Surgical artist

Chapter 421

On the operating table, Zhao Peiru led two assistants to conduct layered dissection in sequence.

Second floor.

The pancreas, duodenum, and hepatoduodenal ligament were exposed layer by layer, and the lesion was resected.

the third floor.

Lymphatic fat, retroperitoneal plexus and other parts and tissues were cleaned layer by layer.

Every time one was exposed, Zhan Kuo, as an assistant, carefully cleaned one up.

While cleaning up, he was also feeling emotional.

If they followed their previous surgical plan, it would be impossible to clean these parts.

But after changing Zhao Peiru's new thinking, clearing up lymphatic fat and nerve plexus has become so easy and simple!
"The biggest advantage of this concept of layered anatomy is that it can clean up the lesions."

What is the reason why the patient chooses to receive surgical treatment instead of conservative treatment?
Isn't it just that you want to cure the root cause of the disease, and want to live a solid life after the operation is over?
However, the recurrence rate of Zhan Kuo's previous surgery was too high, and the five-year survival rate of patients after surgery was less than 5.00%!
It's no wonder that patients, after trying to understand, are reluctant to undergo their operations.

And Zhao Peiru's technique can clean up the lesion to the greatest extent.That is, there are no residual tumor cells both visually and pathologically!
It can reach R0 surgical resection!
This can greatly prevent the probability of recurrence and greatly improve the survival period of patients after surgery.

Zhan Kuo couldn't help but glanced at Zhao Peiru. This man has made another great contribution to the field of pancreatic head cancer.

As the operation progressed, the three layers of dissection were gradually completed.

Zhan Kuo's skeletal cleaning work also ended simultaneously.

Afterwards, under the leadership of Zhao Peiru, Zhan and Kuo carried out counterclockwise anastomosis and reconstruction.

Follow the order of pancreas, gallbladder, and gastrointestinal anastomosis counterclockwise, the input loop and output loop are anastomosed, the gastrointestinal anastomosis is anastomosed with the output loop jejunum, and closed with intermittent sutures at a distance of [-] cm from the gastrointestinal anastomosis
This step is to make the gastric content pass through the gastrointestinal anastomosis, only enter the output loop and not only the input loop, forming a non-separated roux-en-y anastomosis.

Finally, the abdomen was closed and sutured.

"call!"

"finished!"

Everyone's eyes were filled with joy: "The lesion is so clean!"

Several people looked at each other, "This should be the cleanest operation for pancreatic head cancer we have done, right?"

Surgical R0 resection!Skeletal cleaning!
Even the most difficult "corners" and "hygienic dead ends" of lymphatic fat and retroperitoneal plexus were cleaned up by them this time!

Zhan Kuo and others have performed hundreds of pancreatic head cancer surgeries in the Second Affiliated Hospital of the University of Medical Sciences, but this is the first time that they have such a refreshing feeling!

Very cool!
Just like a patient with obsessive-compulsive disorder, he can finally clean up the stains on the mirror.

Before performing this operation, they had a premonition that this concept of layered anatomy would be very suitable for patients with this kind of complex pancreatic head cancer.But now that I actually do it, this feeling becomes clearer and stronger!
Zhan Kuo even felt that this concept of layered anatomy can be expanded!

Not only patients with complex pancreatic head cancer can use it, but even ordinary patients with pancreatic head cancer can improve the complete clearance rate of lesions after using this concept!
At the same time, it will not increase the complexity of the operation and the difficulty of additional operations.

In other words, this concept can improve the postoperative survival of all patients with pancreatic head cancer as a whole!
This layered anatomy sounds complicated, but it actually straightens out the dissociated work of the anatomy, and makes it more specific and detailed.This kind of conceptual and systematic layered anatomical operation has a feeling of "changing a miscellaneous army into a regular army".

Not only Zhan Kuo thought of this, but all the doctors who watched the operation were extremely excited at the moment!
"This... feels even more exciting than Dean Zhao's improvement of academician Peng Shu's bundled pancreaticojejunostomy!"

The improvement of Academician Peng Shu's anastomosis avoids pancreatic fistula and increases the probability of survival in the "second half".

And this "layered dissection" improves the cleanliness of the lesion and improves the survival probability of the "first half"!
One after the other!
Zhao Peiru, alone, solved all the "big troubles" of pancreatic head cancer patients!
Several people can foresee that when this concept is spread from the Second Affiliated Hospital of Medical University today, it will cause a great sensation!
The Second Affiliated Hospital of Kyoto Medical University, in this operating room today, witnessed a historic moment in silence.

