Surgical artist

Chapter 288 The long-lost master level
In the end, Liang Chenglei found a suitable case according to the requirements.

He stood at the door of the ward, looking at the 2-month-old baby boy.

This is a child born in the obstetrics and gynecology department of their hospital. After being discharged from the hospital and brought home, the parents gradually realized that something was wrong, and then brought him back.

The child had chills, fever, and jaundice. Outpatient examinations revealed abnormal liver function and high serum bilirubin.The final B-ultrasound CT examination confirmed the dilatation of congenital choledochal cyst.

She was hospitalized and admitted to the Department of Pediatrics. At the same time, she was consulted with Pediatrics and Gallbladder Surgery.

Liang Chenglei frowned, feeling a little anxious.

"Babies and the elderly are the two most difficult extremes in clinical medicine."

"Director Zhao is looking for this kind of congenital cholangiocyst..."

"This is to adjust the difficulty directly from normal to hell mode!"

He was in trouble here, and beside him, the child's mother was also crying miserably.

"How did this kind of thing fall on our family? How did the child become a congenital cyst?"

"Why is our luck always so bad?"

The child's father, grandparents and grandparents beside him also had sad expressions on their faces.

Looking at their plain clothes, it can be seen that the family's economic situation is very average.

The child's illness made this poor family even worse.

"do not talk."

The child's father finally made up his mind: "Our family is trying to sell everything, and we must cure the child!"

At this time, the family members saw the doctor Liang Chenglei at the door.

"Doctor, is my child's disease serious? Is it easy to cure? Does it cost... much?"

The whole family looked at Liang Chenglei eagerly. Obviously, the child's illness cast a shadow over the whole family.

Liang Chenglei comforted: "Don't worry, this is a common congenital disease of the gallbladder, which can be cured. Someone will tell you about other things later."

Although he said he could heal.

In fact, after the operation, this kind of congenital children are prone to two problems.

One is the bile duct after forced anastomosis, which is prone to stricture.Second, postoperative digestive juice reflux is prone to occur.

These two situations will cause a lot of trouble for the children in their future life, and some even have to go back to the hospital for further treatment in the next stage.

It's just that these words don't need to be said by him, there will naturally be a special person to explain clearly to the family members.

……

After leaving the ward, Liang Chenglei sent the detailed medical record of this child to Zhao Peiru's mobile phone.

"Director Zhao, do you think this case is suitable?"

After thinking about it, Liang Chenglei added another WeChat message: "I think it's a bit too difficult?"

On Zhao Peiru's side, the phone vibrated.

"Find the case?"

Zhao Peiru clicked on it.

After browsing through it, a smile appeared on his face.

Yes, the case is quite appropriate.

This kind of slightly difficult case can better demonstrate his excellence in "improving technology", and can further widen the gap between him and Los Angeles.

"Learn 'Treatment of Congenital Choledochal Cyst in Children' and advance to master level."

Directly consumed 10 experience points.

At this moment, Zhao Peiru's experience, level, vision, etc. in "choledochal cyst" continued to soar, quickly surpassing the level of all gallbladder doctors in Jiangnan Province, and continued to soar!

After a while, Zhao Peiru felt the surging "experience ocean" in his mind, and suddenly felt full of confidence.

"The long-lost master level!"

This is the first time that Zhao Peiru has used the master level since he crossed from the "liver domain" to the "gallbladder" domain.

The object of this competition is Los Angeles Province's strong point, and it is obviously not enough if it does not show some real skills.

Zhao Peiru looked at the medical record again.

"so easy."

After just one glance, Zhao Peiru came up with four or five corresponding strategies in his mind.

And each strategy has its own strengths, which are very suitable for this baby.

"If you take the gallbladder protection technology into consideration..."

Zhao Peiru only felt that at the master level, he had too much experience to call upon, and with a single thought, he could filter out what he wanted from the huge amount of experience.

In the end, Zhao Peiru chose the most suitable technique combined with gallbladder protection technology.

In Zhao Peiru's mind, the whole operation went through quickly like a revolving lantern.

Incision, free, exposed gallbladder wall, cystic artery!
On the premise of preserving the gallbladder, puncture the cyst and extract the bile!

Transect the common bile duct, strip it completely, and repair the tube wall!

