It is said that the Bell and Drum Tower Hospital in Nanjing is the best treatment for gallstones, and the existing operation does not need to take bile. Excuse me, who knows the specific situation and

It is said that the Bell and Drum Tower Hospital in Nanjing is the best treatment for gallstones, and the existing operation does not need to take bile. Excuse me, who knows the specific situation and gives an explanation! ~ Nanjing Bell and Drum Tower Hospital has a set of mature techniques for the treatment of gallstones-laparoscopic cholecystectomy, choledochotomy and T-tube drainage. Small stones can be treated conservatively without surgery.

Department profile

General surgery, founded in 1954, is a national key discipline, a key clinical specialty in Jiangsu province and a key medical specialty in Nanjing. For Nanjing University, Nanjing Medical University, doctoral and master's degree awarding units. There are five wards, including hepatobiliary surgery, endocrine surgery, gastrointestinal surgery, organ transplantation center, minimally invasive surgery and ultrasound interventional therapy center, with beds 164. There are 76 medical staff, including 9 chief physicians, 20 deputy chief physicians and attending physicians 10.

Characteristic medical treatment

1, hepatobiliary tumor treatment. In the mid-1980s, an improved normothermic bloodless hepatectomy was first advocated and applied in China. 1993 was the first in the world to successfully apply semi-isolated hepatectomy in clinic, breaking through the forbidden area of liver surgery. 200 1, the first percutaneous laparoscopic cold circulation radiofrequency treatment of primary liver cancer in China. In recent years, it is the first in China to develop a new technology of precise liver surgery. At present, it is one of the most influential diagnosis and treatment centers for hepatobiliary diseases in China, and it has completed more than a thousand complicated hepatobiliary operations every year.

2. Liver transplantation. From 65438 to 0996, piggyback liver transplantation was first carried out in East China, and 30 patients with fulminant liver failure were treated on this basis. The success rate of operation was 100%, and the survival rate over 1 year was 97%. The success rate and survival rate of liver transplantation are leading in China. The clinical and scientific research work of artificial liver support system combined with liver transplantation in the treatment of severe liver failure and combined liver and kidney transplantation has been successful, and won more than ten provincial and ministerial scientific and technological progress awards. Through independent innovation, bioartificial liver technology has been developed at home and abroad, which has overcome many technical difficulties, obtained many national patents and achieved satisfactory clinical results.

3. Pancreatic surgery.

(1), Peripancreatic nerve resection technology: This technology was first studied by Japanese scholars and has been widely used in pancreatic cancer surgery. In radical surgery, it can significantly improve the degree of surgical pathology radical treatment and significantly reduce the late recurrence of cancer pain. In palliative resection and bypass surgery, it can significantly alleviate cancer pain and effectively improve the quality of life. Since 200 1, our hospital has taken the lead in applying this technology in China. At present, there are 80 cases of clinical application, and in 2005, it won the new technology introduction award of Jiangsu Provincial Health Department.

(2) Intraoperative timing localization technique for islet cell tumor: Since 1994, the accurate localization rate of 100% and the radical cure rate of 100% have been achieved in this project. At present, this technique has been recognized as the 12 localization method of islet cell tumor, which is especially suitable for the situation that various imaging methods can not locate before operation and the resection range of islet cell proliferation can not be confirmed.

(3) Selective devascularization technique: This technique preserves the compensatory portosystemic shunt vessels formed by patients themselves, and selectively blocks the perforating branch veins that cause massive hemorrhage in the upper digestive tract. It not only has the advantages of less damage and maximum protection of liver function by traditional devascularization, but also has the advantages of reducing portal vein pressure by shunt, so it is a devascularization with shunt effect. The clinical study of this technology began with 1996. At present, the sample size of the database has reached more than 300 cases, and almost 100% of the portal communicating vein can be stored, which is at the leading level in China.

(4) Radiofrequency or microwave ablation treatment technology for pancreatic cancer during operation: This technology is mainly aimed at patients with unresectable advanced pancreatic cancer during operation. During the operation, pancreatic cancer and related celiac ganglia can be treated by radiofrequency or microwave ablation under the guidance of real-time ultrasound, which can effectively control the rapid growth of tumor and cancer pain, and partially improve the quality of life. This technology has been applied in more than 30 cases since it was first developed in China in 2002, and won the Nanjing New Technology Introduction Award in 2008.

(5) Spleen-preserving resection of pancreatic body and tail: This technique is mainly used to treat benign or low-grade malignant tumors of pancreatic body and tail, which can minimize the surgical injury of patients and maximize the preservation of human organs and tissues. This is a new technique developed in pancreatic surgery in recent years. Since this clinical study began in 2005, more than 10 cases of spleen-preserving pancreatectomy and 5 cases of middle pancreatectomy have been completed.

