Chapter 153: Nano Manipulation?
Every surgeon will never be a great surgeon if you don't practice the fundamentals of debridement and suture.
Debridement and suturing include the basic operation capabilities of suture, incision, ligation, hemostasis, and countless other surgeries. It's needed for every surgery!
At this time, after Ruan Bin upgraded it to the highest level, the innovation level, he felt that he had countless more experiences and skills in his mind. His hands were as if he had performed tens of thousands of surgeries.
A lot of surgical practice has brought his debridement and suturing skills to the pinnacle!
And a qualitative improvement has occurred!
Not only that, but there are also many new techniques and methods.
Whether it is the innovation of the use of instruments, or the creation of surgical approaches and temporary strains during the surgical process.
"Professor Chen, shall I start then?" Ruan Bin finished upgrading and said to Chen Chengquan.
"Yes!" Chen Chengquan gave up the position of the chief surgeon and admonished: "Wait a minute, you must be cautious when you operate, and stop in time if you can't proceed!"
"I understand!" Ruan Bin nodded.
The next moment, he was standing in the position of the main knife.
Truth be told, he won't have a laparoscopic pancreaticoduodenectomy.
But he is not going to do this surgery now, what he wants to do is to clean the cancer tissue of the mesenteric vein root!
When this work is done, it will eventually be handed over to Professor Chen to continue the operation.
At this time, all the doctors outside were stunned.
"Are you really going to let this resident make such a bold attempt?"
"If something happens later, it's going to be troublesome!"
"I think the most painful price is heavy bleeding during surgery, and trying it is not a dog betting tactic!"
"Dean Lin, what do you think?" asked the chief of general surgery who was sitting next to Vice Dean Lin, frowning.
He didn't know Ruan Bin very well, but he knew that the other party had done a few excellent surgeries.
However, in a large domestic hospital like the First Affiliated Hospital of Modu, who has not done a few outstanding and well-known surgeons above the attending doctor?
"At present, Professor Chen has no good way, so he can only let Ruan Bin try it. I'm sure if he's not sure, he won't take the initiative to ask for help. Vice President Lin said lightly.
Although he and Ruan Bin don't have much contact, they can also see that the other party is not a person who likes to brag. It is a person who dares to take responsibility, dare to innovate, and dare to come to power!
Well, if Ruan Bin knew that Vice President Lin had such a high opinion of him, I don't know what he would think.
At this time, Ruan Bin controlled the Ultherapy Knife and began to slowly operate it close to the root of the mesenteric muscles.
He is observing the entanglement of the diseased tissue and venous roots at the mesenteric root to make the most appropriate lesion dissection plan.
Sure enough, as Professor Chen said, the cancer cells have not yet invaded the adventitia and intima of the vein root that crosses the veins. If he has invaded the outer membrane, he will not be able to return to the sky. Because the superior mesenteric vein runs in the small mesentery, it accompanies the artery of the same name. Venous blood from the duodenum to the left flexure of the colon, part of the stomach, and pancreas is collected and together with the splenic vein forms the portal vein. And the root of its veins, you can imagine how important the part is.
"Fortunately, the patient has an intermediate stage of cancer, and if it was an advanced stage, it is estimated that it would have invaded the entire mesenteric veins and even arteries long ago! ”
It's moving!
Ruan Bin moved.
The Ultrasonic Knife in his hand danced in his hand.
Yes, it's dancing!
A knife is fast, very thin, and very stable.
A little bit of cancerous tissue is removed.
"Shhh...... That's fast!"
"I'm the only one who wants him to slow down? It's easy to get into trouble so quickly. ”
"This knife work is like cutting shredded tofu......"
"Pliers can still be used like this?"
"Scissors, needles, tweezers, and hooks can still be used like this?"
"What kind of cutting is this?"
Next, everyone was stunned.
Even Chen Chengquan in the operating room was stunned.
He saw Ruan Bin's series of operations, and he knew that this person's basic surgical skills were so terrible that it made his scalp tingle.
How many surgeries did it take to practice to have this kind of peak operation?
Do you start practicing from the beginning of your mother's womb?
He thinks that his surgical skills are absolutely world-class, and now compared to the young man in front of him, he is ashamed.
Finally, after all the lymphatic tissue in the periphery has been cleaned up, the next step is the most difficult part, which is the diseased tissue that is adhered to the veins.
All the veins in the roots, including the pancreas, are adherent to these diseased tissues.
If you can't get rid of it, it's going to come back again!
Moreover, it is very difficult to clean up the diseased tissue with adhesions on the veins.
If you're not careful, you'll burst your veins!
Ruan Bin's face still hasn't changed, it's still as calm as water.
The hands are scary.
It started, and it moved again.
He used all available surgical instruments to remove the diseased tissue at the root of the vein.
Cook Ding to solve the cow, peel off the cocoon!
Every movement is dancing on the tip of a knife!
Every time I cut it, everyone felt that this place would definitely not be cut, that it would not be completed at all, and that it would definitely hurt the adventitia.
However, every time Ruan Bin turns decay into magic!
The diseased tissue adherent on the surface of the vein is cleaned up little by little!
"I look like I'm chopping vegetables on top of a shelled hard-boiled egg, it's amazing!"
"There was not a single bleed, there was not a single mistake, there was no damage to the root of the vein. The key speed is still so fast! Oh my God!"
"My scalp is numb when I see it. Are his hands the hands of God?"
"I think it's like the nano operation in a science fiction movie, accurate to the nanometer level, you see, the abnormal feeling of cleaning, there is no residue!"
"Can people do this? I didn't think it was possible before, but I saw it today!"
Everyone watching the live broadcast outside was stunned.
Even Chen Chengquan held his breath, "If it goes on smoothly, this operation can definitely be completed! This patient can be saved." ”
Twenty minutes later!
Ruan Bin cleaned all the cancer cell lesions in the root of the mesenteric vein!
"Professor Chen, can you see if this is okay?" Ruan Bin stopped his movements and asked Chen Chengquan.
Chen Chengquan carefully observed it, and said excitedly: "It's incredible that the cleaning has been completely completed! You actually did it! If I hadn't seen it with my own eyes today, I wouldn't have believed it!"
:。 : 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~