Back to 1988: I became the world's number one surgeon
Chapter 286 Perfect reconstruction, god-like operation!
"Brother Wanqiu, they are all separated!"
Qin Ming whispered.
time.
Fifty minutes.
The tissues to be removed have been completely exposed, and Su Wanqiu has ligated and severed the surrounding mesenteric lymph nodes and the arteries and veins of the organs to be removed.
Next.
That's organ removal!
"Hemostats!"
Su Wanqiu's voice rang out.
"Teacher Su!"
Qi Jin quickly handed the instrument to Su Wanqiu. Su Wanqiu held the hemostatic forceps, clamped the proximal end of the common bile duct, and directly ligated and cut the distal end of the bile duct near the duodenum.
"Clear the lymph nodes in the portal area!"
Su Wanqiu's voice rang out.
Continue to dissect the lymph nodes.
The whole operation.
Among them, the most critical is the clearance of lymph nodes. Whether the clearance is thorough or not determines whether there will be a subsequent recurrence, as well as the clearance of mesentery, ligaments, vascular tissue, etc.
All lymph nodes must be cleaned out.
"Qin Ming, clamp the gastric antrum with forceps!"
"Feng Zhigang, separate the related vagus nerve!"
"Zeng Zhiguo, the surgical field of view is completely exposed!"
Su Wanqiu's voice sounded one after another, and then the major resection began. Qin Ming clamped the gastric antrum with forceps, and Su Wanqiu used tissue scissors.
Directly along the gastric antrum.
Part of the stomach is removed.
This is to avoid anastomotic ulcers after pancreatic head resection. Not only that, Su Wanqiu also directly cut off the related vagus nerve.
"Removing the vagus nerve, it seems that Professor El's surgery did not have it!"
In the teaching laboratory, Hansjie whispered.
"Professor El's pancreaticoduodenectomy was the first to be performed. In his operation, there was indeed no removal of the vagus nerve, and even the gastric antrum was not removed!"
Lily said.
"The biggest prognosis after pancreatic head resection is anastomotic ulcers. Professor El's patients also had prognosis problems, but they got better later!"
Hansjie said.
"It's not just Professor El. Countless top surgeons are reluctant to perform this surgery because it's difficult to recover from the surgery and the mortality rate is very high!"
Lily shook her head slightly.
This operation.
It's called a thankless surgery!
The operation looks good, but once a fistula occurs at the anastomosis, it will be very troublesome. It will develop step by step and eventually become out of control.
operating room.
“Mark the jejunal resection site!”
Su Wanqiu's voice rang out.
"Already marked!"
Feng Zhigang's voice rang out.
"Gut clamp!"
Su Wanqiu's voice rang out.
Qi Jin quickly handed over the intestinal forceps, Zeng Zhiguo took it, clamped the proximal end of the jejunum after marking the resection point, and ligated and cut the other end directly.
"rise!"
In the abdominal cavity, the duodenum, gastric antrum and part of the jejunum were completely removed.
Take it out.
"It's successful, the removal was successful!"
In the teaching laboratory, figures stood up one after another. The resection was successful. Looking at the time, it was exactly one hour since Su Wanqiu entered the operating room!
Not more than an hour.
Complete separation.
Lymph node dissection.
Organ removal.
Next.
That is the reconstruction of the digestive tract!
"Jie, Teacher Su has broken the record. When Professor El performed the operation, it took half an hour to separate and clean the lymph nodes, and it took an hour and a half to complete the removal!"
“It took three hours to rebuild the digestive tract at the back!”
Lily said excitedly.
"Great!"
Hansjie was speechless at the moment. He was skeptical at first. After all, it was impossible to complete such a ceiling-level operation in two hours!
But Su Wanqiu is about to do it!
"Resection completed in one hour, reconstruction completed in one hour!"
"If Teacher Su can do it, he will be regarded as a god in the entire international medical community. Moreover, his operation has one more step than El's, which is to cut off the vagus nerve and remove part of the gastric antrum!"
Hans whispered.
"Look, the reconstruction has begun!"
A voice sounded.
Everyone quickly looked at the screen.
"It's really worth coming to China to interview Dr. Su. Such a record-breaking surgery will cause a sensation in the international medical community once it gets out!"
