266,The Crown of General Surgery
Southeast Hospital, main hospital area, operating room.
A laparoscopic cholecystitis surgery is underway.
The patient's condition was extremely complex, with severe appendicitis, perforation and gangrene, and several critical illness notices had been issued in the emergency department before the operation.
Fortunately, the hospital was sent to the hospital promptly enough. The General Surgery Department of Southeast Hospital responded quickly, combined with the elites of the General Surgery Department of our hospital and branch hospitals, formulated an emergency surgery plan, and sent two experienced doctors to perform the surgery.
The general surgeon of our hospital is the chief surgeon. He was trained by Southeast Hospital. He has an orthodox background and possesses very solid basic skills and extremely accurate on-the-spot judgment.
A general surgeon from the branch is an assistant. This doctor previously worked in an unknown local tertiary hospital, but he was able to publish two SCI papers under that situation, and the annual number of laparoscopic surgeries reached more than 200. Although in all aspects,
The overall level is slightly weaker than that of the general surgeons in our hospital, but in terms of creativity, they often have surprising performances.
In the observation room, Su Jie rarely stood in front of the glass window, leisurely watching the operation downstairs.
"The cooperation is very tacit. There seems to be no problem with this operation."
Hearing Dr. Su's prediction that the operation would be completed successfully, several general surgeons in the observation room couldn't help but breathe a sigh of relief, and the solemn expressions on their faces became lively.
"This is all thanks to Dr. Su."
"Yes, if Dr. Su hadn't been traveling back and forth between our hospital and branches during this period, which promoted the communication and cooperation between our two departments, it would be difficult for us to respond so quickly when encountering such a sudden severe patient.
"
"But one thing to say, the teachers at the branch are really creative in their surgeries. Compared with us doctors who only do regular surgeries, your surgical skills are really amazing. I discovered for the first time that it turns out that
Surgery can be so simple!”
"No, no, no, it is the teachers of our hospital who can perform surgeries more safely. Our techniques are all heretical and cannot be put on the table. It is safer for the teachers of our hospital to work steadily!"
Just over a week has passed since the joint operation between our hospital and the branch hospital. The two general surgeons, who were originally incompatible with each other, are now able to flatter each other skillfully.
Regarding this change, Su Jie could only sigh. As expected, for doctors, as long as they can do the surgery well, the rest of the love, hate and resentment are bullshit...
On the operating table below, the appendix had been deftly removed by the surgeon. The perforated and gangrenous appendix was abandoned on the curved plate, looking like a shrunken black mass of dead flesh.
Just as Su Jie predicted, the operation was smoothly completed without any surprises.
At this moment, Su Jie's cell phone suddenly rang. After answering the phone, Su Jie nodded several times, then turned and left the observation room.
After leaving the operating room and returning to the emergency department, Su Jie knocked on the door of the director's office.
"Su Jie, come in."
Director Li Jianguo's voice came from the room. Su Jie pushed the door open and entered, but was surprised to find that in addition to Director Li Jianguo, Dean Ke was also in the office.
"Come in and sit down. I have something to discuss with you." Director Li Jianguo held the medical record in one hand and gestured towards Su Jie with the other.
After closing the door, Su Jie sat on the sofa opposite Academician Ke, nodded slightly and said hello: "Hello, Academician Ke."
"Well, how was the surgery for appendicitis, gangrene and perforation?" Academician Ke asked casually.
"The appendix has been removed and is being completed now. The operation went well." Su Jie answered truthfully.
"That's good."
Academician Ke nodded, as if he was not surprised by such a result: "The doctors in our hospital and the branch have their own characteristics. When facing complex and severe patients, the two complement each other's advantages, and there will indeed be many unexpected gains. During this period, there have been many unexpected gains."
Four combined operations have been performed, and the results are quite satisfactory, which shows that this elite treatment team model is still feasible."
"Yes, and the tacit understanding between doctors is also constantly improving. In the future, we should have better performance when facing more complex patients." Su Jie continued.
Director Li Jianguo did not participate in the chat between the two. Ever since Su Jie entered the office, his eyes had not left the medical record in his hand.
