Chapter 383: Cancer No. 1
Peeling is difficult, as is tumor removal.
When resecting a tumor, the method used is very important. The pancreas is an organ different from other organs. The pancreas secretes pancreatic juice, which has a strong digestive effect on tissues.
Therefore, the treatment of the pancreatic duct is very important. If possible, try to anastomize it as much as possible. The condition for anastomosis is that it must be of a certain length.
In order to take care of the pancreatic duct, it becomes very difficult to remove the tumor.
Liu Muqiao did it himself, explaining and doing it at the same time.
Hu Bolong and Du Xiaoping opened their eyes wide. This is a technical job, and what they teach is true. Others will not teach it.
"Note that this pancreatic duct has not been infiltrated by cancer cells and can be completely preserved. Only 0.5 cm to 1 cm is enough."
Liu Muqiao gently clamped a small pancreatic duct, and after a while, it will be anastomosed to the common pancreatic duct.
Liu Muqiao separated all six pancreatic ducts, and finally removed the tumor.
He gave up his position as surgeon to Hu Bolong.
"Dissection is the third key to the success of the operation. It must be careful and meticulous. Cancer infiltration mainly occurs along lymphatic vessels. If the direction is correct, the key areas will be easy to find." Liu Miqiao pointed.
Hu Bolong cleaned carefully, but his movements were a little slow.
"Don't be in a hurry. It will be quick as soon as you become more proficient."
The next step is to match.
Hu Bolong had performed biliary-enteric anastomosis, pancreatic-enteric anastomosis, and gastrointestinal anastomosis many times in the past. Liu Maqiao only talked about a few key steps and didn't say much. He just watched from the side.
"This month, the affiliated hospital sent 9 surgeries." After the last anastomosis, Hu Bolong told Liu Miqiao.
"Oh, 9 channels, a record." Liu Miqiao smiled.
"They officially surrendered." Du Xiaoping said.
"You can't say that to others, it's a sign of friendship."
Liu Muqiao made a friendly appearance last month to solve a problem for the Hepatobiliary and Pancreatic Surgery Department of the Affiliated Hospital. Since then, their hostility has been significantly reduced.
"A total of 16 pancreatic surgeries were performed this month, setting a new record. If this continues, it won't take long for pancreatic surgery to become large-scale."
Liu Miqiao smiled slightly. He was not worried about the patients at all. There were 100 beds and 4 or 5 operations were performed every day. Jiangdong Province was the main source of patients, and some from the surrounding provinces would also be sent back.
In the future, the main competitors will be Xiangya’s three hospitals.
When Liu Muqiao thought of this, he felt a little excited in his heart. Dare to compete with Xiangya is an honor in itself. The century-old hospital is one of the greatest medical schools and hospitals in the history of the development of Western medicine in China.
Nan Xiangya, Bei Xiehe, Dong Qilu, West China, and of course, several big-name medical schools and hospitals in Shanghai and Huashi, represent the highest level of current Chinese medicine.
Liu Muqiao has been to the flower market, Shanghai Municipality and Beijing University Hospital.
He had never been to Xiehe, Xiangya, Qilu, and Huaxi, which made his heart palpitate. It is estimated that he will step through their doors in the near future.
Originally, the Department of Hepatobiliary and Pancreatic Surgery at Qingjiang University Affiliated Hospital was trying hard to compete with Antai Hospital. Even if they encountered difficulties during the operation, they insisted on not hiring Liu Muqiao.
However, last month, an operation that could not be removed had to be ended by Liu Miqiao. Without saying a word, Liu Miqiao got off his operating table and rushed to the affiliated hospital quickly. In the end, he didn't even ask for the surgery fee.
From then on, the affiliated hospital realized its own shortcomings. On the one hand, it sent people to study with Professor Long from the First Hospital of Beijing University, and on the other hand, it established good relations with Antai Hospital.
It is necessary to conquer the Pancreatic Department of the Affiliated Hospital. It can be said that the Affiliated Hospital has no ability to fight back and even its defense is very fragile.
"If our pancreatic surgery is to be truly successful, a sign is that at least one of you can perform the Vilishi surgery. Although it is somewhat difficult, I hope you will work hard in this area. Otherwise, I will introduce it to all parts of the country.
Talents in this field." Liu Muqiao was also prepared to put pressure on them.
"Aren't you and Teng Ce the only ones who can do the Vilishi technique?" Jiang Weiwei said.
"Actually, it's far more than just the two of us. There is no difference between Bangtai's BAN technique and my improved Vilishi technique. They are both improved on the Vilish technique. In Bangtai's studio, there are at least ten people who know the BAN technique, so
When it comes to the Vilishi technique, there are probably two digits of people who know it. Don’t be intimidated by the difficulty. I hope all three of you will learn the Vilishi technique as soon as possible."
"Is this possible?" Hu Bolong was a little excited.
"How is it impossible? I will teach you step by step!"
This sentence is the greatest motivation.
All the finishing work of the operation was left to Jiang Weiwei.
This is a reward for her. You must know that as a junior doctor, taking action is an opportunity. The more such opportunities, the faster she will grow.
She had an idea that she would perform surgery for pancreatic tail cancer before the age of 30, pancreatic body cancer before the age of 33, and pancreatic head cancer before the age of 36.
Liu Muqiao was not in a hurry to leave. He planned to feed Jiang Weiwei and teach her how to close her abdomen.
Closing the abdomen is also a knowledge.
Just like Liu Muqiao's disembowelment, he disembowelled with three swords and conquered many big bosses.
"Closing the abdomen is not just a matter of time. Some intestinal adhesions are related to carelessness in closing the abdomen. Furthermore, closing the abdomen well can reduce wound suppuration and improve the appearance. Some people's wounds only have a red line, which slowly turns white.
For some people, the wound is like a centipede, even the feet are clearly visible, and for some people it looks like a tattoo. Surgeons should start from small places and develop good habits."
"Yes, I must develop good habits." Jiang Weiwei said.
"It's too far to get this injection again," Liu Maqiao said.
Jiang Weiwei quickly retreated and inserted the needle again.
"So, slogans are easy to shout, but in actual work, mistakes are easy to make." Liu Muqiao said.
"I'm sorry, some habits are hard to change." Jiang Weiwei's face turned red.
Du Xiaoping was about to leave, but after hearing these words, he stopped.
He said: "Yes, if we want to become first-class players, we still have many bad habits to change. Jiang Weiwei, from now on we will remind each other, otherwise, if we really can't join Liu Miqiao's core team, then we will be sorry for ourselves."<
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"Yes, we supervise each other." Jiang Weiwei said.
After Jiang Weiwei completed the last stitch, Liu Miqiao returned to the general surgery department.
He said to Hu Bolong: "From now on, all our patients with pancreatic cancer must take traditional Chinese medicine. I thought about it for a few days, and the surgery alone can only improve the patient's 5-year survival time to a limited extent. I have a few prescriptions.
This ancient prescription is of great help to the survival rate of the pancreas. While we are using it, we are doing scientific research at the same time. You arrange for people to collect detailed information. I am going to apply for in-hospital preparation of this medicine first. Once there is definite experimental data, I will then apply for approval.
Font size."
Hu Bolong was overjoyed.
I thought to myself that the reason why he has achieved such great success in neurology is related to puncture, but it is also related to "Huatuo Regeneration Pills". Now, when we are doing pancreatic surgery, shouldn't we also have one or two miracle drugs?<
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Hu Bolong was half-convinced about traditional Chinese medicine, but he had 100% belief in Liu Miqiao.
If he says it works, it must work!
Thus, "Keloma No. 1" was born.
This chapter has been completed!