For colon cancer surgery, general colon cancer can be minimally invasive and completed laparoscopically.
Naturally, Liu Muqiao would not be interested in this kind of surgery.
Laparoscopy, or general bowel cancer surgery, he left to Du Xiaoping or a certain deputy chief doctor to perform the surgery, and he was not even interested in watching it.
He only plays high-difficulty games.
Today’s patient is in the fourth stage, in the advanced stage.
However, being at an advanced stage does not mean there is no hope. If local metastases are removed and then liver metastases are removed, the hope of cure is there, even not small.
Liu Muqiao also has another magic weapon, which is ancient Chinese medicine prescriptions.
Among tens of thousands of ancient prescriptions, a search revealed that there are quite a few that treat colon cancer.
The first half of today's surgery was performed by Liu Miqiao, who gave the demonstration, and Du Xiaoping assisted.
He will explain every step he takes.
This is step-by-step instruction. As long as you have average talent, you can become a good player. What's more, Du Xiaoping's receptive ability is not bad. He graduated from a well-known school and graduated from West China.
"The prognosis of left colon cancer is better. We try our best to protect the rectum. With the latest technology, as long as 5 centimeters of the rectum are left, the anus can be preserved, while ordinary doctors need 9 centimeters of the rectum to preserve the anus. Your purpose
It is to align with the most advanced technology."
Du Xiaoping's understanding is really good. This is the third colon cancer surgery Liu Miqiao has taken him to do. He feels that he has made rapid progress and wants to try it himself.
However, just now Liu Muqiao said that 5 centimeters of rectum and anus are still unbelievable. 5 centimeters are already connected to the anus.
However, this was said by Liu Muqiao, and there is no need to doubt what he said. Since there are people who have 5 cm anus protection, then I, Du Xiaoping, will work hard in this regard. Even if 5 cm anus protection is not achieved, 6 cm and 7 cm will always be possible.
Yes.
The operation is somewhat difficult.
In the past, such patients gave up surgery.
Liu Miqiao removed two sections of intestines, removed the corresponding greater omentum, and thoroughly cleaned the nearby lymph nodes, especially the nearby lymph nodes distributed along the abdominal aorta.
The lymphatic clearance in this place is very particular.
The lymphatic vessels coming from the lower limbs cannot move it.
Lymphatic vessels are very small and difficult to distinguish. If the blood is not cleaned cleanly, it is difficult to see the lymphatic vessels clearly. Some doctors may over-clean the lymphatic vessels, which affects the lymphatic return of the lower limbs.
Liu Muqiao is very strict and tries not to move the lymphatic vessels of his lower limbs.
Du Xiaoping had to stand in awe.
This is medical ethics and benevolence.
In addition, Liu Muqiao rarely uses metal staplers when performing intestinal anastomosis. Although metal staplers have many advantages, their disadvantage is that they are relatively expensive, costing more than 6,000 yuan each.
Saving thousands of yuan for patients, you may not be able to earn 6,000 yuan by growing grain and working for half a year in rural areas.
As a cancer patient, the cost is very expensive. Surgery is only one aspect. Postoperative chemotherapy is also required. Sometimes targeted drugs are used, and the financial burden is even heavier.
Liu Muqiao adheres to the principle of saving when he can, not to mention 6,000 yuan is not a small amount of money.
Of course, Liu Muqiao did this based on his trust in his own technology.
The most terrifying complication of intestinal surgery is intestinal fistula, which has a high mortality rate and is very difficult to treat. Therefore, ordinary doctors like to use staplers to reduce intestinal fistulas.
Although it was difficult, Liu Muqiao completed the operation easily. The next step was for Du Xiaoping to perform liver metastases.
"I want to see you do liver surgery. I just watched you do radical surgery for colon cancer. It was a pleasure. It was done so smoothly and it felt so satisfying. Why don't you do the liver surgery too?"<
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Du Xiaoping really wanted to learn.
To learn, the first thing is to see.
But Liu Miqiao's liver cancer area is completely blank.
