The Department of Hepatobiliary and Pancreatic Surgery of Henan Provincial People's Hospital is the first hepatobiliary and pancreatic specialty set up in general hospitals in the province. It has 72 open beds, a choledochoscope room, a laboratory, and modern diagnostic and therapeutic equipments such as ultrasound and fiberoptic choledochoscope for intraoperative professional use.
The department has 36 medical and nursing staff, including 1 expert with outstanding contribution to the country and 1 expert enjoying the special allowance of the State Council, 2 chief physicians, 10 deputy chief physicians, 2 chief nurses, 6 nurse practitioners, and has the qualification and ability to train master's degree students.
The Department of Hepatobiliary and Pancreatic Surgery has been carrying out new business and technology for more than 20 years, and many of them have filled the gaps in the province or the country. 80's that is, the surgical resection of benign and malignant tumors in the liver has reached the leading level in the country, and the Department took the lead in carrying out the treatment of middle and advanced hepatocellular carcinoma by intraoperative hepatic artery chemoembolization. For the treatment of hepatic sclerosis and portal hypertension and the prevention of postoperative encephalopathy, the department has adopted many kinds of surgical methods of advanced level in China, and carried out anastomotic restriction and narrowing of splenic and renal vein shunt and portal vein shunt treatment. In the province, it is the first to carry out coronary vein embolization to treat ruptured bleeding of esophageal varices in portal hypertension. Aiming at the high rate of residual stones and easy recurrence of intrahepatic bile duct stones, we have carried out pelvic anastomosis of hepatic bile duct - jejunum and shock flushing of hepatic built-in tube for the treatment of intrahepatic bile duct stones, and the therapeutic effect has reached the domestic advanced level.
In the past ten years, the department has taken the lead in carrying out bloodless hepatectomy in the province, which has significantly increased the resection rate of liver tumors and greatly reduced intraoperative bleeding. In China, the department was the first to carry out transchemotherapy pump hepatic vascular perfusion chemotherapy for the treatment of middle and advanced hepatocellular carcinoma, and achieved obvious curative effect. The department has carried out various radical surgeries for Bugart's syndrome, including septal resection, vena cava and hepatic vein plasty, artificial vascular diversion, vena cava - right atrium diversion, vena cava movement, superior mesenteric vein right atrium diversion, splenic vein - right atrium The treatment of Buerger's syndrome has reached the advanced level in China by performing vena cava - right atrium diversion, splenic vein - right atrium diversion and various splenopulmonary immobilization procedures. The department has summarized a reasonable personalized treatment plan for severe acute pancreatitis, which makes the cure rate reach 100%. Meanwhile, the department has carried out intraoperative linear gas pedal irradiation in the treatment of middle and advanced pancreatic head cancer and pancreatic cancer, which greatly improves the survival time and quality of life of the patients and reaches the advanced level in China. The minimally invasive cholecystectomy, with an incision of only 4cm, is less painful for patients, shortens the hospitalization time and reduces the medical cost. 1995, the department successfully carried out the first liver transplantation in our province, and so far it has successfully carried out 3 cases, reaching the advanced level in China.
In terms of biliary tract tumors, the department carries out expanded hepatic portal bile duct radical surgery, gastric skeletonized lymph node dissection, expanded radical treatment of cholangiocarcinoma, expanded pancreaticoduodenectomy for pancreatic head tumors invading the superior mesenteric vein and portal vein, and adopting artificial blood vessels instead of the surgery, which are all at the advanced level in China. In recent years, the radiofrequency ablation treatment for solid tumors such as liver cancer, pancreatic cancer and other solid tumors that regenerate tumors after surgery and cannot be operated again has reached the domestic advanced level.
In recent years, the department has published more than 80 papers in medical journals, written 6 monographs and won 8 provincial scientific and technological progress awards.
Recently, the world's most advanced electronic cholangioscope introduced by our hospital was put into use in the Department of Hepatobiliary and Pancreatic Surgery. Only a few large comprehensive hospitals in our country introduced the equipment, the first in our province, it is put into use in our hospital hepatobiliary and pancreatic surgery in the forefront of the discipline, will greatly improve our hospital and the province's biliary tract disease diagnosis and treatment level.
It is understood that the electronic choledochoscope from the development of fiber choledochoscope. Compared with the previous fiber choledochoscope, the insertion part of the mirror body to fine outer diameter, can directly enter the bile ducts above the finer three levels, with higher clarity and sensitivity, greatly improving the visual environment of the doctor, the operating space and the accuracy of the surgery, the operation is more convenient and flexible, diagnosis and treatment is more accurate. Clinically, it is mainly applied to: 1, stone extraction, both direct bile duct stone extraction, but also in the postoperative residual stone extraction, stone extraction is more thorough and clean; especially for intrahepatic bile duct stone patients, it can significantly reduce the rate of postoperative stone residual rate, improve the success rate of residual stone extraction, thus reducing the number of times of surgical stone extraction, saving medical costs for patients and reduce pain. 2, biopsy, bile ducts inside and outside of the liver, redundant, new organisms, qualitative diagnosis. Qualitative diagnosis.
Hepatobiliary and pancreatic surgeons have so far extracted stones from five patients with residual biliary stones, all of which were successful in one operation, with no obvious pain to the patients.
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