Chapter 1290: More fairy tales than fairy tales and more myths than myths

Zhou Congwen knew that the ampulla the boss mentioned was the ampulla of the hepatopancreatic ampulla, also known as the ampulla of the Vater ampulla.

The common bile duct converges with the pancreatic duct in the posterior medial wall of the descending part of the duodenum, forming a slight enlargement, which is the duodenum size**.

The common duct at this position is called the ampulla of the hepatopancreatic.

The duodenal large** refers to the round amplitude at the lower end of the longitudinal fold of the duodenum. There is an opening of the hepatoampus ampulla on the large***, through which bile and pancreatic juice are discharged into the intestinal duct.

Ampulla carcinoma, even in situ carcinoma, has only one possibility in the treatment plan around 2003 - combined pancreaticoduodenectomy.

This largest surgery in the past, general surgery, has caused great trauma to the patient, and is also a watershed-like landmark surgery in a hospital, a surgical class division.

Zhou Congwen didn't expect that his boss would be so advanced. It would make sense if he met his boss ten years later, but now it is 2003, and the boss has already done this consciously.

It's really powerful! Zhou Congwen praised in his heart.

Even if he is as strong as Zhou Congwen, he can only give his own boss endless sighs and admiration.

"Can you do it?" Mr. Huang looked at Zhou Congwen and asked again.

"Yes." Zhou Congwen nodded seriously.

"Then you and I have surgery." Huang Lao said, "Are you sure about the surgery today?"

Mr. Huang asked a stupid question.

It should be because the boss was a little tired from running for a long distance. Zhou Congwen nodded cautiously, "Boss, I'm sure."

"Then you become a skilled person, I will be your assistant." Mr. Huang suddenly thought of something, "Is the article submitted by Academician Chu?"

"Um."

"Then ask Academician Chu for his opinion."

Zhou Congwen smiled, but the boss was still very considerate.

The boss looked very angry just now, but it was just a performance without real objects, creating an atmosphere.

Zhou Congwen knew the boss's temper very well. In addition, in the past decade, he vowed to work for the people for another fifty years. The boss has a very deep skill in practicing Qi. In fact, his heart is as calm as water, and his blood pressure does not fluctuate at all.

Zhou Congwen did everything, and he was not in a hurry, stepped down and walked straight to Academician Chu.

The doctors in the audience didn't know what Mr. Huang and Zhou Congwen said, and they all pricked their ears waiting for Zhou Congwen's translation.

"Academician Chu." Zhou Congwen walked to Academician Chu and said with a smile.

"Ah?" Academician Chu was stunned. He didn't expect that he had something to do.

"The boss has a patient who diagnosed ampulla carcinoma in situ. It has been said that the patient's family can see the endoscopic image of the surgery." Zhou Congwen briefly stated, "The boss means..."

Before Zhou Congwen could finish his words, Academician Chu became timid and waved his hands repeatedly.

"Xiao Zhou, I won't go there." Academician Chu refused.

Ampulla cancer, even if it is in situ, can it be done with ESD surgery?

Academician Chu knew that he was still a rookie in ESD surgery, so Mr. Huang was just to be polite to himself.

Don't take it seriously.

If you take it seriously, you will become a fool. Don’t take it seriously. Mr. Huang is really just to be polite to himself.

"Okay, I won't be polite to you." Zhou Congwen said with a smile, without force.

Looking at Zhou Congwen's back, Academician Chu subconsciously raised his hand and wiped his cold sweat.

"Academician Chu, Professor Zhou means... to use ESD surgery to do ampulla cancer?!" Lu Tiancheng asked blankly.

Ampulla cancer is the gastrointestinal cancer, which is difficult to hear when you hear it.

Huang Lao and Zhou Congwen actually wanted to use a minimally invasive method like ESD surgery?!

Lu Tiancheng is a senior skill. Although he does not engage in general foreign majors, he also knows the difficulty of ampulla cancer.

So he felt that he was more likely to hear it wrong.

In Lu Tiancheng's mind, ESD surgery can only be done with minor problems, and the real major surgery still requires surgical participation.

Unexpectedly, Mr. Huang set the tone so high, and he directly did ampulla cancer in one step.

"It seems..." Academician Chu was also confused. It was not that he didn't believe it, but... even if it was not big, the vision and range of ESD surgery were ten thousand times more difficult than gastric mucosa removal surgery under gastroscopy.

Anyway, I guess I have no hope of doing it in my life, and Academician Chu is very clear about this.

He looked at Mr. Huang standing on the stage with a little confused, feeling helpless.

Old Huang is 80 years old and is one and a half years older than him, but compared with him, he looks like an old man.

Look at others, foreign wars and internal experts are simply disdainful of showing off their prestige at home.

Moreover, in the attempts of new surgery, Huang Lao promoted the progress of minimally invasive surgery with incredible confidence.

It is estimated that Mr. Huang started a battle just now to maintain the dignity of minimally invasive surgery. This kind of seedling cannot be hit by wind and rain.

Once you are questioned but don’t fight back, it will be too difficult to get back the doctors’ fixed cognition.

The old man...Academician Chu looked at Huang Lao's slightly hunched body and felt mixed emotions.

Zhou Congwen talked to his boss, and Mr. Huang nodded slightly, "Tell me and leave whatever you want to see."

"Okay." Zhou Congwen smiled and nodded, then explained what happened to the doctors who were doing it.

Zhou Congwen was like throwing a powerful deep water bomb, and the conference room was instantly boiling.

"Ambulbous cancer?! Doctor Huang wants to use ESD surgery to do ambulance cancer?! This is impossible!"

"It should be early cancer."

"That's impossible! You have used a duodenoscope, what field of vision will you have after entering? How to do the surgery?"

"Yes, I think so too. If you want to think about mucosal lesions in the stomach, you can think about it. After all, the stomach has a large space and belongs to the upper digestive tract. It is relatively straight and the surgery is easy to do. But if you use a duodenoscope... it is unscientific."

As soon as Zhou Congwen finished speaking, the doctors in the audience had already started to talk.

It's like a pot of boiling water, and it can't be stopped even if it's thumping.

Dr. Laurent looked at Huang Lao and Zhou Congwen with a pale face. He had no idea of ​​fighting at all. Because the board of directors' attitude towards Huang Lao had already explained everything.

But!

The surgery this Dr. Huang is going to show is not a gastric mucosa peeling surgery, but an early ampulla cancer!

How is this possible!

Is he really sure? Dr. Laurent is very clear about everything he has just "experienced".

It was a very straightforward academic attack, an attack without any reservation at all and without wiggle room.

If this old man is not sure, he will definitely leave an excuse for himself and everyone here.

But he still communicated with the patient's family without hesitation and prepared for the operation.

This is even more like a fairy tale than a Danish fairy tale, and even more mythical than a Greek myth.

Dr. Laurent was originally going to leave here in shame, but when he heard that he was going to have ampulla cancer, he still kept it with his teeth.
Chapter completed!