He was so focused that he completely lost control of his facial expressions. His brows were tightly knitted together, his eyes were narrowed, and his mouth was slightly open.
After a long time, Director Li Jianguo put down the medical records in his hands, and the expression on his face returned to its usual dignity.
"Academician Ke, do you really want our hospital to take over this patient? Her condition is not that complicated. Kyoto Hospital has sentenced her to a suspended death sentence. Is our Southeast Hospital really capable of giving her the promise of surgery?" Director Li Jianguo
asked.
Academician Ke crossed his hands and rested them on his chin, and said thoughtfully: "Yes, I hope to give her the opportunity to have this surgery."
"The patient himself is from Badu. He had been treated in the provincial hospital for a period of time before. This time he contacted us through the relationship of the provincial hospital."
"The patient's condition is indeed very complicated. Pancreatic head cancer is in the advanced stage and the cancer has invaded the blood vessels. Logically speaking, this situation is no longer suitable for continued surgical treatment... However, I also met several such patients when I was in Kyoto.
I have carefully studied her case, and the situation of vascular encirclement is not that pessimistic, and surgery is still a theoretical possibility."
"Theoretical possibility..."
Director Li Jianguo hesitated and said: "Academician Ke, with your current physical condition, can you still perform such a complex major surgery?"
"I'm afraid it won't work."
Academician Ke shook his head bluntly. With his current physical condition, an operation lasting more than two hours would put a huge burden on his body, and this operation took at least six hours to start.
But then, Academician Ke turned his attention to Su Jie: "How about I be your assistant and you do the surgery?"
Su Jie was stunned and asked: "Is this patient going to undergo pancreaticoduodenectomy?"
"Yes, pancreaticoduodenectomy, the crown jewel of general surgery, can be said to be the most difficult operation. During the operation, six major organs must be removed, and then pancreaticojejunostomy, biliary-jejunostomy, and gastrointestinal anastomosis must be performed.
, doctors almost have to single-handedly reshape the entire human body’s digestive system.”
Academician Ke explained the difficulty of this operation without hesitation, and then he asked: "Moreover, the patient's condition cannot tolerate laparotomy, so laparoscopy must be used!"
"Laparoscopic pancreaticoduodenectomy..."
Su Jie couldn't help but feel a bit of toothache. After thinking seriously for a moment, he said: "I don't have much confidence. This is indeed beyond my current level."
Pancreaticoduodenectomy, and it is done laparoscopically, is almost the ceiling for general surgery. Based on Su Jie’s current self-perception, this operation is indeed difficult!
Academician Ke smiled and said: "You don't have to put so much pressure on yourself. The main reason is that the patient wants you to be her mother's surgeon, so I asked you to come over and ask for your opinion. Since you don't have anything
Be confident and don’t push yourself too hard. Zhu Bo should be able to do it. I will just explain it to the patient when the time comes."
"The patient asked me to perform the surgery?" Su Jie was a little confused.
"The patient saw the video of your combined surgery and must have confirmed what you said at that time, so he has a great sense of trust in you."
Academician Ke explained: "They went out to seek medical treatment for more than a month. Major domestic hospitals all rejected her request for surgery. Her family members said that she almost wanted to give up at that time, but seeing your video made her cheer up.
Get up, so I specifically want you to perform the surgery on her."
Su Jie nodded, his expression a little solemn.
Director Li Jianguo said at this time: "In that case, Su Jie, you go and do your work first."
Su Jie actually wanted to continue hearing about this patient's condition, but looking at Director Li Jianguo's expression, it was obvious that he had something to talk to Academician Ke in private.
A mature subordinate should give his leader enough personal space.
Su Jie stood up and said, "Then I'll get to work first."
After saying that, he turned around and left the office, closing the door gently.
In an instant, there were only two big bosses left in the office. Director Li Jianguo tapped the table a few times, and then said in confusion:
"Academician Ke, Su Jie is gone. Can you explain to me now why you still have to take over such a complicated patient when you clearly have no confidence?"
"Even knowing that Su Jie is not capable of performing surgery, you still want to find him and deliberately tell him the news about this patient?"
Chapter completed!