Zhan Kuo and the others looked at Zhao Peiru with admiration and admiration.

……

Outside the operating room, Dean Hong, the dean of the university, and several senior members of the hospital committee rushed over from the administrative building.

During this period of time, the operation should not be completed yet, but they must rush over.

Because Deng Changbing, director of the National Medical Association, came to the hospital.

After a while, the two groups met.

Deng Changbing asked: "You asked Director Zhao Peiru to consult on that medical case, how is it going?"

In fact, he came here by pinch. At this time, the operation should be almost finished.

Dean Hong nodded and looked at the time: "It's today's operation. This operation uses Dean Zhao's concept of layered anatomy. Now it depends on the result."

While talking, they also came to the aisle outside the operating room.

Dean Hong read the record information of this operation, and said: "The operation takes five hours, and it should come out in another hour."

As soon as he finished speaking, he saw the "operating" light on the operating room being pressed down.

A few people raised their eyebrows immediately!
This means that the operation ended an hour early.

After a while, Zhao Peiru, Zhan Kuo and others came out from inside.

"Dean Zhao, you've worked hard!" Dean Hong turned to look at Zhan Kuo: "How's the situation inside?"

"The operation was successful!" In Zhan Kuo's eyes, the excitement has not faded: "Dean Zhao's layered anatomy concept is very good! It is very easy to use! This operation has reached the R0 level of eradication, and the lymphatic fat and peritoneum have been eradicated." The lesions of the posterior nerve plexus have all been cleaned up!"

"From a pathological point of view, there is no positive residue left in the patient's body!"

As soon as these words were said, the atmosphere at the scene suddenly became relaxed!
The viscous and heavy air in this small space was suddenly refreshed and breathable.

Dean Hong finally smiled.

"Director Deng, Dean Hong, I think... Dean Zhao's concept of layered anatomy will change the current framework in the field of pancreatic head cancer." Zhan Kuo told Dean Hong his previous analysis.

When Dean Hong and Deng Changbing heard this, their hearts beat violently several times!
Is this concept comparable to the previous "improved academician Peng Shu's anastomosis method"?
As administrators, they don't have much understanding of this business. They just thought that this layered concept is a technology that can only be applied to patients with complex pancreatic head cancer.

That's all.

After all, there are only a small number of patients with similar complex and difficult cancers of the head of the pancreas, the coverage is very narrow, and the scope of application is limited.This kind of rare case, even in the second affiliated hospital of the University of Medical Sciences, a well-known large hospital in the country, only has two or three cases a year.

But what Zhan Kuo said "can be applied to all patients with pancreatic head cancer" made them ecstatic!
This has become a technology that can cover all pancreatic head cancer patients in the country!
It can be combined with the "improved bundled pancreaticojejunal anastomosis" to form a double improvement of "one in front and one in back", and comprehensively improve the survival period of patients with pancreatic head cancer!
Deng Changbing's eyes lit up, and when he looked at Zhao Peiru again, it was as if he was amazed, admired, and respected by academicians Zou Bin and Peng Shu!
The reason why the three founders are called the founders is because each of them created a number of new technologies that are friendly to patients and can promote the development of medicine in the era when domestic medicine was still underdeveloped.

Now, Zhao Peiru's concept of "layered anatomy" has also achieved this goal.

Deng Changbing secretly decided that after returning home, he should report this news to the National Medical Association as soon as possible.

……

The Second Affiliated Hospital of Medical University, at the gate.

Dean Hong, Director Zhan Kuo and others shook hands with Zhao Peiru and said goodbye.

"Dean Zhao, we will send you the real-time postoperative data of this patient in time."

Zhao Peiru nodded.

After everyone shook hands and said goodbye, Deng Changbing sent Zhao Peiru to the airport again.

on the plane.

A new reminder sounded in Zhao Peiru's mind.

[Congratulations, you have completed task two: applying advanced concepts in the field of pancreatic head cancer. 】

[Rewards obtained: 1 crit card in the surgical state (can be used 3 times), experience value card 20. 】

"Finally got this reward." A smile appeared on the corner of Zhao Peiru's mouth.

Zhao Peiru still wants to try the 3 times status gain described above.

You might as well try it when you do heavy surgery next time.

Zhao Peiru looked at the task chain.

"There are 4 tasks in total, and the last one is logical."

"In other words, there are 3 tasks that need to be completed in total. I have completed 2 tasks in one go during my trip to Kyoto."

Only the last one remains: to further apply advanced concepts in the field of pancreatic head cancer.

This is an advanced task.

