Chapter 199 Rescue (please vote)
Wu Xiaofu didn’t even wait for Professor Stephanie to say hello, and took the initiative to greet him.
"Professor Stephanie, hello, I am Wu Xiaofu."
Stephanie was also looking at Wu Xiaofu at this time. She attached great importance to Qu Ying, so she naturally cared about Qu Ying. Personally, her Chinese boyfriend is a colleague. The important thing is that this colleague seems to be quite famous. She has checked it before and it can be directly pinpointed to the individual. Especially recently, Wu Xiaofu has become even more popular, and his reputation has spread abroad. Coming.
Moreover, some people in the hospital seemed to be talking about Wu Xiaofu.
The surgical genius of China.
This is what some general surgery experts in the MA Clinic call Wu Xiaofu. When it comes to excellence, it seems that Wu Xiaofu is no worse than Qu Ying, and it seems that he can match up with Qu Ying.
"Wu, I've heard your name a lot lately. Come on, sit down."
The three of them sat down. Wu Xiaofu didn't expect that foreign doctors would enjoy it so much. To be honest, this There is really no one with the configuration of a laboratory building, such as libraries, cafes, restaurants, entertainment venues, etc. This is definitely unthinkable in China. If you dare to do these in a hospital, I will not spray you with autism. It's strange.
Furthermore, MA Clinic is obviously a well-known large hospital in the world, but the number of patients seems to be just that, not even comparable to a provincial top three hospital.
Wu Xiaofu felt relieved when he thought of the family doctor system in country M.
Not to mention other things, this workload, this configuration, this enjoyment, Wu Xiaofu is indeed the end of the world.
"How about it? The environment here is good. Do you want to work here? With your ability, you have the conditions to stay and work here."
Stephanie also noticed it Wu Xiaofu's eyes immediately smiled and said that she had been to China. Well, in her opinion, China's medical treatment was in one word, chaotic. Of course, there were also things that made Stephanie envious, such as enough cases. , which is very important during the experiment.
If she had such a huge case base, maybe her experiment could proceed more smoothly.
In her impression, cancer patients in China are not opposed to participating in experimental projects, but country M is different. If you really want to find enough cases to participate in the experiment, you have to bankrupt the experiment, so many experiments are very advanced. Slowly, it was not a joke to say that Wu Xiaofu was asked to stay. Wu Xiaofu's achievements in general surgery impressed some of his colleagues in the MA Clinic.
The most important thing is that Wu Xiaofu is young. If he can stay, with the training of MA Clinic, his growth rate and upper limit will be absolutely immeasurable.
As for whether Wu Xiaofu will stay if such an opportunity really comes, Stephanie feels there is no doubt.
You can earn more, it’s easier, and you have more development prospects. Why don’t you agree?
“Sorry, my doctoral studies are not over yet. I may not have the opportunity to study here again in the future.”
I am envious, but Wu Xiaofu really has no idea of staying and working in country M. China's medical treatment is also advancing rapidly, and it may not be possible to surpass country M in the future. The most important thing is that there are not enough people in China to save, how can there be When you have free time to come to country M, you can at most just come and see the high-precision technology.
Wu Xiaofu actually had this intention when he came over this time. It would be great if their laboratory could be visited.
Unfortunately, Wu Xiaofu thought too much. The people of country m are open to the public, but the laboratory of country m is not open.
However, I was very happy to communicate with Professor Stephanie. Stephanie’s knowledge accumulation and sharp thinking are definitely not comparable to ordinary people, even Wu Xiaofu is ashamed.
"Wu, are you interested in visiting our general surgery surgery?"
Um!
What does Stephanie mean? Of course Wu Xiaofu is interested. In terms of hands-on ability, doctors from country M are really unique. This is what Wu Xiaofu needs to learn. They often don’t have too many worries after the operation starts. Doctors from China are very good at performing surgeries. Sometimes, due to the safety of surgery, surgical thinking tends to be conservative, and where risks are taken, palliative treatment is automatically preferred.
But the doctor in country M is different. He really dares to take risks. Of course, this is also because the legal rights of the consent form for surgery are really high.
In the general surgery department of MA Clinic, Stephanie brought Wu Xiaofu over, and there were actually people waiting for her.
“Martial!”
