medical road high rise

Chapter 396

Chapter 398 The Way of Scrolling

At around [-] p.m., Wang Guowei was pushed into the operating room.

Qin Feng also looked at the film on the film reader in the operating room, because the patient's cholangiocarcinoma (the gallbladder cancer in the previous chapter was wrongly typed, it should be cholangiocarcinoma) is a rare malignant tumor of intrahepatic and extrahepatic bile duct epithelial cells. Tumor, but the curative effect of this operation is still very high.

胆管细胞癌患者总体上预后不良，现代病例系统研究中淋巴结阳性患者的5年生存率平均只有5%-10%，手术是唯一可以治愈的方法，远端、肝内和肝门部胆管细胞癌的可切除率分别是91%、60%和56%。

The criteria for surgery are no retropancreatic and peri-celiac lymphatic metastasis or distant liver metastasis, no invasion of the main portal vein or main hepatic artery, no invasion of extrahepatic adjacent organs, and no disseminated lesions.

"Dr. Qin, I suddenly feel a little nervous." Wang Guowei used a smile to hide his inner panic.

Although before the operation, Wang Guowei said that even if there were any accidents during the operation, he would not blame the hospital and the doctors, but when he was actually lying on the operating table, Wang Guowei was still very nervous.

"It's okay, just take a nap." Qin Feng comforted.

Qin Feng has already learned about the patient's abdominal CT and cholangiopancreatic duct imaging, so he is still very sure about the operation.

Wang Guowei hummed, then closed his eyes, not wanting to put too much pressure on Qin Feng.

After the anesthetist came on stage and gave the patient general anesthesia, Qin Feng stood in front of the operating table, took a deep breath, put on sterile gloves and prepared for the operation.

Because the patient had a type II tumor, Qin Feng's operation was also very simple, that is, the entire extrahepatic bile duct and gallbladder were resected, and local lymph nodes were dissected and Y-hepatic duct was reconstructed with jejunostomy.

Qin Feng opened the patient's abdomen, and quickly separated the bile duct to expose it.

Director Xie stared at it without blinking his eyes. Although there was a video behind the operation, there was no passion for watching it live.

After dissecting the lymph nodes and reconstructing the hepatic duct, Qin Feng looked at the liver lobe of the patient's liver, because type II tumors often involve the branches of the caudate lobe duct, so the caudate lobe must be removed, liver lobectomy and liver trilobes Resection must choose one.

The front part is completely resected, and the back part is left behind. After the resection is completed, the tumor is directly separated and resected.

At this time, it is a test of the doctor's skills.

Qin Feng didn't hesitate to start directly, turning the patient's organs over.

Director Xie looked dumbfounded, and dared not speak out, for fear that Qin Feng would damage the patient's organs. He didn't expect Qin Feng to be so impulsive.

Qin Feng rolled the left outer lobe of the patient's left liver to the upper right, dissected the ligament, and assisted in exposing the left hepatic vein, which greatly reduced the difficulty of the operation.

"This... this step, Xiao Qin, how did you think of it?" Director Xie asked in disbelief.

Now most of them feel that the patient's organs are too fragile, and if they are turned over, accidents will occur if they are not careful.

"It's very simple. This method is called rolling exposure method. If you understand the anatomical structure of the human body, the aorta and main vein of the human body are basically unchanged. No matter who you are, this rolling exposure method is suitable for liver trilobectomy. , but also applicable to other operations." Qin Feng said.

Director Xie nodded half-understood, but he still wrote it down. This method is considered a new method, which is enough to increase the success rate of many operations by one liter.

Another reason for the low success rate of surgery is that the exposure is not obvious enough. The surgeon knows how to do it and how to remove it, but they just can't touch that place.

After the autopsy, the tumor was quickly removed, followed by suturing, which was a piece of cake for Qin Feng.

It took three hours, mainly because the stitching took a long time.

Director Xie also has a clear understanding of Qin Feng's ability, that is, Qin Feng seems to be stronger than he imagined, and he has never heard of Qin Feng's bile duct cancer surgery before.

After the operation was completed, Qin Feng set off another storm in Ruijin Hospital.

"Dr. Qin is dead. Is there still time for me to go to the emergency department?"

"Let me ask one of my juniors, is Dr. Qin accepting an internship now?"

"When will Dr. Qin bring a doctor? I'm 30 years old now, and I can wait."

……

Now Ruijin Hospital wants Qin Feng to teach. Although Qin Feng has this idea, he has not put it into action.

The first is that he has not met the right person, and the second is that Qin Feng himself is too busy.

After sending Wang Guowei back to the ward, Wang Guowei's family members surrounded him.

"Doctor Qin, thank you this time." The leading middle-aged man handed over a bank card, "My dad has always been very stubborn, so because of his illness, we have hurt a lot. You, this is our thought, please don't refuse."

Qin Feng frowned and refused directly.

"This is a hospital, and it is my duty to treat illnesses and save lives. Red envelopes, you might as well donate to the hospital's relief fund and leave it for those who need it more." Qin Feng said.

This relief fund was established by Ruijin Hospital in the name of Qin Feng after the last patient who sought medical treatment became known to the whole country. It is limited to Ruijin Hospital.

At present, the amount in it is pitifully small. Fortunately, there is no need for a second patient for the time being. As for those who want to be cheap, Qin Feng has the absolute right to speak in this fund, and no one can fake it.

"That's right, our hospital has a Qin Feng Fund, which is dedicated to helping those patients in need." Director Xie said.

The middle-aged man understood and took back the bank card.

When Qin Feng returned to the outpatient clinic, he received a text message from the bank on his mobile phone, which directly credited 10 yuan.

This account is specially handled by Qin Feng for the foundation, and it will never be used for private use. When encountering a family in need, Qin Feng will give support as appropriate, but it will never be given to everyone, otherwise, even if Qin Feng is a national The richest man, money is not enough.

However, Wang Guowei's family members were generous enough to directly donate [-]. Qin Feng was also a little grateful.

Qin Feng took back his phone, reorganized today's method into an article, and wrote it into his intranet account.

Regarding the new method of scrolling and exposing, many people on the intranet were shocked.

After many doctors tried it, they found that it was great news for surgeons, and of course it was limited to surgeons.

If you change your mind to a brain doctor, you can imagine the results.

Due to the existence of Qin Feng, the leaders of many hospitals now actively let doctors enter the intranet to learn.

The reason why he didn't publish it on external forums or Weibo, in fact, Qin Feng had his own considerations.

That is because they are afraid that ordinary people will mess up on their own, and some people will always think that they are geniuses.

For professional things, it is best to let professionals do it.

(End of this chapter)