Since Zhao Peiru used the concept of "layered dissection" in mission two, then in mission three, a further upgrade concept should be proposed on the basis of "layered dissection".

Zhao Peiru thought for a while, and soon a plan came into his mind.

Zhao Peiru looked at the reward, feeling a little more anticipation in his heart.

The reward for mission three is a golden preview card.

He had used the golden rehearsal card twice in a row before, and had already used up all his inventory. This time, he was finally able to replenish one.

The rewards of the fourth task are the youth card of physical function and the permanent card of spirit, energy and spirit, both of which are urgently needed by Zhao Peiru.

He is walking at a very high height now, and he is already facing the top talents in the country such as Zou Bin, Xu Qin, and Peng Shu. Naturally, he needs to be in a better state to deal with it.

……

In the southeast region, Lin Jinsong, the chief director of the Medical Joint Organizing Committee, received a call from Deng Changbing in Kyoto.

"Director Deng, what are your orders?" Lin Jinsong thought he had to arrange some work when he received a call from his superior.

As a result, Deng Changbing over there laughed and said, "Director Lin, I have to praise you!"

This phone call, Deng Changbing seemed to be calling specifically to compliment him.

Lin Jinsong was a little dumbfounded by the praise.

After hanging up the phone, he was still dizzy.

"No, Director Deng already praised us in the Liang Zhongyue incident?"

"Could it be that something else happened after the Liang Zhongyue incident?"

Lin Jinsong and Director Nie looked at each other.

Lin Jinsong made a call.

They have a lot of acquaintances in the capital, if there is any business, just ask a little bit, and they will understand everything.

After hanging up the phone call, Lin Jinsong and Director Nie were surprised and delighted!

"A new concept whose important performance is comparable to the 'improved academician Peng Shu bundled pancreaticojejunostomy'?"

When the two of them first heard this, they were a little dumbfounded!

One improvement method is not enough, and a new idea has been created?

This Dean Zhao Peiru went to the capital, and actually made two big things happen!

At this moment, the hearts of the two are surging!

"I just don't know how applicable and scalable this new layering concept is."

The two of them were blinded by this new concept.

"Dean Zhao's plane is coming soon. When he comes back and asks, everything will be clear."

……

mirage.

Expert Xie Miao of Xuri Hospital has been waiting for news from the Second Affiliated Hospital of the University of Medical Sciences since he flew back from Kyoto.

Before leaving, Director Deng of the Department of Surgery at the Second Affiliated Hospital showed him a medical record of a complicated and critical patient with pancreatic head cancer, and asked him to consult and give some advice.

When Xie Miao saw that medical record, he felt a little overwhelmed.

This kind of critically ill and complicated patient, not to mention the Second Affiliated Hospital, is in Haishi Xuri Hospital, a hospital that specializes in pancreatic head cancer surgery. It is very headache for this kind of complicated and critically ill patient, and they dare not take it easily.

Before he left, he gave the other party a relatively moderate plan. Calculating the time, the operation should be completed by now, and he doesn't know how the postoperative effect will be.

He took the initiative to call Director Deng of the Department of Surgery at the Second Affiliated Hospital.

"The operation uses a new concept?"

His plan was not used, but a new concept of layered anatomy was used!
Expert Xie Miao is a famous doctor in the field of pancreatic head cancer, ranked among the top five in the country. It can even be said that he is more proficient than the three founders of pancreatic head cancer alone.

So when he heard it, his mood became agitated!
It can be judged at once that this concept of layered anatomy is far more radical than the previous treatment concept!

"Excuse me, which famous doctor wrote this?"

Xie Miao made up her mind immediately after asking clearly that it was Dean Zhao Peiru!
In any case, he is going to fly to Jiangnan Province!
Thinking of this, he immediately set off to find the director of Xuri Hospital.

Please communicate with the Jiangxin Hospital in Jiangnan Province so that he can get the opportunity to study in the past.

……

Zhao Peiru finally returned to Jiangxin Hospital.

When I returned to the Department of Hepatobiliary and Pancreatic Surgery, I was dumbfounded.

In my office, there are a lot of things.

Pennants and flower baskets were placed on the ground, and various foods such as snacks and fruits were placed on the table.

At this time, a small head, chewing on snacks, poked out at the door.

"Dean Zhao..."

Mu Sisi said weakly: "We see that the fruits and snacks on your table have been placed for a long time. We are afraid that they will be damaged, so we will help you eliminate some."

As soon as she finished speaking, Meng Xiang, Ma Lin, Chai Baorong and the others appeared at the door, chewing and holding in their hands.

(End of this chapter)