Surgical artist

Chapter 400 No wonder I can stand in the C position

Fu Cheng's mind was spinning fast, thinking about the healing technique that Zhao Peiru said.

"Because the limit operation is reduced, the operability operation can be increased instead, and it can give the operator room for refined operation."

"It's definitely more patient-friendly."

Fu Cheng's eyes lit up.

Those that can be selected by Zhao Peiru from the dozens of spells in his mind are naturally very suitable and excellent spells.

No matter which angle Fu Cheng thinks about and which direction he starts to verify, he will eventually find that the treatment idea of ​​this operation is very good and very suitable for this patient.

There are many advantages.However, what completely convinced Fu Cheng was the "low requirement for visual field exposure".

Zhao Peiru said a word, which became the last straw that crushed Fu Cheng:
"Director Fu, if the visual field is well exposed, pancreaticoduodenectomy is no problem for this kind of peripheral cancer that surrounds the lower part of the common bile duct, ampulla, pancreatic head, and duodenum. If the visual field The exposure is poor, and it is undoubtedly more appropriate to use the junctional resection, what do you think?"

After a moment of silence, Fu Cheng finally nodded.

Comparing the two, it is indeed a new technique proposed by Zhao Peiru, and the element of "bumping luck" is smaller.

He glanced at the various indications on the instrument, and suddenly said: "Dean Zhao, you have the specific operation process and details of this new plan, right?"

There is obviously not enough time to discuss the details now.

The patient's vital signs have begun to approach the danger zone.

If the operation is not continued, the patient may die directly on the operating table, resulting in a surgical accident, and it will also be a surgical live broadcast accident.

A trace of confidence appeared on Zhao Peiru's face.

He was waiting for Fu Cheng's words.

Obviously, Fu Cheng planned to give up the position of chief surgeon and give up the position of chief surgeon to Zhao Peiru.

If there is enough time at the beginning, Fu Cheng and Zhao Peiru will definitely finalize the details of this new surgical method in detail, and then Fu Cheng himself will continue to be the chief surgeon of this operation.

But until now, he can only choose to trust Zhao Peiru.

In contrast, this is already the best way.

Zhao Peiru said, "I have already worked out the treatment details of the new plan."

"Let me be the chief surgeon, Director Fu, how about you help me as my assistant?"

Fu Cheng nodded without much hesitation.

It is more appropriate for the new technique to be operated by Zhao Peiru, who is better at it and has more detailed considerations.And as a helper at the side, he can also help Zhao Peiru find out.

Fu Cheng nodded on this side, and the three nurses on the other side, one on the left and the other on the right, put on blue surgical gloves for Zhao Peiru respectively, while the nurses in the back arranged Zhao Peiru's mask and clothes.

In a few seconds, Zhao Peiru had finished dressing.

Fu Cheng and Zhao Peiru stood on the operating table.

The difference from before is that this time Fu Cheng stood in the assistant position and gave up the center C position to Zhao Peiru.

In the live broadcast room, although everyone could only see the bloody wound in the patient's surgical field and could not see what was happening around them, they could hear the sound.

"This voice sounds very familiar. It seems to be...Dean Zhao Peiru from Jiangnan Province?"

"I also sound like Teacher Zhao Peiru."

Many people have listened to Zhao Peiru's live surgery class, and many people have even repeatedly swiped Zhao Peiru's online class, so they are very familiar with this voice, and they can recognize it immediately.

"It's definitely Dean Zhao, I'm too familiar with this voice!"

"Listen, why does it seem that Dean Zhao is going to perform this operation?"

"It seems Director Fu Cheng also agrees."

In the live broadcast room, due to the problem of the distance of the microphone, I didn't hear the conversation between Fu Cheng and Zhao Peiru who was analyzing the new technique in the distance just now. I only heard the conversation that Zhao Peiru was going to take over the surgery nearby.

"Even Director Fu Cheng had a difficult operation, why did Director Zhao Peiru take over?"

In the comment area, hundreds of speeches expressing doubts slipped through.

"Although Dean Zhao has a high level and strong strength, in the final analysis, he came here to observe and learn. Director Fu Cheng can't do it, but Dean Zhao can do it?"

Everyone has seen the public list of observations in various provinces, and they know that Zhao Peiru also learned from Fu Cheng in the past.