He doesn't want to say that he doesn't know how.
It’s not because he’s afraid of being embarrassed. He’s worried that if he tells the truth now, he’ll suddenly have liver cancer surgery one day. Too many of these things happen and it’s a loss of character.
"You do it." Liu Maqiao said.
"Well, I did it reluctantly." Du Xiaoping said.
"It's not bad at all. Your specialty is colon cancer. From now on, the pancreas, liver and gallbladder will be mainly handled by Hu Bolong and his colleagues."
Liu Muqiao said it in a tone that left no room for negotiation.
Liu Muqiao was very straightforward. After getting off the operating table, he took off his surgical gown and hand wash gown, threw them in a plastic bucket, and left without looking back.
He was thinking about Qian Hao.
I haven’t had time to go to Qian Hao’s clinic for several days.
I was surprised when I came to the clinic.
So many people?
When the head nurse saw Liu Muqiao coming, she hurried over and said, "Oh, you're welcome. I really can't stand it anymore. There are too many people in Qian Hao's outpatient clinic. He can't go on like this anymore, and the number must be restricted. You know
Well, he sees almost 100 patients a day, how can he see a doctor like this? Moreover, he sees a doctor very carefully, and it takes him a long time to see a patient. If this continues, the order of the outpatient clinic will be disrupted."
Now, Qian Hao's outpatient volume is extremely large. If many patients hadn't given up on their own initiative, he would have seen 200 patients a day.
This guy is very motivated. He comes to work at 7 a.m. every day and doesn’t get off work until 10 p.m.
Liu Muqiao stood at the door and watched for a while.
Sure enough, he diagnosed and treated every patient according to the rules, taking his time, asking questions, doing physical examinations, issuing test orders or examination orders, and finally writing prescriptions.
At this rate, it takes about 10 minutes for a patient. How can he have time to rest?
No, you have to set a rule for him. People can work hard for a while, but they can't work hard every day. It would be a pity to die at a young age.
Many doctors have died from overwork.
Doctors who are too persistent and dedicated will have more or less occupational diseases, such as fainting and sudden death, which are often reported.
"Ah, Master, are you here?"
Finally, Qian Hao discovered it.
All the patients looked at Liu Miqiao in surprise.
Is he the master?
Did you hear it wrong?
Recently, people in the society are saying that Antai has a famous young doctor. Could it be him?
"You're busy, I'm just taking a look." Liu Maqiao said.
"Master, I have an idea. Can you send someone to help me write outpatient medical records and copy prescriptions?" Qian Hao said.
"What else are you asking for? Tell us all." Liu Maqiao said.
"I hope the canteen can deliver meals to my clinic," Qian Hao said.
"Well, are there any more?" Liu Maqiao frowned.
"No more."
"Well, I agree to your first request. You can choose someone by yourself and make him your apprentice. I don't agree to your second request. Do you want to die early? Let me tell you, if you continue like this, you will first
Hang up. Let me tell you, you can see up to 60 patients a day."
"60? Not enough."
"60, you still have to watch 10 hours. You also have to find time to exercise. In this way, I will teach you a set of Wu Qin Xi, and you must exercise every day."
"I can play Wuqinxi."
"That Wu Qin Xi bullshit of yours, you learn from me, and what I master is the real Wu Qin Xi."
"Okay, I'll learn from you. Oh, by the way, there is a man named Qian Sili who wants to discuss with me and invited you. Should I go or not? I heard that he is a master of traditional Chinese medicine, but his patients don't have
The person who was cured came to me and was cured, but he was not convinced."
"When does he ask you to meet?"
"The sooner the better. He said that he must invite you to come with him."
"Okay, tell me tonight."
"Tonight? I have so many patients that I can't finish them all before 11 o'clock in the evening."
"Then you set a time."
"Tomorrow, tomorrow night, I will call you then. Oh, by the way, I think he may have evil intentions. Should we make some preparations?"
"What's the bad intention? He is also a respectable person. It's just a normal discussion. Qian Sili and I are good friends."
This chapter has been completed!