Hu Bolong is the surgeon.
Professor Du is the first assistant.
Professor Du's full name is Du Xiaoping. He is in his early 50s and bald. He is 4 years younger than Hu Bolong, but his appearance is not as good as that of Hu Bolong, and he has a bitter look on his face.
If nothing unexpected happens, if he works for a few more years, it will be his turn to be the chief surgeon for pancreatic cancer surgery.
There are still several pursuers behind him, and he has to look back from time to time to summarize the past and predict the future situation.
He came to the conclusion that whether Hu Bolong is the surgeon or Sun Tao is the surgeon, he will dominate the first assistant. Sometimes when the first assistant is absent, he will also occupy the second assistant's position.
Today, he successfully occupied the position of Isuke again.
The second assistant and the third assistant are the two deputy chief physicians, and Liu Maqiao is standing in the fourth assistant's seat.
He simply folded his hands and remained a bystander.
Sishu, he really doesn’t know what to do.
Hook?
Well, if this counts, then he won't be idle.
Disembowelling the belly is not a good description of pancreatic cancer surgery.
Colon cancer surgery is also a big deal.
For this type of surgery, the incision must be as long as the abdominal cavity is long, which is completely different from the concept of appendiceal surgery.
For appendiceal surgery, the smaller the opening, the better the performance. For colon cancer and pancreatic cancer, the larger the opening, the better. The abdominal cavity is almost completely opened, leaving no blind spots.
Du Xiaoping's knife started from under the xiphoid process, along the midline, all the way to the pubic symphysis.
The second cut was deeper, and it was the fascia at the junction of the rectus sheath. He also cut it once.
At first glance, he looks like a veteran.
His hand holding the scalpel is precise, accurate, and steady. How could he have such a good technique and make straight incisions with the same depth if it had not been tempered for thousands of times?
If it were replaced by Liu Muqiao at this time, the wound would definitely be crooked, of different depths, bifurcated, and the edges would not be neat.
Not to mention one knife from top to bottom, even ten knifes can't reach it.
Entering the abdominal cavity, incising the peritoneum, and the field of vision appears.
The white suet, the clearly visible blood vessels, the peristaltic intestines, and a sense of heat. Liu Muqiao felt that this scene seemed familiar.
Du Xiaoping's mission comes to an end.
Hu Bolong picked up the pliers and tweezers.
"Pull open!"
The second assistant and the third assistant worked hard together, one to the left and the other to the right. Suddenly, the pancreas was exposed.
Hu Bolong used pliers to clamp the mesangium, and cut the blade of his right hand along the lower edge of the pliers, three times, five times, further expanding his field of view.
Du Xiaoping helped to expand the field of vision and was responsible for cleaning up the areas where blood seeped out.
A little electrosurgery and the bleeding stopped.
After spending a long time cleaning the outside, they haven't touched the pancreas yet.
Don’t be impatient for today’s surgery.
For pancreatic head cancer, it is necessary to remove the tumor, anastomose the pancreatic duct, bile duct and intestinal tract, and clean the lymph and blood vessels near the pancreas.
Don’t even think about stepping down without 6 or 7 hours.
Therefore, make preparations first and clean the periphery before entering into the actual operation. Only in this way can the operation be perfect.
So far, Liu Muqiao has not contributed. He can only see one-third of the abdominal cavity. As for the pancreas, he cannot see it from his position.
"Lao Du, maybe the situation is not good." Hu Bolong reached behind the pancreas with his bare hands.
"Is the adhesion serious?" Du Xiaoping asked.
"Whether it is an adhesion problem, it seems to involve the abdominal aorta. If it is peeled off, it will damage the blood vessel." Hu Bolong said.
"Then we can only retreat?"
"Don't worry, I'll touch it again."
Hu Bolong's right hand kept groping for the back of the pancreas. After about 10 minutes, he looked happy and said, "There is hope. There is no complete adhesion."
"That's good, let's take a look at the pancreatic artery." Du Xiaoping said.
The pancreatic artery is the main blood supply vessel of the pancreas. It is a branch from the gastric artery. Once it is damaged, the operation cannot be completed.
Hu Bolong's hands were very dexterous. He barely moved the position of the pancreas and found the area near the pancreatic artery.
Oops, there are adhesions here too.
After another 10 minutes, he finally breathed a sigh of relief.
Okay, you can proceed.
Who knows, before I finished speaking, I started bleeding!
Hmm?
What's going on?
Blood came out of the bottom of the pancreas.
The second assistant quickly took out the suction tube and sucked out the blood.
However, just after the attraction ended, blood immediately poured in again.
Hu Bolong had no choice but to put his hand in again.
He was going to stop the bleeding with his bare hands.
However, this is not a problem with a particular blood vessel, but rather with the capillaries infiltrated by cancer that ruptured and bled when he peeled off the tissue just now.
This kind of bleeding is very troublesome.
First, the bleeding location is behind the pancreas and cannot be ligated at all. Second, there is no obvious bleeding point.
He took the electric knife from Du Xiaoping's hand and carefully followed it with his fingers. The electric knife was almost attached to the fingertips and swept behind the pancreas.
This operation is somewhat dangerous, and sometimes your hands may be burned.
However, Hu Bolong is not nervous.
This is not the first time he has encountered this situation.
After this operation, the blood seepage has slowed down a lot, but the problem has not been completely solved.
"Free the tail of the pancreas."
"Open hemostatic view."
"Add a left abdominal transverse incision."
Hu Bolong issued a series of instructions.
It seems that today is not going well. There is no head-on battle at all, and the outpost is in a difficult situation.
"Prepare blood! 900 ml."
"Already prepared 3."
"Then prepare 3 more and inject 900 ml first."
Du Xiaoping is making a transverse incision, and then freeing the tail of the pancreas.
Liu Muqiao finally had something to do.
There is one more retractor.
The tail of the pancreas was freed.
Hu Bolong lifted up the tail to take a look and took a breath of cool air.
He and Du Xiaoping cursed at the same time, Damn!
It seems that there is no value in dissociating the tail of the pancreas, and we can only attack it head-on.
The bleeding won’t stop, let it flow.
The right way is to free the tumor as soon as possible.
Hu Bolong and Du Xiaoping operated at the same time. One of them separated the lower edge of the pancreas and the other separated the upper edge of the pancreas. The two assistants pressed the duodenum and tried to expose the pancreatic and bile ducts. This is the most critical place. In any case, this part cannot be
Damaged.
In a moment, the surgery will include anastomosis of the pancreatic duct and bile duct respectively.
It doesn't matter if the duodenum is crushed, it needs to be removed anyway.
It takes a lot of determination not to waste time trying to stop the bleeding.
Hu Bolong has prepared 6 pieces of blood, 1800 ml. In other words, as long as the bleeding volume is controlled within 1800 ml, they will have time to do the following operations.
Time passes little by little.
There is not a single gossip or joke from the past. Everyone’s energy is focused on the surgery.
Hu Bolong's forehead was sweating slightly.
Du Xiaoping originally had a bald head, steaming in a surgical cap.
However, not everyone has to concentrate.
Liu Muqiao doesn’t need it.
He only needs to maintain this posture and stretch the skin and muscles of the left abdomen.
He is deserting.
Counting his primary treasure box.
One, two, three...
This chapter has been completed!