Liu Muqiao is now preparing an improved version of Vilishi.
It is more complex than Vilishi's technique. Strictly speaking, it has changed a lot and should be renamed Liu's technique.
Professor Long gathered all the leading doctors in the department and asked Liu Miqiao to explain the Vilishi technique and the specific methods of improvement.
Liu Muqiao quickly made a PPT, which was very simple, with two very simple diagrams of the pancreas and its blood supply diagram.
"The key to Vilishi is to cut off the original blood supply of the pancreas, recreate the bypass, and use mesenteric blood vessels for blood supply. Vilishi changes the arterial blood supply, which means that the blood supply around the pancreas is terminated, and the chance of local metastasis is greatly reduced.
My improvement technique is to modify the venous circuit to allow them to return through the portal vein system, and the blood returns from the portal vein. This has the advantage that the liver becomes a filter. If it is to be transferred, it must be transferred to the liver first. Such transfer is easy to be
The discovery is beneficial to the second surgical treatment." Liu Miqiao explained.
The reason is very simple.
There are several ways for pancreatic cancer to metastasize, one is local metastasis, the other is lymphatic metastasis, and the third is blood metastasis.
The blood transfers to the liver, lungs, brain, bones, adrenal glands and other organs.
If the pancreatic blood flow is rerouted and all blood flows back through the liver, metastasis will be mainly concentrated in the liver, which is conducive to discovery and secondary surgery, and can greatly improve the survival rate.
This is similar to colorectal cancer.
The survival rate of colorectal cancer is relatively high among various cancers, because its venous return is filtered through the liver, and most metastases are transferred to the liver, giving it the opportunity for a second surgery.
Treating the pancreas in this way increases the survival rate of pancreatic cancer.
The biggest difficulty of Vilishi's surgery is that it requires vascular anastomosis.
Pancreatic cancer surgery is inherently a major surgery, and with the addition of an arteriovenous bypass, you can imagine how difficult it is.
Now, Liu Miqiao's improved technique requires venous anastomosis, which is naturally much more difficult.
Liu Muqiao explained the technique in this way, and he understood the principle. The principle is not profound, but when it comes to the specific operation, the difficulty suddenly rises.
In order to cut off the blood flow, this operation does not require slow and long-term anastomosis of blood vessels. In addition, heparin is taboo for such operations, and blood coagulation is also one of the problems.
Therefore, the operator must be a master of vascular anastomosis.
Liu Miqiao just happened to get a skill book, "Cavity Organ Anastomosis" not long ago, and it is a master-level one. Vascular anastomosis is a piece of cake.
The mesenteric arteries and veins are very thick, and anastomosis between them is just like suturing the skin. It is fast and good, and it is not prone to complications.
This is one of the reasons why Liu Muqiao proposed using the Vilishi method.
Looking back at history, Vilishi himself was originally a hand surgeon and was good at vascular anastomoses. Later, he changed his career to an abdominal surgeon. The Vilishi surgery he invented has been inherited by very few people, not because of the effectiveness of the surgery itself, but because of the effectiveness of the surgery itself.
The operation is too difficult.
"Dr. Liu, are you very skilled in vascular anastomosis?"
Professor Long now simply calls him Dr. Liu Miqiao. Anyway, doctor means both doctor and doctor.
Another advantage is that it sounds more comfortable to patients and their families.
Liu Muqiao nodded and said: "Vascular anastomosis is not complicated, so you can rest assured."
"Since this is the case, then we decided to use this technique."
……
The surgical procedure was resolved and the operation went on as scheduled.
Liu Miqiao is the chief surgeon, Professor Long is the first assistant, and his two deputy chief doctors are the second and third assistants.
Surgery is not difficult. Pancreatic tail cancer is the simplest type of pancreatic cancer.
However, the Vilishi surgery was performed today, so it took much longer than usual. The surgery started at 3 pm and ended at 6:10 pm.
The operation was very successful. Liu Miqiao not only changed the blood supply and blood return of the pancreas, but also did a very meticulous job in clearing the lymph.
Professor Long found that Liu Miqiao's surgeries were getting better and better every time. The hardest thing for him to understand was that the surgeries were already perfect. It was really incredible that he could still make progress on the basis of perfection.
He was wondering how far Liu Miqiao's surgery would progress in one year's time?
"Dr. Liu, you must compete with Teng Ce."
"Well, there will definitely be a chance to fight."
"Tengce is only 39 years old this year and has reached the pinnacle of success. I have seen his surgeries and they are indeed perfect. However, I have seen your surgeries four times and you will not be weaker than him. I predict that you will accumulate more
With experience, it is not difficult to defeat him."
Liu Muqiao smiled slightly.
Professor Long then said: "Dr. Liu, I have a suggestion. If you work harder on the Vilishi technique, you will soon be able to be unique in the world."
Seeing Professor Long's true feelings, Liu Muqiao said gratefully: "The combination of you and me, I estimate, we are already unique in the world."
As they walked and chatted, Yao Fang came to greet them.
"How is it?" she asked eagerly.
"Yao Fang, it was very successful. Dr. Liu did it very delicately. One operation produced the same effect as two operations, especially his improved Vilishi surgery. Your father has a very high chance of survival." Professor Long smiled.
Say it to Yaofang.
Yaofang stood next to Liu Muqiao and said, "Thank you, thank you too, Professor Long."
At this time, Situ Yao also came over. She and Professor Long were old acquaintances. She actually held Professor Long's arm and whispered affectionately.
Of course, Situ Yao is not a very casual person. She regards Professor Long as an elder and a father. She herself is Professor Long's patient, and she regards him as a benefactor.
Situ Yao herself is a colon cancer patient. Professor Long performed the surgery on her 5 years ago, and she is recovering well now.
"Xiao Yao, I helped you this time. Yaofang is a good girl, and you are also a good woman. Oh, by the way, how do you feel about the person I introduced to you last time?
”
"Don't talk about it, he is a nice person, but he is just too... too perverted. When we first met, he asked for a room, but I refused."
"Haha, that's it. I made a mistake. I can't eat hot tofu in a hurry. It's right to refuse such a guy. He has no self-restraint and no gentlemanly manners." Professor Long patted Situ Yao's hand.
"Mr. Long, you have to do me a favor. I have a sister who is only 34 years old this year. She is divorced and wants to find a doctor. How old is she? As long as she is no older than 15 years old, it will be fine. She is very handsome."
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"You haven't solved your own problems, so why are you helping others? If you want to help, you must first solve your problems."
When I got to the office, I turned on the video of the intensive care unit and asked some doctors in the intensive care unit about the current situation of Yaofang's father.
"Very good, Mr. Long, don't worry, we will take good care of the patients you leave to us."
"Well, Xiao Fan, I'm satisfied this time. I'll give you a ticket for Yao Fang's concert at the Bird's Nest."
"Is one piece enough? Give me two."
"No problem, do you know who this patient is?"
"I don't know, who is it?"
"Yao Fang's adoptive father."
"Ah! Okay, I will take good care of you, don't worry, but you have to find a chance for me. I want to take a photo with Yao Fang."
"No problem, I'll take care of it."
"No, you can't just say it out of thin air, you have to give me a specific time."
"This is easy, Yaofang is here with me. After you get off work, come to our office. Come on, Yaofang, come over and show her, otherwise, he will think that I lied to him."
This chapter has been completed!