Surgical artist

Chapter 339 One Surgery Three New Techniques

Upon hearing these two names, Vice President Lu Guangxuan felt a little relieved.

"Director Hao Xihua is an old expert in the field of pancreas and spleen for many years. With him around, I can rest assured."

"And Director Zhao Peiru is our provincial card-level expert...Huh? No."

"How did Director Zhao Peiru become the chief surgeon?"

Lu Guangxuan suddenly realized that Zhao Peiru is an expert in the field of liver and gallbladder, and this patient suffered from an impact injury on the pancreas and spleen.

The two are not next to each other!
Director Zhao Peiru, when did you become good at the field of pancreas-spleen impingement injury?
I heard that the patient's liver was also partially damaged. Could it be that Zhao Peiru came from this?
But it is said that the damage to the liver is very small, and with an expert like Chairman Hao Xihua, it can be solved easily. Is Zhao Peiru still needed?

Lu Guangxuan felt strange in his heart, but he didn't show it on the surface.

Because at this time, there were many news media reporters on the scene, and various cameras were facing him, so he couldn't show any abnormality.

Lu Guangxuan turned to the medical chief of Huakang Hospital next to him, and asked in a low voice, "Go and ask, what's going on inside."

The medical chief nodded slightly, and came out soon after entering.

Go to the side of Lu Guangxuan and whisper: "Leader, Director Zhao Peiru has been replaced as the chief surgeon, and even Chairman Hao Xihua has retreated to the side. I heard from the doctors inside that the patient has a rarer and more serious pancreatic transection injury." , even Chairman Hao Xihua couldn't make up his mind, and finally let Director Zhao go."

Lu Guangxuan frowned slightly.

The injury is more serious than expected?
If this is not handled well, how can I explain it?

A bad premonition flashed in Lu Guangxuan's heart.

……

in the operating room.

Although Hao Xihua stepped back from the operating table, his eyes were still fixed on the operating table.

"I hope Director Zhao's new technology will really work!"

"Otherwise, the only option is to remove the spleen."

Hao Xihua at least had to guarantee that the injured would not experience massive bleeding during the operation due to forcibly preserving the spleen, and in the worst case, the injured should be saved first.

Many pancreas and spleen experts in the observation room are also staring at the operating table.

"The idea of ​​a new technology...is good."

"However, I just don't know if it can be implemented smoothly. Director Zhao should be doing this kind of operation for the first time, right?"

Several experts looked at each other with worry in their eyes.

But...if even Zhao Peiru can't do it, then he can only cut the spleen. At most, he can barely save the injured person's life, which will definitely have a great negative impact on the rest of his life.

"Hush, stop talking, Director Zhao is about to start the operation!"

On the operating table, Zhao Peiru cut open the peritoneum at the lower border of the pancreas with a single surgical scissors and a light pick. With the surgical scissors in his right hand and the scalpel in his left hand, using delicate dissection techniques, the front part of the superior mesenteric vein was cut in the direction of the upper back and upper part. separate.

After a few cuts, the peritoneum of the pancreas, the transected site, and the normal pancreatic tissue were completely separated, and the end point was severed at the head and neck.

"ligation."

Zhao Peiru gave an order, and the emergency director next to him quickly pulled the hook away, exposing the surgical field of the head of the pancreas.

Zhao Peiru took over the suture needle and suture thread, and quickly ligated the pancreatic duct on the side of the pancreas.

"What a quick operation!"

"This step is what the plan says, to separate the pancreas through the damaged and ruptured part of the pancreas, right?"

"Yes, this step not only paved the way for the separation of the spleen and pancreas, but also cut off the damaged part of the pancreas."

"That's right, kill two birds with one stone!"

Everyone looked at this operation, and called Gao Ming in their hearts.

No wonder Director Zhao Peiru said that new technology can make surgery easier and safer.

This step has two effects.It really saves a lot of operation time.

At the same time, due to the separation of the transverse injury and the ligation of the lateral pancreatic duct, some hidden dangers during the operation were killed in the cradle first, which is equivalent to improving the safety in a disguised form.

"Mr. Zhao's operation is exquisite! This is simply the 'transplantation' of the exquisite technique of irregularly cutting the liver into the pancreas."

Shi Changqing was beside him, his heart was surging.

When he went to the Fourth Hospital and studied with Zhao Peiru, what he learned was Zhao Peiru's "irregular liver cutting technique". In that technique, Zhao Peiru often used the idea of ​​"one-step operation, two functions" to optimize Surgical procedures, simplifying the operation steps.

