Vol 3 Chapter 2312: Cannot do it

The journey from Jinling to Fengxian is not far, hundreds of kilometers. Even if it was a morning road, there was no traffic jam on the road. When Director Xia rushed to the central hospital, it was near noon.
Director Xia Xia took a simple bite of a hamburger in the car. After arriving, surrounded by the patient's family, he glanced at the patient's film and the patient himself.
As in imagination, the patient is already at the advanced stage of cancer and is ill.
Talk to the patient's family again about the condition. The risk of surgical failure is very high, and even if it is successful, it can only maintain a life of about 1 year.
This is the key point. If the patient's family members have illusions and try to cure, Director Xia turns away without a word.
The family members of the patients showed their attitudes, just wanting the old man to get the highest level of medical treatment within his ability.
That being the case, then go to surgery.
主任 Director Li straightened his lips. He thought to himself that the best medical treatment was in front of you, but he didn't know to cherish it.
But this has nothing to do with him anymore. A few TIPS surgeries have been done on the Zheng boss' side. At this time, he should be eating, and then the high-speed rail and plane will return to the Imperial City.
It is a shame that Xuan and Boss passed by, no matter it is the patient or himself, this is a fatal life.
He sent the patient to the stage. Director Li accompanied Director Xia of the Jinling Cancer Hospital and went on stage while chatting.
得 When he learned that Director Xia was going to perform this operation under laparoscopy, Director Li was shocked.
No wonder people dare to take this operation, this Director Xia has real ability.
Anesthesia, brush your hands and dress on the stage.
I set up a pneumoperitoneum, but Director Xia fiddled with it twice with endoscopic pliers, and then he was there.
主任 Director Li sees very clearly that the adhesion in the abdominal cavity is very heavy, and it can not be done by endoscopic surgery at all.
I do n’t even have a surgical field. What endoscope? (Note)
Then turn to open the abdomen, you can't give up surgery if you can't do it.
Director Xia Xia was not embarrassed. The condition was set up here, and he was doing it with strength. It was to find mine by himself.
Take a midline incision about 20cm in length and cut into the abdomen layer by layer.
Exploring the liver surface, small intestine, and pelvic cavity again, no metastatic nodules were found; the gallbladder was about 8 × 3 cm, and the common bile duct was about 0.6 cm in diameter. The gallbladder was removed retrogradely.
The operation was quite satisfactory. Laparoscopic surgery was not seen, but the surgical operation proved that Director Xia's level is quite high.
忐忑 Director Li's heart calmed a little.
Director Xia Xia opened the gastrocolonic ligament along the edge of the colon, opened the duodenal peritoneum, and raised the duodenum for double consultation. Exploration revealed that the mass of the pancreatic hook process was 4 cm in diameter, with a hard texture, unclear borders, and good mobility.
Only as the operation progressed, Director Xia's face became more dignified.
It's one thing to watch a movie, but to open it, it's another.
难度 The current surgery is definitely more difficult than those I have done before. The patient's intra-abdominal adhesion was very heavy, and it was too difficult to successfully remove it.
Done here, Director Xia tried not to think about the failure of the operation.
Continue to free the pancreatic head and the back of the duodenum, and explore the inferior vena cava without involvement. Exploring the mesentery root of the transverse colon, no contracture was invaded.
But when separating the superior mesenteric vein, Director Xia 懵 懵.
打开 He opened the peritoneum at the root of the mesentery of the transverse colon and separated the blood vessels along the superior mesenteric vein.
Then expertly isolate the branch vessels leading into the superior mesenteric vein, suspend the band, and isolate the superior mesenteric vein trunk along this vessel.
The naked eye can see that the mass is closely related to the superior mesenteric vein, and the superior mesenteric vein is involved at the junction of the downward bifurcation.
All ... Affected ...
Looking at the adhesion of the tumor and the superior mesenteric vein, Director Xia took a deep breath and then prepared to begin to dissociate.
Of course, he knows that it is too difficult for this kind of adhesion to smoothly swim away. At this point, he had begun to regret it. Why did he get so confused last night that he had to come over to change the knife and take this operation?
I'm so fucked!
Director Xia Xia carefully tried to escape. Subconsciously he had realized that he had made a wrong choice. A large amount of adrenaline and dopamine are secreted in the body, the parasympathetic nerve is suppressed, the sympathetic nerve is excited, and it directly enters a stress state.
The sweat glands secrete a large amount of sweat, and the sterile cap is penetrated within 2′22 ″.
Director Xia Xia turned his head, but this is not his own hospital and there is no tacit understanding. No one understood the intention of every move, he felt that this move was silly.
"Wipe sweat." Director Xia said helplessly.
The tour nurse took a piece of gauze, wiped him with a sweat, and whispered, "Director Xia, can I tie a gauze to you?"
"Okay." Director Xia took this opportunity to ease his already strained sympathetic nerves.
回 He thought about the stuck tumor and the superior mesenteric vein in the operation area, and he felt helpless.
I am really a ghost, why do I have to catch the boss Zheng to talk about it! The result was pretty good. Boss Xiao Zheng escaped, but was put on the fire to bake.
This is special!
Director Xia Xia has a good temper and rarely scolds people. But the complicated situation made him irritable, maybe it was the side effect of parasympathetic dormancy ~ EbookFREE.me ~ the sympathetic nerve started to excite.
A gauze was tied around the sterile cap on his head, and Director Xia Ning began to continue the operation.
I hope to do it,
Hope that the tumor and the mesenteric veins adhere less tightly than the eyes can see.
hope……
Director Xia Xia had too much hope in her heart.
After 3 minutes and 12 ″, all hopes were shattered.
The tumor is tightly adhered to the superior mesenteric vein, and the operation cannot be continued.
"Do you have vascular surgery?" Director Xia Shen asked.
"Uh ..." Director Li hesitated. He had a thrill in his heart that should not have appeared.
But this emotion was suppressed by him. The patient did not go to the stage, and he had to follow suit. Although the pot was sought by the patient's family members, it is better not to carry it.
"Director Xia, we have vascular surgery, but the technical level is average." Director Li said bluntly.
Director Xia Xia stopped the operation and looked at the operation area helplessly. The internal organs and blood stains were so dazzling under the shadowless lamp. He had numb hands and feet, wondering how to explain to the patient's family.
The operating room was quiet, and Director Li peeped at the electronic timer next to him. He waited for 3 minutes and saw Director Xia still not talking. He whispered, "Director Xia, Emperor Xiao's boss has not left Do you want to ... "
Uh ...
Uh ...
Note 1: This operation was introduced from a real operation in the top three domestic hospitals. Not all preoperative evaluations can correctly determine the surgical method, which is mentioned separately.