"If you choose this way... the patient will indeed save money, but who will bear the risk?

Severe acute pancreatitis has a high mortality rate.

This is only about 20% to 40% with the support of postponement, elective surgery, somatostatin, early enteral nutrition and continuous blood purification!

But now, the patient's situation is very pessimistic, it's almost like trying to catch a duck!

High-risk routine surgeries are also being carried out at this time——

Xu Qiu, do you want to end your medical career?"

In the last sentence, Director Xiao said with a tone of hatred that iron cannot be transformed into steel.

Everyone present knew Xu Qiu.

I also understand that Xu Qiu frequently performs major surgeries in various departments and has strong surgical skills.

but……

It's impossible for him to be able to deal with severe acute pancreatitis, right?

However, at this moment, Director Jiang's phone suddenly rang.

He glanced at it and quickly picked it up.

After a while, he put down the phone and said with a pale face: "The patient is in septic shock! His condition has worsened again! If we don't do early surgery, the patient will suffer from multiple organ failure and surgery will not save him!"

Everyone's expressions changed at the same time.

Wang Ping was decisive. He quickly walked up to Xu Qiu, with questioning eyes, and asked: "Are you sure?"

Xu Qiu nodded: "Yeah."

"Okay, let's arrange the operating room!"

Wang Ping seemed to be used to this scene.

It’s pretty good to be a tool person…

At the end, he added: "I will bear the consequences of the operation."

Director Xiao and others originally wanted to give a few words of instruction, but after hearing the last words, they became silent again.

Just curious...

Why does Xu Qiu trust a director so much?

Last week, a patient with severe acute pancreatitis died under Director Xiao’s care. You can imagine how difficult it is to save him!

conference room,

Director Xiao watched Xu Qiu and others leave in a hurry.

At this moment, he suddenly remembered something, and he hurriedly said: "Don't worry, Professor Gao hasn't arrived yet!"

…

…

Pre-operative conversation and signature.

An hour later, Ma Pingchuan was pushed into the operating room.

Patient Diagnosis:

1. Severe acute pancreatitis

2. Septic shock

3. Abdominal infection

…

Planned surgery: Pancreatitis debridement and drainage, Chen's penetrating pancreaticojejunostomy

…

Preoperative preparation:

1. Strengthen monitoring, actively replenish fluids, and support organ function.

2. Improve the general condition, provide intravenous nutrition, and strengthen anti-infection.

3. Imaging examination will clarify the anatomical location of the abscess and determine the surgical path...

…

Before the operation, Director Xiao called Gao Pei'an.

Gao Pei'an said calmly: "Young man, don't be in a hurry. It will take at least an hour and a half to debridement and drainage. It only takes me forty minutes to get there from here, so I can make it in time - I'll smoke a cigarette first,

I can make it in time."

"Professor Gao, please come here early to guide the debridement surgery..."

Gao Pei'an raised his eyebrows: "Then we'll have to pay more."

"The key to the success or failure of the operation is debridement. If you can check it early, the success rate of the patient's operation can also be improved a lot..."

Gao Pei'an took a long puff of cigarette, put out the cigarette, put the remaining half back into the cigarette case, and blew out the smoke ring and said, "Okay, come here."

Director Xiao was relieved.

Fortunately, Professor Gao is an expert with medical ethics!

…

operating room.

Supine position, general anesthesia.

Ma Pingchuan soon became motionless.

The rough man who used to be able to carry several concrete slabs is now sallow and thin, with shriveled cheeks and sunken eye sockets like a mummy.

If it weren't for the heart rate and breathing on the monitor, no one would have imagined that this person on the operating table was a living person.

"Everyone is here."

Wang Ping glanced around and saw that there weren't many people in the operating room.

He frowned immediately.

Here in the emergency department,

Doctors like Chen Qiao, Wang Fan, and Yun Mei heard that Xu Qiu was going to have another surgery, so they signed up one by one, hoping to get the chance to observe.

Wang Ping considered: This surgery is not used by doctors in the emergency department.

It would be better to give those in the digestive, hepatobiliary and pancreatic departments more of a chance.

As a result... where are the people!

He looked at Director Xiao, frowned and said, "Aren't the doctors from your department coming to study? Why didn't they come?"

Director Xiao showed a puzzled expression first and said matter-of-factly: "Professor Gao hasn't arrived yet!"

Wang Ping stopped talking.

At this time, everything is ready in the operating room.

Xu Qiu ignored others and gently held the scalpel.

The perfect level of pancreatitis debridement and drainage brought him every insight,

Mechanical memory engraved in every muscle fiber,

At this moment, I am fully integrated with the knife in my hand...

He opened his eyes and said in a calm voice: "The operation begins."

At this moment, everyone's hearts tightened, and they quickly put on a focused expression and entered the state.

Conventional upper abdominal arc incision.

Cut the abdominal wall layer by layer.

then,

This means opening the lesser omental sac and retroperitoneum to access all areas of pancreatic necrosis and fluid accumulation.

Preoperative imaging showed that Ma Pingchuan's pancreatic necrotic tissue and exudate accumulated in the lesser omental sac.

Others are located in the head of the pancreas, prepancreatic area, etc.

"It's very complicated. You need multiple approaches to find all the necrotic areas..." Director Xiao said with emotion.

This surgery was a bit difficult for him to do.

Without a solid foundation in gastrointestinal surgery, not to mention debridement, finding all the necrotic areas will be a problem!

However, Xu Qiu seemed to have never heard of it.

He made a Kocher incision to free the posterior head of the pancreas.
To be continued...