Unexpectedly, Zhao Peiru extended this idea to pancreatic surgery.

Of course, this is not a simple "transplantation of ideas", but a deep understanding of the anatomy of the pancreas and a full understanding of the existing pancreatic surgery, so that this concept can be displayed in the pancreatic surgery .

Hao Xihua: "Sensible!"

"This disjointed operation is so sensible! I am amazed!"

Vice President Hao Xihua felt a little excited in his heart.He had never imagined such a wonderful operation before!
It is only a change in concept, but it can greatly simplify the operation steps.

This kind of spirit and ability to create and improve technology is so enviable to him!

As for him, Hao Xihua, who has been engaged in the field of pancreas for so many years, the technology he has created and improved is extremely limited.

He himself is very aware of his ability, he just has a relatively strong ability to "learn step by step".But it is too lacking in Zhao Peiru's ability to use new ideas, drive new technologies, and improve.

……

Next, comes the separation of the spleen.

Everyone felt a little more nervous.

"Difficult to separate", "prone to massive bleeding", "easy to cause pancreatic fistula", "many and complicated branches of splenic hilar vessels", "easy to confuse the tail of the pancreas"...

These difficulties quickly flashed through everyone's minds.

Can the new technology in the hands of Director Zhao Peiru overcome these difficulties?

Vice President Hao Xihua's expression also became serious.

Although just now, he was quite optimistic about Zhao Peiru's new technology and new plan.But in this world, there is no perfect solution.

He has already prepared for the eventuality. If Zhao Peiru fails, he will go up at any time and change this operation into a plan to remove the spleen.

In the eyes of everyone, Zhao Peiru began to separate the artery and vein of the spleen along the side of the artery and vein to the left, and gradually separated the artery and vein of the spleen from the branch of the artery and vein of the body and tail of the pancreas, and finally cut off from the hilum of the spleen.

Every time Zhao Peiru slashed, everyone's hearts were tugged!
I'm afraid that the next cut will cause a lot of bleeding!

Every time Zhao Peiru ligated an artery, vein and pancreatic duct, everyone felt that their lips were dry and their throats rolled unconsciously.

I was afraid that Zhao Peiru's ligation would be affected by the complicated pipeline, which would cause pancreatic fistula and lead to organ failure.

And when it was Zhao Peiru's turn to separate from the spleen gate, the worries in everyone's hearts rose to the peak!The heart is pounding!

Because the splenic hilum and pancreas are the most "entangled", this is also the place where all the arteries and veins are the most complicated, have the most branches, and are most likely to be confused.

If you don't pay attention to the identification, you may make a wrong cut.

Zhao Peiru was not in a hurry.As if "writing with spirit" in the hand, a few cuts were made lightly, and the hilum of the spleen was quickly cut off, and the branches of the blood vessels were separated in an orderly manner.

He suddenly said: "The part you are most worried about should be the separation of the spleen gate, right?"

The purpose of Zhao Peiru this time is not only to complete the operation, but also to make this new technology completely eradicate the old technology.

That is to say, it is necessary to show the characteristics of "easy to learn and easy to operate" of the new technology.

Right now, this "seeming problem" has to be explained clearly to everyone, and let them know that as long as new technologies and techniques are used here, it will actually become quite simple.Then through the mouths of these people, it gradually spread throughout the province, so that pancreas surgeons in the province are willing to take the initiative to "get rid of the old technology" and replace it with new technology.

When everyone heard Zhao Peiru's words, they couldn't help but nodded.

But at the same time, hearing Zhao Peiru speak suddenly, everyone's heart tightened. How dare you speak during such an important operation?

Don't you need to concentrate?

Zhao Peiru said: "There are actually a few tricks to distinguish and separate the spleen gate here. Once mastered, the separation operation will become quite simple."

"Look at me, a total of four knives were made, and it took a total of about half a minute."

Everyone heard the words and carefully recalled the scene just now, it seems that it has indeed become simpler.

If they are allowed to separate, I am afraid that it will take about 20 minutes just to identify and comb the work, plus the knife ligation, this step alone will take about half an hour in total.But when Zhao Peiru came here, he didn't seem to have done any sorting work, just relying on these few skills, the pipeline was determined in a few seconds.

"Is this discrimination and separation technique so efficient?"

