There are two types of pancreaticoduodenectomy: traditional open and laparoscopic. The surgery is for pancreatic head cancer, ampullary tumor, pancreatic cancer and other diseases. Ruan Bin knows this, but he also knows that laparoscopic pancreaticoduodenectomy is n times more difficult than traditional laparotomy.

"Laparoscopic pancreaticoduodenectomy was only introduced to China in 2003. After more than ten years of development, I did not expect to go to the forefront of the world, I have to say that this is the result of the efforts of Chinese surgeons!" Zhang Haoyu continued, "Professor Chen Chengquan completed 189 laparoscopic pancreaticoduodenectomy last year, and completed a total of 623 LPDs (pancreaticoduodenectomy) in 8 years, including 66 LPDs with angioresection and reconstruction that are more difficult. The 90-day postoperative mortality rate was 0.57%! Previously, the postoperative mortality rate at Hopkins Hospital, the world's No. 1 pancreatic surgery company, was about 1%!"

"The average postoperative mortality rate of most surgeons in the world who perform laparoscopic pancreaticoduodenectomy is about 10 percent or even higher, and even the postoperative mortality rate of Hopkins Hospital is only 1 percent! But the postoperative mortality rate of our Professor Chen Chengquan after this operation is only 0.57 percent! Do you say that the world's No. 1 is deserved? It can be said that he single-handedly beat the pancreatic surgeons of the entire Hopkins Hospital!" Zhang Haoyu said with a proud look.

"Awesome!" After Ruan Bin heard this, a sense of pride and admiration also arose!

"No wonder we won the World Medical Award Gold Medal for Minimally Invasive Surgery, this achievement is indeed well deserved!" Ruan Bin sighed.

"Tomorrow's surgery class, we should make good use of the opportunity, we will definitely learn a lot in it. Zhang Haoyu said happily.

"Well, come on. ”

Everyone returned to their posts, and there were not many patients.

Ruan Bin saw that Jiang Yurong happened to have nothing to do at this time, so he ran over: "Director Jiang, will you do laparoscopic pancreaticoduodenectomy?"

"Yes, what's wrong?" Jiang Yurong glanced at Ruan Bin and said.

"No, just ask. Ruan Bin said with a smile.

He knew that Jiang Yurong had pancreaticoduodenectomy here last time, but he didn't know whether the other party was a traditional laparotomy or laparoscopic.

"Ruan Bin, you are very talented in laparoscopy, and you will have to study hard tomorrow for Professor Chen's surgical lecture. At present, in the field of pancreatic surgery, this Professor Chen is indeed the leader, even if it is the Hopkins Hospital where I was originally located, it is slightly inferior!"

"It's not just you, even I want Director Qian, and Director Liu has to study hard these days! This is a very rare opportunity. Jiang Yurong said with a serious face.

"Well, yes, yes. Ruan Bin nodded hurriedly, but asked puzzledly, "Director Jiang, don't you know how to perform laparoscopic pancreaticoduodenectomy?"

In fact, I have done a total of 28 laparoscopic pancreaticoduodenectomy so far, and the postoperative mortality rate is 8%! This mortality rate is still too high, which proves that I still need to practice well on the road of laparoscopic pancreaticoduodenectomy. When the postoperative mortality rate reaches about 1%, that will really meet the requirements in my heart. Jiang Yurong said with some yearning.

"If it is not a special patient, I generally recommend traditional open pancreaticoduodenectomy! The mortality rate is not as high as that of laparoscopy, unless it reaches that world-class level! That is, the postoperative mortality rate is reduced to less than 3%!" Jiang Yurong said earnestly.

"I see. Ruan Bin nodded. Although laparoscopic pancreaticoduodenectomy is less invasive and suitable for the elderly, or patients whose bodies are not allowed to have laparotomy, its complications are more serious and the operation is difficult. Unless you're world-class, then of course it's a laparoscopic pancreaticoduodenectomy first!

Seeing that Jiang Yurong said that she needed to work hard to study and progress in this area, it seems that Director Qian and Deputy Director Liu are estimated to be at about this level, even worse than Jiang Yurong.

No wonder Lao Qian is so excited today!

After all, if he can get this kind of high-finger point, his level may have a breakthrough!

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

In the afternoon, the multimedia conference room of the First Affiliated Hospital of Modu.

In the audience, in addition to the three directors of the emergency department, there were also a large number of directors and doctors of general surgery, inpatient and outpatient.

Even Vice President Lin personally came to the podium to deliver a warm welcome to Chen Chengquan.

"Now, Professor Chen is invited to come up and speak!" Vice Dean Lin made a gesture of invitation to the backstage.

Bang Bang Bang!

Warm applause rang out.

Chen Chengquan is a bald man about 50 years old, his appearance is not good, but he is very energetic.

"Hello to all colleagues from the First Affiliated Hospital of Modu......"

A polite opening remark soon entered the heartfelt words before the lecture.

"Minimally invasive surgery is the development trend of the future! We should develop more advanced surgical methods on top of the original minimally invasive surgery. Because it allows patients to recover faster and receive comprehensive treatment earlier......" Chen Chengquan spoke passionately on the stage. In the past six months, he likes to go to various hospitals for training and teaching.

Because he knows very well that every surgeon with a high level is trained by countless human, financial, and material resources! They are all pillars of the country, and it is not an exaggeration to describe them as national treasures.

It often takes twenty or thirty years to train a great surgeon!

This is still the most basic, the most important thing is that you need to be talented, you work hard enough, you will innovate!

As a result, there will always be a shortage of good surgeons everywhere! It is even more difficult than training a pilot!

He also knows that it is difficult to train an excellent doctor along the way, so when he reaches his status and level, he is like spreading the experience and technology he has accumulated to more excellent surgeons, so that they can go further!

"Take a simple laparoscopic cholecystectomy as an example! How many minutes can you complete one? How high is the success rate? If you are facing an elderly person over 100 years old, or a pregnant woman in the third trimester of pregnancy? Or is it the kind of patient with very poor constitution and multiple complications and critical illness? Have you ever thought about how to improve the more minimally invasive laparoscopic technique, improve your speed, success rate, reduce postoperative complications, and reduce postoperative mortality? If you can finish an operation half an hour, 20 minutes, 10 minutes earlier, then the patients waiting in the back can be treated in advance! Sometimes the emergency department can be more efficient, and there will not always be a shortage of staff!"

"My fastest laparoscopic cholecystectomy was 19 minutes! For an 8-month-old pregnant woman, who of you can do it?" Chen Chengquan began.

The reason why he said these words was to let these doctors know that they need that kind of pioneering and innovative spirit to be strict with themselves!

At this moment, Director Qian silently raised his hand.

"Huh?" Chen Chengquan was surprised when he saw someone raise his hand.

"You did it?"

"No, it's not me~" Director Qian's old face turned red, "There is a resident doctor in our emergency department who did it, and he performed a laparoscopic cholecystectomy on a pregnant woman who was 9 months pregnant, which took 19 minutes and 36 seconds. ”