Signing in at the hospital, the first operation shocked the whole country!

"Thank you, Director Qin."

Seeing this, Lu Mingming's eyes showed joy, and he quickly thanked him, and then took a support position.

"Scalpel."

"Richardson."

Qin Feng picked up the scalpel and separated the liver lobe, the retractor pulled the gallbladder and the right lobe of the liver to the head, and the second one retracted the left lobe of the liver.

The duodenum and pancreatic head have been mobilized with the Kocher maneuver before. In this process, the soft tissues on the vena cava and aorta should be removed, and the left renal vein should be exposed.

However, the soft tissue and lymph nodes between the vena cava and aorta are not routinely removed.

When mobilization of the duodenum proceeds distally, it must be separated from the hepatic flexure of the colon so that the mesoclonium is fully exposed.

Insertion of another retractor at this location will be helpful, pulling the hepatic flexure and right colon caudally.

At this moment, Qin Feng superbly turned to the anterior part of the pancreatic head and the transverse mesocolon still adhered to it, which needed to be further dissected to expose the superior mesenteric vein.

The smoothness of the whole process is perfect!

Lu Mingming, who was on the side as a helper, was shocked when he saw his whole technique.

He had only seen such a beautiful technique on the stage of the department director and deputy director, it was like performing an art.

Pancreaticoduodenal preservation is more difficult than resection, and its difficulty is at least one step higher.

You should know that resection is a difficult level 4 operation in gastrointestinal surgery. Apart from the director and deputy director, only one deputy senior attending doctor can take the stage.

Lu Mingming is 36 years old this year. It has been nearly ten years since he entered the gastroenterology department of Union Medical College at the age of 27, but he has not completely led a pancreaticoduodenectomy operation.

Not to mention sparing surgery for serious injuries!

At the age of 28, Qin Feng in front of him has become the deputy director of the Department of Union Medical College Hospital, which countless doctors dream of, and he is still one of the most powerful departments!

This news has had a far-reaching impact on the medical community in Beijing, and some people even reported and complained to the Medical Committee.

Xiehe Hospital, as the leading top three in the country, even let a young student who did not graduate with a doctoral degree to lead the extremely important and huge emergency department.

This is a serious violation and irresponsible behavior to patients.

Some people from relevant departments jointly signed a letter to report to the higher authorities, requesting Union Medical College Hospital to revoke this appointment and decision.

Even if Qin Feng's grades and operating room are here, they don't care.

Because Qin Feng has become a rule breaker.

Beyond cognition!

But unfortunately...

There are not a few people who support Qin Feng, and the biggest assistant is intensive care medicine.

Meng Dawei and Yuan Bin are the leading experts and pioneers in the clinical and academic field of severe disease in the country, and their teachers are the founders of Jiuzhou severe disease.

More than 80% of the country's top critical care experts come from one discipline!

Based on this alone, it can almost shake the medical circle in Beijing!

And when the name Qin Feng appeared, the 302 military doctors in Beijing, Fuwai in Beijing, and No. [-] affiliated to Beijing Medical University, who had contact with Qin Feng before, expressed their support overwhelmingly.

This is a test for young people. As a leader in the country and the capital, Xiehe should have a pioneering spirit.

What's more, Qin Feng is not the chief executive of the emergency department. He is currently only the deputy director of the office, mainly leading the clinical work.

Jinling No.1 People's Hospital, Suchuan First Affiliated Hospital and several top tertiary hospitals in Jiangsu Province also expressed their support.

In addition, in Qin Feng's short period of three or four years, none of the top surgery cases that were as thick as a book failed.

In the end, the Xiehe Academy put up the pressure and said that it would be a year for Qin Feng to test.

If there is any problem or bad influence during the one-year test period, the Xiehe Academy will revoke his position as deputy director and he will not be promoted for three years.

But at the same time, the Xiehe Academy Council also countered to the top. If Qin Feng passed the test a year later, his position would be officially confirmed.

At the same time, after Qin Fengxiehe graduated with a Ph.D., he was exempted from the two-year work requirement and made an exception to be promoted to a professional title.

30 years old, deputy senior title!

Qin Feng will become the Union Medical College Hospital, the deputy chief physician of the youngest top tertiary hospital in the capital, and even the entire Jiuzhou country!

You know, this is Xiehe Hospital!

Of course, this news is limited to the upper layer, and it is still in the confidential stage.

"Operation Line 0."

In the operating room, Qin Feng has already started suturing the wound.

The biliary tract and the lower end of the pylorus were partially resected where the wound was severe, and then the distance was shortened and the anastomosis was performed to reconstruct the continuity of the gastrointestinal tract.

An end-to-side anastomosis of the pancreas and jejunum is performed first, usually placing the jejunum behind the SMA and SMV, similar to where the original retroperitoneal duodenum was located.

The sewing speed is fast and the precision is so high that there is almost no deviation in the position of the needle every time.

