Knowing that it would be very busy today, Yang Xi entered the operating room before eight o'clock.

Three routine surgeries were scheduled in the morning, the first for a patient with thyroid cancer and the other two for breast cancer.

Thyroid cancer is the first cancer disease to be conquered in clinical practice.

The five-year survival rate of patients with surgery and postoperative iodine-131 nuclide therapy exceeded 95%, and the 10-year survival rate was also above 90%, while the 20-year survival rate did not decrease much compared with the 10-year survival rate.

In other words, for every 100 patients suffering from thyroid cancer, more than 90 people will be able to spend 20 years safely, and if cancer patients do not recur or metastasize in 20 years, they can rest assured that the chance of recurrence and metastasis will become very small.

It's a blessing in disguise.

However, it can be seen from the numbers that the prognosis of about 5% of patients with thyroid cancer is not ideal, and the reason for this condition is of course inextricably related to the level of doctors and the appropriateness of the treatment plan, but this is not the main reason.

The main reason is also the patients themselves.

There are three types of thyroid cancer: fibroid, follicular carcinoma and medullary carcinoma.

Among them, the biological behavior of *** carcinoma and follicular carcinoma is relatively mild, and I met a similar doctor, received formal treatment, and it should not be much of a problem to live for 20 years.

However, medullary carcinoma is prone to cervical lymph node invasion and blood metastasis, and the prognosis is poor.

If it is a relatively rare undifferentiated medullary carcinoma, it can only be a lament for God's injustice, because the fatality rate of this cancer is extremely high, even if a top doctor like Yang Xi is found to operate on it, and all the most advanced treatment methods are exhausted after surgery, it is difficult for its survival time to exceed one year.

The patient Yang Xi accepted belonged to the category of luck in misfortune.

The pathological type of the cancer is thyroid follicular carcinoma, no lymph node metastasis was found in the neck ultrasound examination, and the clinical stage is T2, and the surgical resection in this case can be limited to local resection of the thyroid gland lobe and isthmus lobe, without the need for total thyroidectomy.

Whether it is a total thyroidectomy or a local thyroidectomy, the location of hesitation is relatively superficial, so it is not very difficult. For head and neck surgeons, the only difficulty in this type of surgery is how to avoid damage to the superior laryngeal nerve and the recurrent laryngeal nerve.

Nerves are not like other organs and tissues, if they are accidentally damaged, they only need to be repaired, and there is not much impact on the patient after surgery. For example, Wu Ye, such a dangerous liver artery was broken, but it was repaired by Yang Xi, and now he is alive and kicking at all like a person who has wandered in front of the ghost gate.

Nerve damage, on the other hand, is irreversible.

If the superior laryngeal nerve or recurrent laryngeal nerve is accidentally touched during the removal of the cancer, the complications of hoarseness may occur in mild cases, the safety of voice loss in severe cases, and even death due to suffocation.

But for the kind of demon who can completely peel off a grape skin in two minutes...... Does cutting a thyroid hurt a nerve?

Unless it's a smear to do surgery!

If it weren't for the first time to do the second operation, and he happened to be in a hurry, Yang Xi really didn't bother to step into the position of the main knife.

At a quarter past eight, Yin Wei completed intravenous anesthesia.

At eight twenty, Yang Xi picked up the scalpel.

At 8:40, Yang Xi finished the last stitch.

Almost at the same time, Yin Wei woke up the patient, led the patient to say a few words, made sure that there were no complications of hoarseness, and then directly arranged for the nurse to send the patient back to the department, and by the way, the second patient was taken to the operating room.

It's so unreasonable.

The work that people can only do in an hour and a half, when it comes to Yang Xi's hands, he has to do it all in half an hour, and he is not willing to leave a way for his peers to live.

"Boss, you are still ...... in the next two" Yang Xi originally wanted to tell Gao Yong that we are in a hurry, and I will be in charge of the next two, but Yu Guang suddenly caught a glimpse of Nie Yadi who had just entered the operating room, and his heart couldn't help but be one, and the words on his lips also stopped abruptly.

Nie Yadi entered the operating room before half past eight, but Yang Xi was operating, and he was inconvenient to disturb. I didn't want to wait in the lounge, for fear of missing Yang Xi's opportunity to change the channel, so I waited outside the door of the operating room.

Seeing the itinerant nurse to greet the nurse, Nie Yadi understood that Yang Xi's operation must have been completed, so he hurried into the operating room.

"Xi Shao, I'll discuss something with you. Nie Yadi came to Yang Xi's side with a smile.

The moment he saw Nie Yadi's figure, Yang Xi had already realized the old guy's intentions, and left the free clinic in the outpatient department and ran to the operating room, which means that Lao Miao's idea yesterday was rancid.

"There is no need to talk about discussing, if there are any instructions, please ask the leader to give orders. Yang Xi smiled and followed up again: "However, no matter how important it is, I have to wait until I finish the operation." ”

Taking advantage of Nie Yadi's injurious moment, Yang Xi said to Gao Yong again: "Boss, you will be the main surgeon for the next two surgeries, let Lao Yu do a help, one for an hour and a half, before twelve o'clock, you can still finish the work." ”

As soon as he heard this, Nie Yadi felt like he had been beaten in the head, Ma De, this kid was like a mirror in his heart, he didn't even say anything on his side, and he blocked all the roads on his side.

What's even worse is that Gao Yong is not a good thing, so he actually said to Lian Xiangdong: "Old man, do you want to let you go with the main knife?"

Although Lian Xiangdong didn't understand what was going on, the brothers had been together for a long time, and their hearts still had a little bit in common, so he nodded seriously and said, "If you let me make one, I'm afraid it won't be finished until noon." ”

Mader, one o'clock at noon......

Aren't the patients in the clinic going to explode?

If you don't do that free clinic, it can still be reasonable, no matter how unreasonable the patients are, they can't drag Yang Xi out of the operating room.

However, the banner of the free clinic was hung out, and the experts were also lined up, which caused a misunderstanding to the patients that they deliberately hid Yang Xi.

Depend on!

It's all to blame for that old seedling, who is so old and so reckless in thinking about the problem.

"What's that, Xi Shao, for the sake of our old brothers getting along well, do me a favor......" Nie Yadi got close to Yang Xi, attached his mouth to Yang Xi's ear, and whispered: "The old Miao over there can't hold back, you have to show up quickly." ”

Yang Xi nodded solemnly, and was puzzled: "But the operation here ......"

Nie Yadi hurriedly slapped Yang Xi's shoulders and said with a smile: "You come to the main knife, and it will be done at ten o'clock." ”

Yang Xi shook his head slowly.

Nie Yadi hurriedly followed: "What conditions are needed, you can mention it!"