4. Gastrointestinal surgery.

(1), Standardized surgical treatment of gastric cancer: Gastrointestinal surgery treats more than 250 cases of gastric cancer every year on average. Combined with oncology, surgery, chemotherapy, immunotherapy and other comprehensive treatments, the 5-year survival rate is significantly improved.

(2) Standardized surgical treatment of colorectal cancer: Colorectal cancer is one of the important cancers that threaten human health. Globally, its morbidity and mortality are on the rise, ranking third and fourth respectively among all cancers. About 300 cases of colorectal cancer are treated in gastrointestinal surgery every year. The surgical treatment of colon cancer is based on the anatomical characteristics of local lymph nodes and blood vessels. For rectal cancer, standardized surgical resection was performed according to TME principle. Most patients with partial obstruction or obstruction of colorectal cancer have adopted one-stage reconstruction anastomosis, which greatly reduces the burden and pain of patients. To carry out columnar resection of rectal cancer to solve the radical resection of patients with T3 and T4 low rectal cancer. According to the research progress, we adopted a method called cylindrical episiotomy for patients with T3 and T4 low rectal cancer. The purpose of this method is to enlarge the perineal area, make the specimen cylindrical without narrow waist, increase the amount of pericancerous tissue resection, reduce the positive rate of CRM and intestinal perforation during operation, and thus reduce the local recurrence rate. This case has achieved good results and provided a new way for the treatment of advanced low rectal cancer. In addition, perineal in-situ artificial anus was also carried out after Miles operation for rectal cancer. The treatment of rectal cancer is still mainly surgery, and the traditional Miles operation has a better effect. However, the permanent artificial anus in the abdomen can't control defecation at will, and it has to carry a fecal bag, which seriously affects life and labor, and the patient's mental burden is great. Therefore, many patients would rather refuse surgery than delay treatment. In-situ perineal artificial anus after Miles operation for rectal cancer was created by Professor Gao Chunfang from Anorectal Institute of PLA on 1987, and has been continuously improved. Up to now, the single center has reported 2600 cases and achieved good results. The core technology of this operation is to reconstruct the artificial rectal angle with sigmoid colon and suture it with perineum in situ, which has high technical requirements. We successfully performed this operation and achieved good results.

(3) Carrying out minimally invasive endoscopic gastrointestinal surgery: In recent years, minimally invasive surgery has developed rapidly, and this technology has covered almost all traditional surgical methods, which is also the direction of future surgical development. We have skillfully carried out laparoscopic exploratory laparotomy, appendectomy, abdominal drainage, radical gastrectomy, radical colorectal cancer surgery, abdominal hernia repair and other services, and also have all the equipment to carry out such services.

(4) Surgical treatment of gastrointestinal bleeding caused by vascular malformation: Gastrointestinal bleeding is common in stomach, duodenum, colon and rectum. For the diagnosis and difficulties of small intestinal vascular malformation bleeding, postoperative rebleeding caused by missed diagnosis can be completely avoided by preoperative gastroscopy and colonoscopy, preoperative auxiliary screening with capsule endoscopy, accurate and qualitative diagnosis of small intestinal vascular malformation by intraoperative colonoscopy, and combined treatment of small intestinal vascular malformation with punctate resection, wedge resection and intestinal segment resection. Therefore, intraoperative enteroscopy has the most important value in the diagnosis and treatment of small intestinal vascular malformation, and can be used as the main means of diagnosis and treatment of small intestinal vascular malformation.

(5) Abdominal hernia surgery: Abdominal hernia includes inguinal hernia, abdominal incisional hernia, parastomal hernia, umbilical hernia, white hernia, diaphragmatic hernia and esophageal hiatus hernia. In addition to traditional surgical repair, it also relies on tension-free repair using new materials and new instruments. Endoscopic repair has become the development direction of hernia surgery, especially for acquired hernia such as incisional hernia, and minimally invasive repair has obvious advantages. Our department treats about 350 cases of abdominal external hernia every year. Most of them rely on new materials for tension-free repair and also carry out various minimally invasive repairs.

(6) Anorectal surgery: Anorectal diseases are common and frequently-occurring diseases, especially third-and fourth-degree circular hemorrhoids, which seriously affect the quality of life. Traditional surgery is not only painful, but also has high recurrence rate. Traditional Chinese medicine also lacks effective means for such diseases. Based on the theory that the occurrence of hemorrhoids is due to the downward movement of anal pad, PPH operation can annularly remove the mucosa and submucosa 3cm above the dentate line of rectum, and complete the anastomosis at the same time, complete the lifting of anal pad and block the hemorrhoid blood vessels, which can not only cure the stubborn disease, but also prevent recurrence and achieve good long-term curative effect. Therefore, hemorrhoid surgery has become a brand-new subject.