A doctor in his thirties immediately hugged Wu Xiaofu when he saw him. Wu Xiaofu was caught off guard by this enthusiasm.
“Haha, Wu, this is Dr. David from our Hepatobiliary Surgery Department. He respects you very much. Ever since he saw your previous laparoscopic extended radical surgery for gallbladder cancer, he has been trying it. I heard today that You come here, I have to show it to you no matter what, let me invite you over."
"Yes, Wu, just call me David, I have an appointment today. A patient with gallbladder cancer is asking you to give me some advice.”
Wu Xiaofu also didn’t expect that there would be such a show. According to his idea, when he came to MA Clinic, he was a small character, and Professor Stephanie was the one. It was okay to meet him because of Qu Ying's relationship, but this David was so good that he actually wanted to compete with him on the spot. Yes, it was a competition, and he said he was giving advice, but David's tone did not mean to give advice at all.
He was clearly telling Wu Xiaofu: Come, let’s see if I do better or if you do better.
Wu Xiaofu didn't care, and nodded with a smile. In country M, there is no such thing as professional title promotion. It is generally an appointment system. If you have the ability, you can get promoted. It is not as detailed as in China. In country M, there are only There are two levels: resident doctor and attending doctor. The director is already at the administrative level. However, in country M, the attending doctor can generally perform all surgeries. Yes, there are no level restrictions.
Laparoscopic extended radical resection of gallbladder cancer is undoubtedly a level 4 operation. Dr. David can independently try this operation, which shows that he is also the authority of MA Clinic.
Well, age has no meaning in MA Clinic. The most important thing here is genius.
"Wu, how long will it take at the fastest to do laparoscopic radical surgery for gallbladder cancer?"
The fastest!
Wu Xiaofu fell into memories. It took a long time to do the first one, but it became easier and smoother after that. Even if he even had a liver transplant before coming to M country, it didn't take three hours. Now he is doing laparoscopic gallbladder cancer enlargement. Radical surgery takes about two hours.
“Two hours.”
No, what does this David want to do?
“Two hours!”
David was startled when he heard this. To be honest, this answer was something David didn’t expect, but he didn’t think Wu Xiaofu would lie to him. After all, this was nothing. The secret was that he would be able to know Wu Xiaofu's fastest speed in the future. However, after two hours, David gritted his teeth and said, "Okay, then let's see who is faster in two hours."
ah!
Wu Xiaofu was also stunned when he heard this, can this be compared?
Now he just wants to say to David: I cheated, why do you do it?
However, David obviously did not believe in evil, and he went directly into the operating room.
Outside the observation room, Wu Xiaofu looked at Professor Stephanie, "Professor, why don't you advise him. What if something goes wrong?"
In the observation room, Wu Xiaofu looked at the patient information in his hand and said to Professor Stephanie with some concern.
The patient is over sixty years old. Gallbladder cancer involves the bile duct. Although the liver has not been diagnosed, based on Wu Xiaofu’s long-term surgical experience, the liver blood vessels must be involved. In this case, it is not certain that the liver As for the impact of the surgery, David wanted to compete with Wu Xiaofu and try to finish the surgery within two hours faster than Wu Xiaofu.
Although Wu Xiaofu did not dare to underestimate David's strength, after all, he was undergoing surgery now. The patient was over sixty years old and could not withstand the hardship. If something happened, Wu Xiaofu would not be happy.
So, Wu Xiaofu still felt that this forced bet had to end.
Before the operation started, Wu Xiaofu wanted Professor Stephanie to say something to stop him. After all, Professor Stephanie was the only one present who could speak.
When Professor Stephanie heard this, she gave Wu Xiaofu a reassuring look.
“Don’t worry, Wu, David is a genius in general surgery just like you. He has already completed several cases of this surgery, so there will be no problem.”
Wu Xiaofu was even more helpless. He had never doubted David's ability. At this moment, he also remembered that this was the general surgery genius who had become famous at MA Clinic some time ago. I heard that he already had four or five Lancet articles in hand. At this age, , this thesis ability is not a genius. Although I have never seen the ability in his hands, it will definitely not be bad.
But ability is ability. You really have to complete the operation within two hours. It’s not that Wu Xiaofu underestimated David, but it really feels a bit unreliable.
Well, compared to that kind of surgery, even if you want to get off work even half the time, it’s not reliable.
