Xiao Mo said: "Director, I remember that when we had a meeting a few days ago, we said that this patient's tumor is relatively large, what is the specific condition of the patient now?"

Du Wenlong said: "This patient had a relatively large lesion before, which had already involved the important structures of the hilum, blood vessels and bronchi, and after more than 20 days of chemotherapy, the tumor was downstaged, and the tumor shrunk, and now is the best time for surgery." ”

"I remember the last meeting said that it was relatively close to the heart, did it metastasize to other organs?"

Du Wenlong handed the radiographic film to Xiao Mo: "Take a look at the film." ”

Xiao Mo looked at it carefully and said, "It shows that it has spread to the stomach in small amounts, and there is a certain risk in this operation." ”

"It's risky, that's why you're asked to do it, I trust your skills. ”

Xiao Mo picked up all the patient's medical records and examination reports and looked through them carefully, this thick stack of reports was first of all routine examinations, including blood routine, urine routine, etc., followed by all liver and kidney function items, coagulation function items, tumor markers, and imaging examinations, including chest CT, abdominal CT, abdominal B ultrasound, brain MRI, bone scan, electrocardiogram, etc.

After reading it, Xiao Mo said, "Why is there no tracheoscopy?"

Du Wenlong said: "This examination is not necessary, the patient's trachea and bronchial development are normal, and this examination is not necessary." ”

Lin Hui said: "The patient's trachea and bronchi have been examined during the outpatient clinic, and there is no problem. ”

"The patient had smoked a lot before and asked to quit smoking for a period of time before the operation. ”

Lin Hui said: "Since the onset of the disease, the patient has quit smoking, and has not smoked for about two months. ”

Shorer said, "Did you give the patient an enema for three days?"

Lin Hui said: "Yes, everything is ready to continue. ”

Xiao Mo said: "Well, I basically understand the situation. ”

When Du Wenlong left, he said to Xiao Mo: "Xiao Xiao, this operation can only succeed and not fail, firstly, it is a very typical operation that can be used for surgical research, and secondly, it is the best opportunity to test your medical skills." ”

Xiao Mo was a little nervous, because he had never had such a major operation before, he said: "Director Du, I will definitely do my best, thank you for giving me this opportunity." ”

Du Wenlong said: "We will take a video during the operation, don't be nervous, just use the plan we just discussed and operate with a normal mind." If we succeed, it will be a milestone for our hospital, our reputation will be played out, and you will be more famous. ”

"Director, got it!"

After Du Wenlong left, Xiao Mo and Lin Hui walked to the operating area to prepare for surgery. After everything was ready, Xiao Mo walked into the operating room, and the three surgical assistants were already on standby. There was a video camera on the ceiling slightly on the top of the operating table, which was recording, and Xiao Mo couldn't help but feel a little nervous when he remembered that Du Wenlong said that he would record the whole operation.

Du Wenlong, President Lin and two other hospital leaders are sitting in the next room, ready to watch Xiao Mo's operation through a display screen connected to the camera. Xiao Mo didn't know all this.

The patient was lying flat on the operating table, his upper body naked, his eyes closed.

Surgical assistant Zhu Xiao prepared the sterile instruments and placed them on a shelf next to the operating table. Another assistant turned the operating light on the top of the operating table to the brightest brightness, and Zhu Xiao covered the patient's body with a blue cloth with a square hole in the middle.

Schimmer looked at the ECG monitor, which was showing systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse oximetry, and ECG values.

Zhu Xiao said: "Doctor Xiao, the patient's blood pressure and blood sugar have dropped to a safe range. ”

"Okay, now it's going to be anesthetic," Shorer said. ”

Xiao Mo injected half of the patient's body anesthetic, and the patient's upper body was completely unconscious, and he looked at Xiao Mo uneasily. Schimmer smiled and said to the patient, "Please relax, don't worry, and cooperate with us." The patient nodded slightly.

Shorer aimed the hole in the blue cloth at his ribcage and said to the other three, "Now open the ribcage." ”

Xiao Mo stretched out his right hand, and the assistant next to him handed him a cutting knife, Xiao Mo decisively cut from the middle of the chest, because the patient was a little fat, and the internal and external fat was thicker, so it was more difficult to cut. After cutting a cut, blood immediately gushed out, and another assistant held tweezers and pressed gauze to stop the bleeding, and the blood flowed more and more, Xiao Mo operated calmly and calmly.

Xia Qing sat in front of the computer to sort out the project drawings during this time, and Wu Fei suddenly walked in: "Everyone stop the work in hand, I have something to say." ”

The four designers all looked at Wu Fei. Wu Fei said: "The first thing is the bid of the Hulk, if you win the bid, you should only receive a notice tomorrow, everyone should be impatient." The second thing, now another project has come in, this project is medium in scale, only two people are needed, I want Xia Qing and Wang Huai to do it. ”

Xia Qing asked, "What is the project?"

"It is a 4 star hotel. Two floors, with a construction area of about 1,000 square meters. ”

Wang Huai said: "That's not small. ”

"It's not too small, you two just do it. ”

Seeing Jin Qiaoqiao's dissatisfied gaze at him, Wu Fei said, "Jin Qiaoqiao has other work arrangements. Yang Fan and Jin Qiaoqiao pair up......"