(7) Nutritional support therapy: Nutritional support is an important achievement in the medical field in the 20th century, and the incidence of malnutrition in surgical inpatients is about 50%. Malnutrition can obviously reduce the tolerance of surgical patients and increase the incidence and mortality of surgical complications. Nutritional support, including parenteral nutrition and enteral nutrition, has become the basic treatment for surgical patients, especially critically ill patients. At present, the nutritional support objects of our gastrointestinal surgery are: long-term inability to take food orally after major surgery, malnutrition, short bowel syndrome, small intestine transplantation, digestive tract fistula, intestinal obstruction, acute pancreatitis, multiple organ injury, sepsis, liver failure, renal failure, respiratory failure, tetanus and so on.

5. Standardized diagnosis and treatment of breast cancer. High-resolution color Doppler ultrasound, mammography, CT, magnetic resonance and other technologies were used for early diagnosis of breast cancer, and hollow needle biopsy system and color Doppler guided biopsy technology were used for preoperative pathological diagnosis and gene expression detection to guide individualized treatment of breast cancer, and standardized comprehensive treatment of breast cancer was carried out according to NCCN treatment guidelines. At present, routine work includes preoperative neoadjuvant therapy, radical surgery, postoperative adjuvant therapy, breast-conserving surgery and its comprehensive treatment, sentinel lymph node detection, rescue treatment of advanced breast cancer and so on. Other special diagnosis and treatment include breast reconstruction after breast cancer surgery, basic and clinical research on bone marrow micrometastasis of breast cancer, and dendritic cell fusion vaccine for advanced breast cancer. Attaching importance to humanistic care in clinical work, Nanjing Cancer Friends Association Breast Cancer Activity Center was established to establish long-term communication with breast cancer patients and carry out standardized follow-up work.

6. Surgical diagnosis and treatment of thyroid diseases. Has a long-term and stable cooperative relationship with endocrinology department, and carries out individualized surgical diagnosis and treatment of thyroid and parathyroid diseases. At present, the routine work includes functional neck lymph node dissection for thyroid cancer, regional neck lymph node dissection, surgical treatment of hyperthyroidism, qualitative diagnosis and surgical treatment of hyperthyroidism, etc. Other special diagnosis and treatment include minimally invasive thyroid surgery and clinical study of parathyroid transplantation for hypothyroidism. And individualized follow-up and follow-up treatment are carried out for patients undergoing surgical treatment to ensure the therapeutic effect.

7. Laparoscopic minimally invasive surgery. Conventional laparoscopic cholecystectomy, choledocholithotomy +T tube drainage, resection of benign and malignant gastric tumors, radical resection of colorectal cancer, splenectomy and hepatectomy.

8. Laparoscopic minimally invasive surgery. Conventional laparoscopic cholecystectomy, choledocholithotomy +T tube drainage, resection of benign and malignant gastric tumors, radical resection of colorectal cancer, splenectomy and hepatectomy.

academic leader

Chief physician Ding, professor of surgery at Nanjing University, doctoral supervisor, winner of special government allowance, director of Institute of Hepatobiliary Studies at Nanjing University, and dean of Nanjing Gulou Hospital.

Improved bloodless hepatectomy was first advocated and used in China. In the early 1990s, semi-isolated hepatectomy was pioneered at home and abroad, which broke through the forbidden area of liver surgery. From 65438 to 0996, piggyback orthotopic liver transplantation with international advanced level was successfully completed in East China. 1998 "Artificial liver support system combined with liver transplantation for acute liver failure" is an international frontier, filling the domestic gap and reaching the international advanced level.

200 1 The research on the structure and clinical application of bioartificial liver has reached the international leading level. He is a member of ihpba, the standing committee member of Organ Transplantation Society of Chinese Medical Association, the vice chairman of Jiangsu Medical Association, the chairman of Organ Transplantation Society of Jiangsu Medical Association, the chairman of Jiangsu Hepatology Surgery Society, the director of Jiangsu Hepatobiliary Surgery Diagnosis and Treatment Center, the vice chairman of Jiangsu Surgery Society, and the editorial board of more than 20 professional magazines such as China Organ Transplantation Journal. He has published more than 0/00 papers and works/kloc-0 (department), won 6 national 863 and other major projects, and won the provincial and ministerial scientific and technological progress award 10 (all the first authors). He has won many honorary titles, such as national experts with outstanding contributions, Nanjing science and technology hero, the first national 100 doctors, national excellent dean, China Top Ten Doctors Award and so on. Elected as the 15th, 16th and 17th CPC delegates.