Surgical artist

Chapter 387 Must Be Rescued

The chief surgeon is quite confident in the resection of colon cancer, but he is not so proficient in resection of the pancreas and duodenum.

He quickly asked for help from the director of the department.

But when the director of the department came to take a look, he suddenly felt dizzy!
The patient's pancreas and duodenum were involved, squeezed, and severely deformed, and had multiple adhesions, occlusion, and envelopment with surrounding organs and tissues!
Excision technique is too difficult!
As a last resort, the director of the department turned to Jia Yanjun, an expert in hepatobiliary and pancreatic surgery in the hospital.

Jia Yanjun is a famous doctor at the Affiliated Hospital of the University of Medical Sciences.

But when he came and saw the patient's condition, his scalp also became tense!
"This situation is a bit serious."

"The tumor of colon cancer oozes necrosis on the surface, is brittle and easy to bleed."

The bloated, hypertrophic, and ferocious tumor was bleeding black and red blood.

The rough serosal surface fused into a mass, not only polluting the surrounding tissues and organs, but also forcibly squeezing everything around.

"While resecting the pancreas and duodenum, this mass must also be taken into account. The technical difficulty of this resection is too high!"

The brittle tumor, if moved a little, might burst open, and the cancerous lesions would contaminate the entire abdominal cavity.If one is not handled properly, the surrounding tissues and organs will be squeezed and deformed to the point of being fragile, which will affect the whole body.

Like a building on the verge of collapse.As long as one more brick is pulled out, it will collapse with a crash.

Now, no one dares to move that brick.

At this moment...

"Oops, the condition has worsened again!"

The chief surgeon, Yi Hai, was taken aback!
"It must be dealt with as soon as possible!" He said to Jia Yanjun: "Director Jia, you should first consider how to remove the pancreas and duodenum, and I will deal with the tumor first."

Yi Hai anxiously went back to battle, but facing the frail, frivolous Chong Wu, his forehead kept dripping with sweat, and his face turned slightly pale.

I felt a strong sense of powerlessness in my heart.

In this case, the preoperative imaging examination did not reveal such a serious condition, but the laparotomy during the operation, the more the exploration, the more serious it was, the more he was confused!
"You don't move!"

Jia Yanjun looked very solemn, "This is a bomb, if it is not handled properly..."

He didn't say the second half of the sentence, but everyone in the room knew what that sentence meant.

The faces of the chief surgeon, assistants, equipment nurses, itinerant nurses, and a few young doctors who were observing all changed.

Is this operation going to be ruined in their hands?

Jia Yanjun shook his head and said, "I'm not sure I can do this operation."

He said to Yi Hai, the chief surgeon: "You ask your department director to invite two people."

"One is Zhao Peiru, the director of Jiangxin Hospital, and the other is Deng Yucai, the director of the Anticancer Research Institute."

"Now, only these two people can save this patient."

Director Zhao Peiru is the "strongest" in the field of pancreas in the whole province. In this operation, the most vulnerable part squeezed by the tumor is the pancreas and duodenum.

The director, Deng Yucai, has been committed to fighting cancer and removing tumors for many years, and has the most say on this serious tumor.

The chief surgeon, Yi Hai, looked at the operating table worriedly: "Then what should we do here?"

On the operating table, the patient's condition may deteriorate again at any time. If the flying knife expert cannot wait...

"Here I come."

While Jia Yanjun was speaking, he had already put on the surgical gown, "I'll come for emergency."

"But I can only do first aid and hemostasis. For the follow-up resection, I have to rely on Director Zhao and Director Deng."

Dr. Yi Hai nodded, not daring to be negligent, and hurriedly sent a message.

After a while.

Deng Yucai, director of the nearest anti-cancer research institute, rushed over first.

While changing clothes, he asked about the operation.

After learning about the patient and the progress of the on-site surgery, Deng Yucai asked, "Is Director Zhao still here?"

The little nurse next to him quickly replied: "Dean Zhao has already boarded the bus, and it will take about 15 minutes to arrive."

Deng Yucai took a deep breath, and then strode into the operating room.

"Director Jia."

The two looked at each other, nodded slightly to each other as a greeting, and then focused all their attention on the patient lying on the operating table.

Deng Yucai only took one look, then frowned tightly.

"A colon tumor with a diameter of 7 cm?"

This size is already dangerous.

"And this location is not good!"

"The hepatic flexure of the colon, which is full of sensitive tissues and nerves and blood vessels."