The knot is perfect, and the two fingers flutter like butterflies.

The pancreatic stump was then freed 2-3 cm from the retroperitoneal tissue, where some splenic vein branches were ligated and severed.

The pancreatic duct is probed and its patency is ensured beyond the site of an earlier hemostatic polypropylene suture closure at the superior border of the pancreas.

"Pancreatic duct."

Qin Feng stretched out his hand and took a pancreatic duct.

Carefully insert an 8Fr pediatric feeding tube into the pancreatic duct to ensure easy visualization of the tube during the anastomosis, continue the anastomosis, and then remove the tube when the anastomosis is almost complete.

Dang bang~

The anastomosis was successful, and the pancreatic duct was removed.

"Gauze, suck blood."

"3-0 needle with thread."

Holding the suction device in hand, Lu Mingming quickly cleaned up the surgical field of vision, and his heart was shocked.

Qin Feng took over the needle-holding forceps again, and began to anastomose the pancreas to the intestine with the rear row of horizontal mattress sutures to start the double-layer anastomosis.

"Come on, hold on."

After the stitching was over, Qin Feng said in a low voice.

When Lu Mingming carefully pulled the intestines to the pancreas, he tied the sutures in a knot to minimize the chance of tearing the pancreatic parenchyma.

Dang bang~

"Electric knife."

Qin Feng put down the pliers and stretched out his hand.

After receiving the electrocoagulation knife, the jejunum was incised using electrocautery about 1 cm before the row of mattress sutures where the silk sutures had been knotted.

在吻合口的后上缘穿过2根3-0或4-0聚二恶烷酮(polydioxanone， PDS)缝线进行缝合......

After the intestinal anastomosis is completed, the bile duct anastomosis is started...

And finally the duodenal anastomosis...

The time passed by every minute and every second, and the operation time was close to 7 hours.

Dang bang~

I don't know how many times I put down the needle-holding forceps. In Qin Feng's eyes, there are only constant anastomoses.

And this night, the patient's physical signs kept beating and struggling on the safety line.

As if the patient knew that someone was saving him, he stubbornly never stopped.

"Whoo~"

Qin Feng breathed a sigh of relief and looked at the sutured duodenum.

It finally ended successfully.

Only the final operation remains, drainage and closure.

He placed a closed suction drain (Jackson Pratt drain) close to the anastomosis of the hepatic and pancreatic ducts and started the anastomosis.

The tip of the drainage tube was placed behind the hepatic duct jejunostomy, and guided to the back of the stomach (between the pancreaticojejunostomy and the left lobe of the liver), and finally led out from the left abdomen.

Finally, a T-tube was passed through the right abdomen, and the drain and T-tube were sutured to the skin.

Rinse the abdomen and close the abdomen.

Dang bang~

The moment the needle-holding pliers fell into the plate, everyone's hearts vibrated with the sound.

Surgery is over!

"Okay, send it to the ICU for 24 hours of close observation."

Qin Feng's hanging heart fell slightly, and he said.

"Ok."

Zhang Qingquan nodded in response.

And Lu Mingming, who was first aided, was still immersed in the operation just now, unable to extricate himself.

Such a beautiful operation is simply rare in life~~~

"Okay, Doctor Lu, we're done."

Seeing that he was still in a daze, Qin Feng couldn't help reminding him.

"Ah? Oh! Okay Director Qin, thank you! Thank you so much!"

Lu Mingming came back to his senses when he heard the words, and said gratefully with excitement on his face.

This kind of operation can be called a textbook.

Learned learned!

immediately,

Diligently took off the gloves, walked out of the operating room, and began to clean and disinfect.

And outside the operating room at this moment, several people in police uniforms waited for a long, long time...

Chapter 331 Unplug the Oxygen, Terrible Bear

Hey~

The lights outside the operating room went out and the door opened.

"Doctor, how is he?"

Seeing the doctor coming out, Jiang Yuan and Lao Du hurried forward.

"The patient was seriously injured. Although we successfully completed the operation and all the wounds and damaged organs have been repaired, it is still very dangerous.

The patient will be sent to the ICU immediately, and the next dangerous period depends on whether he can survive it.

We'll do our best to heal, don't worry. "

Qin Feng roughly explained the situation, then glanced over, and found that there were no family members, only a few policemen,

"Has the patient's family not been notified?"

"that......"

Hearing this, several people looked at each other in blank dismay, as if a little embarrassed.

"Doctor, the family members are not here, and they don't know the situation over there. We will explain the situation to the family members.

Now I hope you can revive him, all the fees and signatures will be covered by us. "

At this time, Jiang Yuan stepped forward and said firmly.

"That's all right, family members, please inform as soon as possible, and we will do our best."

Qin Feng nodded and didn't say anything more.

The identity of the patient's own policeman is more sensitive, and they are not good at this aspect, as long as someone signs it.