Uncle Han transforms into a "minion"
At first he didn't care
Until ten days ago
Jaundice symptoms are getting worse
Under the advice of local doctors, Han Dabo was urgently referred to the Department of Hepatobic, Pancreatobiliary Medicine, Zhumadian Central Hospital.
The examination found that the condition was far more serious than expected:
The internal and external bile ducts are visibly dilated
The bile ducts are changed like wilted vines
Bile duct stenosis is close to occlusion
Thickening of the bile duct wall is considered in placeholder
This means
He had a tumor in his bile ducts
Zhang Yiqiang, deputy chief physician of tube bed doctor, invited Ren Hongliang, director of the department of hepatobiliary, pancreatic and spleen surgery, to come to consultation. Subsequently, Han Dabo was transferred to the Department of Hepatobiliary, Pancreatic and Spleen Surgery and admitted to the hospital for treatment.
To confirm the condition
Ren Hongliang arranged further examinations for Uncle Han
Check the display
In the pancreatic segment of Han Dabo's common bile duct
There is a tumor about 7 mm in diameter
Blocked the outlet of the bile ducts
Surgery is required as soon as possible
Uncle Han's tube bed doctor Chen Xiangdong introduced:
The common bile duct is the pathway of bile circulation, and the longer the tumor grows, the larger it becomes, the larger it leads to biliary obstruction, which will affect the circulatory pathway of bile, resulting in abdominal pain, bloating, anorexia, nausea, jaundice and other symptoms.
Because Han Dabo is a tumor at the end of the common bile duct, pancreatic duodenal resection needs to be done, and the scope of resection is relatively extensive, not only to remove part of the stomach, duodenum, pancreatic head, gallbladder, and lower bile duct, but also to complete the three anastomosiss of pancreatic intestine, biliary intestine, and gastrointestinal tract.
Ren Hongliang
Successful pancreatic duodenectomy requires a doctor with skilled surgical skills and good anatomical techniques. Pancreatic duodenal surgery difficulty coefficient is very large, there is a huge risk of bleeding, after the removal of the organ tissue implicated by bile duct tumors, but also to carry out gastrointestinal reconstruction, that is, to reconnect the cross-section after resection, in order to restore the normal function of liver, gallbladder, pancreas, stomach, intestines and other tissues.
Because the surgery is difficult, risky and traumatic
The incidence of postoperative complications is high
This procedure is called
"Everest in Hepatobiliary Surgery"
The most difficult during surgery
It is
How to combine a ductile intestine with a non-ductile pancreas
Anastomize together
Ren Hongliang organized a team of department experts to discuss and analyze, because Han Dabo recently had a history of cerebral hemorrhage, Ren Hongliang asked neurologists to consult, make full preoperative preparations to prevent intraoperative and postoperative recurrence of cerebrovascular accidents, and formulate emergency treatment plans.
After full preoperative preparation, with the cooperation of the Department of Anesthesiology and the Department of Pathology, the operation was coordinated by Ren Hongliang, chief physician Ren Hongliang, deputy chief physician Wang Yaqi, and resident physician Chen Xiangdong, and the operation was successfully completed and "radical resection" was achieved. After the operation, Han Dabo's symptoms improved significantly and he recovered well. (Text/Chen Siyu Chen Xiangdong Photo/Zhao Shiqi Cui Wenting)