【1109】The most feared operation is difficult to do
In order to make anxious patients feel at ease and receive proper treatment, family members and medical staff all come to talk to them. Sometimes it is useless no matter what they say, because some patients are stubborn by nature.
Liu Jingyun sat on the stool with a hopeless expression. Her boyfriend was good at everything, but he was particularly bad at it. He liked to turn a deaf ear to what the doctor said. A typical person who didn't know what was going on until he was about to die.
patient.
Perhaps as Dr. Song said, you won't know whether you will live or die until your gallbladder is removed.
"Senior Sister." Fearing that the two of them would quarrel, Xie Wanying walked in and pushed Senior Sister on the shoulder, "Let's have breakfast together."
"Yes, yes, you haven't eaten." Hu Zhenfan began to feel sorry for his girlfriend.
Liu Jingyun raised her head, stopped talking about her boyfriend, and became concerned about her junior sister: "I heard that Teacher Lu is hospitalized?"
This news spread throughout the hospital this morning, and almost everyone was panicked.
"Yes." Xie Wanying nodded.
"Yingying, you must be prepared." Liu Jingyun looked at her with a layer of deep worry in her eyes.
Liu Jingyun has no control over what other people think. She only knows that the junior sister is kind-hearted. She can't stand seeing Teacher Lu suffering from illness and can't stand other people being sad about it, so she intervenes in this matter. If the relationship between the patient and the patient goes on like this, the junior sister will inevitably feel sad.
Then they get hurt. It’s like a bunch of people who were seriously injured four years ago.
"As a doctor, you must face all kinds of patients." Xie Wanying said as she recalled the scene where Senior Brother Cao described rescuing his colleagues. It shows that doctors will have to face this moment sooner or later. Fortunately, she met Second Senior Sister beforehand.
’s matter.
However, Liu Jingyun thought that her thinking was too simple. Rescue is rescue. If the rescue is successful, everything is easy to say. Death if the rescue is unsuccessful is another matter. As an anesthesiologist, Liu Jingyun had a premonition that Teacher Lu's disease was difficult to cure.
"Don't worry too much." Hu Zhenfan tried to comfort his girlfriend, "This is the best hospital in the country. Our leader said that this department is the most famous in the country. What are you afraid of? All patients can be cured."
"You want to be naive too much!" Liu Jingyun couldn't bear it anymore. She was so angry that she directly explained to her boyfriend, "Do you know what is the most terrifying disease in this department?"
"Yes -" Hu Zhenfan thought about it, hepatobiliary surgery, liver cancer?
End-stage liver cancer is very scary, but any cancer that is not scary at the end stage is scary. In this regard, hepatobiliary surgery is no different from other departments.
When it comes to diseases that are difficult to detect, pancreatic cancer and duodenal cancer are about the same. Every department has difficult and complicated diseases that are discovered too late.
Xie Wanying knew that the senior sister was not referring to these, but to the difficulty of the operation. The surgical department is responsible for performing operations, and the most terrifying thing for the surgeon is whether the operation can be performed and whether it is difficult to perform.
The most difficult surgery is a hodgepodge. Several organs are affected together and close together. It just so happens that some diseases in this department are exactly like this. For example, periampullary cancer of Vater.
The ampulla of Vater, an anatomical term, refers to the enlargement formed by the confluence of the common bile duct and the pancreatic duct in the middle and posterior medial wall of the descending duodenum. As can be seen from the explanation of the term, this place involves at least three organs and tissues.
, the anatomical location is quite complex, including the duodenum, common bile duct, pancreas, etc. Therefore, once cancer develops here, it involves many surrounding organs, which is very difficult for the surgeon. Generally, the same treatment as for pancreatic head cancer can be used
The surgical method is pancreaticoduodenectomy.
The organs to be removed in this surgical method include part of the stomach, all of the duodenum, head of the pancreas, proximal jejunum, bile duct, etc., and then the digestive tract is reconstructed.