I’m just a doctor
46 Pylorus Preserving Duodeno-Pancreatic Resection

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Zhang Yi brought Yuan Li around Linhai City and even went to the university to reminisce. The next afternoon, Zhang Yi prepared to bid farewell to Su Qingqing and return to Tianshan City.

"Aren't you going to stay for a few more days?" Su Qingqing lowered her head and stared at the tip of Zhang Yi's shoes.

"Your father is recovering very well, and there are no life-threatening complications, so I think I should go back. After all, I still have work to do. It's not good to delay it for too long.”

"Oh…right, take this.”Su Qingqing took out an Industrial and Commercial Bank of China card from her bag and handed it to Zhang Yi.

Zhang Yi frowned and asked unhappily,""What do you mean?"

Su Qingqing raised her head and saw Zhang Yi's slightly angry face. She hurriedly explained,"Don't misunderstand. My dad asked me to give it to you. Our family doesn't have anything else but money. He said that doctors have to eat too. It's not much, just 500,000."

500,000 was not much?

Perhaps 500,000 yuan was not worth mentioning for a family like Su Qingqing, but for an ordinary family, this amount was enough to fight for decades.

"Do you think I will accept it?" Zhang Yi stared at Su Qingqing and questioned her.

"I know you won't accept it, but I still hope you can accept it. I know very well how the salary of a houseman is. Nowadays, the pressure in society was so great that even if you had ambition, you might not be able to overcome the hurdle of reality.

That's why I agree with my dad. Take the card. It doesn't matter if you use the money to do charity or do something you want to do.

I hope I can help you, now or in the future. After I take over the company, I'll slowly expand my medical consumables and equipment business. Even if I can't become a doctor, I can still do some work in this area.”

After Su Qingqing finished speaking, she stuffed the card into Zhang Yi's hand.

"Take it back. I won't accept it.”Although Zhang Yi was moved by Su Qingqing's words just now, no matter what, she was still his university classmate. She was just helping him with an operation, so he should not accept her.

"How about this? Take this money first. If you really don't need to return it to me after a month, okay?”Su Qingqing passed the card to Zhang Yi.

"Alright, I'll return it to you in a month.”Zhang Yi couldn't be bothered to push it back and forth anymore. Moreover, he didn't think that he needed money at all. Even if he had the idea of opening a clinic, he shouldn't get money from Su Qingqing.

Seeing Zhang Yi accept the money, Su Qingqing was relieved. She believed that Zhang Yi would use the money not for himself, but for others.

It was already eleven o'clock at night when they returned to Dachuan County. As soon as he got off the car, Yuan Li kept complaining,""I won't run so far anymore. I'll die of exhaustion if I take a bus!”

"Heh, didn't you want to take a walk at the government expense?”

"I won't go in the future!"

After returning home, Zhang Yi washed up and lay down.

[Medical ethics: 53 (Full score: 100)]

[Wound Suturing Technique: 70 (Full marks: 100)]

Congenital heart disease surgery: Completed

Embolization of the cerebral artery: Completed

[Atrophy of the brain: Completed]

[Limb Replantation: Completed]

[Pancreaticocholecystectomy: Unlocked (Completion 80%)]

[Eye Surgery: Unlocked]

[Organs Transplantation: Unlocked]

Three-incision radical surgery for esophagus cancer plus colonic/jejunal replacement of esophagus and neck anastomosis: not unlocked

…………

Zhang Yi scrolled down the panel. There were still many ununlocked surgeries, and he felt a headache looking at them. He had been training for more than half a month just for this surgery, and there was still organ transplantation!

"Hey!" Zhang Yi could not help but sigh. He closed his eyes and entered the System Training Space.

Now, I will begin the simulation training of 'Duodenectomy with Pylorus Preservation'. Host, please be prepared. Countdown 5, 4, 3, starting now!

There was also another method for the removal of the primary tumor in the patient's stomach. It was called 'Duodenectomy with Pylorus Preservation'. This surgical method was more commonly used overseas in recent years. It was suitable for patients with no upper and lower gastric nodes that had metastasized, and no residual cancer cells at the edge of the incision. This surgical method could also be used for patients with early-stage cancer of the head of the gallbladder and patients with chronic cholecystectomy.?

The most critical step of the surgery was to preserve the innervation of the gastric antrum and the constrictor of the intestine, as well as to maintain the blood supply of the first segment of the intestine. It was different from a cholecystectomy, where the entire stomach, including the gallbladder, had to be removed. On the other hand, a cholecystectomy that preserved the uterus could preserve the gallbladder according to the situation.

The surgery was performed with an L-shaped incision on the right side of the patient's body to establish an artificial pneumoneum.

First, the common hepatic artery and celiac trunk were dissected. Then, the gallbladder and common hepatic duct were found along the common hepatic artery to the hepatic portal. Then, the common hepatic duct and the hepatodiodular ligaments were dissected and skeletonized.

Then, he separated the intestine and separated the neck of the intestine along the 'tunnel' in front of the superior mesentery artery. The first segment of the Duodenum and the spleen were cut off, and the superior mesentery vein and superior mesentery artery were separated. The head of the spleen was also removed.

After that, he performed the reconstruction of the digestive tract, which included the anastomosis of the intestine and the intestine, and the anastomosis of the intestine and the intestine.

After the surgery, he had to check to see if there was any damage to the hepatic artery and the vagus nerve branches that inhabit the antrum. He also had to pay attention to preserving the lesser curvature of the stomach and the greater curvature of the stomach, as well as the nerve plexuses of the lesser curvature of the stomach.

The last step was to suture the abdominal incision.

Detected that the host has completed the training mission of 'Duodenectomy with Pylorus Preserving.' The grading will begin now. Please wait a moment.

[Host's training score: 70 points.] This training is qualified! Host, please continue to work hard.

This book comes from:m.funovel.com。

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