But Stephanie had already said this, what else could Wu Xiaofu do? If she continued to say this, she would really look down on David.
Forget it, maybe David can really do it.
Thinking of this, Wu Xiaofu stopped thinking about it and glanced at the observation room in front of him. The observation room here was also different. It was not the domestic kind where you stay in the room and watch the surgical field through the monitor. Standing directly on the second floor of the operating room, from the first perspective, through the glass, you can directly see the first scene of the operation.
Wu Xiaofu is very satisfied with this perspective. To be honest, he can see and learn much more than standing in the observation room.
Moreover, there is also a microphone connected to the operating room. You can talk to the operating room at any time. As long as the surgeon in the operating room is willing, the sounds in the operating room can be heard outside.
"Wu, I'm starting."
David's voice came over, and he saw that he had already started the operation.
David also brought two residents with him. Well, they seem to be a little older than Wu Xiaofu. They should be the kind who have completed all their studies, that is, the kind who have completed their bachelor's, master's and doctoral training. kind.
The various systems may differ, but the surgeries are nearly the same.
Position, anesthesia, disinfection, and draping.
It was obvious that David really wanted to compete with Wu Xiaofu. No, he didn't have the relaxed attitude of doctors from country M when dealing with surgery. At this time, he also accelerated the progress, as if he was in a hurry.
Stephanie frowned when she saw David like this.
Although Stephanie does not perform surgery, it does not mean that she does not understand. She actually has the power to perform surgery, but human energy is limited after all, and there must be choices. She wants to experiment To achieve results, you must invest your time in the place you like more. Stephanie is very confident about David.
But looking at David's current rhythm, Stephanie also felt a little uneasy.
She also didn’t expect that Wu Xiaofu would put so much pressure on David. You know, David is definitely a genius among geniuses. No matter how difficult the operation is, after careful consideration, he can do it once or twice. Laparoscopic cholecystectomy was rarely done before, but David also mastered it.
However, David stopped here before. Extended radical resection was too difficult, and the difficulty of the operation was much higher than that of laparoscopic radical resection of gallbladder cancer.
It wasn’t until Wu Xiaofu completed the first extended radical surgery for gallbladder cancer that David became obsessed.
David has always believed that he can do what others can do, and he can do what others cannot do, and he will do it better and better. His arrogance is not only too great, Stephanie and David's mother is a friend. David's mother is also a professor at MA Clinic. She has been very good to David since she was a child. David often shares things with her. People say that David is closer to Stephanie than to his mother.
So, many of David’s ideas and understanding of David are better than those of Stephanie.
David had previously expressed his desire to meet Wu Xiaofu and compete with Wu Xiaofu. Therefore, this time, after Stephanie heard Qu Ying say that Wu Xiaofu was here, she directly said that she wanted to meet Wu Xiaofu and give him She gave David this opportunity, but she didn't expect that David would actually meet his opponent.
Stephanie knew that David had completed several laparoscopic extended radical operations for gallbladder cancer, and the success rate of the operation was guaranteed.
With this eager look now, it can only be due to lack of confidence in time.
Show off!
No one needed to remind Stephanie that such a word appeared in her mind. As a doctor, Stephanie knew how scary this word was to doctors and patients. Being stubborn would make doctors lose their due. Calmness also represents the doctor's lack of self-confidence. A doctor without confidence stands on the operating table. Fortunately, the patient does not know, otherwise, he would not know how panicked he would be.
Looking at Wu Xiaofu, "Wu, can you really complete the operation in two hours? I remember that your previous operation took more than four hours."
Wu Xiaofu nodded, "Well, that was my first laparoscopic radical surgery for gallbladder cancer, so it took a little longer. Before coming here, I also had a laparoscopic radical surgery for gallbladder cancer and a liver transplant. It took less than three hours.”
His!
Stephanie gasped when she heard this, and her eyes when she looked at Wu Xiaofu were full of shock.
"Less than three hours?"
Most liver transplants must take more than this time. What speed is this? She knew that this time David really met his opponent.
"Wu, congratulations. I'm afraid you have once again reached the peak of general education. Have you submitted a paper?"
"Yes, I have already submitted to NEJM."
