Chapter 1109 [1109] The Most Feared Operation Is Difficult to Do
In order to reassure the impatient patients and treat them well, the family members and medical staff all come up and say that sometimes it is useless. Because some patients are stubborn by nature.
Liu Jingyun sat on the stool with an unlovable expression on her face. Her boyfriend is good in everything, but this is particularly bad. He likes to ignore what the doctor says. A typical patient who doesn't know what's going on before dying.
Maybe like what Dr. Song said, we won't know whether he's alive or dead until his gallbladder is removed.
"Elder Sister." Fearing that the two would quarrel, Xie Wanying walked in and pushed Senior Sister's shoulder, "Let's have breakfast together."
"Yes, yes, you didn't eat." Hu Zhenfan began to feel sorry for his girlfriend.
Liu Jingyun raised her head, stopped talking about her boyfriend, and cared about her junior sister: "I heard that Teacher Lu is hospitalized?"
The news spread throughout the hospital this morning, and almost everyone panicked.
"Yes." Xie Wanying nodded.
"Yingying, you have to be prepared in your heart." Liu Jingyun looked at her with a layer of deep worry in her eyes.
What other people think, she, Liu Jingyun, doesn't care. She only knew that the little junior sister was kind-hearted, and she got involved because she couldn't see Teacher Lu suffering from illness and also couldn't see other people being sad for it. If it goes on like this and the relationship with the patient deepens, the little junior sister will inevitably be hurt in her heart. It's like a group of people who were seriously injured four years ago.
"I'm a doctor, and I have to deal with all kinds of patients." Xie Wanying said as she recalled the scene of her colleague Cao's self-rescue. Explain that as a doctor, sooner or later, you need to face this moment. Fortunately, she had met the Second Senior Sister beforehand.
Liu Jingyun thought she was thinking too simply. Rescue is rescue. It is easy to say that the rescue is successful, but death is another matter if the rescue is invalid. As an anesthesiologist, Liu Jingyun had a premonition that Teacher Lu's disease would not be curable.
"Don't worry too much." Hu Zhenfan tried to comfort his girlfriend, "This is the best hospital in the country. Our leader said that this department is the most famous in the country. Whatever you are afraid of, you can definitely cure any patient."
"You want to be so naive!" Liu Jingyun couldn't bear it any longer, she got angry and explained it directly to her boyfriend, "Do you know what is the most terrifying disease in this department?"
"Yes—" Hu Zhenfan thought about it, hepatobiliary surgery, liver cancer?
End-stage liver cancer is very scary, but any cancer that is not in the terminal stage is scary. In this regard, hepatobiliary surgery is no different from other departments.
In terms of diseases that are difficult to detect, pancreatic cancer and duodenal cancer are almost the same. There are intractable diseases in every department, and it is too late when they are discovered
Xie Wanying knew that what the elder sister was talking about was not referring to these, but the difficulty of the operation. The surgical department performs operations, and the most frightening thing for surgeons is whether the operation can be performed, and whether it is difficult to perform.
The most difficult operation is a hodgepodge. Several organs get sick together and are next to each other. It just so happens that this is the case with some diseases in this department. For example, periampullary carcinoma of Vater.
The ampulla of Vater, an anatomical term, refers to the enlarged part formed by the confluence of the common bile duct and the pancreatic duct in the posteromedial wall of the descending part of the duodenum. It can be seen from the explanation of the terms that this place involves at least three organs and tissues, and the anatomical location is quite complicated, such as the duodenum, common bile duct, pancreas and so on. Therefore, once cancer grows here, it involves many surrounding organs, which is very difficult for surgeons. Generally, only the same operation method as the treatment of pancreatic head cancer can be adopted, that is, pancreatoduodenectomy.
The organs to be removed in this surgical method include part of the stomach, the entire duodenum, the head of the pancreas, the proximal end of the jejunum, and the bile duct, etc., and then the digestive tract is reconstructed.