"Do you have any previous inspection reports?" Zhou Qiao asked.

"Yes, yes." The girl's father hurriedly said. Then, from the bag he was carrying, he took out the thick report and the impact film and showed it to Zhou Qiao.

Both husband and wife were anxious, and at the same time, they also had hope, hoping that Zhou Qiao could solve it.

I was nervous because the young man in front of me was too young, and he didn't seem to be a few years older than his daughter.

Zhou Qiao read the report while asking about the medical history, the girl's parents, you say a word, I say a word, and start to tell.

There are some places that are not clear enough, and the girl adds on the side.

Zhou Qiao asked for some details from time to time, and soon, he had a clearer understanding of the girl's medical history and medical history.

At first, the girl felt a lump in her abdomen while taking a shower, and she ran to tell her mother, but because she didn't feel any pain, she and her family didn't pay attention to it.

Until, after a considerable period of time, the lump kept on, and then it began to hurt, and then her parents were anxious and took her to the county people's hospital for treatment.

The results of the examination revealed that the girl had a large tumor of about 15 centimeters in the head part of the pancreas.

At this moment, the girl and her family were really frightened.

It's like a bolt from the blue.

Because it was too sudden, I was young, and I hadn't had any serious illnesses before, so why did I have a pancreatic tumor?

No one in the family has tumors, right?

Moreover, in general, those who get this disease, in their impression, are not all older people?

The girl's mother blamed herself for why she didn't pay attention to it before. But things have already happened, and it is useless to regret them.

Later, after puncture and biopsy, the pathology showed that it was a solid pseudoR head tumor of the pancreas.

The girl was in high school, and in order to recuperate, she had to take a leave of absence.

Compared to health, academics are definitely on the back burner. It's all at this time, what kind of studies do you care?

Originally, the county people's hospital was going to surgically remove it, but after careful study, it was found that it was too difficult.

The tumor is too large and intertwined inside, many blood vessels are connected, and other organs are also involved, which is far beyond the capacity of the hospital and is not so easy to cut.

Therefore, after consultation with the director of oncology surgery and other departments, the patient was advised to go to the provincial capital hospital for treatment.

I've been to the provincial capital, and I've been to some big hospitals in the magic capital. However, the experts consulted said that it was a little late, there was no way to perform a radical surgery, and the risk was too high.

I went to the doctor and didn't spend the Chinese New Year at home this year. The family was shrouded in endless clouds of sorrow, miserable and bleak, miserable and miserable.

Because this is their only daughter.

If my daughter is gone, is it too late to have a second child? Besides, as a last resort, who wants to give up the pearl of the palm that has been raised for so many years?

I don't know how much energy, effort, and feelings have been invested, how can I say that the tuba can be put away?

Then, Zhou Qiao arrived.

The attending physician of the county people's hospital remembered the relative, so he called them to come over to see Zhou Qiao.

"It's really difficult." Zhou Qiao nodded, and seeing that everyone was looking at him expectantly, Zhou Qiao stopped selling it, and said, "Leave it to me, it's still a little bit sure." ”

The girl's parents were immediately excited, but while they were happy, they couldn't believe it.

After running so many big hospitals, no one dares to undergo the operation, this young man in front of him is so understated? Don't seem to pay much attention to it? Or, not realizing how difficult it is?

It was the attending physician who brought them to understand Zhou Qiao, and he was also relieved at this time, and said to the family: "Don't worry, since Dr. Zhou said that he is sure, he must be sure." And the kind that has a pretty big grasp. ”

Girl: "......"

Girl's parents: "......"

"Trust me, believe Dr. Zhou!" The attending physician comforted him, and then said to Zhou Qiao, "Then I'll take them to the hospital." Arranged in the surgical oncology? ”

"No problem, I'll hold a multidisciplinary consultation to discuss the surgical plan together." Zhou Qiao said.

"Thank you, Dr. Zhou."

"You're welcome, for your part."

Zhou Qiao said a few words modestly, and in the gratitude of the attending physician and the girl's family, he was busy with other things.

"Don't worry, stay in the hospital with peace of mind, and wait for Dr. Zhou's operation." The attending physician was actually quite excited, and he only hated that he was not a surgeon and couldn't learn anything from him.

These days, he listened to the gossip of his colleagues in the surgery, and Zhou Qiao was simply blown into the sky. However, Dr. Chow's track record is here.

