Peng Shuzheng, male, born in November 1932, born in Lufeng, Guangdong. The chief physician, professor and doctoral supervisor of the Second Affiliated Hospital of Zhejiang University School of Medicine, once served as the director of major surgery at Shao Yifu Hospital, Zhejiang University School of Medicine. In the field of surgery, he has overcome many medical problems worldwide and led Chinese surgeons to the world stage of surgery. He was awarded FACS (Hon) Honorary Fellow of the American College of Surgeons in 2004, Honorary Fellow of the Royal College of Surgeons in 2006, Honorary Fellow of the European College of Surgeons in 2009, and Honorary Fellow of the French Academy of Surgeons in 2015. He was awarded the National May 1st Labor Medal in 2006 and was awarded the title of Model Worker in Zhejiang Province in the same year.
He is known as the doctor most easily invited to the operating table today, and the "Peng's Excalibur" has saved countless lives!
Peng Shuzheng said, "As a doctor, you must always have a patient in your heart, and you must do two things well: one is to teach and educate others, and to train more doctors to serve patients; the other is to study new diagnostic and treatment technologies and improve diagnosis Level. In this way, we can save more patients and open another window for life. "
Replace "stitch" with "tie" to break the difficulty of pancreatic leakage
In 1953, Peng Shuzheng, who was only 22 years old, saw the first case of pancreatic cancer resection in China as an intern. His chief physician was Yu Wenguang. Unfortunately, due to the limitations of the technical means at the time, the patient had a pancreatic leak after surgery. This was the most dangerous complication of pancreatic cancer surgery, and it was also a difficult problem that was not overcome worldwide. Leakage, lethality as high as 25% -50%.
Peng Shuchen tried to find a breakthrough. "In the beginning, I also worked hard on the word" sew ", but soon I found out that this road would not work. Because to avoid voids, we need to increase the stitching density, and increasing the stitching density increases pinholes.牖 How to solve the contradiction between "suture" and "pinhole". Is there really no solution? He pondered.
Until one time, Peng Shuzhen noticed the details of waterproofing the trousers during swimming, and a "Zha" character inspired Peng Shuzhen. Is it because the pancreas is tight and the pancreatic juice cannot leak out? He began to experiment with various "bundling" methods on animals, and eventually invented a bundled pancreaticojejunostomy to solve the problem of pancreatic leakage.
"Turn the broken end of the intestine out like a sleeve, then put the end of the pancreas into the intestine, sew it with the inner layer of the intestine, and turn the overturned intestine back as it is, and tie it with the end of the pancreas. The pancreatic juice is blocked. ”On March 18, 2002, as one of the rare doctors of the Royal Society of the United Kingdom, Peng Shuzheng was invited to introduce the invention in fluent English by the chairman of the society. The surgical elites here were amazed. In the surgical field, which has always been dominant in the West, the Chinese even walked ahead of them.
This doctor from the family of doctors in Guangdong seems to have the courage to challenge the difficult area. He firmly believes that medicine is endless, especially in the surgical field that has an absolute advantage in the West. "Bundled pancreaticojejunostomy", this seemingly simple but very clever method, has become the nemesis of pancreaticojejunostomy leakage during surgery. In 2010, the famous scholar Emmanuel Buc wrote in the influential journal J Gastrointest Surg as "Peng A prospective study was published under the title "Bundle Anastomosis", confirming its reliability. No one of the more than 300 pancreatic cancer surgeries performed by his main surgeon had pancreatic-enteric anastomosis, and many patients with pancreatic cancer also received new births. This method was quickly promoted in the country. Statistics show that there have been more than 4,000 cases of bundled pancreaticojejunostomy in China, and the incidence of pancreaticojejunostomy leakage is only 0.5%.
He is known as the doctor most easily invited to the operating table today, and the "Peng's Excalibur" has saved countless lives!
Peng's magic knife, the waste of "seven knives and eight cuts"
In 1988, Peng Shuzheng, the director of the hospital's surgery, watched patients die because of tumors that could not be operated on in the hepatic tail lobe surrounded by large blood vessels, and then secretly resolved, "We must find a way to perform surgery for these patients."
