Recently, the general surgery team of Jinan Seventh People's Hospital successfully performed a challenging operation for a 61-year-old female patient: laparoscopic anatomical left hemiliver resection, gallbladder resection, choledochotomy, choledoscopic exploration and stone removal, and T-tube drainage. After the operation, Ms. Song recovered quickly, and when she was discharged from the hospital, she and her family were smiling, and her previous anxiety was swept away.
In the past three years, Ms. Song has suffered from pain in her right upper abdomen, and recently came to Jinan Seventh People's Hospital for treatment due to left upper abdominal pain**. Zhou Guocheng, director of the Department of General Surgery, carefully examined her and found that there was deep tenderness in the upper right abdomen and light percussion pain in the liver area. After a series of examinations, ultrasound, CT and MRCP results showed that Ms. Song had cholecystitis, intrahepatic bile duct stones in the left lobe of the liver, bile duct dilation with cholangitis, and atrophy of the left lobe. Knowing the complexity of Ms. Song's condition, Dr. Chow Kwok Seng and the general surgery team knew that surgery was the only way to relieve her pain. Considering that Ms. Song had had multiple biliary infections and the possibility of cancer, they quickly communicated with the patient and their family and prepared for surgery. In order to ensure the success of the surgery, the general surgery team decided to adopt the most advanced surgical mode available. Laparoscopically, they performed complex procedures such as anatomical left hemiliver resection, cholecystectomy, choledochotomy, and choledoscopic exploratory stone removal. Due to the severe abdominal adhesions in Ms. Song, the operation is extremely difficult, and the risk of bleeding and damage to the surrounding organs is extremely high. However, with their skills and experience, the general surgery team successfully completed the operation. Ms. Song recovered well after surgery, and the abdominal CT examination showed that the lesion had been cleanly removed, and there were no complications such as bile leakage and infection. After a week of meticulous care, she was discharged from the hospital and expressed her sincere gratitude to the medical team. Director Zhou Guocheng said that laparoscopic liver surgery is a cutting-edge technology in the current surgical field, which has the characteristics of small trauma, fast recovery and little harm to the patient's body. Although the operation is difficult and requires the surgeon to operate, the Department of General Surgery has successfully completed 3 cases of such surgery recently, and the prognosis of the patients is good. He pledged to continue to lead the general surgery team to continue to learn and benefit more patients with better medical skills. (Liu Qingle, Zhang Yingying) responsible editor: Liu Naibing, Li Weilin.