The live stream begins.

Yin Wei's students held a mobile phone and scanned them one by one with the camera starting from Yang Xi, including Gao Yong, Yin Wei and others, and at the same time typed subtitles: Yang Xi's team from Jiangbei Municipal Hospital.

"Why don't you talk about it?" Yang Xi was a little confused.

Yin Wei responded with a smile: "Jiangbei Mandarin is too earthy, it is better to play subtitles to look high-grade." ”

Yang Xi nodded, okay, don't think that the master can't figure out your psychology, isn't it just that the master is worried that the master will appoint you as the master's full-time anesthesiologist in front of the majority of peers?

It doesn't matter, just type out the name, the master has already heard the sound of [ding!], this is the key.

Next.

Wash your hands and get ready to go on stage.

Pancreatic cancer mostly occurs in the head of the pancreas, and rarely occurs in the body or tail of the pancreas, so pancreatic cancer is often called pancreatic head cancer in clinical practice.

For pancreatic head cancer, the most commonly used procedure is pancreaticoduodenectomy.

The English name is Whipple.

To put it mildly, Whipple is one of the most complex surgeries in general surgery.

If you're welcome, it's perfectly fine to add a comma and the word 'none' before the word 'one'.

Whipple is resected over a wide range of areas, including the head of the pancreas, gallbladder, lower end of the common bile duct, gastric pyloric area, duodenum, upper jejunum, and lymph nodes surrounding these organs.

The incision alone is complex enough, and the digestive tract must be reconstructed after the incision, including pancreatic-intestinal anastomosis, biliary-intestinal anastomosis, and gastrointestinal anastomosis.

With two hours of excision, two hours of reconstruction, and half an hour of opening and closing the abdomen, the team that can complete a Whipple in four and a half hours is already top-notch. For those medical teams who are a little less adequate, whether it takes six hours or seven hours, it is already a great victory to complete the surgery smoothly.

The surgery is about to begin.

There is a hot debate in the live broadcast room, judging from the results of imaging examinations, the difficulty of this operation has reached the critical point of surgical contraindications, so can Yang Xi's team successfully win this operation?

The ratio of pros and cons is just over half to half.

Yin Wei's student in charge of the live broadcast was upset, so he posted a post as the UP master: Now is not the time to discuss whether the operation can be completed, but the total time for Yang Xi's team to complete the operation, A, 3 hours, B, 3 and a half hours, C, 4 hours, D, more than 4 hours. If you get it right, you'll be rewarded!

Unfortunately, everyone is still immersed in the debate about whether it can be completed or not, and there is no time to pay attention to this pinned post.

After testing the anesthetic effect, Yang Xi announced the start of the operation.

A straight incorporation was made in the right upper quadrant, and the laparotomy was completed in only 4 minutes.

A very small number of live broadcast viewers who have never seen the world contributed more than 200 charm points to Yang Xi in a timely manner.

Next, the surgical area is explored.

The live broadcast room gradually 'quieted', and few people posted in the discussion area, and as for the barrage, it was even rarer.

Not hard, not very hard, but ......

It's impossible to do it!

The barrage was first active, and the discussion area gradually became lively, and those colleagues who had judged in advance that they couldn't do it began to chatter, and a few people also helped everyone analyze the mood and situation of Yang Xi's team at this moment.

Yes, snatching this case from the hands of the provincial doctor, but not being able to perform the operation, whether it is for the provincial doctor or the patient's family, it is impossible to explain!

On the stage, Yang Xi was as calm as water, turned his head, and said to Sister Meng, who was personally the traveling nurse of the operation: "Head nurse, it's time to bring my special instruments." ”

Meng Guiqin nodded and turned to leave.

At the same time, Yang Xi stepped down from the stage and paced in front of the viewing lamp on the wall on the side of the operating room, pretending to study the CT film of the patient on the viewing lamp, but in fact, he repeated the old trick, secretly summoned the system interface, and hit the level 4 surgical skill card purchased in advance.

In the live broadcast room, the audience did not know what to do, most of them kept their senses, and sent words of comfort to Yang Xi's team and the UP master 'anesthesia Yin Wei', victory or defeat is a common thing in soldiers, and it is normal for surgeons to encounter surgeries that cannot be taken down, I only hope that Yang Xi's team can look at failure with a normal heart, do not have to be reckless and competitive, respect life, and don't take patient safety seriously.

But there are also a few people who post messages that are full of sarcasm.

For example, a newly registered user with the nickname 'Ritian Dasheng' sent out this post: He does not deny Dr. Yang Xi's surgical talent, and for him, the biggest enemy is not disease, but self-aggrandizement, and unfortunately, he regards the enemy as a friend.

Another colleague with the nickname 'Starting from Scratch' posted an even more sarcastic post: @麻醉尹伟, can I choose E? E, this is the end of the operation.

On the operating table, Gao Yong looked in the direction of the door from time to time. There is such a secret existence as Lian Xiangdong, Yang Xi has long been known by Gao Yong about getting a set of special surgical instruments, and when he received Li Ju and his wife last Saturday, Yang Xi also personally admitted the fact that he had a set of special instruments, but the timing has not been able to catch up, and he has not yet seen the true face of that set of instruments.

As for the difficulty of this operation, Gao Yong really didn't think much about it, at this moment, all he was thinking about was how awesome that set of instruments was.

How awesome?

In the position of the second assistant, Lian Xiangdong saw Gao Yong's eagerness, and his face couldn't help but overflow with a trace of pride.

Absolutely blind your tall boss's pair of titanium alloy eyes!

Hum!

I won't tell you that in a year, the West will give me that set of equipment, and when the time comes, your boss will be waiting to be envious, jealous and hateful!

However, in two minutes, Sister Meng pushed an instrument cart back to the operating room, replaced the original instrument table, and the instrument nurse opened the cloth.

"Wow......"

Several exclamations rang out in the operating room at the same time.

Thousands of exclamations rang out across the country at the same time.

At the same time, a pleasant electronic sound sounded in Yang Xi's ears.

Yang Xi, who had already entered the state of the system, quickly returned to the stage and shouted in a deep voice: "Collect your heart and continue the operation." ”

The first step is to free the duodenum.

In the second step, the pancreatic head is released and free anteriorly from the retroperitoneum.

In the third step, the liver area and the right end of the free transverse colon are released.

......

The live broadcast room fell silent again.

A very small number of audience peers who have always supported Yang Xi were excited and posted in the discussion forum.

"Didn't you say that Yang Xi couldn't do it? Why did you shut up?"

"@日天大圣, come out and say hello, who is the inflated?"

"Wo Ri, did that 'starting from zero' go home and draw circles, why don't you make a sound?"

......

The doctoral student in charge of the live broadcast smiled and pinned another post: Guess the operation time, and those who guess correctly will get the opportunity to operate on the same stage with Dr. Yang Xi!