Deng Yucai was wearing gloves and holding an instrument, carefully inspecting it.

"Director Jia, help me stretch the pancreas and lift it up a little bit."

With Jia Yanjun's help, Deng Yucai slightly moved the tumor.

Check out its envelopment and violations to see how serious it is.

The more I looked at it, the more beads of sweat appeared on Deng Yucai's forehead.

"The tumor penetrated the serosa visible to the naked eye, and invaded the duodenum and pancreatic head, which had reached the point of being inseparable."

"It must be removed together with the entire pancreas and duodenum."

Jia Yanjun also nodded deeply with a solemn face.

Yi Hai, the original chief surgeon, had already stood in the corner of the room farthest from the operating table. Hearing the conversation between the two bosses, he felt nervous.

If this operation fails, he will at least be responsible for "inadequate preoperative preparation" and "failure to perform preoperative imaging", and he does not know how to face his family members.

"Bosses, you must do this surgery well!"

He was looking forward to it and praying.

Jia Yanjun said with a serious expression: "How about we remove the colon tumor on the right side first. This part is the most dangerous, and it may deteriorate again at any time."

Deng Yucai also nodded, this part is the most dangerous, if it is not dealt with quickly, the worst result may appear at any time.

The patient's life must be saved first.

The two were nervous, sweating, and began to cut carefully, trying to remove the right half of the tumor.

At the same time, the terminal ileum and right colon, which are surrounded by adhesions in the right half, should be removed together.

When the operation was half done, Deng Yu suddenly became motionless.

"what happened?"

Jia Yanjun was slightly surprised, looked at Deng Yucai, and was surprised to find that Deng Yucai's forehead was covered with fine beads of sweat, and a hint of vigilance and nervousness flashed in his eyes.

Jia Yanjun's heart skipped a beat!
Hastily followed Deng Yucai's hands to look down.

I saw Deng Yucai pulling the instrument in his hand, the part of the right hemitumor that had been resected was crumbling, and the affected pancreatic head was about to fall off.

"Gudong!"

Subconsciously, Jia Yanjun tightened the ligament in his hand!

His stretching of the ligament was originally just a transitional step, and he could release it after Deng Yu finished the operation, but now, he dared not let it go!

Because once he moved here, Deng Yucai's side would be in trouble!

"Director Jia, please don't move."

Deng Yucai also came back to his senses, and took a few deep breaths: "Wait until I slowly separate the tumor from the lower part of the common bile duct, and then let go."

Jia Yanjun nodded deeply, not daring to move.

This "separation of the tumor and the lower part of the common bile duct" was supposed to be part of the work of "pancreaticoduodenectomy" after Zhao Peiru came.

But at this moment, Deng Yu touched here by mistake and caused trouble!
Had to separate early!

If it is not separated, Jia Yanjun, who is a stretching assistant, will be trapped on the operating table all the time, and can only continue to do stretching operations, and the strength cannot be changed at all.

A change will cause this crumbling building to collapse instantly.

"Let's separate slowly, I'm fine, I can hold on."

Jia Yanjun tightened the strength in his hand, but he knew that this awkward posture and awkward angle of exerting force were actually very difficult to hold on to.

At this moment, he has two little fingers and one ring finger, and the strength is not as strong as that of the thumb and index finger.

It's okay to hold on to this posture for a minute or two as a transitional operation.

Once you persist for more than 3 minutes, your fingers will tremble uncontrollably.By then it will be bad.

If you want to change your posture, you can't do it.

Deng Yucai obviously knew this too, he moved his hands faster, trying to separate the tumor from the lower part of the common bile duct as soon as possible.

But the more anxious, the more flustered, the more unable to separate.

This part is a difficult operation reserved for Zhao Peiru. It is a bit reluctant for Deng Yucai to do it. At this moment, it needs to be completed in a very short time. For Deng Yucai, it is an extremely huge challenge!

Time passed by minute by minute.

The two people on the operating table were sweating more and more.

Jia Yanjun felt that the back of the shirt under the surgical gown was completely soaked, and the sweat on his forehead made it too late for the itinerant nurse next to him to wipe it off, and a drop fell on his glasses, which immediately wore off.

The itinerant nurse was so frightened that she quickly wiped the remedy.

"Hold on a little longer..."

Deng Yucai took a deep breath and tried her best to adjust to the best working condition.