Cassie said excitedly.
An exclusive interview.
I didn't expect to have such a gain. Only The Lancet and their Science magazine knew the news when the next issue came out.
I'm afraid so.
The international medical community was shocked.
operating room.
"Digestive tract reconstruction after pancreaticoduodenectomy is divided into three parts: gastrojejunostomy, pancreaticojejunostomy, and common bile duct jejunostomy!"
Su Wanqiu's voice rang out.
Here comes the key.
Digestive tract reconstruction!
“Start the pancreaticojejunostomy first!”
"There are two methods of pancreaticojejunostomy, namely, the child's anastomosis and the whipple's anastomosis. Both methods are good. Today we will use the child's anastomosis!"
Su Wanqiu's voice rang out.
then.
Get started.
operating room.
Qi Jin, Qin Ming and others watched carefully. Everyone in the teaching laboratory also watched carefully. They saw Su Wanqiu starting to sew and explain at the same time.
"The key to the child anastomosis method is to first suture the jejunal myoplasmic layer and the pancreatic capsule layer, each displaced by 1 cm. In addition to this, a full interrupted suture is performed!"
operating room.
Su Wanqiu's voice rang out.
But just five minutes.
End of suture.
"So fast……"
Everyone was stunned. In the operating room, Su Wanqiu had slowed down, but in everyone's eyes it was still very fast. It was over in just five minutes.
In the hearts of a group of people.
Even want to.
Again.
"Choledochojejunostomy..."
……
The surgery continues.
five minutes later.
The anastomosis of the bile duct and jejunum was completed, and the last step left was the anastomosis of the stomach and jejunum. This step was the simplest. Ten minutes later, the anastomosis was completed and Su Wanqiu began to arrange the drainage tube!
Operation time.
One and a half hours and thirty minutes!
The matching is done!
Teaching laboratory.
No one spoke at this moment, including Li Qian, Sun Guoliang, Hans Jack and Lily, as well as the editors-in-chief of the two international magazines.
Finished in five hours?
Finished in two hours?
Excuse me.
Done in an hour and a half!
"Lily, am I seeing things? Teacher Su completed this operation in just one and a half hours?"
Hansjie came to his senses and said quickly.
"You read that right. Teacher Su really completed the operation. It took Professor El five and a half hours to complete the operation, but Teacher Su completed it in one and a half hours!"
Lily said enthusiastically.
That is worship.
These two top surgeons from Stanford Medical School were so completely conquered after arriving at Lingnan Township Hospital that they forgot to go back.
"Teacher Su succeeded!"
A cheer rang out.
next moment.
Everybody got up.
"Quick, get out of the operating room!"
Cassie said quickly.
It really worked.
And time.
It only took an hour and a half!
"China is lucky to have Dr. Su!"
Zhong Xue took a deep breath.
It really worked!
this period of time.
She clearly felt the changes in the Chinese medical community in the international medical community. When some international authoritative magazines spoke to her, they were polite and respectful!
before.
That won't bother her at all!
This is change.
This is the change brought about by Su Wanqiu. Su Wanqiu went international and opened up a small place for China in the international medical community, and this small place is expanding rapidly.
operating room.
"Teacher Su, the pathological examination results are out, pancreatic head adenocarcinoma!"
Liu Xinxin's voice rang out.
"Uh-huh!"
Su Wanqiu nodded, and then said: "Count the equipment!"
"oh oh!"
Feng Zhigang and Zeng Zhiguo were still a little unsatisfied. They watched carefully as Su Wanqiu reconstructed the digestive tract and performed anastomosis. Su Wanqiu could even tell them some details.
Benefited a lot!
in the past.
Whether Su Wanqiu was performing congenital heart disease surgery or craniotomy, Feng Zhigang had never felt it so clearly. At this moment, he had reached the area where he was good at.
He just knew.
How terrible Su Wanqiu is!
"Equipment inventory completed!"
"Close the abdomen!"
Su Wanqiu's voice sounded, and the abdominal cavity began to be sutured. Five minutes later, the suture was completed. One hour and thirty-five minutes later, the pancreaticoduodenectomy was completed directly.
Outside the operating room!
At this moment, Xili Kekani had been waiting for a long time!
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