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  Liu Jingyun sat on the stool with a hopeless expression. Her boyfriend is good in everything, but this is particularly bad. She likes to ignore the doctor\'s words. A typical patient who doesn\'t know what\'s going on before death.

   Maybe, as Dr. Song said, you won\'t know if you live or die until the gallbladder is removed.

   "Senior Sister." Afraid that the two would quarrel, Xie Wanying walked in and pushed on Senior Sister\'s shoulder, "Let\'s have breakfast together."

   "Yes, yes, you didn\'t eat it." Hu Zhenfan began to feel sorry for his girlfriend.

  Liu Jingyun raised her head, stopped talking about her boyfriend, and cared about the younger sister: "I heard that Teacher Lu is hospitalized?"

  The news spread throughout the hospital this morning, and almost everyone panicked.

   "Yes." Xie Wanying nodded.

   "Yingying, you have to prepare in your heart." Liu Jingyun looked at her with a deep worry in her eyes.

   What other people think, she Liu Jingyun doesn\'t care. She only knew that the younger sister was kind-hearted, and she only got involved in this matter because she couldn\'t watch Teacher Lu suffer from illness or other people\'s sadness. If the relationship with the patient goes on like this, the younger sister will inevitably be hurt. It\'s like a bunch of people who were seriously hurt in their hearts four years ago.

   "I\'m a doctor, and I have to deal with all kinds of patients." Xie Wanying said, recalling the scene of Senior Brother Cao\'s self-reported rescue for her colleagues. Explain that sooner or later when a doctor needs to face this moment. Fortunately, she had met the second senior sister beforehand.

   Liu Jingyun thought she thought too simple. Rescue is rescue. If the rescue is successful, everything can be said. If the rescue fails, death is another matter. As an anesthesiologist, Liu Jingyun has a hunch that Teacher Lu\'s disease is not easy to treat.

   "Don\'t worry too much." Hu Zhenfan intends to comfort his girlfriend, "This is the best hospital in the country. Our leader said that this department is the most famous in the country. Whatever you are afraid of, you can definitely cure any patient."

   "You think too much about being naive!" Liu Jingyun couldn\'t bear it any longer. She couldn\'t take it anymore.

   "Yes—" Hu Zhenfan thought about it, hepatobiliary surgery, liver cancer?

  End-stage liver cancer is very scary, but any cancer in the end-stage is not scary, it is scary. Hepatobiliary surgery is no different from other departments in this regard.

  To talk about diseases that are difficult to find, pancreatic cancer and duodenal cancer are similar. Every department has incurable diseases, it is too late to discover

   Xie Wanying knew that what the eldest sister said was not referring to these, but the difficulty of the operation. The surgical department does surgery, and the most terrifying thing for surgeons is whether the surgery can be done or not.

   The hardest surgery to do is a hodgepodge. Several organs are affected together, and they are next to each other. It just so happens that some diseases in this department are exactly like this. Such as Vater periampullary carcinoma.

  Ampulla of Vater, an anatomical term, refers to the enlargement formed by the confluence of the common bile duct and the pancreatic duct in the medial posterolateral wall of the descending duodenum. It can be seen from the noun explanation that this place involves at least three organs and tissues, and the anatomical positions are quite complex, duodenum, common bile duct, pancreas and so on. Therefore, once cancer grows here, many surrounding organs are involved, which is very difficult for surgeons. Generally, only the same surgical method as the treatment of pancreatic head cancer can be used, namely pancreaticoduodenectomy.

   The organs to be removed in this surgical method include part of the stomach, all duodenum, pancreatic head, proximal jejunum, bile duct, etc., and then the digestive tract is reconstructed.

   (end of this chapter)