Back to 1988: I became the world's number one surgeon

"So fast!"

Watching Su Wanqiu start to separate along the pancreatic membrane, Hansjie couldn't help but exclaim, "It's too fast!" The tissue forceps were inserted, opened, and a piece of adhesion tissue was separated.

Open position.

It seems to have avoided the blood vessels perfectly.

in surgery.

No bleeding at all!

so amazing.

"Abdominal adhesions are the most common problem encountered during pancreaticoduodenectomy. Severe adhesions not only affect the speed of the operation, but can even cause intraoperative bleeding!"

"No wonder Teacher Su said the surgery can be completed in two hours. At this speed, there is still a chance. Even if we can't complete the surgery in two hours, it will most likely be completed in five hours!"

Lily couldn't help but say.

"It's not that simple. Adhesion is only one of the problems. The key lies in excision and reconstruction. During the whole operation, at least three parts have to be excised, and the surrounding lymphatic tissue has to be cleared!"

"And there are at least three areas that need to be rebuilt!"

"Besides, these are all reconstructions of the digestive tract, which requires extremely high suture requirements. Once a hole appears in the suture, it is very likely to cause fistula or even infection later!"

Hansjie took a deep breath.

"I believe Teacher Su can do it!"

Lily said.

Hearing this, Hansjie couldn't help but look at Lily, and then smiled bitterly. If it were the Lily of the past, she would definitely not say such words.

That’s all I can say!

After being with Su Wanqiu for too long, I can’t help but trust him!

The entire Lingnan Township Hospital.

It's all so!

Operating room!

Quietly.

Su Wanqiu quickly separated the pancreatic head, but just when it was about to be separated, Su Wanqiu's movements suddenly stopped.

"Brother Wanqiu, there are adhesions in the aorta and the inferior vena cava!"

Qin Ming said quickly.

can be seen.

The pancreatic head area and the inferior vena cava seemed to have fused together, and the aorta was also adhered to them. Seeing this situation, Feng Zhigang and the other man looked serious.

Resection of the head of the pancreas.

The biggest difficulty is adhesion to the inferior vena cava or aorta, which is the most difficult to separate. Even in this case, most gastrointestinal surgeons will recommend not performing surgery.

Intraoperatively.

It's easy to bleed profusely!

"Teacher Su, shall we continue the operation?"

Zeng Zhiguo asked quickly.

If it were him.

This surgery.

We definitely can't continue because the adhesions are severe and it will be difficult to separate without damaging the blood vessels.

"continue!"

Su Wanqiu held the tissue forceps, lifted up the pancreatic head first, and then began to slowly separate it. It could be seen that the adhered artery and inferior vena cava began to slowly separate from the pancreas.

For an instant.

Everyone's heart was lifted!

"If I didn't have extremely high self-confidence, I wouldn't dare to do this kind of separation!"

In the teaching laboratory next door, Sun Guoliang took a deep breath.

The whole separation.

In less than five minutes!

fast!

quasi!

ruthless!

This is the admiration they have for Su Wanqiu in their hearts. Every operation is almost just right, as if it had been calculated long ago, without any unnecessary movements.

"Success!"

"Great!"

Xili exclaimed in amazement. As the editor-in-chief of a medical journal, she was also a PhD graduate from the Oxford University Medical School, but she only did this one job.

For this surgery.

Xili was well aware of the difficulty.

Less than five minutes.

Separation successful!

"Vascular forceps!"

In the operating room, Su Wanqiu's voice was heard, and Qi Jin quickly handed several vascular clamps to Su Wanqiu. The pancreas was separated, and the next step was to remove it.

Remove first.

then.

Rebuild again!

"Stitches!"

Su Wanqiu said.

"Teacher Su!"

Qi Jin handed the things to Su Wanqiu one by one, cut off the tissues and blood vessels, and then started the removal directly. It can be seen that one third of the pancreas was cut off.

Head of pancreas.

Cut it off completely!

among them.

Wrap the pancreatic duct that connects the pancreas to the intestine.

"Pancreas removal complete!"

"Director Liu, ask someone to send it over for pathological examination, focusing on checking the pancreatic duct and the distal end of the pancreatic head to see if it is completely removed!"

Su Wanqiu said.

"it is good!"

Liu Xinxin stood up quickly.

With excised tissue.

Left quickly!

operating room.

Su Wanqiu didn't stop.

Waiting for pathology results.

You can move the lower end of the bile duct.

And duodenectomy!

"Brother Wanqiu, your gallbladder is obviously enlarged!"

Qin Ming's voice rang out.

“It’s caused by pancreatic cancer!”

Su Wanqiu said.

"Perform duodenectomy!"

Su Wanqiu's voice sounded again.

The whole operation.

The pancreas is just one of the organs that needs to be removed, and there are not many parts of the pancreas that need to be removed. The real big project is the duodenal area.

"it is good!"

Qin Ming nodded.

Hook and pull!

The surgical field of view is completely exposed.

Su Wanqiu quickly separated the hepatic flexure of the transverse colon and pushed the transverse colon downward, exposing the connection between the pancreas and the pancreatic neck.

Mesenteric adhesions of the duodenum.

Not as serious as the pancreas.

Along the inner side, Su Wanqiu separated the descending part of the duodenum toward the inferior vena cava and aorta.

"high!"

In the teaching laboratory, Hansjie and others' eyes lit up. The operation was so skillful. With Su Wanqiu's separation, they could see that the superior mesenteric artery and vein of the duodenum had already appeared.

The arteries and veins leading to the pancreatic head are isolated.

Truncate directly.

then.

Quickly clean out the surrounding mesenteric lymph nodes!

"So fast!"

Kani and Xili were both staring at the scene of the operation in amazement. If they had not seen it with their own eyes, who could have imagined that there was such a terrible surgeon in the Chinese medical community?

Isolation of the pancreas.

Resection of the head of the pancreas.

The duodenum was separated and the mesenteric lymph nodes were cleared.

Comprehensive time.

Not even forty minutes yet!

Official surgery time.

Less than twenty minutes.

"If Teacher Su can complete the removal of the pancreas, duodenum, and bile duct within an hour, and start digestive tract reconstruction after an hour, then there is a chance that it can be completed within two hours!"

Hansjie said excitedly.

he.

A little excited!

This operation is internationally recognized as the ceiling-level operation for the digestive tract. If it can be performed, it means the world's top surgical level!

Can be ranked.

That's authority!

If Su Wanqiu can perform the operation within two hours and the subsequent prognosis is good, then this operation will be the best in the world in the international medical community!

"Qin Ming, turn up the transverse part of the duodenum!"

Su Wanqiu's voice rang out.

"it is good!"

Qin Ming quickly followed Su Wanqiu's instructions, lifted up the duodenum, and turned up the transverse part. It could be seen that the aorta and inferior vena cava at the back were exposed again.

Su Wanqiu quickly cleared the lymphatic tissue around the aorta and inferior vena cava.

in surgery.

The cleaner the cleaning, the less likely it is to recur.

"Professor Feng, go up!"

In the operating room, only Su Wanqiu's voice could be heard.

"it is good!"

Feng Zhigang hurriedly followed Su Wanqiu's instructions and went up along the duodenum. He could see the duodenal ligament, and the duodenal artery and vein and the pyloric artery and vein near the stomach were exposed.

ligation.

Disconnect.

Not only that.

Su Wanqiu quickly cleared the lymph nodes on the duodenal ligament.

From the area of ​​the duodenal ligament, the common bile duct and bile duct exposure can be seen.

Continue to separate.