At this moment, even Fu Cheng, a teacher, can't do it, and Zhao Peiru, a student, wants to take the lead. What's the reason?
In the comment area, there were many negative comments about this surgery.

"Since Academician Zou Bin couldn't be contacted, this operation is doomed to tragedy."

"To be honest, if this kind of tumor with severe encirclement and poor exposure of the operative field is in our hospital, they would definitely not dare to use the knife. We can only tell the patient to take palliative care and enjoy the last half month of life."

"Indeed, with such poor vision, our hospital would definitely not dare to operate. He could have lived for half a month. He could explain his funeral and enjoy the last time with his family. In the end, he died directly on the operating table. It’s not worth the candle.”

In everyone's mind, if even Fu Cheng couldn't handle such a difficult operation, the whole country would probably count it, and only Academician Zou Bin could handle it.But academician Zou Bin cannot be contacted now, so re-abdominal closure and suturing is the best choice at the moment.

"I guess, this live broadcast room is about to close!"

"The operation is about to fail. There are 10,000+ people in the department in this live broadcast room. The organizer of the live broadcast will definitely not let the video of the failed operation be released."

"Everyone cherish the last few minutes of this live broadcast, it is estimated that it will be closed soon."

Everyone woke up when they saw this comment.

Indeed, the screen in this live broadcast room is estimated to be blacked out soon, and then Suzhou Province will issue an explanation of the follow-up incident, and this matter will be over.

Watch and cherish the last few minutes of the live broadcast!

At this time, Ma Lin, Mu Sisi, Chai Baorong, Xiao Meng and others from Jiangxin Hospital in Jiangnan Province were also watching the live broadcast.

"This must be Teacher Zhao's voice, I can recognize it."

"It's him, it should have been replaced by him as the chief surgeon now."

Everyone was originally watching Suzhou Flying Knife and Director Fu Cheng's live broadcast, but they didn't expect it to be Teacher Zhao Peiru's surgery live broadcast.

"Director Fu Cheng can't take down such a difficult operation. How could Mr. Zhao go up?"

"There are so many people watching, this is an order in danger, Teacher Zhao really dares to continue this difficult life..."

Everyone secretly sweated for Zhao Peiru.

……

on the operating table.

Fu Cheng asked Yizhu to get out of the way, and he stood up instead.

He looked at Zhao Peiru with slightly apprehensive eyes: "Start?"

Zhao Peiru nodded: "Start."

As soon as he reached out, the equipment nurse put the scalpel in his hand.

When Fu Cheng saw the tumor that made his head so huge, he couldn't help but tense up.

"Dean Zhao, take your time with the knife."

Even if the operation method is changed and the position of the knife is changed, the problem of unclear operation field still interferes with the operation.

Fu Cheng wanted Zhao Peiru to operate slowly, so that if any accident happened, he could remedy it in time.

Unexpectedly, Zhao Peiru said "um", but the movements of his hands were not slow at all...

Directly and quickly under the knife!

With this knife, the hepatogastric ligament was cut directly, and the tumor was removed along the intestinal wall that had been cut before.

Fu Cheng looked terrified, every time Zhao Peiru cut the knife, it seemed to be cutting his heart, for fear that the knife would cut the aorta.

The scalpel in Zhao Peiru’s hand seemed to have eyes, precisely avoiding all major arteries and important blood vessels. At the junction, cut the duodenum.At the confluence of the left and right hepatic ducts, the bile duct was transected, and the head of the pancreas was divided two centimeters from the left edge of the tumor.

After this series of operations, it is as if a circle resection has been carried out around the tumor.

This is the excision method of the junction.

Unlike direct resection on tumors, it is safer.

At the beginning, Fu Cheng was still nervous every time Zhao Peiru cut the knife, but the further he got to the back, the more he relaxed.

Especially after the mesentery of the greater curvature of the stomach was severed, the aorta that was originally "hide and seek" suddenly became clearly visible!Fu Cheng was completely relieved.

As long as the important pipeline can be seen clearly, no matter how much the knife is cut in the future, it will be measured, and there will be no uncontrollable bleeding accidents.

"This surgical method is really suitable for patients with poor visual field exposure."

Fu Cheng's eyes were full of splendor.

He saw a whole new treatment option that was perfect for poor visual field exposure!

Previously in their Xijing Hospital, including his teacher Academician Zou Bin, they still used pancreatoduodenectomy when dealing with this kind of patients, relying entirely on experience and hand feeling to do it blindly.Many times, facial surgery fails.

