Chapter 609: A Strange Surgical Method
Su Hongwen smiled confidently and said, "There is nothing impossible for me. After saying that, Su Hongwen began to continue the operation, and he didn't need to explain it now, I believe that Yu Jian, Qi Dongfeng, and those who are watching the live broadcast of the operation will think of the obstetric split surgery, and the liver transplant of Xiao Qiming, these are enough to show the magic of Su Hongwen, he is a miracle creator, as he said, it is indeed impossible for him.
Yu Jian quickly thought that Su Hongwen was a very amazing person, and the most important thing was that he was a medical genius, maybe he really had some special way, thinking of this, Yu Jian didn't ask much, and watched Su Hongwen do the operation intently.
Qi Dongfeng also thinks this way, he even hopes that Su Hongwen is coming up with a new surgical technique, so that it is difficult for the oncology department not to turn over, there are those policies that are beneficial to patients in the past, and there is Su Hongwen in the back, and then there is Su Hongwen, a doctor with excellent skills, patients will choose the oncology department of that hospital if they don't choose the oncology department of the provincial hospital?
There was an uproar in the observation room at this time, because it was an operating room used for teaching, so the doctors on the operating table said that the people in the observation room could hear it, and they heard that Su Hongwen was going to cut a quarter of his stomach, and first felt that Su Hongwen's head was watery, didn't he do this to increase the chance of cancer recurrence in patients? But after thinking about it, it was none other than Su Hongwen, the creator of the medical miracle, maybe he really had a way to remove only a quarter of his stomach and make the chance of recurrence the same as removing two-thirds of his stomach.
Wang Banxian didn't know much about the operation of the oncology department, and when he heard other people's discussions, he pulled Wang Yishun over. Puzzled: "What does Su Hongwen's kid want to do?" ”
Wang Yishun has also been working for a few years, and he knows a lot about radical gastric cancer surgery, and he made things clear in a few words, Wang Banxian is also from a medical background, he understood as soon as he said it, grabbed his head and said, "Do you say that Su Hongwen, this kid, can succeed?" ”
Wang Yishun smiled and said, "Do you say you can succeed?" Forgot about split surgery in obstetrics? Forgot about a liver transplant? Before that operation, everyone suspected that he would not be able to complete it, but in the end? Isn't he still doing it beautifully, and I guess the same is true for today's operation, wait and see, it's a new kind of surgery if it's not good. Director Su is too good. Idols. ”
Wang Banxian was right when he thought about it, and suddenly gritted his teeth and said: "Su Hongwen, your uncle, did you go to South Korea not only to fix your face, but also to fix your brain?" Otherwise, why is it so awesome? No, I'll have to knock him on when I get back. Speaking of this, Wang Banxian cried and said, "Otherwise, I won't be able to sleep." ”
Zhu Hongwei pouted disdainfully beside him and said, "Why can't you sleep?" I think you're hungry for that meal. You can't sleep if you can't eat. ”
The two brothers are bickering there. On the other side, in the observation room where Gao Shufeng was located, Xu Wei, the old expert in charge of the commentary, excitedly grabbed his beard with his hand. The force used was a bit great, and he grabbed several gray beards, and he didn't feel pain. He said to himself: "Today, Su Hongwen's bad trouble will bring us a miracle, it's right, it's right." ”
Mu Xihua smiled bitterly on the side: "Elder Xu asked you to come to explain to Secretary Gao, don't keep talking to yourself, tell us what's going on." ”
When Xu Wei heard this, he thought that he had forgotten his own work, and hurriedly told Gao Shufeng and others about the operation in detail, during which he praised Su Hongwen without hesitation, Gao Shufeng was very happy to hear it, and the smile on his face became more and more gentle, he was very optimistic about Su Hongwen in his heart, but it was not because of Xu Wei's praise, but because Su Hongwen came up with a solution to the plight of the provincial hospital.
This method shows that he is quite strategic, skillful, it can be said that turning his hands into clouds and covering his hands for rain, if such a person takes the career of the future is simply unlimited, in the future he really gave up medicine and politics, he will definitely still shine, the achievements are definitely not under medicine, to make friends with such a promising junior Gao Shufeng is naturally happy, but also to leave a way for his son who is not angry, or a big tree that can be relied on.
If it weren't for the method that Su Hongwen came up with, Gao Shufeng would definitely not spare any effort to help him come up with a policy to increase the insurance reimbursement ratio, and it was from this method that Su Hongwen's future was limitless, so Gao Shufeng made this decision, which can be regarded as an investment.
The operation is still ongoing, and the next steps are no different from ordinary gastrectomy, separating the anterior lobe of the transverse mesocolon from the edge of the transverse colon to the upper edge of the pancreas, protecting the blood vessels of the transverse colon, cutting the spleen and colon ligaments on the left side, and reaching the second and third ends of the duodenum on the right side.
There is no difference between these steps and radical gastric cancer surgery, and the difference is that Su Hongwen's surgery is quite fast and smooth, and the speed is fast, but every step is done perfectly, so that people can't find fault with it.
