The distance between Jin Ling and Feng County was not too far. It was only a few hundred kilometers. Even though there was no traffic jam early in the morning, it was almost noon when Chief Xia arrived at the Central Hospital.
Chief Xia had a simple bite of the burger in the car. After arriving, surrounded by the patient's family members, he took a look at the patient's scans and the patient himself.
As expected, the patient was in the late stage of cancer and was beyond cure.
Once again, he explained the patient's condition to the patient's family. The risk of failure was very high, and even if it was successful, the patient could only live for about a year.
This was the main point. If the patient's family had fantasies and tried to cure him, Chief Xia would turn around and leave without a word.
The patient's family made their stance clear. They just wanted the old man to receive the best medical treatment that they could. After that, life and death were up to fate, and the family knew this very well.
Since that was the case, let's start the surgery.
Director Li's mouth twitched as he listened. He thought to himself, 'The best medical treatment is right in front of you, but you don't know how to cherish it.'
However, this had nothing to do with him anymore. Boss Zheng's side had already completed a few TIPS surgeries. He should be eating at this time. Then, he would return to the Imperial Capital by high-speed rail and plane.
It was a pity to brush past Boss Zheng. Whether it was the patient or himself, this was fate.
After sending the patient on stage, Chief Li accompanied Chief Xia from Jinling Cancer Hospital. They chatted as they went on stage.
Chief Li was shocked when he learned that Chief Xia was going to perform the surgery under a laparoscope.
No wonder she dared to accept this surgery. Chief Xia was truly capable.
Anesthetized, washed his hands, put on his clothes, and went on stage.
The pneumoperitoneum was established, but Chief Xia was stunned after fiddling with the laparoscopic forceps.
Chief Li could tell that the adhesion in the abdominal cavity was very serious. It was not something that could be done with laparoscopic surgery.
There was no operative view, so what was the point of performing laparoscopy? (Note)
Let's switch to laparotomy. We can't give up on the surgery just because we can't perform laparoscopy, right? '
Department Chief Xia did not feel embarrassed. Her condition was obvious. If she insisted on doing it forcefully, she would be digging her own grave.
A 20cm long incision was made in the middle of the abdomen, and the abdomen was incised layer by layer.
The surface of the liver, the small intestine, and the pelvic cavity were explored again. No metastatic nodule was found. The gallbladder was about 8 × 3 cm, and the diameter of the common bile duct was about 0.6 cm.
The surgery was performed in a standard manner. There was no laparoscopic surgery, but the surgical incision proved that Chief Xia's skills were quite high.
Chief Physician Li's heart calmed down a little.
Department Chief Xia opened the gastrocolonic ligament along the edge of the colon, opened the lateral peritoneum of the duodenum, and lifted the duodenum to perform a double diagnosis. The tumor in the uncinate process of the pancreas was found to be 4cm in diameter. It was hard and had unclear boundaries, but its mobility was good.
However, as the surgery progressed, Chief Xia's expression became more and more serious.
Looking at the radiographic films was one thing, but actually looking at it was another.
The surgery he was about to perform was definitely more difficult than the ones he had performed before. The adhesions in the patient's abdominal cavity were very serious. It would be very difficult to successfully remove it.
At this point, Chief Xia tried her best not to think about the failure of the surgery.
He continued to dissociate the pancreatic head and the back of the duodenum. The inferior vena cava was not affected. The root of the transverse mesocolon was examined and there was no sign of contracture invasion.
However, when the superior mesenteric vein was separated, Chief Xia was stunned.
He opened the retroperitoneum at the base of the transverse mesocolon and separated it along the superior mesenteric vein to find the blood vessel.
After that, he skillfully separated the branch blood vessels that converged into the superior mesenteric vein, suspended them with an occlusion band, and separated the main superior mesenteric vein along the blood vessels.
Visible to the naked eye, the tumor was closely related to the superior mesenteric vein, and the junction of the superior mesenteric vein was involved.
All of them … were involved …
Looking at the tumor and the superior mesenteric vein that were adhered into a ball, Chief Xia took a deep breath and prepared to start dissociating.
Of course, he knew in his heart that it would be too difficult to successfully dissociate this kind of adhesion. At this moment, he had already begun to regret it. Why did he run over to change the knife and accept this surgery last night?
It was really too f * cked up!
Chief Xia carefully tried to dissociate. Subconsciously, he had already realized that he had made a wrong choice. A large amount of adrenaline and dopamine were secreted in the body. The parasympathetic nerves were suppressed, and the sympathetic nerves were excited, directly entering a state of stress.
The sweat glands secreted a large amount of sweat, and the sterile cap was penetrated within 2 '22 ″.
Chief Xia turned his head, but this was not his own hospital. There was no tacit understanding at all. No one understood the intention of his every move, and he felt that his actions were very stupid.
"Wipe my sweat," Chief Xia said helplessly in a deep voice.
The circulating nurse took a piece of gauze and wiped his sweat. After asking in a low voice, "Chief Xia, shall I tie a gauze for you?"
"Okay." Chief Xia took this opportunity to ease his already tense sympathetic nerves.
He recalled the tumor and superior mesenteric vein that were adhered together in the surgical area and felt helpless.
He was really obsessed. Why was he in a hurry to talk about Little Zheng! In the end, Little Zheng escaped a calamity, but he was put on the fire grill to roast.
What the f * ck!
Chief Xia had a good temper and rarely scolded people. However, the complicated situation made him irritable. Perhaps it was the side effect of the parasympathetic nerves dormant and the sympathetic nerves beginning to become excited.
The sterile cap on his head was tied with a gauze. Chief Xia focused and began to continue the surgery.
He hoped that he could do it.
He hoped that the tumor and the superior mesenteric vein were not as tightly adhered as the eyes saw.
He hoped …
Chief Xia had too much hope in his heart.
However, after 3 minutes and 12 ″, all hope was shattered.
The tumor was tightly adhered to the superior mesenteric vein, so the surgery could not continue.
"Do you have a vascular surgery department?" Chief Xia asked in a deep voice.
"Uh …" Chief Li hesitated for a moment. He had a kind of pleasure in his heart that should not have appeared.
However, this kind of emotion was suppressed by him. If the patient could not get off the stage, he would also have to take the blame. Although this blame was brought on by the patient's family, it was better not to take the blame if he could.
"Chief Xia, we have a vascular surgery department, but the level of skill is average," Chief Li said bluntly.
Chief Xia stopped the surgery and looked at the surgical area helplessly. The internal organs and blood were so dazzling under the light of the shadowless lamp. His hands and feet were a little numb, and he was thinking about how to explain to the patient's family.
The operating theater was extremely quiet. Chief Li peeked at the electronic timer next to him. He waited for three minutes and saw that Chief Xia still did not speak, so he suggested in a low voice, "Chief Xia, Little Zheng from the Imperial Capital hasn't left yet. Do you think …"
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Note 1: This surgery was a real surgery from the top Class Three Grade A Hospital in the country. Laparoscopy was converted to open surgery. Not all preoperative evaluations could correctly determine the surgical method. This point was mentioned separately.
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