And after each failure, his teacher, Academician Zou Bin, would review and analyze the operation process again and again, trying to sum up some experience, rules, and lessons from it.

But the more they concluded, the more powerless Academician Zou Bin and Fu Cheng felt.

This kind of "hitting the big luck" component is too high, like "lottery lottery".

The law is illusory and elusive at all.

His teacher, academician Zou Bin, was very troubled by this.

And now, with the option of this junctional resection, they no longer have to operate "blindfolded"!
"If the teacher sees this kind of technique, he will definitely be amazed!"

Finally, the entire joint, including the tumor, was removed!
A whole piece of grape-like "fat" was taken out from the patient's abdominal cavity and landed on the tray with a muffled sound!
One can imagine how heavy it is!How big is the volume!
Everyone in the observation room couldn't help their scalp numb and gasped after seeing the ugly, pimple-like, bulging tumor-like Lushan's true face!
Such a large tumor, if it were them, it would be impossible to start!Let alone how to take it out of the patient's body?
At this moment, they finally understood that Zhao Peiru had changed the technique for this operation.

The scope of resection was changed from pancreaticoduodenectomy to junction resection.

This type of operation obviously has relatively low requirements on the field of view, and part of the tissue can be removed first, so as to achieve the purpose of "expanding the field of view".

Especially after the greater curvature of the stomach is severed, the aorta is completely exposed, so that the entire field of vision becomes clear!The subsequent surgical steps become easier.

"This coping strategy is wonderful!"

The observers from all provinces were shocked at this moment!Admire it!

In the situation just now, what they were thinking in their minds was how to use the knife to avoid important channels such as the aorta.

Not to mention them, even Fu Cheng, who is the highest level, had the same thinking at that time.

But what Zhao Peiru thought was how to expand his field of vision and expose important channels such as the aorta by removing nearby tissues.

These two ideas are fundamentally different. Zhao Peiru's is very flattering, and he can deal with this operation more safely.

"No wonder Director Fu Cheng was willing to give up the position of chief surgeon just now."

The people from all provinces who were watching looked at each other.

"Dean Zhao can think of applying the junctional resection surgery here. This brain is really flexible!"

"Why didn't we think of it?"

Junction resection is nothing new.

However, no one has ever used it on patients with periampullary cancer with poor visual field exposure.

Everyone in the live broadcast room was dumbfounded at this moment. In the comment area, there was not a single comment for a long time.

Occasionally, a few individual comments popped up, all of which were marveling at the size of the tumor.

After a while, the comments started to increase again.

"Cut it off!"

"The fragile tumor area did not collapse!"

Before, everyone was worried that the tumor area would "collapse" and "hemorrhage" if the knife was taken rashly.

At this moment, they could also see that Zhao Peiru must have used a new resection strategy to successfully broaden his field of vision, which made tumor resection less dangerous.

"Amazing! Such a huge tumor!"

"Dean Zhao's knife attack just now was really fast. I don't know if there is a problem with my mobile phone's internet speed or what is going on. There were afterimages on the screen just now."

"The circle-cutting knife just now was really exciting. When I look back, I will watch it again and again. Every knife in it is very thoughtful!"

"Dean Zhao's knife is fast, but every knife is very particular, it is worth watching repeatedly and pondering its deep meaning."

Everyone was full of praise for Zhao Peiru's sword attack.

The only thing that puzzled everyone was how Zhao Peiru managed to "fall like raindrops" when each knife was cut with extreme care, as if he hadn't thought about it.

After resecting the tumor, Zhao Peiru began to refine the incision margin.

Do fine work.

This part is not only to carry out tumor-free operation, but also to remove the possible remaining tumor lesions.At the same time, it can also improve the postoperative rehabilitation effect of patients and improve the quality of life.

Subsequently, Zhao Peiru completely removed the descending segment of the duodenum, and removed part of the head of the pancreas and part of the common bile duct.This is also part of the refinement and tumor-free operation.

Only after all the resections are completed can the maximum extent be ensured that there are no cancerous lesions left in the patient's body.

Afterwards, Zhao Peiru performed jejunal-pancreatic duct anastomosis on the patient, cut off the posterior gastric wall and pancreatic capsule, and placed a silicone drainage tube and a T-tube after testing the anastomosis without tension.

(End of this chapter)