Everyone's hearts can't help but get hot!
This kind of excitement is even more exciting than when I saw "one-step operation, two effects" just now!
Because this step of skill is the most critical step to truly make "spleen protection" highly feasible!
While continuing to complete the remaining operations, Zhao Peiru said: "The technique is also very simple."

"When ligating, be sure to stick to the tail of the pancreas with the forceps to prevent damage to the splenic hilum blood vessels, and preserve the splenic arteriovenous..."

Zhao Peiru slowly told the little tricks to everyone.

Director Shi Changqing of Huakang Hospital felt his head boom after listening to it!
Good technique!

This kind of discrimination skill is very subtle, and it is definitely a painstaking experience that can only be summed up by observing and dissecting a large number of spleen and pancreas!

Vice President Hao Xihua's eyes also lit up, this technique is simply like the "multiplication formula" in mathematics!
Without this multiplication formula, people can only use stupid methods to turn multiplication into addition and accumulate step by step.But with this multiplication formula, it can be calculated directly according to the formula.

The "little trick" that Zhao Peiru explained at this moment is also like a formula for multiplication.

As long as you write down the formula, you can quickly identify the arteries and veins of the spleen and pancreas, and know how to cut them!

"With this spleen-preserving technique, countless pancreas-spleen surgery doctors can quickly master and get started with this spleen-preserving technique..."

Hao Xihua's heart was beating wildly.

This "spleen-preserving formula and technique" suddenly makes the difficult spleen-preserving easier!
At the same time, the safety is also higher, because if you can memorize the formulas and techniques, you will not be able to distinguish mistakes, and the safety will naturally be greatly improved.

"This operation is stable."

At this moment, Hao Xihua completely let go of her heart.

"This operation seems to be smooth and simple, but it is actually supported by profound experience accumulation, brilliant vision, and exquisite operation."

He looked at the back of Zhao Peiru who was undergoing surgery, and admired it for a moment.

Such people are real medical talents.

He has accumulated experience and a good vision, and can summarize ideas from old knowledge to create new technologies.

It is much smarter than someone like him who can only memorize by rote and just learn from previous experience.

After Zhao Peiru finished the work of protecting the spleen, he started the last step.

Manage pancreatic injury.

In this part, he used the idea of ​​"expanding and repairing damage" in the previous operation, and used a pancreatic duct stent to re-support the damaged part of the patient.

"Oh? This is Director Zhao Peiru, the idea of ​​'repair the damage' that was spread earlier?"

Hao Xihua has also heard of this kind of thinking. Compared with the previous resection, it is indeed more friendly to patients.

I originally planned to find an opportunity to visit Zhao Peiru to get a good idea of ​​this kind of thinking, but I didn't expect to see him today.

Watching Zhao Peiru put in the stent and repair the pancreas bit by bit, Hao Xihua and all the doctors were all attentive and excited.

"It is said that the pancreas repaired by this technique will have excellent indication data, which is much more patient-friendly than traditional pancreatectomy."

Everyone watched the whole operation.

It has benefited a lot!

Back and forth, I saw three advanced technologies!
The first is the idea of ​​"using the patient's damaged organ as an approach" of "one-step operation, two functions".

Then there are the spleen-preserving formulas like "multiplication formulas".

Finally, there is the "damage repair" idea of ​​pancreatic expansion repair.

With these three techniques, the entire operation is much better than their previous plan!
"Now, I can have a good explanation to the society and the leaders above."

Hao Xihua was completely relieved.

Shi Changqing from Huakang Hospital was also staring at the surgical field at the moment, and couldn't help sighing: "Mr. Zhao's operation is really like art, especially this step of repairing the spleen is like a master of art. Restored like a work of art.”

"Then use three extremely patient-friendly techniques in one operation..."

"The injured will thank you, and the leaders and people from all walks of life who pay attention to the injured outside will thank you."

After the operation is completed, all intraoperative data will be summarized.

"Not bad, really good!"

Hao Xihua and other ten experts on pancreas and spleen were almost protruding from their eyes.

"As expected of using three excellent technologies, these data are so excellent!"

Everyone was overjoyed. With this data, it was enough to give a complete account of this matter.

The patient is rolled out of the operating room, ready to be pushed to the intensive care unit.

As soon as the patient's bed cart came out of the door of the emergency operating room, countless news media immediately surrounded it.

They gave way to the bed cart and all surrounded the doctor.

Shi Changqing of Huakang Hospital, as the person in charge of the incident, first arranged for people to deal with the media, and then arranged for people to appease the family members.

(End of this chapter)