Come on, Dr. Wu

Chapter 509: The Belated Elite

Wu Xiaofu said a lot, and those who were watching the live broadcast listened very carefully because they could hear the sincerity in Wu Xiaofu's words.

Many people shed tears as they listened, tears of excitement, especially Wu Jiajun. In fact, this term has become more and more unfamiliar to them, because the offer is a thing of the past, and Wu Xiaofu is no longer that young doctor.

Doctors don't need so much attention, so they don't cause trouble for Wu Xiaofu. They only stand up when Wu Xiaofu needs them, but their efforts actually need to be recognized.

Today, listening to Wu Xiaofu's thanks, they feel that everything that came before was worth it, and they will continue to support him in the future.

After the award ceremony, more people gathered around Wu Xiaofu.

Everyone knows that from today on, Wu Xiaofu will be the most important person in the field of life sciences and medicine in the world. No one wants to make friends with such a person.

Various invitations kept coming in, but Wu Xiaofu no longer wanted to stay here. The big thing was over, and he should go back to the hospital, the laboratory, and his job.

A pure doctor, a pure medical worker, should not be hindered by these glory.

The next day, Wu Xiaofu returned to Donghai.

Wu Xiaofu actually gained a lot in Hong Kong this time. Liver transplantation has always been a major item in hepatobiliary surgery and also the most important operation. As time goes by, more and more people in China and even in the world need liver transplants.

However, liver transplantation requires a liver source, and there are very few liver sources compared to the number of people who need a liver transplant. Therefore, when the operation really needs to be performed, most of the livers are donated by family members.

Although the liver can be restored, and even if it is cut in half, it can be restored to its original state later, but both doctors and liver donors know that this method of donating the liver will definitely have an impact on the donor.

It not only affects the body's immunity and recovery ability, but also affects future liver function.

But there is no other way. Those who are willing to donate their livers all have relatives whom they are unwilling and unable to let go of.

However, Wu Xiaofu wondered whether it was possible to use a liver that could be produced independently to replace this living liver source.

This is what Wu Xiaofu thought of when he was performing surgery on the child with a pierced liver in Port X. At that time, Wu Xiaofu was thinking that this child was actually lucky because only half of his liver had lost its vitality.

But what if the patient’s entire liver had lost vitality?
At that time, the problem could not be solved by liver removal. A liver transplant had to be performed on the spot so that the patient would have a hope of continuing to survive. However, a liver transplant on the spot was simply not feasible. Liver transplantation in Hong Kong was even more stringent, and the possibility of obtaining a donated liver in a short period of time was basically zero.

If a relative provides a liver, it also needs to be matched, and the match must be successful. The patient may not be able to wait this long.

Therefore, patients with liver disease in the world really need a commercialized liver.

There are too many patients with liver disease in the world now. There are countless patients with hepatitis A, B, C, D and E. Their conditions gradually worsen, and many will develop cirrhosis and liver cancer.

Finally, he had to get a liver transplant.

You can survive by getting a liver transplant, but if you can’t wait for a liver source and have no relatives to donate a liver, you can only wait to die.

Therefore, as long as such a commercial liver can appear, it will be able to solve the problems of most liver disease patients.

And is this difficult?
In fact, it is very feasible, because heart transplantation has advanced to this point. Although the postoperative survival rate and survival period are very low, at least the direction is not a problem.

So, it's worth doing.

But this would make Wu Xiaofu even busier, and while he was busy, Yu Shifu informed him that there was another award he needed to receive.

Outstanding youth!

Every outstanding scientific researcher is an outstanding youth of the country. This is not just empty talk. In the process of growing up, almost all of them have won the honor of outstanding youth at the provincial, municipal and even national levels.

However, even though Wu Xiaofu has won the Shao Award in Life Science and Medicine, he is still only one of the top ten outstanding young doctors of the First Affiliated Hospital so far.

Not to mention the national level, there is not even the provincial or municipal level.

"Professor Wu, this is a belated outstanding young man."

At the award ceremony, Wu Xiaofu was holding the honor of Young Outstanding Scholar and listening to the voices of his predecessors. He was very excited for a moment. He knew that it was not the country's fault for ignoring him, but that he was progressing too fast.

He was originally going to be awarded the National Outstanding Young Scientist title this year, but the award ceremony always has a specific time. As a result of waiting, Wu Xiaofu won the Shao Award first. In this way, it seems that the title of National Outstanding Young Scientist came a little late.

After all, everyone has won the Shao Award, but he is not recognized as an outstanding young scholar by the country.