Hearing what Wu Xiaofu said, Stephanie had no doubts. Since the article had been submitted, it would definitely be published soon. Wu Xiaofu would definitely not brag about this kind of thing.
Thinking of this, Stephanie’s understanding of Wu Xiaofu became deeper.
Nothing more.
Stephanie looked at David, feeling a little worried. She knew David too well. In order to defeat Wu Xiaofu, he would definitely fight for time at all costs.
Advise David?
Stop making trouble. If David had listened to the advice, he would no longer be David. If he said anything at this time, I am afraid it would only make David more competitive.
Awesome!
At this time, David had already begun to dissociate the fascial ligaments around the gallbladder in the abdominal cavity.
Looking at David's operation, Wu Xiaofu couldn't help but secretly praise him. His freeing skills were no worse than his. In terms of beauty, he might be a little worse. However, Wu Xiaofu could see that this didn't mean that David couldn't free. More beautiful, just because David was competing for time, so he sacrificed a certain degree of beauty and asked for time.
But, is this really no problem?
After admiring, Wu Xiaofu frowned again, especially when he saw the gallbladder that had more than doubled in size. Is such a speed requirement really not going to hurt anything? Break something? Fortunately, it turns out that Wu Xiaofu really overthought it.
David's foundation is really good. Even in such a hurry, he was still able to avoid important parts steadily and grasped the proportion very well. Not only did he not hurt his gallbladder The surrounding blood vessels did not puncture the gallbladder, and the treatment of the common bile duct was quickly advanced.
However, David seemed to be getting more and more impatient.
Because time was passing quickly, David was still looking at the time on the electronic screen while performing the surgery.
You must know that this is a taboo for doctors. Except for the necessary operations that record time and need to be aware of it, at other times, the surgeon basically does not leave the surgical field. Nowadays In this way, David is actually a little less rigorous. After all, human energy is limited.
Surgery is about saving lives, so investing 100% of your energy is not enough, not to mention that you also spend some energy on calculating time.
After all, David’s patients are not models, but real patients.
"Xiao Fu."
Qu Ying also saw Wu Xiaofu frowning and stepped forward to hold Wu Xiaofu's hand. Wu Xiaofu immediately opened his brows.
"It's okay."
In fact, Stephanie's brows were frowned deeper than Wu Xiaofu's. It was obvious to onlookers that if Wu Xiaofu could see things clearly, Stephanie could also see them clearly.
Not to mention Stephanie, even the two assistants on the operating table, as well as the nurse and anesthesiologist cooperating with David's operation were a little uneasy at this time.
This is not the first time that they have cooperated with David, especially the two assistants. These two assistants are almost David's regular assistants. As regular assistants, they have never seen David doing surgery in such a hurry. They have always been It's a leisurely stroll, giving people a feeling of confidence, but today, even if the operation was rough, it was still rushed. Is this operation really so dangerous? The patient must end the operation as soon as possible.
But the medical records were prepared by two assistants. They looked at each other and shook their heads.
The meaning is obvious, no, it should be able to last four or five hours.
I meant to remind you, but after thinking about it, the two assistants still did not cause trouble. This is David. How can anyone else say anything? Let alone ask David to slow down and give a little opinion. David wouldn't listen, but everyone on the operating table felt increasingly uneasy.
Secretly praying that there will be no accidents during the operation, otherwise, they will be in trouble together.
Um!
At this moment, everyone on the operating table froze, and even David's movements slowed down.
Located in the center of the surgical field of view is the portal blood vessel, but the portal blood vessel at this time is not what they usually see, but is invaded by the tumor.
The portal blood vessels that were directly invaded were already wrapped by the extension of the tumor, just like the one Wu Xiaofu encountered when he performed his first extended radical surgery for gallbladder cancer.
However, in that surgery, Wu Xiaofu was lucky. After the peeling, there was no tumor covering the hilar blood vessels, so he was not directly removed.
I just don’t know if things will be different this time.
Wu Xiaofu frowned again. Sure enough, as he had thought before, when he looked at the medical records and combined with the patient's symptoms, Wu Xiaofu felt that there must be a problem with the patient's liver blood vessels.
When the hemoglobin is below 70, blood pressure often rises temporarily.
