Chapter 284: Palliative Care

Since it is an operating table squeezed out, the time on the stage cannot be fixed, and it depends on the completion of the previous operation. When it was almost half past three, Wen Yanyan finally came out of the operating room, saying that the operating table was vacated, and the nurse was arranged to pick up the patient.

The patient's preoperative preparations had already been completed, so after receiving the information from Wen Yanyan, Gao Yong, Yang Xi and Lian Xiangdong, who had been waiting for a long time, went directly to the operating room.

Wen Yanyan is an old man in the operating room, and she invited the most powerful surgeon in general surgery to perform the surgery for her acquaintance, so naturally the most powerful Yin Wei should be invited to personally check the anesthesia.

When the three of them changed into the operating room clothes and pants and entered the rest room, Yin Wei was already waiting inside.

"Yo, Ultraman Yang is here, and you, Ultraman Boss, I said that you two really regard yourself as the embodiment of justice?

Yang Xi didn't hear it, and picked up a corner to smoke silently.

Lian Xiangdong smiled and said: "What, my old man is not a troublemaker, if you want to blame, blame Xi Dashao, he instigated me to fight with others." ”

Yang Xi rolled his eyelids and gave Lian Xiangdong a white eye.

Yin Wei snorted coldly and opened directly: "Xi Da Shao instigated you to eat Xiang, then you will eat too?"

Lian Xiangdong replied without hesitation: "Eat! As long as Xi Da Shao sends a word, cold and hot will be served." ”

Yin Wei was choked and rolled his eyes, and without saying a word, he picked up a slipper from the ground and smashed it.

The lowest person is invincible.

Lian Xiangdong took a slipper, then bent down to pick it up, held it with both hands, and reached Yin Wei's feet, stood up, looked around the other three with the attitude of a winner, and then arrogantly lit a cigarette. It's so cheap, what's wrong? I can't stand it, right? If I can't stand it, I surrender quickly!

Yin Wei gasped and glared at Xiang Dong angrily, but he didn't make any moves.

Anyway, he can be regarded as his own brother, he can't be really rude, and he can't bear this cheap energy, so he can only admit defeat and surrender.

The patient has been picked up, and Wen Yanyan came to invite him, which can be regarded as giving Yin Wei a step.

"I'll tell you two, even if this matter is over today, but this is the first and last time, don't make trouble in the future, prescribe your knife, be your doctor, who should take care of those things, it's not your two turn to do this." With that, Yin Wei got up and went out.

Gao Yong threw away the cigarette butt in his hand, got up, and said, "Hurry up, Yin Wei is fast, when we wash our hands, he will be almost there." ”

Twenty minutes later, Yang Xi and Gao Yong stood on the operating table with three people to the east.

Wen Yanyan personally served as the itinerant nurse of this operation, so the chief surgeon must be Yang Xi, and the first assistant can only be served by Gao Yong.

The difficulty of surgery for common bile duct cancer is greater than that of radical resection for gastric cancer, especially for lower common bile duct cancer, which requires pancreaticoduodenectomy, that is, the Whipple operation of general surgeons.

Fortunately, the patient's cancer is located in the middle and upper part of the common bile duct, and only local excision of the cancer combined with gallbladder resection, dissection of the peripheral lymph nodes and then common bile duct jejunostomy can be performed.

Yang Xi warmed up the operation process in his mind in advance, although it was the first time to perform this kind of surgery, he felt that he didn't need to use the skill card.

Take the transverse incision under the right costal margin, cut the skin and subcutaneous tissue, electrocoagulate the bleeding point in time to stop the bleeding, continue to separate the muscle layer downward, expose the peritoneum, and repeatedly lift the clamp twice with mosquito forceps to confirm that there is no organ adhesion under the peritoneum, cut the peritoneum, and open the abdominal cavity.

A complete set of laparotomy operations is completed, like flowing water, flawless.

Offstage, itinerant nurse Wen Yanyan finally breathed a sigh of relief.

Just yesterday afternoon, Dr. Ling Ranling of the Department of General Surgery chatted with him in the interval between operations, and I don't know whether it was intentional or unintentional, mentioning Yang Xi, Dr. Ling said that Yang Xi's basic surgical skills are absolutely awesome, but he is too young and has not done many surgeries, but this person is naturally bold, and he dares to go to the stage to operate on many surgeries without even looking at them, and I am afraid that sooner or later he will be planted on this.

Wen Yanyan couldn't help but feel a pang in her heart when she heard this.

Yes, Yang Xi's surgical skills naturally don't have to be said, just a breast cancer resection can make Director Ma admire, you know, in this operation, it is not easy to be recognized by Director Ma, want to get Director Ma's praise, in the general surgery, except for Yang Xi, there is no second person.

However, what Dr. Ling said is also very reasonable. When a surgeon performs surgery, his or her skills are his skills and his experience is his experience, and the two should not be confused.

Has Yang Xi had surgery for choledochiocarcinoma?

I'm afraid today's one is really his first one.

He has no experience at all, so he ......

Wen Yanyan was worried all day, but she didn't dare to express her worries, after all, she took the initiative to find Director Gao, and said it very bluntly, if she asked questions again at this time, not only would she offend Dr. Yang Xiyang, but I am afraid that even Director Gao would be offended.

However, when Wen Yanyan watched the laparotomy process completed by Yang Xi with Gao Yong's cooperation, Wen Yanyan felt confident in her heart.

The aura exuded by Dr. Yang, who was in charge of the surgery, was really not something that ordinary doctors could achieve.

If you don't have enough confidence and confidence, how can you have such a strong aura?

The laparotomy is complete, and the next step is to explore.

saw the three people on the stage, including Lian Xiangdong who pulled the hook, and the look revealed in his eyes became more and more solemn.

Wen Yanyan's heart couldn't help but tremble, could it be that this operation ......

"Yanyan, your acquaintance's condition is not very good, the tumor has been seriously infiltrated outward, and it has become a lump with the surrounding tissues, and it can't be cut off by hard cut. On the stage, Gao Yong sighed lightly, turned his attention to Wen Yanyan in the audience, and said with regret: "Now there are two choices, one is to change to tumor reduction surgery, which can be cut as much as possible, and the other is to bury particles and do internal radiotherapy." ”

Both debulking surgery and radioactive particle embedding are palliative treatments.

And palliative care, as the name suggests, is just a way to go, and its prognostic outcome is not worth looking forward to at all.

This is obviously a choice that Wen Yanyan is unwilling to accept.

Therefore, she almost subconsciously made a suggestion: "Why don't you ask Director Qin to take a look?"

As soon as the words came out, Wen Yanyan regretted it very much, but it was a pity that the water that was spilled out of the words could not be collected if she wanted to.

Gao Yong's face changed slightly, and he couldn't help but glance at Yang Xi opposite.

Yang Xi didn't even raise his head, he just continued to explore the operation area.