At nine o'clock in the morning the next day, the operation began on time.

In the operating room.

Director Qian and Ruan Bin from the Emergency Department, Dai Yaowen from the Department of General Surgery, and Liu Bin from the Department of Vascular Surgery...... Anesthesiology, Cardiothoracic Surgery...... Even the instrument nurses and itinerant nurses brought the best in the hospital in.

The artificial veins and vessels required are all prepared, and even some of the arterial artificial vessels are also prepared.

We also have 8,000 milliliters of blood ready to deal with the possibility of heavy bleeding during surgery. The average adult has about 5,000-5,500 milliliters of blood in the body.

Preparing 8000 ml is to prepare the blood of many people.

All this just in case, the operation was more severe than anyone could have imagined, and there was no room for half a point of difference.

Now they have definitely used their best strength and all the medical resources of the First Affiliated Hospital of the Demon Capital!

The best doctors, the best nurses, the best medical equipment, the best equipment!

Outside the operating room.

"Old man, do you think the doctors will succeed?" Liu Jitang's mother said as she stared at the door of the operating room.

"Resign yourself to fate!" Liu Jitang's father said unhappily or sadly.

At this point, you can only resign yourself to fate.

............

General anesthesia.

Effective.

The first to go into battle was Director Qian, who first removed the tumor tissue in the neck.

Ruan Bin was the No. 1 assistant.

This operation is not something that one or two people can sit down, they need to be replaced in turns, and whoever is good at which point will be on it.

is also ready to fight a protracted battle, this operation is estimated to be impossible to get off the stage in ** hours, and even takes more than ten hours!

At this time, I saw that Director Qian made the first incision along the sternocleidom r-process muscle in the longitudinal incision, and then made the transverse incision in the submandibular mastoid area, the supraclavicular area and the pretracheal area.

Starting from the inferior part of the incision, the sternocleidom-rroid muscle, the scapulohyoid muscle, and the anterior tracheal and anterior cervical muscles are severed, and the internal jugular vein is cut horizontally above the clavicle. It is separated upward along the outer edge of the thyroid gland and clamped and severed by clamping and severing the middle thyroid vein and the lower pole blood vessels of the thyroid gland under direct vision.

Director Qian is still as steady as a dog.

Just when everyone was amazed by Director Qian's profound skills, he suddenly stopped.

Because he found that the recurrent laryngeal nerve was too badly infiltrated by the tumor, and if blunt separation was done, it might hurt the nerve surface!

"Director Qian, why did you stop?" asked Liu Bin puzzled.

"I didn't expect the recurrent laryngeal nerve to be so seriously infiltrated by the tumor, and it was deviated from the test results!" Dai Yaowen took a breath of cold air.

"Can't do it?" everyone looked at Director Qian.

They didn't expect to run into a tricky problem at the beginning!

"I'll try?" Ruan Bin said suddenly. His current radical thyroidectomy is innovative, and he has absolutely no problem with that.

When everyone saw Ruan Bin speak, they all disagreed.

It is not appropriate to change generals on the spot.

Besides, can you compare the operation of a resident doctor with the director?

However, Director Qian's words in the next second made them all stunned.

"Ruan Bin, come on, your basic operation skills are better than mine, and you can separate all the thin layers of tissue on the surface of the recurrent laryngeal nerve, no problem, right?" Director Qian said.

"No problem!"

Seeing that Director Qian trusted Ruan Bin, everyone couldn't say anything.

In the next second, Ruan Bin came to the position of the main knife and began to separate.

The sword and the sword, the cow is solved.

Soon the thin layer of tissue on the surface of the recurrent laryngeal nerve is separated.

This dazzling operation surprised everyone!

"Oh my God, magic operation!"

While everyone was shocked, Ruan Bin continued to perform the operation, revealing the lower pole of the free thyroid gland and protecting the recurrent laryngeal nerve. After completely dissociating the lower pole, the tissue mass is turned to the contralateral side, sharp dissection is performed on the surface of the tracheal wall, the gland is removed from the entire piece of the contralateral lobe, including the isthmus thyroid gland, and the sternohyoid muscle and sternal thyroid muscle are severed at the level of the thyroid cartilage and hyoid bone......

When everyone came back to their senses, they saw that Ruan Bin had already undergone several more steps of surgery!

"Doctor Ruan, you have gone too far, you should hand it back to Director Qian!" Liu Bin's heart tightened. I'm afraid that Ruan Bin won't do anything!

Director Qian saw that Ruan Bin was so skillful in his movements and steps, and there were even many steps that he couldn't understand, so the new surgical method was more concise and effective.

This kid......

"Ruan Bin, will you do this surgery?" asked Director Qian.

"Ahem...... Will be a little. Ruan Bin said shyly.

I said that the level is higher than you, will you beat me?

Hearing Ruan Bin say that he would also have this operation, everyone was stunned again.

This little genius is a bit fierce!

"Since Ruan Bin knows, then leave it to him, and I'll come back when he can't, I'll guide him on the spot now, how about it?" Director Qian said.

"It should be no problem, I think Dr. Ruan is doing better than me!" Dai Yaowen said dumbfounded.

All:......

However, they can also see that what Ruan Bin did did convince them!

The effect is perfect!

At this time, Ruan Bin checked that there was no bleeding in the incision, flushed the negative pressure drainage tube, and sutured it layer by layer.

Lightning-fast!

Then, the well-differentiated thyroid cancer invaded the tracheal epitum, the adhesions were peeled off and excised, and the blood vessels that preserved the membrane were separated in the tracheal sheath, and the superficial wound of the trachea was electrocauterized.

Then I saw that the cancer had invaded the full thickness of the trachea, and I started to have a full or partial tracheal wall resection.

After this step, it is necessary to perform the [internal jugular vein-femoral vein diversion system].

Ruan Bin personally fiddled with these equipment and machines, as well as connected them to the veins and blood vessels, and Liu Bin, the director of vascular surgery, helped as an assistant.

You can't do it alone.

Fifteen minutes later, everyone saw that the extracorporeal membrane oxygenation was successful, and the arteriovenous circulation was normal.

Everyone breathed a sigh of relief.

Since the extracorporeal membrane oxygenation cycle is successful, they do not need to worry about heavy bleeding during the operation. They proceeded with venous vascularization and reconstruction, and there was nothing to hinder them.

Since the revascularization step had not yet been reached, Ruan Bin continued to remove the thyroid gland, insert a tracheostomy cannula, and perform a formal tracheostomy, and found that the upper trachea was damaged, and the thyroid cartilage was directly sutured with the trachea, and then the surrounding soft tissue was replaced. Then, in the tracheal defect, a piece of periosteum is cut on the clavicle and the attachment of the sternocleidomastoid tendon is made into a sternocleidomastoid muscle periosteal plate, and then transferred to the defect to repair the defect......

At this point, an hour has passed before you know it!

"The operation took less time than expected!" Dai Yaowen looked at the time and exclaimed.

If they follow their advance surgical progress, it is estimated that it will take about 3 hours to reach this progress!

That's two hours shorter!

Ruan Bin's credit!

The most terrifying thing is that Ruan Bin has zero mistakes! This kid really knows how to perform radical thyroid cancer surgery!

：。 : I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~