Du Xiaoping accidentally revealed something, saying: "It seems that I encountered some difficulties in the operation today. It has been 6 hours since I went up."
Liu Muqiao felt nervous. A colon cancer surgery took 6 hours. There was definitely something wrong.
"Liu Muqiao, I'm going to the operating room to have a look, will you go?" Du Xiaoping said.
"Go, if you don't tell me, I'm going to go up and take a look. Six hours is definitely not normal." Liu Muqiao turned around and left.
"You were not very interested in colon diseases in the past. What happened today? You suddenly want to learn colon cancer surgery?"
In the past, Hu Bolong asked Liu Miqiao to perform colon cancer surgery on stage. He went there twice and was not even assisted by an assistant. He said that he would not do it.
This is a fact that all general surgeons know.
Liu Muqiao didn't say anything more and went to the operating room with Du Xiaoping.
He was thinking that it was time to divide the general surgery department into two departments, one for hepatobiliary and pancreatic surgery and the other for gastrointestinal, spleen and thyroid surgery, which should still be called general surgery.
The Department of Hepatobiliary and Pancreatic Surgery specializes in pancreatic surgery, and the Department of General Surgery specializes in colorectal cancer. Only in this way can general surgery have great development.
"Teacher Du, your colorectal cancer surgery is no worse than Director Hu Bolong's, and is even better than him. Why don't you switch to colorectal surgery?" Liu Muqiao asked tentatively.
"No, hepatobiliary medicine is challenging and can reflect the level of a surgeon. I must be a good pancreatic cancer doctor. First of all, I must be an excellent assistant."
Du Xiaoping is obsessed with pancreatic cancer surgery. He is willing to be a helper, but he will also work hard to develop in this area.
"Actually, colorectal surgery is also very challenging. As long as you do it to the extreme, you can achieve results in any of them. Do you know how I became famous at Hopkins?" Liu Miqiao said.
"How did you become famous?"
"Repair the abdominal aorta. Repair with the great saphenous vein."
"Ah? Using veins to repair the abdominal aorta is incredible."
"Yes, they are incredible. I really want to open a vascular surgery department at Antai Hospital, but I am worried that the market is too small. However, I think colorectal surgery should have great development prospects."
"The market is not small, but the problem is that there are no top scientific leaders."
Liu Muqiao grinned, "If you are interested, you don't have to worry about the subject leader. I am a top leader in colorectal surgery."
Before Du Xiaoping could react, he had already arrived in the operating room.
"What are you doing here?" Hu Bolong saw Liu Maqiao coming in. He was in a bad mood and his words became less friendly.
"How was the operation?" Liu Maqiao said.
"It's terrible. I've been doing this for so long and the separation hasn't even been resolved. I'm about to give up and just get an ostomy." Hu Bolong.
"Let me see." Liu Maqiao said.
"What do you think is the use? Du Xiaoping, come and see, if there is no other way, I have to give up." Hu Bolong said.
Du Xiaoping and Liu Muqiao both went up.
Hu Bolong explains.
The jejunum, ileum, large intestine, and omentum were all stuck together and could not be separated. It took several hours before only half of them were separated.
Du Xiaoping shook his head.
Liu Muqiao smiled and said: "Let me do it."
"Let you come?" Hu Bolong, Du Xiaoping, and Jiang Weiwei asked at the same time.
Don’t you, Liu Muqiao, know how to perform colon surgery?
Can you separate such a serious adhesion?
"Yes, I will teach you a new surgical method. From now on, even the most difficult colon cancer can be treated with this idea." Liu Miqiao said.
Hu Bolong still couldn't believe it and asked: "Is what you said true?"
"That's absolutely true."
Liu Maqiao walked to the surgeon's position and said: "There is a problem with your preoperative discussion for this operation, or in other words, your ability to read CT pictures is still limited. You should have been able to find a lot of adhesions before the operation. Of course, I can't blame you, abdominal cavity
It is difficult to distinguish between intestinal CT and MRI, the density is almost the same."
He took the scalpel, pointed at the left side of the abdominal cavity and said: "It's a coincidence that I just performed the same operation. This piece was completely removed and there was no need to separate it at all. This is called 'cutting the knot with a quick knife'."
”
Hu Bolong, Du Xiaoping, and Jiang Weiwei all opened their round mouths.
Oops!
Is this still possible?
Liu Muqiao chuckled, "Learning to design, a master-level expert, surgical skills is one aspect, and another very important aspect is to be good at designing surgeries. This time I was at Hopkins Hospital, Professor Chelsea, who is 86 years old. He is every year
Two surgeries were designed just for teaching purposes. This time I performed a third of the surgeries, and as an assistant, I almost drove the surgeon crazy. Of course, I didn’t mean it.”
While boasting proudly, Liu Miqiao picked up the intestinal forceps and clamped the intestines in many places, and then cut off the intestines near the adhesions with great force.
Finally, the adhesions to the abdominal cavity were separated, and the blood vessels, tumors, and adherent intestines were all removed.
It took 40 minutes.
Now, it’s a terrible scene.
The intestines, section by section, are divided into 5 sections.
Liu Muqiao was not in a hurry to anastomose the intestines, but carefully cleaned the abdominal cavity.
Theoretically, it is difficult to achieve 100% cleanliness with this kind of dissection, and the chance of recurrence is high. However, as a master-level surgeon, Liu Miqiao is very confident.
This cleaning process took a long time, taking 1 hour.
Then start the intestinal anastomosis.
Many intestinal anastomoses are now made with metal rings, which is very simple and does not worry about intestinal fistulas. However, an imported metal stapler costs more than 6,000, and four anastomoses cost 24,000.
Liu Muqiao decided to do it by hand. The 24,000 yuan would save the patient and the hospital would not suffer any losses.
If the equipment has zero margin, the hospital will not make money.
It took more than half an hour to finally complete the operation.
Leave the rest of the work to Jiang Weiwei.
Jiang Weiwei carefully stuffed the intestines back into the abdominal cavity in order, and then began to count, count the instruments, and count the gauze. No one was missing.
This link is very strict.
Don't be careless at all.
If any of the numbers don't match, you have to find the missing object, otherwise, you absolutely can't shut up.
Historically, this lesson was very painful, not once, but many times. A few months or years after the operation, the patient found gauze or forceps in the abdominal cavity.
"Liu Muqiao, what is your surgery called?" Du Xiaoping asked.
"It has not been officially named, and relatively little has been done. The key is that the distinction between abdominal CT and MRI is not good, and B-ultrasound is not good either. Most of these cases have been given up. In total, what I know, plus what I have done
The two stations are 12. Jiang Weiwei, are you interested? Can you write a paper for SCI? How many SCI papers have you written?" Liu Miqiao said.
"Not even one." Jiang Weiwei said.
"Give you this opportunity, write an article quickly to fill in the gaps." Liu Maqiao said.
Hu Bolong and Du Xiaoping both swallowed.
They are all already chief doctors and have not had any SCI articles in their lives.
What a pity.
When will you name yourself?
I feel a little embarrassed to speak.
This chapter has been completed!