Chapter 2312

The road from Jinling to Fengxian County is not far or near. It is hundreds of kilometers. Even if you go on the road early in the morning, there is no traffic jam on the road. It was near noon when director Xia arrived at the central hospital.

Director Xia simply ate a hamburger in the car. When he arrived, surrounded by the patient's family, he took a look at the patient's film and the patient himself.

As imagined, the patient is already in the advanced stage of cancer and terminally ill.

Explain the condition to the patient's family again. There is a great risk of operation failure, and even if it is successful, it can only last about one year.

This is the key point. If the patient's family members have fantasies and try to cure, director Xia turns away without saying a word.

The patient's family members expressed their attitude, just want to let the old man get the highest level of medical treatment within their ability, and then live and die. This is clear at home.

In that case, let's have an operation.

Director Li kept his mouth peeled. He thought to himself, the best medical treatment is in front of you, but he doesn't know how to cherish it.

However, it has nothing to do with him. Boss Zheng's several tips operations have been completed. He should be eating at this time, and then the high-speed railway and plane will return to DIDU.

It's a pity to pass by boss Zheng. It's life for both patients and themselves.

When the patient was sent to the stage, director Li accompanied director Xia of Jinling cancer hospital while chatting on the stage.

Director Li was shocked when he learned that director Xia was going to perform the operation under endoscopy.

No wonder people dare to take this operation. Director Xia has real skills.

Anesthesia, hand brushing, dressing and going on stage.

Establish pneumoperitoneum, but director Xia fiddled with endoscopic pliers twice and then stood there.

Director Li saw very clearly that the adhesion in the abdominal cavity was very heavy, which could not be done by endoscopic surgery at all.

Not even the field of surgery. What endoscopy! (note)

Then turn to laparotomy. You can't give up the operation if you can't do endoscopy.

Director Xia has nothing to be ashamed of. His illness is here. He is doing it with strength. He is looking for Lei himself.

The median abdominal incision is about 20cm long and cut into the abdomen layer by layer.

No metastatic nodules were found on the surface of liver, small intestine and pelvic cavity; Gallbladder about 8 × 3cm, common bile duct diameter about 0.6cm, retrograde cholecystectomy.

The operation was done in a regular way, and the endoscopic operation was not seen, but the surgical operation proved that director Xia's level was quite high.

Director Li's uneasiness was slightly stable.

Director Xia opened the gastrocolonic ligament along the edge of the colon, opened the duodenal peritoneum, and lifted the duodenum for double diagnosis. The exploration found that the diameter of the tumor in the uncinate process of the pancreas was 4cm, the texture was hard, the boundary was unclear, and the activity was fairly good.

But with the progress of the operation, director Xia's face became more and more dignified.

It's one thing to watch a film, but it's another thing to really open it.

The current operation is definitely more difficult than what you have done before. The patient's abdominal adhesion is very heavy, and it is too difficult to take it down smoothly.

To achieve this, director Xia tried not to think about the failure of the operation.

Continue to free the pancreatic head and behind the duodenum, and explore the inferior vena cava without involvement. The root of transverse mesocolon was explored, and no contracture or invasion was found.

But when the superior mesenteric vein was separated, director Xia was stunned.

He opened the retroperitoneum at the root of the transverse mesocolon and separated it along the superior mesenteric vein to find the blood vessel.

Then skillfully separate the branch vessels flowing into the superior mesenteric vein, block the suspension belt, and separate the main trunk of the superior mesenteric vein upward along the vessel.

It can be seen with the naked eye that the tumor is closely related to the superior mesenteric vein, and the confluence of the downward bifurcation of the superior mesenteric vein is involved.

All... Affected

Looking at the sticky tumor and superior mesenteric vein, director Xia took a deep breath and was ready to free.

Of course, he knew that it was too difficult for him to swim away smoothly. At this time, he has begun to regret. Last night, he was so obsessed that he had to run over to change his knife and take the operation.

What a fuck!

Director Xia carefully tried to dissociate. Subconsciously, he had realized that he had made a wrong choice. A large amount of adrenaline and dopamine are secreted in the body, the parasympathetic nerve is inhibited, the sympathetic nerve is excited, and directly enters the state of stress.

Sweat glands secrete a lot of sweat, and the sterile cap is penetrated within 2 ′ 22 ".

Director Xia turned around, but this is not his own hospital. There is no tacit understanding at all. No one understood the intention of his every action. He felt that his action was stupid.

"Wipe your sweat." Director Xia said in a helpless deep voice.

The itinerant nurse took a piece of gauze and asked in a low voice after wiping his sweat, "director Xia, let me tie a gauze for you?"

"OK." Director Xia took this opportunity to relax his already tense sympathetic nerve.

He recalled the tumor and superior mesenteric vein in the operation area, and was helpless.

It's really fascinating. Why are you in a hurry to talk to boss Xiao Zheng! The result was good. Boss Xiao Zheng escaped, but he was grilled on the fire.

This is so special!

Director Xia has a good temper and seldom swears. But the complex situation made him irritable. Perhaps it was the side effect of parasympathetic dormancy and sympathetic excitement.

A gauze was tied outside the aseptic cap on his head. Director Xia concentrated and began to continue the operation.

I hope I can do it,

It is hoped that the tumor and superior mesenteric vein will not adhere as closely as seen by the eyes.

I hope

Director Xia has too much hope in his heart.

However, after 3 points and 12 ", all hopes were dashed.

The tumor was tightly attached to the superior mesenteric vein, and the operation could not go on.

"Do you have vascular surgery?" Director Xia asked in a deep voice.

"Er..." director Li hesitated for a moment. He felt a pleasure that should not have appeared in his heart.

But this emotion was suppressed by him. The patient couldn't get off the stage and had to carry the pot himself. Although the patient's family asked for this pot, it's better not to carry it.

"Director Xia, we have vascular surgery, but the technical level is average." Director Li said bluntly.

Director Xia stopped the operation and looked at the operation area helplessly. The internal organs and blood stains were so dazzling under the irradiation of the shadowless lamp. His hands and feet were numb, and he wondered how to explain to the patient's family members.

The operating room was quiet. Director Li peeked at the electronic timer next to him. He waited for 3 minutes. Seeing that director Xia didn't speak, he whispered, "director Xia, boss Xiao Zheng of emperor capital hasn't left yet. Do you want to..."

……

……

Note 1: the operation was introduced from the real operation of the top three first-class hospitals in China, and the endoscopy was converted to laparotomy. Not all preoperative evaluations can correctly determine the mode of operation, which will be discussed separately.