The operation begins.

Liu Muqiao said to several doctors from Dexin Hospital: "I will perform a teaching operation today. You must concentrate and follow me. You must pay attention to acute necrotizing pancreatitis, which must be done thoroughly while preserving the pancreas as much as possible."

Organization is the biggest highlight of this surgery for me."

In the past, when encountering patients with severe acute necrotizing pancreatitis, the pursuit of safety was often at the expense of more pancreatic tissue.

The biggest problem with pancreatitis is complications, such as pancreatic leakage, cysts, or chronic pancreatitis.

In order to reduce complications, most doctors choose to "rather kill a thousand people by mistake than let one go".

But Liu Muqiao was different. On the basis of ensuring the success of the operation, he preserved as much pancreatic tissue as possible.

This is the true ability to teach.

Several doctors have long known who Liu Miqiao is, and have read many of Liu Miqiao's papers in magazines. They have even studied the simplified version of Vilishi.

Although they haven't learned it yet, they can still learn from it during the operation.

The key is that they know that Liu Miqiao is the one who defeated Teng Ce.

Liu Muqiao did not let Yisuke disembowel him, but instead used the unique skill of disemboweling him with three knives.

"Pay attention to basic skills."

As soon as he finished speaking, the abdominal cavity was opened after three stabs.

Oops!

Several doctors from Dexin Hospital saw such a magical knife technique for the first time and couldn't help but marvel. Their mouths opened for a long time and could not be closed.

Next, the abdominal cavity was cleaned, the colon, jejunum, and stomach were moved away to expose the pancreas.

The pancreas appears dark red and there is exudate around it.

Most doctors will get goosebumps when they see this kind of pancreas, because this is a very serious form of pancreatitis, and there is only a part of the normal pancreas at the tail of the pancreas.

The first reaction is, cut it!

Except for Liu Miqiao, all the other doctors have only one word in their minds: cut, cut with great force. As for complications such as indigestion in the future, they will not consider it for the time being.

The pancreas is one of the most important digestive organs.

Food is digested first in the stomach. It undergoes the first round of digestion through gastric acid and digestive enzymes in the stomach, and then the food enters the small intestine.

In the small intestine, there is a large amount of alkaline digestive juice of the pancreas, which performs the second round of digestion of food. This round can be said to be the most important. The main decomposition of protein is the proteolytic enzymes in the pancreatic juice.

Without proteolytic enzymes, the probability of indigestion and malnutrition is very high, and it may also be complicated by ascites.

As a surgeon, we will consider this problem, but we will not take risks because of this problem. To be conservative, many doctors will choose to remove as much necrotic tissue as possible.

Liu Miqiao cut the body of the pancreas lengthwise and made three incisions.

What is this for?

Soon, they understood that this was Liu Miqiao opening the pancreas and using the most direct and crude way to check whether the pancreatic tissue was necrotic.

I have never seen this kind of inspection method.

However, for Liu Muqiao, this is the most basic and critical step in treating acute necrotizing pancreatitis.

"Have you noticed? The three incisions can easily see which is the normal pancreas and which is the necrotic pancreas. We try to preserve the normal tissue as much as possible. Please note that if the color becomes darker, it will not be considered for preservation.

This kind of color, which is between bright red and dark red, may recover its function after decompression and should be retained."

After speaking, Liu Miqiao easily cut off three pieces of dark red pancreatic tissue.

"The next step is to complete the anastomosis of the pancreatic ducts." Liu Miqiao gently picked up the three pancreatic ducts with tweezers, and he was going to anastomose them to the main pancreatic duct.

This is also difficult.

However, it was too easy for Liu Muqiao. It only took him more than ten minutes to complete the anastomosis.

The first assistant cleans the surgical field, the second assistant is responsible for pulling the hook, and the third assistant is waiting aside.

Liu Muqiao operated quickly.

Only cut so much pancreatic tissue?

Retain 80% of pancreatic tissue?

Unthinkable!

Ordinary doctors have to remove at least 60% of the pancreas. Now they only remove 20% of the pancreas. Are they really not worried about complications?

In other words, are you not afraid of failure of the operation?

Missing any necrotic tissue may cause recurrence of pancreatitis and require another operation.

The chief physician couldn't help but ask: "Dr. Liu, are you sure you don't need to cut more tissues? Those suspicious tissues won't cause trouble, right?"

Liu Miqiao said: "We directly opened the pancreas, are you still worried? According to the anatomical position, we actually completely dissected the pancreas and directly exposed the necrotic tissue. So, don't worry, for this patient, we only need to remove so much."

Of course, it is not impossible for you to cut more, but according to my experience, it is enough. The reason is very simple, this patient has not been ill for a long time, and many inflammatory tissues can be reversed."

Liu Miqiao applied warm saline gauze to the pancreas. After a while, he removed the gauze and found that the blood supply to the darker area was restored.

"Did you see this color? Red, it should be good. The compression has been relieved, the erosion has been relieved, and they will return to normal soon. After the operation, we will use Sandostatin and atropine for a few days. It is estimated that it will be fine in 1 week to 10 days.

Able to be discharged from hospital."

"7 days?"

"10 days?"

Once again subverting their understanding.

For pancreatic surgeries, most hospitalizations last for more than half a month. For acute necrotizing pancreatitis, hospitalizations last for one or two months, which is perfectly normal.

"One day, come to Antai Hospital and have a look. The pancreatic surgery department in our hospital is generally discharged within one week. Those who are discharged after more than two weeks are all broken by other hospitals."

Liu Muqiao began to suture the pancreas.

"Note that suturing is also done in a scientific way, so as not to affect the anatomical structure of the gland as much as possible. Because if it affects the glandular structure, it may cause the pancreas to fail to flow out and cause necrosis. Therefore, suturing is very critical. Avoid complications.

If it drops below 1%, you must practice suturing well."

"1%?"

Three doctors from our hospital exclaimed again.

At Antai Hospital, the complications of pancreatitis surgery are very low, and they achieved the miracle of being discharged from the hospital within a week. In most other hospitals, the complications of pancreatic surgery are extremely high, and 30% complications are normal.<

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Complications at Antai Hospital are less than 0.3%, which is closely related to the improvement of basic skills.

"Yes, in pancreatic surgery, the complications in the past were too high, but now the complications in several hospitals have dropped to less than 1%, which is not surprising. Peking University First Hospital has achieved this." Liu Muqiao introduced.
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"Dr. Liu, can we send someone to your place for further study?" the chief physician asked.

"Yes, you are welcome at any time." Liu Muqiao readily agreed. He himself felt strange, what's going on? Why can't he be so ruthless when considering Dexin Hospital as a competitor?
Chapter completed!