However, Wu Xiaofu doesn't think so. No matter how great the Shao Award is, it is not as valuable as this Outstanding Young Scholar.

Of course, no matter how many honors he has received, Wu Xiaofu is still a doctor and the hospital is his job.

On Friday, Wu Xiaofu sat in the clinic as usual.

As the workday was about to end, Wu Xiaofu saw his last patient, a patient who found him on a blog. Because he didn't have an appointment, he could only consult him on the blog. Wu Xiaofu took a look and realized that he had been following him for seven years.

I started paying attention to him when he first offered me the offer.

So Wu Xiaofu also looked at the patient's blog carefully, but Wu Xiaofu suspected that the patient's condition was not good, so he asked the patient to come to the hospital directly without registering, and just wait in line to be seen.

The patient was a woman in her fifties, very fat, with the fattest part being her belly.

That big belly makes people think that she is pregnant with twins or triplets at first glance.

However, Wu Xiaofu looked at the examination and test reports brought by the patient and knew that the patient was not pregnant nor had ascites due to liver cirrhosis.

The patient's gynecological appendages are normal, liver function is normal, and there is no problem with the liver, so the big belly is of other origin.

I lifted up her clothes and saw that it was indeed not ascites.

In fact, it is very easy to distinguish a big belly caused by ascites and other reasons. Just looking at the belly, there will be an obvious downward pull due to ascites, and it will change according to changes in body position. Moreover, as the ascites increases and the belly is stretched, the fat skin on the belly will become thinner.

Sometimes when you shine a flashlight, you can see transparent shadows, and many of the stomachs are yellow.

When palpating and percussing, there are also splashing sounds and mobile dullness.

But this patient was different. Her belly was black, like the dark skin caused by long-term lack of nutritional support for the skin, resulting in melanin deposition, and there was obviously not much water in the patient's belly. After careful examination, Wu Xiaofu felt that it was a whole piece of meat stuck to the belly, making the patient's belly look very large and thick, just like she was pregnant.

But who has such a big piece of meat on their belly?

However, nowadays in medicine, this thing is no longer called meat, but tumor.

"My stomach started to show these changes last year. At first it was just a small lump of flesh, which went down after I used some folk remedies. But then it started to grow again, and it got out of control. I couldn't control it even with the folk remedies.

It has grown to this size in just half a year. I went to the local hospital and they said it had to be removed. But after that, it would probably grow even bigger. I don't want to see this thing again.

Now that I'm away from home and walking outside, they all look at me as a monster. Professor Wu, can you please help me?"

At this time, the patient is no longer affected only by the fibroid condition, but his entire spirit seems to have reached the brink of collapse. This infinitely proliferating fibroid often brings more pain to the patient than some serious stomach diseases.

Nodding, "This should be a fibroid, it's not a big problem. Look, this is the scar left by your previous cesarean section. It seems that the fibroid grew along the cesarean section scar and is continuing to proliferate.

Ignoring it is definitely not an option. It will only get bigger. Although the chance of it getting worse is low, it is not impossible. And such a big thing growing on your stomach will put a lot of strain on your heart. You are having trouble walking now, right? "

Not only is walking difficult, but now the patient is afraid of meeting people and hardly leaves home.

"Yes, Professor Wu, you are amazing. The little meat bag I had before grew right on the edge of the scar. I don't want to have to cut this thing off all my life. Professor Wu, you are so amazing, there must be a way, right?"

Yes, there is definitely a way.

This type of fibroma is actually a manifestation of endocrine disorders. Because of collective endocrine problems, the body undergoes atypical proliferation, and most of the time it may be accompanied by organ lesions.

The patient was admitted directly to the hospital for examination, and it was found that there was a problem with his pancreas.

The patient herself had diabetes, and the continued impact of gestational diabetes caused her diabetes to become increasingly serious. She now has to rely on insulin to maintain her condition. Moreover, due to her diet, her pancreas also frequently has problems.

In fact, if we follow the cause and effect relationship, we will find that this fibroma is caused by frequent problems with the pancreas.

There is also the problem of eating. The patient is clearly trying to reduce her diet, but she simply cannot control it. Her stomach is too big, especially recently. This is also a major reason why the fibroid in her abdomen is growing faster and faster.

So, these are all issues that need to be addressed urgently.

Especially the pancreas, after examination, it was found that there were early changes of the disease, so this patient is really lucky. Although the fibroid seems to have a big impact, it is benign and will not have much impact on survival.