Finally, dilate the bile duct and perform hepatic jejunostomy!
After the whole operation, the expansion of the baby's cyst was eradicated, the lesion was resected, the drainage was adequate, and the biliary tract was kept unobstructed!
At the same time, it also prevented the reflux of intestinal juice, pancreatic juice, and digestive juice, and prevented anastomotic stenosis...

It can be said that it not only protects the guts.

It also solved two problems that were difficult to solve in academia.

"This technique is considered perfect."

It not only incorporates the gallbladder-preserving technology, but also effectively improves the dilatation of choledochal cysts, and successfully solves the difficult academic problems of "digestive fluid reflux and anastomotic stenosis" that are difficult to overcome in this field.

It's killing three birds with one stone.

Zhao Peiru saw the message "Is it too difficult?" sent by Liang Chenglei on the phone.

He replied casually: "No, it's just right."

……

Port Group General Hospital.

Today, many members of the "Special Project Team for Gallbladder Protection" gathered here.

In the conference room, representatives of more than a dozen teams sat around the long table, staring at each other.

"What did Team Leader Zhao ask us to do?"

"I heard yes, let's focus on the direction of 'cholangiopathy'."

Everyone pouted.

Zhao Peiru sent that message in the group yesterday, which caused them to complain a lot behind their backs.

Unexpectedly, today Zhao Peiru directly summoned them all to the Port Group General Hospital.

"I heard that Team Leader Zhao asked Director Liang Chenglei to find a case of congenital choledochal cyst in a child, and let us refer to this case for the project..."

When everyone heard this, their eyes widened!

"The team leader is determined to do this task?"

"Moreover, I chose a hell mode and found a baby patient? Congenital choledochal cyst?"

They didn't expect that Zhao Peiru's determination was so strong and his head was so strong.

This requires a single mind, wanting to hit a stone with an egg!

At this moment, the door of the conference room opened, and Liang Chenglei's team walked in.

"Experts and seniors."

Among this group of people, Liang Chenglei is the youngest and the lowest.

He said humbly: "It was originally Director Zhao who was supposed to give a speech for everyone at the meeting, but he has something to do at the moment, let me make a brief introduction first, and he will rush over later."

Liang Chenglei: "Let me convey Director Zhao's meaning first."

"He said that the leaders of the province have decided to position our 'special group for the gallbladder protection project' as one of the key advantageous projects, and it will be one of the province's next important focus points."

As soon as these words were said, everyone's breathing suddenly became heavy!
They looked at each other, both showing surprise.

Sure enough, it was taken seriously!

Great thing!
Some time ago, when the province established the "Special Project Team for Bile Preservation", the provincial leaders made a promise, saying that protecting the gallbladder is one of the major directions in the future.

But nothing of substance has come down.This time, sex is undoubtedly given and landed!
Everyone is at ease!

Liang Chenglei said: "Director Zhao, let us discuss the patient's condition first."

Liang Chenglei distributed the children's files to everyone on the table in front of them.

Everyone just got the good news, they were in a good mood, and they didn't show much face.

"Xiao Li is the patient's responsible doctor, and he will give you a brief introduction to the patient's condition."

Dr. Li stood up, nodded to the experts, and said:

"The child's CT examination was diagnosed as dilated congenital choledochal cyst, the left and right hepatic ducts and intrahepatic bile ducts were normal, and the clinical manifestations were abdominal mass, bile stasis, and progressive damage to the liver..."

After talking about the patient's condition.

Dr. Li said: "Our port general hospital has considered several treatment methods. Including cyst duodenostomy, cyst excision followed by duodenum anastomosis, cyst jejunostomy, etc..."

"but……"

In the end, he had a look of embarrassment on his face.

"However, these surgical methods have not been able to fundamentally solve the problems of reflux of digestive juice and easy narrowing of the anastomotic stoma after surgery."

"I hope that experts, when considering treatment options, can try to take these into consideration."

As the responsible physician of the children, what he hopes most is to help the children solve practical problems.

After he finished speaking, the experts looked at each other.

They haven't even figured out how to integrate gallbladder protection into this "gallbladder cyst expansion".

And you're asking...to solve both of these inertial common problems at the same time?
This increases the difficulty again.

The so-called common problems of inertia do not refer to common and easy-to-solve problems.Rather, it refers to a problem that the medical community has tried various methods, but still cannot be solved, almost forming an inertial, recurring problem.

In other words, it is basically unable to solve it, and can only watch it happen.

An old senior expert member spoke slowly at this time.