Next to it, the itinerant nurse, the equipment nurse and others were also extremely nervous.Don't dare to let out the air.In the entire operating room, only the sound of instruments hitting the steel tray and the beeping of instruments remained.

At the corner, Yi Hai, the original chief surgeon, subconsciously shrank into the corner, feeling trembling emotionally.

Several young doctors in the observation room clenched their fists tightly, and frightened eyes flashed in their eyes.

Doing difficult surgery is so thrilling!

Even several young doctors who were still childish showed fear in their eyes. Would they insist on walking on such an operating table?

……

A car was parked in the parking lot of the Affiliated Hospital of Medical University.

The driver couldn't help feeling a few words: "Dean Zhao, this parking lot is so spacious!"

"It's much bigger than the parking lot of our Jiangxin Hospital. There are so many parking spaces that it's not crowded."

"For our parking space, except for the ambulance, other cars have to queue for a long time to get one."

"Whenever we can expand a parking lot."

The driver finally seized the opportunity to send a vice president, so he took the opportunity to make this suggestion.

On weekdays, he didn't even have a chance to meet a senior member of the academy committee.

Zhao Peiru got out of the car quickly, and said casually, "No rush, when the address of the new hospital is changed later, there will be a spacious parking lot."

The driver was taken aback, and changed the address of the hospital?

How do you say this?
Before he had time to ask, Zhao Peiru quickly got out of the car and drove away.

In fact, Zhao Peiru only heard about this matter this morning.

It was Lu Guangxuan, the vice president of the Provincial Medical Association, who told him in person.

It is said that there is a new hospital address, which was built on Zhonghuan Road, not far from the new city center of Jiangcheng City, and it was originally planned for the Provincial Nineteenth Hospital.However, something happened to the Provincial Nineteenth Hospital this year, and it was overruled by one vote from above.

The site of this new hospital has been built in the middle and late stages. It occupies a large area and has high construction standards. The parking lot alone has three underground floors planned in advance.

Something happened to the Nineteenth Provincial Hospital, and this new place was targeted by other hospitals.

Many top hospitals, including the Affiliated Hospital of the University of Medical Sciences, Jiren Hospital, Huakang Hospital and other hospitals, want to move to this new hospital location.

But in the end, after layers of discussions and competitions...

The leaders of the Provincial Medical Association intend to assign the address of this new hospital to Jiangxin Hospital where Zhao Peiru works.

However, this matter has not yet been fully settled, and the news is not particularly definite. It is said that the higher authorities are still competing at various levels, and many hospitals are active, trying to win the address of this new hospital.

……

Zhao Peiru walked quickly to the Affiliated Hospital of the University of Medical Sciences, the Surgery Building, and the General Surgery Operating Room.

At this time, a young doctor came outside with a "notice of critical illness".

"Liu Chang X's family?"

When the three family members heard this, they quickly surrounded him.

"During the operation, the patient's colon cancer also involved the pancreas and duodenum. Did the doctor inform you of this before?"

The three family members nodded subconsciously upon hearing this.

Before, they had already received two critical illness notices.

This is the third one.

The three people's minds were in turmoil, and their hearts were also in turmoil. Could it be that the situation happened again?

The continuous bad news made their minds a little numb.

The young doctor said: "Please sign here, the patient's condition is not optimistic, and he is still in danger..."

The young doctor told the family members blankly that the situation was critical again.

He knew that at this moment, he could only pretend to be expressionless, and he had to appear in a hurry.Although he returned to the operating room, he couldn't help at all.

But if you don't, you will be overwhelmed by endless questions and blame from the family.

"Doctor, is...is there still hope?"

The family members were somewhat overwhelmed by the continuous bad news. At this moment, they asked the most difficult words in a trembling tone.

The young doctor sighed slightly, and said: "Our experts are still working hard inside, and we have invited the best pancreas experts and oncologists in the province."

"Oh, by the way, the one who went in just now is the most famous pancreas expert in the whole province."

He saw Zhao Peiru's figure and hurried past. He helped to press his fingerprints and opened the door of the operating room.

It seemed that Zhao Peiru gave him a slight nod.

"That person just now?"

The three family members looked at the back of Zhao Peiru who had already walked inside.

He is an old expert, and he looks like a famous doctor at first glance.

Several family members rekindled a little hope in their hearts.

Hello old doctor!
The old doctor has experience!And just now I heard that he is the most famous expert in the whole province?
"Must be sure... to save him!"

(End of this chapter)