Moreover, Dr. Chow usually leaves room for speech.

He said today that he was sure of it, so it is estimated that he has grasped the boss!

I'll go, such a difficult operation, grasp the boss! That's really......

The excitement is indescribable.

The attending physician was excited all the way, and then took the girl's family to the hospital formalities. Because he was a relative of his family, he followed up the whole process.

After the completion of the case, the attending physician called his parents again and reported the situation.

After the girl was admitted to the hospital, at the request of Zhou Qiao, the relevant examinations were improved.

Although many examinations have been done before, after such a long time, Zhou Qiao needs to know the latest progress of the tumor in the girl's body.

Moreover, the film brought by the other party is just a printed film, which does not look clearer than on the computer.

On the computer, you can set various parameters, and adjust them up or down at will, and even rotate the angle.

In addition, because the surgery is about to be performed, some preoperative examinations must also be arranged.

It didn't take long for Zhou Qiao to come to the tumor surgery department in person.

The medical staff of the oncology surgery department were immediately excited, and finally it was our turn to improve the oncology surgery.

In the County People's Hospital, almost every department is looking forward to improving its rank under the leadership of Zhou Qiao.

Zhou Qiao held a multidisciplinary consultation meeting, not only in tumor surgery, but also in hepatobiliary and pancreatic surgery, interventional medicine, intensive care medicine, radiology, anesthesiology, blood transfusion, operating room, medical office and other departments.

Naturally, he didn't want to discuss it with these people, but as before, with the help of this major case, he would give everyone a good "lesson"!

Explain the condition and the surgical plan, why you should do it, what key points need to be paid special attention to, how you need to cooperate, and how to use medication after surgery......

It's very detailed.

When I talk about multidisciplinary consultation, it's just for the sake of sounding better.

You can't say, "Come on, come on, I'll give you a lecture." ”

Be humble, Zhou Qiao has always been gentle and elegant.

Seeing that the hospital attaches so much importance to it, and everyone actually looks to Zhou Qiao, so many department directors listen to Zhou Qiao's words, the girl's parents are even more relieved.

Because, if Dr. Zhou didn't have some real skills, how could he command so many people in the County People's Hospital at such a young age?

The girl's latest contrast-enhanced CT report showed that the huge cystic solid mass in the head of the pancreas had progressed to a huge volume of 15.8*9.7cm, and there was a tumor the size of a pencil case at the head of the pancreas in the girl's narrow abdominal cavity.

The tumor invades the portal vein and superior mesenteric vein to reach a very low level, and the surrounding organs such as the right lobe of the liver, gallbladder, duodenum, ascending colon, and right kidney are compressed and displaced, and the main trunk and branch tumors of the portal vein are thromboid......

It can be said that the girl's tumor was so large that it occupied "half the sky" of the abdominal cavity, invaded the bifurcation of the superior mesenteric vein, and formed a tumor thrombus in the blood vessels.

OMG! Shocking!

Everyone was stunned.

No wonder so many big hospitals don't dare to take it.

Some doctors remember that the first time the girl came, it was not so serious.

However, the first time I came, the county people's hospital couldn't handle it, and now it is naturally even more unmanageable. Thankfully, Dr. Chow is here!

Zhou Qiao's voice is magnetic and his voice is loud: "We must not only complete the resection of the huge tumor, but also identify all the compressed and invaded blood vessels, protect the good blood vessels, reconstruct the important and invaded blood vessels, and deal with other blood vessels to ensure the patency of the large blood vessels. ”

"So, this time I can only do it myself."

This time, Zhou Qiao had no way to break down the operation and then hand it over to other doctors to take turns.

Everyone also understands this, even if Zhou Qiao wants to let them play, it is estimated that no one will dare to play.

"In addition, there is another point, we should pay attention to the fact that the patient's tumor is huge, violating the portal vein to reach the superior mesenteric vein branch, and the current imaging cannot distinguish whether the superior mesenteric vein is occluded or compressed, and the tumor is pressed up to the first hepatic hila, considering that there is an embolus in the portal vein, and most of the internal blood vessels are close to the tumor and are seriously compressed, so we must be prepared with both hands."

"One is to prepare artificial blood vessels, which may require the removal of a large number of tumorous blood vessels and large-scale artificial vascular reconstruction."

