Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 88: Pancreatodenectomy
In this case, conservative treatment has failed and surgery is required immediately.
A while later, Ning Xue brought Wu Yuan to the ward.
This ward is a double room, but there is room for another bed, and there is only this one patient.
The patient was lying on the hospital bed without any movement.
There are only two possibilities.
The first is loss of consciousness.
The second possibility is that he was given related drugs to relieve pain and sleep.
Wu Yuan glanced at the values and curves on the monitor, and judged that it should be the latter.
There are many people in the ward.
Liu Dazhu, director of internal medicine, sits in the battle.
There is also Dong Zhigang, an aspiring young man in general surgery.
There is only Sun Jianzhong as the director of the general surgery department, and the deputy director is vacant. It seems that if Sun Jianzhong is not here, Dong Zhigang will become the second in command.
It is worth mentioning that although Dong Zhigang did not perform as brilliantly as Wu Yuan in the competition with Wu Yuan, the evaluation he received was not low, and he successfully got a quota for the establishment.
This is also very normal. Objectively speaking, Dong Zhigang's level is not bad.
It's just that he met such an evildoer as Wu Yuan, so he was pressed on the ground and rubbed for a while.
There is a shortage of surgeons in any hospital, especially in a low-level hospital like the Affiliated Hospital of Yanda University, where they are even more precious.
In addition, Dong Zhigang is also related, so it is only natural to get a staff.
In addition to these two doctors, there are two other people, a man and a woman, who should be the family members of the patient.
The expressions on the faces of the family members were very anxious.
At this time, Liu Dazhu and Dong Zhigang were talking quietly, probably discussing the patient's condition.
I saw Wu Yuan and Ning Xue entering the ward.
Both of them showed a look of surprise.
Liu Dazhu: "Where is Director Zhao?"
Ning Xue shook her head: "Director Zhao is not here either."
Ning Xue talked about Zhao Qin's situation.
Liu Dazhu looked solemn.
Dong Zhigang glanced at Wu Yuan, as if to say, "What are you doing here?"
Liu Dazhu: "Come on, let's go to the office to discuss."
One of the family members asked: "Doctor, don't you need to have an operation right away? When will it be done?"
Liu Dazhu: "Don't worry, both of you, let's discuss the operation plan first, and then explain the situation to you."
The family member nodded: "Then, please hurry up."
Liu Dazhu didn't say anything more, and took the other three young doctors to his office.
Liu Dazhu sighed: "Director Sun and Director Zhao are not here, so this will be troublesome."
Wu Yuan asked: "Director Liu, what is the patient's condition now?"
Liu Dazhu put a few films on the light board, then took out some test sheets of the patient, and said, "This is the situation now."
Wu Yuan first looked at the films on the bare board, then lowered his head and flipped through the test sheets.
Wu Yuan: "The current situation is really bad. Not only is the condition of the pancreas deteriorating obviously, but the duodenum is also infected. I'm afraid we need to perform pancreatoduodenectomy immediately."
Liu Dazhu shook his head: "The only ones who can perform pancreaticoduodenectomy in our hospital are Director Sun and Director Zhao, but they are not here..."
Ning Xue: "Let's wait a little longer, Director Zhao may be here soon."
Dong Zhigang: "The patient is young and should have good physical strength. He should be fine later."
Ning Xue also nodded, expressing her agreement.
Wu Yuan shook his head: "No, there is still a problem."
Dong Zhigang and Ning Xue were stunned for a moment.
Why did Wu Yuan sing the opposite, and he was so sure.
Liu Dazhu asked: "Doctor Wu, tell me the reason."
Wu Yuan: "Although the patient is only 48 years old, he is a diabetic patient, and his physical strength is very problematic."
Dong Zhigang's complexion changed. He didn't know that the patient had diabetes.
How did Wu Yuan see it when he came? That blood test report?
But the blood test items above are not so detailed!
Ning Xue was also quite surprised. She knew that the patient had diabetes, but she didn't think about physical strength.
This Wu Yuan's thoughts are really meticulous.
I only heard Wu Yuan say again: "In order to prepare for the operation, the patient has been taking bile salt preparations a week ago, which also has some impact on the patient's condition to a certain extent, but..."
Liu Dazhu: "But what?"
Wu Yuan raised his head and glanced at Liu Dazhu: "Did Director Liu give him ranitidine just now?"
Liu Dazhu nodded: "Yes, Dr. Wu, you can see it."
Just now Liu Dazhu thought that the operation must be done as soon as possible, so he added Remintidine to the patient's liquid bottle, which can greatly increase the success rate of the operation.
But this kind of thing cannot be used all the time, and the amount needs to be controlled very little, and it can only be used once a week at most.
Wu Yuan: "So now is the best time for the operation, within an hour! If it is later, the risk of the patient during the operation will increase."
Both Ning Xue and Dong Zhigang were very surprised by Wu Yuan's judgment.
Because Liu Dazhu's conclusion just now is the same.
I don't know how Wu Yuan made the judgment.
Ning Xue was surprised, but also realized the seriousness of the matter: "But Director Zhao may not be able to make it within an hour."
The current situation of the patient ~IndoMTL.com~ Transferring to another hospital is also very dangerous, and there is no guarantee that there will be no serious problems on the way.
It's a real dilemma.
At this moment, Wu Yuan suddenly said, "Let me do it."
"What, what!?"
"You? How could you do it!?"
"Stop joking! This is not simple pancreatitis!"
Wu Yuan really has a lot of experience in pancreatitis surgery.
But this time it was not a pancreatoduodenectomy, it was a tertiary operation, and the difficulty was more than doubled.
If the surgical technique is not good, even if it can be successful in the end, there is no guarantee that there will be no serious complications or even sequelae.
They didn't know that Wu Yuan's pancreaticoduodenectomy had actually reached level seven.
Already equivalent to a master.
Liu Dazhu was caught in a tangle.
Liu Dazhu has always been optimistic about Wu Yuan, and feels that his surgical skills are very high, but his strength is actually underestimated.
But now the stakes are high.
The patient's condition is no longer able to undergo the torture of a second operation, and the operation must be successful once.
Wu Yuan: "Director Liu, I am confident that I can do this operation well."
Liu Dazhu: "Really confident?"
Wu Yuan: "I really have confidence!"
Liu Dazhu pondered, as if he was really considering letting Wu Yuan go to the operating table.
Dong Zhigang: "Director Liu, I object, he can't handle such a difficult operation!"
Ning Xue looked at Dong Zhigang, and then at Wu Yuan.
Intellectually, Ning Xue felt that Dong Zhigang was right. Pancreaticoduodenectomy is a tertiary operation.
Even though Wu Yuan has made great progress recently, it is too much to do such a difficult operation.