The operation lasted until 7 o'clock the next day, with only a little breakfast in the middle, and then the second operation was performed.
Except for Liu Miqiao, everyone else in the second surgery was new.
Professor Long is here to help.
This is a patient with advanced rectal cancer.
This patient has already resigned from other hospitals.
Resigning medicine is a folk saying, which means that the hospital mobilizes patients or their families to give up treatment, or mobilizes them to provide pure palliative care.
To put it bluntly, it has no therapeutic significance.
Partially it has been extensively metastasized.
However, the patient's desire to survive was very strong, and after being introduced, he finally went straight to Professor Long's pancreatic surgery department.
Professor Long's radical surgery for colorectal cancer is also very famous, especially since Liu Maqiao performed a radical surgery here last time and it was written into a paper, which has improved his reputation a lot.
This is indeed a difficult operation. In addition to abdominal metastasis, there are also single-nodule metastases in the liver and lungs.
Colon cancer metastases to the liver and lungs, as long as surgery is possible, there is still hope of cure.
Today's patient underwent a super major surgery, actually three surgeries.
The surgeons to be performed are two groups of doctors, with three surgeons in charge.
The first surgeon was Liu Muqiao.
He is responsible for removing and cleaning intestinal cancer.
The second surgeon was Professor Long.
He is responsible for removing metastases from the liver.
The third surgeon is a chief surgeon from the Department of Thoracic Surgery. That is a completely different group of doctors. Liu Miqiao and the others are about to step down.
The total estimated time for this operation is 15 hours.
Liu Muqiao started the first part.
Difficult.
There is simply no way to clean out the intestines.
It's stuck in a mess.
Liu Miqiao could only cut the knot with a quick knife, first removing the part with cancer infiltration, and then sewing up the severed intestine.
Liu Muqiao counted and found that half of the large intestine needed to be cut off, one-third of the small intestine needed to be cut off, two-thirds of the omentum needed to be cut off, and almost half of the lymph in the abdominal cavity needed to be cleaned.
The surgery is difficult, but it can be done.
As for how long the patient can survive, it's hard to say.
Liu Muqiao was going to suggest that he take his own Chinese medicine.
Let’s not talk about the 5-year survival rate. Let’s set a small goal first, set a 3-year survival rate, and hope to reach 30%.
Liu Muqiao's traditional Chinese medicine for treating colorectal cancer has not yet gone through long-term trials, but it is predicted that even if someone survives with the tumor, the 3-year survival rate will be 30%.
So, the biggest significance of this operation is to provide the patient with a chance of greater than 30% survival rate in 3 years, and also reduce the patient's pain with the tumor.
The pain caused by tumors compressing nerves in cancer patients is very painful and requires strong analgesics to be effective, and strong analgesics have many side effects.
Overall, surgery is meaningful.
It brings hope of survival to patients and alleviates their pain.
This is the value of advanced specialties.
Antai Hospital has taken the first step.
The First Affiliated Hospital of Beijing University has also gained a certain reputation.
However, Professor Long does not want to be overshadowed by colorectal cancer. This is pancreatic surgery, and his main business will always be pancreatic surgery.
For general colorectal cancer, he would refer it to the gastrointestinal surgery department. He would only take it in when the gastrointestinal surgery department thought it was worthless to perform surgery.
In the past, Professor Long did not dare to be too radical. He would refuse some surgeries and would not insist on doing surgeries if they could not be performed.
Now that Liu Muqiao is here, there seems to be no end to his colorectal cancer surgeries, so Professor Long has accepted patients like today.
Before Liu Muqiao, no one dared to operate on this patient, especially since he had liver and lung metastases.
Liu Miqiao boldly cut out a tumor tissue the size of a volleyball.
The intestine was cut into 7 sections, and 6 anastomoses were required. The workload of this anastomosis alone was scary.
However, the greater difficulty is the dissection of lymph and blood vessels in most of the abdominal cavity.
This is like sweeping the floor. Every corner and every centimeter must not be left behind. Possible cancer cells must be completely removed.
This is not a little difficult.
There are two favorite places for cancer to move. One is blood vessels and veins, and the other is lymphatic vessels. Therefore, cleaning small veins and lymphatic vessels is the most critical.
Liu Muqiao did his job very seriously.
Very fast and very detailed.
The technique is extremely skillful.
And it’s also very ornamental.
The second assistant and below are all enjoying Liu Miqiao's surgery, which is as enjoyable as watching a blockbuster movie.
In fact, why is Professor Long not the same?
He has been doing surgery all his life and can be called a master. A few years ago, he even became an academician.
Now it seems that my failure to become an academician is not entirely due to external reasons. My own abilities are still flawed.
Not to mention anything else, just in terms of the technique of this operation, the gap between him and Liu Miqiao is not small.
Liu Muqiao did not ask others to do it. Even if it was an intestinal anastomosis, he did not use a stapler to sew the intestines together with stitches and threads.
6 anastomoses, each taking 10 minutes, also takes 60 minutes.
It took more than the expected 3 hours and took a full 4 hours.
Professor Long needs to take a rest. Next, he will be the surgeon.
In fact, Professor Long does not need to be the chief surgeon at all. Most of his subordinates and students are chief physicians and deputy chief physicians, and they can all be chief surgeons.
However, this patient was named for surgery.
There is an additional charge for roll call surgery.
Although the operating room is an iron curtain, doctors must pay attention to medical ethics and credibility.
Since you agreed, you must perform the surgery yourself.
Professor Long’s roll call fee is 1,500 yuan, which belongs to Professor Long privately.
He sat down and rested for 20 minutes.
Liu Miqiao cleaned up the abdominal cavity and put the tubes in place. After everything was done, Professor Long had already gone to the toilet, drank a glass of milk, ate half a cucumber, washed his hands again, and put on surgical clothes. p>
Liu Muqiao is in no rush to get off the operating table.
He must accompany Professor Long for at least half of the operation.
The old man stayed with him during the entire 4-hour operation and then left after he finished it. How embarrassing.
The circulating nurse also gave Liu Maqiao a glass of milk to drink.
This traveling nurse is not the one who did the pancreatic surgery.
Now this nurse is a sister-in-law, almost 40 years old, and she even feeds the intern a glass of milk.
Professor Long’s next liver surgery is not difficult.
After resection of a single nodule in the liver, the liver tissue within 1 cm around the tumor is cut clean, and it is considered to be cured.
After liver metastasis resection, the 5-year survival rate is the same as that of primary colorectal cancer.
In recent years, it has been discovered that lung metastases have a similar survival period—and even a chance of cure.
Liu Muqiao serves as the second assistant.
He knew nothing about liver surgery, so he was somewhat reluctant to work as a second assistant. He mainly did the work of attracting blood and retracting hooks, and sometimes cutting sutures.
"You still have to go to Tianjin City, go down." Professor Long reminded Liu Muqiao for the second time.
Liu Muqiao glanced at the electronic clock on the wall. It was already 3 p.m. and it was time to go down.
He has to go to Jin City, there is a football match waiting for him.
