A few days passed, and finally, after Ruan Bin gave a course on the new interventional surgery for basilar aneurysm to the brain doctors of this hospital, a large number of brain doctors from other hospitals in Modu also followed to the First Affiliated Hospital of Modu to listen to the lectures!

That's right, most of the brain doctors from the hospitals in the magic capital have come to listen to the class.

Most of them are deputy directors, attending doctors, and so on.

After all, the new surgical method developed by Ruan Bin has more than 80 surgical records so far, and the success rate of the operation is still 100%, and the postoperative complications are pitiful.

This proves that this new method has the conditions for large-scale promotion.

Seeing this situation, many hospitals in the magic capital are of course close to the water and the first to come over to learn. After all, it's the same city.

It's easy to do anything!

............

Emergency Department.

"Hey, you don't have to give a class to your group of students today?" Director Qian asked with some surprise when he saw Ruan Bin appear in the emergency department.

For the past week, Ruan Bin has been teaching brain doctors from a dozen or twenty other hospitals in the magic capital.

The kid hasn't been in the emergency department for a week.

"Yesterday I gave two surgery lectures, and today I asked them to write the surgery plan, so I don't have to go to class today. So I'm going to work a day. Ruan Bin said with a smile.

"Count you kid a little conscientious, we haven't been busy in the emergency department these days!" Director Qian scolded with a smile.

Ruan Bin is a well-known nanosurgical robot in the emergency department.

Any surgery is done quickly, including wound suturing that does not count as surgery.

It's almost for one person and three people!

"I'm going to have a pancreaticoduodenectomy, you can be my assistant. Director Qian said.

"Okay. ”

While the two walked to the operating room, Director Qian said, "You have also seen that I have done several pancreaticoduodenectomy, and I have also seen Director Jiang do several of them. How's that, when are you sure you'll be able to do it yourself?"

Pancreaticoduodenectomy is one of the top 10 most difficult surgeries in the world and ranks fifth!

Among the many fourth-level surgeries in general surgery, it is one of the most difficult!

"If you give me the chance, I can take charge of the knife now!" Ruan Bin smiled.

Last time, he helped Chen Chengquan solve the problem of tumor tissue in the root of the superior mesenteric vein during the tricky pancreaticoduodenectomy, and he won the world-class pancreaticoduodenectomy award!

But it never worked.

The main reason is that this operation is too difficult, and Director Qian and Jiang Yurong have not been very relieved to give him the main surgery.

However, with Ruan Bin's various anti-heaven operations in other surgeries in the past six months, it has proved his level and demonic talent.

In addition, Ruan Bin participated in more than 10 pancreaticoduodenectomy assistants.

Now Director Qian can give Ruan Bin a chance to take charge!

Director Qian saw Ruan Bin, who was full of confidence, and said with a faint smile: "Okay, I'll give you a chance, this time you're the main knife, and I'll be your assistant!"

The main thing is that Ruan Bin's anti-heaven knife work is very suitable for pancreaticoduodenectomy, especially the kind of cancer tissue that has metastasized to various organs.

Last time, even Chen Chengquan, a world-famous hepatobiliary and pancreatic expert, could not solve the thorny problem that Ruan Bin helped solve.

Speaking of which, he is still looking forward to Ruan Bin's performance later!

In the operating room, Ruan Bin carried out the operation in an orderly manner.

At the beginning, Director Qian also verbally instructed Ruan Bin to do this operation.

But after ten minutes, he shut up.6 Because Ruan Bin didn't need his guidance at all, he was very fluent and perfect!

Superb anatomical techniques to expose the superior mesenteric vein and portal vein!

Perfect hepatoduodenal ligament osstalgation!

Door-vein and supramesenteric vein cancer tissue is cleaned without omission!

Thorough removal of cancerous tissue around the head of the pancreas......

The sword light and sword shadow, peeling off the cocoon, solving the cow, and carving carefully......

Seeing Director Qian, he couldn't help but be envious.

If only the old man had this knife work!

It's so TM accurate!

Humans and animals, ahh

Are you sure you're having a pancreaticoduodenectomy for the first time?

The next step is to anastomosis the three organs of the gastrointestinal tract, biliary intestine, and pancreatic intestine. Due to the large scope of pancreaticoduodenectomy, the above anastomosis is also an important part of the operation!

Because the slightest inadvertence of anastomosis will cause a large amount of digestive fluids such as pancreatic juice and intestinal juice to flow into the intestinal lumen, causing septic shock or intraperitoneal hemorrhage. In particular, pancreatic juice is corrosive and easy to corrode the anastomosis, and once a pancreatic fistula occurs, it will cause pancreatic juice to corrode the abdominal cavity, causing a fatal risk. In addition, the pancreatic intestine can only be manually sutured, and the anastomosis is difficult, so the anastomosis method is particularly important.

The anastomosis began.

I saw Ruan Bin open a 2mm incision in the pancreatic duct and perform a mucosa-to-mucosal anastomosis with the intestinal tube......

"Hey, you're not a conventional anastomosis method, Ruan Bin, what are you doing!" Director Qian saw that Ruan Bin was not using the traditional and conventional anastomosis method, and his brows suddenly furrowed.

But looking at Ruan Bin's stitching like this, it seems that there is nothing wrong, on the contrary, it is very adaptable to local conditions and fits very well!

"I'm a modified version of anastomosis, and I've studied a lot of pancreaticoduodenectomy surgical videos over the years, as well as a lot of cases of post-operative complications. I've found that the conventional anastomosis is still prone to pancreatic leakage!"

"My modified anastomosis is called "U-suture through the pancreas + mucosa-to-mucosa". ”

"Traditional sutures have a high risk of pancreatic fistula due to uncontrollable needle length. The U-shaped needle method can not only reduce cross-sectional bleeding, but also better bind the cross-section, reduce the risk of pancreatic fistula, greatly reduce the anastomosis, and have strong mucosal healing ability!"

"The traditional insertion suture of the pancreatic intestine requires suturing through the intestinal tube, which is easy to cause intestinal ischemia. With my mucosa-to-mucosal suture method, I only need to suture the intestinal serous muscle layer, which not only ensures the intestinal blood supply, but also is more conducive to the healing of the anastomosis......" Ruan Bin explained while operating. He has a world-class pancreaticoduodenectomy, although he has no new procedure in his mind. But there is a modified version of the technique for this anastomosis suture.

That's why he used it!

Director Qian is a master of general practice and a master of pancreaticoduodenectomy. After listening to Ruan Bin's explanation, I immediately thought of the core and key of technology.

This method is indeed better than the regular anastomosis method!

In particular, the U-suture method allows the needle length to be no longer restricted!

"Good boy, I really have you! I thought you would ask me for something about this operation, and in the end it became that I want to learn from you!"

Hell, isn't this a random punch to kill the master?

Phew.

It should be the strength to beat the master!

n.