This is very likely to be the case where the portal blood vessels are invaded by the tumor. Moreover, according to Wu Xiaofu’s inference, it is very likely that the patient’s portal blood vessels have been eroded internally. In other words, David is likely not His previous luck, in this case, the difficulty of this operation has skyrocketed.
If this is really the case, Wu Xiaofu feels that even if he does it by himself, it will take two hours, and David.
Um!
It also depends on the time!
Wu Xiaofu looked at David's movements, looked at the time, gritted his teeth, stamped his feet, and went straight up.
Good guy!
Looking at David's actions again, Wu Xiaofu was shocked.
Slower! Slower!
Feng Shui is turning. At this time, Wu Xiaofu finally realized how Yu Shifu and the others felt when he had the operation. Well, it was just like this. They yelled to slow down like crazy, but David seemed to have broken the brakes. It was the same, but he only wanted to peel off the blood vessels as soon as possible.
But there are two completely different situations when the inside of a blood vessel has been invaded by cancer and whether it has not been invaded.
Because a simply wrapped portal blood vessel will not be so fragile, but once it is invaded by cancer, the portal blood vessel will basically break at a touch. Wu Xiaofu is not on the operating table now, so the field cannot be opened. We don’t know the condition of the patient’s blood vessels at all, but we can tell by inference that the condition of his blood vessels must be bad.
In this case, it will be very difficult to peel off. You must be careful and gentle, so that even if there is damage, it can be repaired in time.
To be on the safe side, you can even do a porta hepatis block.
But David didn’t, he just acted recklessly. He was really reckless.
“Not good!”
The panicked voice came from the operating room. It was not David’s voice, but the assistant’s voice, because in the field of vision, a stream of blood spurted out, and the whole body The vision in the mirror was directly blurred.
Didi didi!
The monitor's alarm sounded, and the blood pressure began to drop.
The anesthesiologist immediately panicked, "What's wrong, what's going on?"
"The portal blood vessel is broken!"
I'm going to die!
The anesthesiologist no longer cares about comforting David's eighteen generations of ancestors at this time, and hurriedly administers medicine, "What are you waiting for? Stop the bleeding quickly."
David was also stunned at this time, and only then did he react when his assistant called him.
"Quick, turn to disembowelment."
David is still good at it. Although he rarely encounters such a situation and is suddenly frustrated, he still reacts quickly and gives the order directly. road.
Everyone was busy opening up the abdomen. After all, the portal blood vessels were broken, and Kagano could not see anything at all.
A blind man needs surgery? Can it be done?
What's more, the narrow abdominal cavity is inherently difficult to operate. Otherwise, Wu Xiaofu would not have become the first laparoscopic expanded radical surgery for gallbladder cancer.
Stephanie in the observation room also cursed at this time: Damn it.
Looking at Wu Xiaofu, "Wu, do you have any idea?"
Stephanie understands the current situation very well. A patient in his sixties has a ruptured portal blood vessel, which is inherently dangerous. Well, if it is converted to laparotomy, the trauma of this kind of surgery will basically mean that there is a high chance that the patient will not be able to get off the operating table, and a small chance that he will have to leave a will as soon as he gets off the operating table.
Wu Xiaofu was helpless at this time. This David was really reckless.
Turn on the microphone.
“Don’t open your abdomen yet, transfuse blood and fluids, wait for me.”
After saying that, Wu Xiaofu went straight to the first floor. This is also the benefit of this observation room. Students are doing surgeries below. Give students an independent space, and the teacher will be watching from above. If the student is unable to handle the problem, or if there is any surgical situation, the teacher can rush to the rescue as soon as possible.
Everyone who was busy was stunned when they heard Wu Xiaofu's voice.
David's expression also changed, but he did not continue to open his abdomen after all. Instead, he looked at the anesthesiologist, "Prepare blood transfusion and fluid replenishment, hurry up."
What Stephanie thought of, David could think of.
David wouldn’t really care about the patient’s life because of his face, but waiting is actually very dangerous. After all, now he is turning to laparotomy and racing against time, he is capable of saving half of the patient’s life. , but it was Wu Xiaofu who spoke, that was Wu Xiaofu, David thought to himself, and finally gritted his teeth and believed it.
Although he intended to compete with Wu Xiaofu, David really recognized Wu Xiaofu's ability.
At the very least, Wu Xiaofu is the one with the most potential and ability among the opponents he recognizes. In this case, if people are willing to help save lives, what else can he think and dare to think about.
