Chapter 149 Director Qian asked me to pretend
Pancreatic duodenectomy is divided into traditional open abdominal and laparoscopic two types. The surgical targets are pancreatic head cancer, ampulla tumors, pancreatic cancer and other diseases. Ruan Bin knows this, but he also knows that the difficulty of laparoscopic pancreatic duodenectomy is n times that of traditional open abdominal.
"Laparoscopic pancreatic duodenectomy was introduced to China in 2003. After more than ten years of development, I didn't expect to reach the forefront of the world. I have to say that this is the result of the efforts of Chinese surgeons!" Zhang Haoyu continued, "We Professor Chen Chengquan completed 189 laparoscopic pancreatic duodenectomy throughout the year last year, and a total of 623 cases of lpd (pancreatic duodenectomy) were completed in 8 years, including 66 cases of lpd combined with vascular resection reconstruction. The mortality rate of 90 days after surgery was 0.57%! Previously, the postoperative mortality rate of Hopkins Hospital, ranked No. 1 in the world, was about 1%!"
"The average postoperative mortality rate of most surgeons in the world for laparoscopic pancreatic duodenectomy is about 10% or even higher, and even the postoperative mortality rate of Hopkins Hospital is only 1%! But our Professor Chen Chengquan's postoperative mortality rate is only 0.57%! Do you think it's awesome? Is it worthy of the world's number one? It can be said that he beat the pancreatic surgeons in the entire Hopkins Hospital alone!" Zhang Haoyu said proudly.
"Awesome!" After hearing this, Ruan Bin felt a sense of pride and admiration arise!
"No wonder I was able to win the World Medical Award for Minimally Invasive Surgery. This achievement is indeed worthy of its reputation!" Ruan Bin sighed.
"We must seize the opportunity for tomorrow's surgical teaching, and we will definitely learn a lot from it." Zhang Haoyu said happily.
"Yeah, come on."
When everyone returned to their posts, there were not many patients.
Ruan Bin saw that Jiang Yurong was fine at this time, so he ran over happily: "Director Jiang, can you do laparoscopic pancreatic duodenectomy?"
"Yes, what's wrong?" Jiang Yurong glanced at Ruan Bin and said.
"No, just ask casually." Ruan Bin laughed.
He knew that Jiang Yurong had pancreaticoduodenectomy last time, but he didn't know whether the other party was traditionally open or laparoscopic.
"Ruan Bin, you are very talented in laparoscopy. You have to study hard tomorrow for Professor Chen's surgical teaching. At present, Professor Chen is indeed the leader in pancreatic surgery. Even the Hopkins Hospital where I was originally located is slightly inferior!"
"It's not just you, but I even want Director Qian. Director Liu has to study hard these days! This is a very rare opportunity." Jiang Yurong said seriously.
"Uh, yes, yes." Ruan Bin nodded quickly, but asked in confusion: "Director Jiang, don't you have laparoscopic pancreatic duodenectomy?"
"Doesn't it mean semen! In fact, I have done a total of 28 cases of laparoscopic pancreaticoduodenectomy so far, and the postoperative mortality rate is 8%! This mortality rate is still too high, proving that I still need to practice well on the road of laparoscopic pancreaticoduodenectomy. When will the postoperative mortality rate reach about 1%? That will truly meet my requirements." Jiang Yurong said with some desire.
"If it is not a special patient, I generally recommend traditional pancreatic duodenectomy for open abdomen! The mortality rate is not as high as laparoscopy, unless it reaches that world-class level! That is to reduce the postoperative mortality rate to below 3%!" Jiang Yurong said earnestly.
"So that's it." Ruan Bin nodded. Although laparoscopic pancreatic duodenectomy is less traumatic and suitable for elderly people or patients who do not allow the body to have an open abdominal cavity, its complications are quite serious and the operation is difficult. Unless you are at the world-class level, of course, this is the first laparoscopic pancreatic duodenectomy!
Seeing that Jiang Yurong said that she needed to study hard in this area, it seems that Director Qian and Deputy Director Liu were probably at the same level, even worse than Jiang Yurong.
No wonder Lao Qian was so excited today!
After all, if you can get the guidance of such a master, his level may be a breakthrough!
…………
In the afternoon, the multimedia conference room of the First Affiliated Hospital of Magic City.
In the auditorium, in addition to the three directors of the emergency department, there are also a large number of directors of the general surgery department and doctors, inpatient departments and outpatient departments.
Even Vice President Lin personally came to the podium to deliver a warm welcome ceremony to Chen Chengquan's arrival.
"Next, please invite Professor Chen to come up and speak!" Vice President Lin made a call in the backstage.
Slap sex!
Warm applause rang out.
Chen Chengquan is a bald man in his fifties. He is not good-looking and is very energetic.
"Hello, everyone from the First Affiliated Hospital of the Magic City..."
A polite opening remark soon entered the heartfelt speech before the class.
"Minimally invasive surgery is the future development trend! We should develop more advanced surgical methods on the original minimally invasive surgery, because it can allow patients to recover faster and receive comprehensive treatment earlier..." Chen Chengquan gave a passionate speech on stage. In the past six months, he liked to go to local hospitals for training and teaching.
Because he knew very well that every skilled surgeon was cultivated by countless human, financial and material resources! They are all pillars of the country, and it is not an exaggeration to describe them as national treasures.
It often takes twenty years or thirty years to develop an excellent surgeon!
This is still the most basic thing. The most important thing is that you need to be talented, work hard enough, and you will innovate!
This leads to a shortage of good surgeons everywhere! It is even more difficult than cultivating a pilot!
He also walked along the way and knew that it was difficult to cultivate an excellent doctor, so when he reached his status and level, he was like spreading the experience and technology he had accumulated to more outstanding surgeons so that they could go further!
"Take a simple laparoscopic cholecystectomy as an example! How many minutes can you complete one? How high is the success rate? What if you face an elderly person over 100 years old, or a pregnant woman in the late pregnancy? Or a patient with very poor physical condition and severe complications? Have you ever thought about how to improve the more minimally invasive laparoscopic technology, improve your speed, success rate, reduce postoperative complications, and reduce postoperative mortality? If you can complete one operation half an hour, twenty minutes, and ten minutes in advance, then the patients waiting later can be treated in advance! Sometimes the emergency department can improve efficiency, and there will be no frequent insufficient manpower!"
"My fastest laparoscopic cholecystectomy record is 19 minutes! It was done for an 8-month-old pregnant woman. Who can do it?" Chen Chengquan said.
The reason why he said these words was to let these doctors know that strict requirements on themselves require a pioneering and innovative spirit! Self-breakthrough!
At this moment, Director Qian silently raised his hand.
"Huh?" When Chen Chengquan saw someone raise his hand, he was surprised.
"You did it?"
"No, it's not me~" Director Qian blushed, "A resident in our emergency department did it. He performed a laparoscopic cholecystectomy on a pregnant woman who was 9 months pregnant, which took 19 minutes and 36 seconds."
Chapter completed!