At this time, Su Hongwen was a monster in the eyes of Qin Shengjie, Yu Jian, and Qi Dongfeng, and in the eyes of the doctors in the observation room, but his surgical operation was too skilled, Qin Shengjie, a doctor who had been engaged in tumors all his life, was not so skilled in the same operation, and Su Hongwen's skilled operation was as if he had done radical gastric cancer surgery for decades.
But he's still young, so young and so skilled in surgical skills, why don't you call him a monster?
Next, Su Hongwen began to ligate and cut off the gastric blood vessels at the beginning, this step he did very carefully, not so fast, the purpose was to protect the right gastric and gastric omentum blood vessels, and to get these Su Hongwen cut off the left gastric and left gastric omentum blood vessels, and ligated and cut off the short gastric blood vessels in stages.
The above steps are still the same as the conventional surgical steps, nothing special, but what Su Hongwen has to do is completely different from the conventional gastrectomy surgery.
The lymph nodes should be dissected according to the conventional steps, because the main way of gastric cancer metastasis is lymphatic metastasis, and only by cleaning the lymph can the recurrence of cancer be avoided as much as possible.
But after Su Hongwen cleaned the lymph nodes next to the stomach, he directly cut off the gastric curvature where the cancer was located, which is not in line with the conventional surgical operation at all, it should be cut off the esophagus at 4-5cm away from the cardia after the lymph nodes are cleaned, and then the distal gastric is removed at 5-6cm away from the pylorus at the distal end of the stomach, and the right artery of the right gastric omentum is retained, and finally the residual gastric and esophageal anastomosis.
But everyone thought about it, this operation Su Hongwen removed a quarter of the stomach, that is, the small curvature of the stomach, which is completely different from the conventional radical gastric cancer surgery, but if he cuts it like this, the distal end of the residual stomach is too close to the cancer, and it is very likely that there will be residual cancer cells in the gastric tissue at this site, and it is for this reason that conventional radical surgery will remove two-thirds of the stomach.
Now that Su Hongwen hasn't cut so much stomach, how can he solve the problem of possible cancer cells in the stomach?
At this time, Su Hongwen actually asked Geng Hai'an for intestinal forceps, and the stomach was missing a small curvature of the stomach at this time, and a large arc-shaped incision appeared on the stomach, Su Hongwen used two intestinal forceps to clamp them six centimeters away from the two edges of the arc incision, and then he began to free this part of the stomach tissue.
Seeing this, everyone was dumbfounded, what is Su Hongwen going to do? Did you dissect this stomach? If you dissect it, it is better to cut it directly, which is more convenient.
Qin Shengjie couldn't help it, and opened his mouth and said, "Xiao Su, what are you doing here?" ”
Su Hongwen said without raising his head: "Clean the stomach of this part." ”
As soon as he said this, everyone's brains were even more insufficient, I had seen lymph nodes cleaned, but I had never seen stomach cleansed, how could this be cleaned?
Su Hongwen knew that everyone didn't understand, and explained while busy with the work in his hands: "In fact, the stomach can also be cleaned, and the metastatic route of cancer is nothing more than through guò lymph, blood vessels, and implantation, and the patient's stomach cancer was found relatively early, whether it is the omentum or the abdominal cavity, no enlarged lymph nodes were found, which shows that nine times out of ten, the patient's cancer is still limited to the stomach, and the cancer cells have not spread to other organs. That's where I clean. ”
Qi Dongfeng said: "How to clean the stomach?" ”
Su Hongwen used a hemostat to free a part of the gastric mucosa, stretched out his hand and pointed to the gastric membrane and said: "The stomach is also composed of layers of tissue, if you want to clean it, you have to swim away from this layer of tissue, and then peel off the lymphatic vessels as much as possible, and peel off this part of the blood vessels when there is a bulge in some blood vessels. There are also some problematic blood vessels that need to be removed, and most of the cancer cells are removed, and the remaining cancer cells in the patient's body can be killed in combination with chemotherapy after surgery, and the chance of recurrence is definitely similar to doing a gastric resection. ”
Su Hongwen's surgical plan is not understood by anyone at all, the stomach swims away layer by layer, cleaning the lymph nodes and problematic blood vessels inside, so does the stomach that has been swam away still function? It is estimated that the patient will be necrotic after surgery, and once the necrotic patient is in danger, this is saving people, and it is obviously killing people.
Yu Jian couldn't help but said directly: "Director Su, can you still live this part of your stomach if you do this?" What happens if necrosis occurs after surgery? ”
Su Hongwen smiled and said, "Look at what I do, you will know if this part of the stomach will survive after surgery." After speaking, Su Hongwen lifted the gastric membrane, carefully touched this part of the stomach with his hand, and then pierced it with a pair of pliers.
Qin Sheng was in a cold sweat, what was Su Hongwen doing? Eye-punching in the stomach? (To be continued......)