicated with Director Wang before.

On the big screen, the medical record information began to scroll, and Director Wang began to introduce it as it scrolled.

[Patient information]: The patient is a 49-year-old male who was admitted to the hospital due to jaundice and abdominal distension for more than 2 months.

【入院诊断】：1、慢性乙型肝炎急性加重；2、肝功能衰竭；3、肝性脑病；4、肝肾综合征；5、自发性腹膜炎；6、2型糖尿病。

【Treatment Plan】: Liver transplantation is planned.

【Examination】: Preoperative examination:
1、肝脏：PT＞120秒；TBIL:813mmol/L;ALB:35g/L（静脉补充后）;ALT:258U/L;AST:631U/L。

2. Kidneys

3. Heart

4. Fungal experiment: G test (-)

Then the patient's imaging films were attached.

Everyone looked at this case, some of them didn't understand what was special about it, because this was a patient with obvious liver failure that had reached the terminal stage and required a liver transplant. There didn't seem to be anything else special.

Because they felt there was nothing special, everyone remained silent and continued to watch, wanting to see what Director Wang would say next.

(End of this chapter)