Prior to this, many countries have tried hepatic lobectomy. For example, France changed "lobectomy" to "hepatectomy", and the United States used ultrasound to break up liver cells. It is just that liver cancer patients in China are often associated with liver cirrhosis, and the imported foreign technology is not only expensive, but the results are not satisfactory.
In order to seek a technological breakthrough, Peng Shuzheng thought, although the ultrasonic crushing liver cell technology is not effective in sclerotic liver, the idea of "breaking" can be used for reference. Just like a farmer plowing hardened soil with toothed farm tools, can the hardened liver be broken with toothed surgical instruments? Peng Shuzheng quickly puts his ideas into practice.
A kind of "scraping aspiration liver breaking surgery" came into being. The so-called "scraping" is to use a rake to scrape the liver tissue during surgery, and "sucking" is to use a suction device to suck out the scraped debris, exposing the large and small pipes in the liver, and performing electrocoagulation according to the size of the blood vessels. Or ligation. This not only enhances the hemostatic effect, reduces the amount of bleeding, but also reduces the residue of foreign bodies, clarifies the surgical field, and shortens the operation time by 40%.
Although there are breakthroughs in technology, Peng Shuzheng still has regrets. In surgery, time is a very important element. Once the limit time for hemostasis is exceeded, a large number of cells of human organs will be necrotic. However, a variety of instruments are needed in the "scraping aspiration liver surgery", forceps, forceps, aspirators, Alternating delivery of the electrocoagulation knife consumes a lot of time. Can you combine the "seven knives and eight scissors" in traditional surgery into one knife? Peng Shuchen caught the thoughts flashing in his head.
"At that time, I was thinking about it all day long. Sometimes when I just fell asleep at night, I thought of an idea and started to try it again." The metal tube of a stethoscope and the plastic tube of a ballpoint pen, as long as I can think of it, Peng Shuzheng All experiments were conducted one by one. After countless attempts, in 1992, Peng Shuzheng finally developed a "multifunctional surgical scalpel" that can not only cut with a rake, but also attract electrocoagulation.
This multi-functional surgical scalpel frees the surgeon's hands, making it possible to perform the operation of hepatic caudate lobular carcinoma, which is considered to be intractable, reducing the operation time by 40% and reducing the amount of bleeding by 50%. At present, this knife has been widely used by more than 600 hospitals at home and abroad, so this scalpel has also been named "Peng's multifunctional surgical scalpel".
He is known as the doctor most easily invited to the operating table today, and the "Peng's Excalibur" has saved countless lives!
Great ingenuity, perform the "resurrection" technique
Overcoming difficulties is what Peng Shuzheng has been doing since he was a doctor for 60 years. What supports him to solve one problem after another is that he regards the feelings of his patients as loved ones. He said: "As doctors, we must treat each patient as his own loved one, and do everything possible to rescue them from the hand of death." In the 60 years of medical treatment, countless patients have been treated through thousands of operations. He believes that he is most proud of curing a large number of difficult cases, including many cancer patients who are generally considered to be incurable to obtain long-term survival after surgery.
A 55-year-old farmer, Wu Amao, gave birth to a huge aneurysm in the neck. The tumor reached 15 x 15 cm. The trachea was forced to transfer, breathing was difficult, and his life was in danger at any time. Due to the high risk of surgery, many hospitals refused to accept Wu Amao, and Peng Shuzheng did not want to give up the patient and accepted Wu Amao. One day in the early morning, Wu Amao's tumor body was in the observation period, and the tumor suddenly ruptured and there was shock. Peng Shuzhen immediately rushed to the hospital. After a brief discussion with the old professor Qi Yigeng, Peng Shuzheng decided to perform a deep hypothermia carotid aneurysm resection under extracorporeal circulation. In China, the success rate of such operations is almost zero. From 5 am in the morning, the operation took a full 12 hours, and finally the extracorporeal circulation stopped at 4 pm. The heart stopped beating for 103 minutes and resumed beating. This is also the first case in China to successfully perform carotid aneurysm under extracorporeal circulation Resection surgery.
Some people say that Peng Shuzheng is "the easiest doctor to be invited to the operating table today." Due to his exquisite skills and rich experience, Peng Shuzheng can perform almost all general surgery operations, and Peng Shuzheng has "nobody refuses to come" for consultation requests from all over the country.