Wang Huai said: "Mr. Wu, what kind of pairing will you misunderstand when you say this? ”

Jin Qiaoqiao said angrily: "Wang Huai, what are you talking about? Can you speak? ”

Yang Fan said: "Wang Gong, you are poor enough. Originally, Mr. Wu didn't mean that. ”

Wang Huai smiled: "I'm sorry, it's my slip of the tongue." Mr. Wu, you continue to talk about your business, don't pay attention to me. ”

Wu Fei said: "I was interrupted by Wang Huai, and I forgot the point I was going to say. ”

Xia Qing said: "Wang Huai, look at how much you have made a mistake. ”

Wu Fei said: "Xia Qing and Wang Huai will come to my office in a while and tell you the details." ”

Thirty minutes later, Shomo cut open the patient's chest, exposing the patient's lungs, and he saw a relatively large tumor, relatively close to the heart, nearly two centimeters in size, and he couldn't help but gasp, and at the same time, he saw about five tumors of different sizes scattered around, and two of them had spread to the stomach. The three assistants also gasped, realizing that the patient's condition was critical.

"Now I'm going to enlarge my chest, and you guys are going to cooperate with me and keep an eye on the patient's bleeding," Shorer said. ”

The three assistants said in unison, "Good!"

Meticulously, Schimmer made a larger incision in the affected area and began lobectomy. At this time, the large blood vessels in the patient's lungs unexpectedly ruptured and caused massive bleeding, the amount of bleeding was about 500 ml, the patient was on the verge of hemorrhagic shock, Xiao Mo looked at the monitor nervously, and the three assistants were panicked.

Du Wenlong and several leaders, who were paying close attention to the operation, also panicked, and they watched Xiao Mo's every move intently. Xiao Mo said calmly: "Don't panic, everyone! Zhu Xiao, immediately replenish the blood volume, please inject 1000 ml of normal saline." ”

Zhu Xiao immediately hung up the normal saline solution on the patient, and pulled out the needle and inserted it into the normal saline bottle. Xiao Mo operated attentively, occasionally observing the ECG monitor.

Xiao Mo used a suction device to press horizontally to compress the blood vessel to stop bleeding, and sutured and ligated while suctioning. After 15 minutes, the patient's bleeding decreased significantly.

The monitor showed that the blood pressure was back up and maintained at normal levels, and the hematocrit value was less than 30%. Xiao Mo said: "Zhu Xiao, now you need to transfuse the blood components, using 2U of suspended red blood cells, 200 ml of plasma, one unit of cryoprecipitate and one unit of platelets. ”

Zhu Xiao hurriedly went to the freezer to get it.

Finding that the patient's condition was different from the medical records and examination reports, and the difficulty of the operation increased, Xiao Mo recalled his years of clinical experience and professional knowledge at the university while operating, and now is the critical moment to test his skills. Now that the largest tumor is removed, Schimmer carefully avoids the phrenic nerve, recurrent laryngeal nerve, sympathetic chain, and thoracic duct.

Three hours later, Shorer had successfully removed all of the tumor, and then dissected the systemic lymph nodes, including the hilum and lymph nodes in all the mediastinal drainage areas, which was a radical treatment. After proper management, the patient did not have any further heavy bleeding and his blood pressure, heart rate and pulse rate returned to normal. In the final stage of the operation, the chest cavity is closed, and Xiao Mo first completely stops the bleeding of the chest cavity to prevent a second thoracotomy to stop the bleeding. After chest closure, Schomer is treated with a hemostatic agent to reduce intrathoracic hemorrhage.

Du Wenlong and the other three hospital leaders watched nervously, and the four of them were full of praise when they saw Xiao Mo's ability to adapt so strongly, and his calm and calm style in the face of emergencies.

It took about 40 minutes to close the chest, and the whole operation took nearly four hours. Basically standing for four hours, Xiao Mo and the three assistants were already very tired. Especially Xiao Mo, because he was too focused, beads of sweat appeared on his forehead many times, Zhu Xiao helped him wipe off the beads of sweat, and the four of them held on until the end of the operation. The ECG monitor shows that the patient's indicators are normal, which means that the operation was successful.

The patient is wheeled out of the operating room and taken to the intensive care unit. Xiao Mo and the three assistants' originally tense hearts were let go at this time, and the joy after achieving success made the four of them hug each other involuntarily.

The three assistants congratulated Xiao Mo one after another, and Xiao Mo said: "Success belongs to all of us, without you, this operation would not have been successful." ”

In the next room, the three senior leaders of the hospital shook hands with Du Wenlong to congratulate the success of the major operation, Du Wenlong said excitedly: "I have had many surgeries in my life, and I am deeply impressed by this operation today, and the whole process is really thrilling like watching an action drama!"

A leader said: "Xiao Mo is a good apprentice you brought out." ”

The four of them walked out of the room in a good mood, and at this time, Xiao Mo was also walking out of the operating room, and Du Wenlong hurriedly greeted him: "Doctor Xiao, it's great!"