"The second is to use the patient's own blood vessels as much as possible to reconstruct the blood vessels, how to take the blood vessels, and where to take them, which is another difficult delicate job."

"In addition, for such a major operation, we also have to make plans for various emergencies, and now everyone can express their opinions and talk about what unexpected situations may be encountered during the operation?"

Zhou Qiao threw bricks and led the jade, and said a few first.

The purpose of this discussion is to minimize the risk of surgery and to help improve the knowledge of the medical staff present.

It's the equivalent of a brainstorm.

Zhou Qiao encouraged them, it doesn't matter if they are wrong. Many things are discussed and discussed, and everyone suddenly becomes enlightened, and what they didn't understand before may suddenly become enlightened.

With Zhou Qiao's encouragement, the people below continued to express their opinions, and Zhou Qiao supplemented or improved.

The meeting lasted more than three hours and lasted almost an afternoon.

In fact, this is not a conference, but a high-quality interactive training.

No one deserted, and no one played with their phones.

When Zhou Qiao was abroad, when he was training in community hospitals, he didn't pay so much attention. can only say that Zhou Qiao is really interested in the hospital in his hometown.

He sincerely hopes that the hospital in his hometown will get better and better.

The year he graduated from college, he also fantasized about entering the county people's hospital, but it was impossible. Who would have thought that now I would come here as a foreign aid expert! can dominate the wind and clouds, and the whole hospital can be commanded.

When everything is ready, the operation begins!

Zhou Qiao personally performed pancreaticoduodenectomy, superior mesenteric vein reconstruction, and splenic vein-superior mesenteric vein reconstruction on the girl......

The surgical assistants, as well as those who observed on the spot, and those who observed in the monitoring room, were the same as before, and there were forty or fifty people.

Moreover, the operation will be recorded as a lesson plan for the county people's hospital in the future.

Zhou Qiao was calm and unhurried, performed exquisite surgical skills, accurately dissected, carefully peeled the tumor from the blood vessels, and finally successfully removed it.

Moreover, what everyone admires is that the amount of bleeding is extremely small.

During the operation, it was found that the patient's superior mesenteric vein had indeed been partially occluded and had reached below the branches, and if it was any later, the opportunity for surgery would have been lost.

I have to say that Zhou Qiao went home for cooperation and exchange this time, saving the lives of an unknown number of people and changing the fate of an unknown number of families in the future.

After the tumor is removed, the blood vessels are repaired and reconstructed.

Considering that the girl was young and only 17 years old, in order to improve the quality of life after surgery, Zhou Qiao reduced the tension by dissociating the liver and mesentery one by one, anastomosed the girl's own superior mesenteric vein and reconstructed the return of the splenic vein, restored the original anatomy, and avoided the possible postoperative ascites, varicose veins, and left portal hypertension.

Finally, the three anastomoses of the digestive tract were accurately completed.

Because of the teaching task, Zhou Qiao was not in a hurry, and spent six hours explaining while operating.

When the operation was successfully completed, the applause lasted for a long time, and everyone's eyes looking at Zhou Qiao were filled with endless admiration.

Some of these little nurses were even more confused, and they were so confused that they didn't want to.

There is a little nurse who jokes in private, if only he could QJ Dr. Zhou!

Handsome, young, with a great figure, energetic, skilled, and rich, he is simply the best representative of the male god!

Why do you say energetic?

After the six-hour operation, many people were so tired that their legs were sore, but Dr. Zhou was still in good spirits. That alone beats 99% of the players!

After the end, Zhou Qiao asked the participants to masturbate as usual. Everyone was excited.

"It's good to follow Dr. Zhou for surgery. Not only can you learn the skills, but you can also eat the barbecue for free, which is really great! ”

"If only our leaders were so good!"

The group was elated and killed the barbecue restaurant last time.

The owner of the barbecue restaurant was so happy that he was about to jump, and big business came again.

This Dr. Zhou is so bold that he spends nearly 10,000 yuan here every time.

In fact, if the standard is not high, according to 50 people, it is only 200 per person. Zhou Qiao treats abroad, sometimes for $1,000 per person!

When Dean Zheng heard the news, he ran over again and rubbed a skewer.

Some doctors may be older and especially fond of roasted kidneys.

Zhou Qiao didn't like it and felt that the taste was wrong. He still likes to eat grilled oysters.

(End of chapter)