But pancreatic lesions are different. Once pancreatic cancer is discovered, it is already in the late stage. This is the first time Wu Xiaofu has encountered such an early case. It is almost just a precancerous lesion. This is why Wu Xiaofu asked him to come to the hospital directly to see him.

Otherwise, Wu Xiaofu taught him the method on his blog, allowing him to recuperate, and when the recuperation is almost complete, he can come for the surgery and he will be able to almost return to normal.

But now the pancreas is involved.

Therefore, it was no longer possible to simply treat the disease, and the diseased part had to be surgically removed. After a careful examination, Wu Xiaofu found that the result was similar to his own judgment, so he arranged the surgery directly.

Partial pancreas removal and subtotal stomach removal.

The patient is less than 1.6 meters tall, but weighs more than 200 pounds. What a concept! It is no exaggeration to say that her whole body is oil. It is impossible for her to lose weight on her own, so the surgery was just the right way to help her solve this problem.

Only after sleeve gastrectomy can the patient lose weight, the pancreas recover normally, and the fibroids stop growing. Therefore, this weight loss surgery is extremely necessary.

operating room.

"Teacher, this?"

Liu Lin was a little surprised when she saw the way Wu Xiaofu handled the pancreatic duct. After all, this was not how Wu Xiaofu did the pancreaticojejunostomy before.

"I call this technique pancreatic duct entrapment single-needle suturing. I have only recently developed it and I plan to try it in the future. In my opinion, this suturing method, compared with pancreatic duct to mucosal suturing, should significantly reduce the pancreatic fistula rate, and the anastomosis time and operation time will also be significantly shortened."

It is difficult for people to think of a surgical method, but if they know about this surgical method and then think about the advantages of this surgical method based on this surgical method, it is actually not that difficult.

For example, now, watching Wu Xiaofu's single-needle suture method for pancreatic duct ligation, Liu Lin and others can quickly think of the advantages of this anastomosis method.

Just as Wu Xiaofu said, the most significant feature of this anastomosis method is that it can shorten the pancreatico-enteric anastomosis time and the operation time, effectively reducing the difficulty of the surgical operation. People like them generally dare to perform this kind of difficult operation.

But if they did, they thought they might as well give it a try.

One can imagine how much the difficulty is reduced. Moreover, the most important thing is to reduce the rate of pancreatic fistula. In pancreaticojejunostomy surgery, what doctors worry about most is the rate of pancreatic fistula, which is really high.

So Liu Lin and the others studied more seriously. If they really learned it, it would be much easier for them to perform pancreaticoduodenectomy in the future.

Wu Xiaofu was seen searching for and freeing the main pancreatic duct, then splitting the pancreas from bottom to top. At this time, the main pancreatic duct was completely exposed. He then began to carefully peel off the 0.5 cm pancreatic stump from the head side.

"This is the key initial step. The pancreatic duct must be long enough and intact to facilitate tying. Then we prepare a pancreatic juice support drainage tube of corresponding size according to the diameter of the pancreatic duct. The insertion end is cut into a bevel and 1-3 side holes are cut to fully enter the pancreas. The exposed length is 4-5cm."

Wu Xiaofu spoke and did it at the same time, and Liu Lin and the others listened carefully. In fact, up to this step, the rest is not that difficult, but if you listen carefully, you will find that the previous ones are not difficult either.

Just expose the pancreatic duct and set up the drainage.

Subsequently, the pancreatic duct was fixed with drainage, and one stitch was placed at the upper and lower edges of the pancreatic stump to stop bleeding.

The last step is the "intimate contact" with the jejunum. About 0.5 to 1 cm away from the cross section of the pancreas, from the head of the pancreas to the foot, first make a full-thickness continuous suture between the back of the pancreatic cut end and the posterior wall of the jejunum.

"When suturing, don't tighten the thread too much, so as to reduce the difficulty of suturing. After suturing, you can tighten the thread a little. Then, in the jejunal part corresponding to the pancreatic duct at the end of the pancreas, make a small hole about the same size as the pancreatic duct, and then put the support drainage tube at the distal end of the jejunal loop.

Next, turn from the back wall of the feet to the head, and continue to suture the ventral side of the pancreatic stump and the entire anterior wall of the jejunum. Finally, bring the pancreatic stump and the jejunum together tightly, slowly gather the head and tail of the suture, tie a knot, and you're done! "

Well, I'll watch it.

Liu Lin, Zhou Yunlai and Yang Dong nodded together. They really watched it and thought that they could do it themselves. Well, it should be possible.

(End of this chapter)