In 2002, Peng Shuchen set a record of 6 extra-malignant tumor operations in 4 provinces within 10 days. He had just completed a major liver resection at the Second Hospital of Zhejiang University in the morning, and received a request for support from Anhui Wannan Medical College in the afternoon. Then he hurried to the airport and swallowed bread for dinner while boiling water while checking the patient. Condition information. At ten o'clock in the evening, the plane went straight to the operating table. "The delay is one more day, and the patient is more painful and more dangerous." The patient Peng Shuzhen took over was already advanced liver cancer. A 25 cm x 12 cm tumor grew in a high-risk area, and the risk of surgery was extremely high. At 4 am the next day, Peng Shuzheng completed this difficult operation, and 5 hours later he performed a right hepatectomy bile duct anastomosis for the second patient. At 4 pm, we flew back to Hangzhou to prepare for another major operation the next day.
Even during the SARS period, Peng Shuzheng rushed to Guangzhou and Beijing, the hardest-hit areas, to perform difficult operations for patients. "Ms. Peng is such a desperate person for the patients." Peng Shuzheng student Wang Xinbao said.
He is known as the doctor most easily invited to the operating table today, and the "Peng's Excalibur" has saved countless lives!
Demonstrating by example, led Peng Jiajun to overcome difficulties
"There are such good professors in China!" This was an astonishment from Du Jianjun, the chief doctor of Xijing Hospital in Xi'an, after he first contacted Peng Shuzheng. Prior to this, Du Jianjun was preparing to go abroad for postdoctoral research in search of innovative breakthroughs. After listening to Professor Peng sharing the bundled anastomosis and Peng's suction and scraping method at the Sixth National Surgery Outstanding Thesis Conference on General Surgery, his I felt like telling myself, "This is the postdoctoral mentor I'm looking for!" Du Jianjun decisively gave up the opportunity to study abroad and went to Zhejiang University School of Medicine to follow Peng Shuchen to learn anatomic surgery with suction and curettage.
Peng Shuzheng always said to students: "The most important thing for surgery is diagnosis. Don't blindly pursue the number of operations, but pay attention to the quality. Every operation must be fully prepared. You must know something before the operation. The postoperative review will improve. Otherwise, it will not be the same. Good surgeon. "He consults patients before every operation and presents all possibilities to the patient objectively.
In 1991, a 76-year-old patient, Jin Yuqi, was diagnosed with liver cancer and found Peng Shuzheng with only a three-month survival period. Peng Shuzheng analyzed the condition and concluded that Jin Yuqi's condition was not suitable for immediate surgery, and the mass was too close to the artery. After half a year and 4 interventional chemotherapy, Peng Shuzheng had surgery. The operation was very successful, and it has been 28 years since then. All the indicators of the patient were normal after the operation.
Now 87-year-old Peng Shuzheng is very proficient in micro-credit. He often flies everywhere at home and abroad. He goes to the operating table two or three times a week, and it is not a problem to stand for more than 10 hours. So far, he has brought more than 60 doctoral students or post-doctoral students. Many students have made great achievements in the field of surgery, such as Peng Chenghong, director of surgery at Shanghai Ruijin Hospital, Liu Yingbin, deputy director of Shanghai Xinhua Hospital, and Qin, director of biliary and pancreatic surgery at Wuhan Tongji Hospital. Renyi, Mu Yiping and Hong Defei who stayed in Hangzhou. They have performed more than 2,000 cases of the most complicated laparoscopic pancreaticoduodenectomy.
"Now, my students still ask me for help when they encounter difficult cases." Peng Shuzheng said. On the afternoon of February 23, 2016, Peng Shuzheng and student Zhenzhenling conducted a remote video consultation through the Internet. While looking at the patient's information, Peng Shuzhen told the students: "During the operation, the patient's bile ducts and duodenum can be retained, and the head of the pancreas can be removed. However, the bile ducts must be protected during separation."
On the TV cabinet in Peng Shuzhen's living room, there is a trophy commemorating the 60th anniversary of his medical education. The trophy reads the words "the great doctor's sincerity".