After all, he is just more competitive, not so bad that he ignores the patient.
Wu Xiaofu was so fast that he didn't even bother to wash his hands. He quickly squeezed out two handfuls of disinfectant foam for free and started applying it.
The nurse who patrolled the desk was also a veteran. The moment Wu Xiaofu came in, she had already prepared her clothes and quickly put them on for Wu Xiaofu. Wu Xiaofu didn’t even wait to fasten the back, and stood on the operating table. Wei took the initiative to give up his position.
With the operating lever in hand, at this moment, the field is fully opened.
The situation in the abdominal cavity became clear immediately. He looked at David and said, "Hold the mirror."
Huh?
When Wu Xiaofu asked him to hold the mirror, David was stunned.
"What are you waiting for."
"Oh."
Seeing Wu Xiaofu's expression of concern, David suddenly seemed to have seen the professor back then and hurriedly cooperated.
“Portal blocking zone.”
The nurse hurriedly handed over the instrument, and Wu Xiaofu didn't waste any time and put it directly into the abdominal cavity.
This!
Everyone looked at the surgical field where they could barely see anything. It was no different from a blind man. What did Wu Xiaofu want to do? What? Do you want to practice blindly?
Portal hepatic obstruction is not an easy operation in the first place, not to mention that it is performed under the laparoscopic field of view. No, there is no laparoscopic field of view and the operating space is small. It is simply nonsense.
David felt a little regretful for trusting Wu Xiaofu. This was not a mess.
If Wu Xiaofu could block the liver hilus with this, he would rush to the operating room toilet to eat.
Unlike David, Qu Ying and Stephanie, who were standing in the observation room and watching, were focused on cheering Wu Xiaofu. The former felt that Wu Xiaofu would definitely find a way and believed in Wu Xiaofu, while the latter We don’t want the patient to have problems, otherwise, no matter whether the patient’s family members look for trouble or not, David’s self-confidence will be frustrated, which is likely to leave a shadow, making it difficult to grow smoothly in the future.
Wu Xiaofu couldn't care less about what others thought. At this time, he was also scolding David. What kind of hole was he opening? He never thought that such a dangerous situation would arise. What should he do? What room should be left?
At first glance, I didn’t take a good look at the Chinese art of war. Before thinking about victory, I thought about defeat first.
Laparoscopy is just a cover. Wu Xiaofu’s operating rod brings the portal blocking belt to the liver, and the view of the liver automatically and actively appears in Wu Xiaofu’s mind.
The bleeding portal blood vessels are also clearly visible.
However, forget about anastomosis of blood vessels at this time. This is the portal blood vessel invaded by cancer. When you are in the practice room, you only see orange peels, pig skins, and rubber used to practice suturing. Why don't you see that you use tofu to sew? It won't sew at all. The more you sew, the worse it will be. You can only block the liver portal. First block the blood flow in the liver to stop the bleeding, and then consider other things.
Wu Xiaofu has done hepatic portal blockade many times, so he is naturally very good at it.
That is, the hole opened by David was not right, otherwise, it would have been smoother.
For more than ten seconds, Wu Xiaofu moved the operating lever in his hand rapidly. With the final pull, the entire surgical field suddenly became a little clearer.
This is a little bit remarkable, it means that the bleeding situation has improved.
Everyone was stunned, especially David. Is this really possible?
The happiest person at this time is the anesthetist. He can’t wait to jump up and kiss Xiaofu and his wife. My savior, the patient’s blood pressure, who was rushing towards the cliff like a wild horse just now, finally stopped at the cliff. , I am no longer so crazy. I really scared the anesthesiologist just now. All kinds of medicines are not working.
Hepatic portal blood vessels, this bleeding is just like intra-abdominal blood vessel rupture and bleeding in patients with liver cirrhosis. Many of them die without waiting to go to the hospital.
You can see how severe the bleeding is, and blood transfusions and fluid rehydration are only a drop in the bucket.
After all, that is losing, not gaining.
“Suck it.”
Wu Xiaofu looked at David, who was still in a daze, and said directly. Only then did David react. He quickly wiped the mirror on the liver bed, and his vision suddenly changed. Be clearer.
“Really, really stopped!”
(End of this chapter)