He didn't discuss the child's condition, but went to director Liang Chenglei instead.

"Director Liang, I have to talk about you this time."

"The direction of your gallbladder expansion is inherently difficult, and the degree of fit with the idea of ​​gallbladder preservation is very low."

"You know this, why did you find a patient with a high difficulty?"

Liang Chenglei also felt bitter.

He whispered: "It's Team Leader Zhao's idea."

The member of the expert was not angry, and relied on his higher qualifications and status than Liang Chenglei, he said directly: "Then you don't know how to persuade them? Explain the stakes here to the team leader clearly?"

Liang Chenglei didn't dare to speak anymore.

He could tell that some veteran experts were still suffocating.

One is that he feels that he has more seniority and refuses to accept Zhao Peiru as the team leader.

The second was that Zhao Peiru was dissatisfied with the fact that Zhao Peiru took over the competition project with Los Angeles Province privately, and had to forcibly assign the task to them, the brave members.

The third is that they feel that competing with Los Angeles Province in this direction is purely hitting a stone with an egg, and they are unwilling to contribute.

Fourth, Zhao Peiru chose to focus on the development of the "least optimistic" Liang Chenglei, instead of focusing on the development of these old experts, and he was dissatisfied.

So, under the superposition of all kinds of mentality...

Take the opportunity to go crazy today.

They didn't dare to get mad at Zhao Peiru, so they took their anger out on Liang Chenglei.

Seeing that Liang Chenglei had stopped talking, the veteran expert turned his attention to the patient.

"This case can be cured, but as Dr. Xiao Li said, the reflux of digestive juice and the easy narrowing of the anastomotic stoma may be difficult to solve."

"At the same time, it is difficult to integrate the idea of ​​protecting gallbladder."

To sum it up, just two sentences:
The cost of treatment is high and the curative effect is weak.

"Taking this patient as a project case, the final result is definitely not as good as Los Angeles."

The other experts, although they have different ideas, are not of the same mind as this veteran expert.

But for this conclusion, most people agree with it.

Compared with Los Angeles, which has already stood at the highest point, they are almost bound to lose.

……

Provincial Medical Association, Office of the Vice President.

The two vice presidents, Wang and Lu, are also talking about the competition between the two provinces for the "Life Science Award".

Vice President Lu Guangxuan: "Didn't we give up this task strategically? Director Zhao took it?"

Vice-chairman Wang Yu nodded: "I made clear all the interests and interests to Director Zhao. But he still took it."

Lu Guangxuan asked curiously: "Director Zhao, you can't treat him with common sense. He often brings us big surprises. Since he took the initiative to accept this task, does he really have any ideas?"

These words also moved Wang Yu's heart!
If it was not a last resort, how could the province choose to give up?It's still too weak!

And if there is really someone who can support this task...

Wang Yu said: "Then let me ask."

With a glimmer of hope, he called Zhao Peiru.

It's a pity that Zhao Peiru's phone was vibrating, but the phone was not in front of him, so he didn't receive it.

Vice President Wang thought for a moment: "Ask Professor Du, I see from the report form that he has been helping Zhao Peiru to make arrangements for these matters."

Professor Du Qingning's call was quickly connected.

When Vice President Wang Yu asked, Professor Du hurriedly said:

"President Wang, we are having a meeting just because of this!"

"Director Zhao found a case, we are discussing..."

When Professor Du explained the matter, the two vice presidents, Wang and Lu, were also surprised.

This Zhao Peiru really took this task seriously and did it seriously.

They all organized the members of the bile protection special group to discuss it intensively.

A trace of anticipation flashed in Wang Yu's mind.

So much fanfare?

Could it be that Zhao Peiru really has a way?

He was a little excited, and asked on the phone: "Director Du, how is the progress now?"

Du Qingning looked at the situation at the scene and smiled helplessly.

He said: "Now everyone is not very optimistic, and they all think that the idea of ​​gallbladder preservation and this bile duct disease have a low degree of fit, and the compatibility is too poor."

"Furthermore, the patient selected by Director Zhao is a two-month-old baby, and it is indeed very difficult..."

Du Qingning talked about the situation on the spot, and then said the considerations of many experts.

The more I talked, the more disappointed Wang Yu, the vice president on the other end of the phone, became.

Sure enough, I can't expect it.

More expectation, more disappointment.

Vice President Wang shook his head and hung up the phone.

(End of this chapter)