Xi Changjian has been under Cai Weizhong for more than ten years, maybe he hasn't learned anything else, but Cai Weizhong's violent temper has learned eight or nine without leaving ten, and when he heard Wang Wenfeng's words, he was immediately furious, and he was about to scold his mother when he opened his mouth, Chu Tianyu hurriedly rushed forward and said: "Brother Xi, Doctor Wang, don't quarrel, since I dare to take this operation, I have the confidence to do it, don't say anything, let's get ready to start." ”

Xi Changjian said hurriedly: "Xiao Chu......"

Chu Tianyu waved his hand to interrupt Xi Changjian's words, looked at the poor old man lying on the bed, and said: "Brother Xi, don't say anything, believe me, although we have known each other for a short time, do you think I am a person who jokes about the lives of patients? The old man is already miserable, if he falls, what will happen to the three children? Speaking of this, Chu Tianyu turned around and went out to brush his hands directly, he didn't expect Wang Wenfeng to do the disinfection and trapping of sterile orders at all.

Wang Wenfeng smiled coldly and said, "Did Xi Changjian hear it?" Speaking of this, Chong Xi Changjian waved his hand, turned around and went out.

Xi Changjian looked at Chu Tianyu's back and gritted his teeth and said, "Okay, I'll believe you kid once, don't let me down, don't let me down, this is a life." Speaking of this, Xi Changjian began anesthesia.

As Chu Tianyu said, Xi Changjian has known him for a very short time, but Xi Changjian doesn't know why, he just believes in Chu Tianyu, believes that he is a person who will not joke with patients, this is Chu Tianyu's personality charm, which can make people believe and trust him in a very short time.

When Chu Tianyu came back, the anesthesia had been completed, and the old man's life indicators were not bad, Chu Tianyu stood in the position of the chief knife and exhaled a breath to look at Xi Changjian and said, "Can you start?"

Xi Changjian said with a solemn face: "Xiao Chu, I hope you don't come hard, if you open your stomach for a while, you find that you can't do it, immediately replace your Director Zhao to do it, this is human life, but you can't do it." ”

Chu Tianyu nodded and said, "Don't worry, Brother Xi, I know in my heart, if I find that I can't do this operation after a laparotomy, I will find other doctors to take over the stage, and I won't come hard." ”

Wang Wenfeng stood opposite Chu Tianyu, that is, the position of the first assistant, his face was full of sneers, he really didn't believe that Chu Tianyu could do such a difficult operation, he couldn't do it for a while, and see how he ended it, and if he couldn't do the operation, he would have the face to continue to manage a ward.

Wang Wenfeng was right, once Chu Tianyu can't do this operation, he will immediately lose his prestige, and the doctor industry wants others to respect you. Convince you, you have to have the skills to do it, of course, Chu Tianyu said that he couldn't do such a big operation at his age, it is understandable, he is young after all, after all, the time to participate in the work is still short, and it is normal to not be able to do such a big operation, but Chu Tianyu promised Wang Wenfeng to come to the main operation, and the person who promised was him, but he couldn't do it, what would this make others think of him?

A young and frivolous person knows that he can do it, and the hat of not taking the patient's life seriously will definitely be buckled on his head, with this hat, Chu Tianyu really has no face to stay outside, let alone continue to manage a ward.

Xi Changjian glanced at Chu Tianyu worriedly, looked sideways at the various data on the ECG monitor, and said, "You can start." ”

Shan Ying immediately turned on the operation timer, and the eye-catching red "1" appeared on the monitor.

As soon as Chu Tianyu stretched out his hand, Qi Jiarong immediately put the scalpel in his hand with a "snap", and Chu Tianyu took a deep breath and made an eight-centimeter incision in the patient's middle and lower abdomen.

After all, Wang Wenfeng is not a rookie like Cao Mengchen, but an old fritter, he picked up the dressing and stained the blood without Chu Tianyu saying anything, and Chu Tianyu took the electric knife to stop the bleeding.

After cutting the cortex, there is the fat layer, the old man's body is very sold, the fat accumulated in the abdomen is not too much, only a thin layer, Chu Tianyu quickly cut the fat layer and then welded all the bleeding points with an electric knife, and then cut the muscle layer, which leaked out of the peritoneum below.

Chu Tianyu poured down the tweezers with Wang Wenfeng, and confirmed that the hemostat in his hand did not clip the tissue below, so he cut open the peritoneum, and as soon as he opened it, a stench that made people want to vomit rose to the sky.

Shan Ying couldn't help but let out a "wow" sound, and then ran out to vomit while covering her mouth.

Qi Jiarong was slightly better than her, but he also retched again and again, Xi Changjian turned around and didn't dare to look, Wang Wenfeng was so disgusted that his tears were about to fall.

Only Chu Tianyu's expression was as usual, he looked down and immediately felt a sigh in his heart, the abdominal cavity was full of feces, which showed that the intestinal tube had been broken, Chu Tianyu immediately said urgently: "Hurry up and add two sets of antibiotics, quickly." ”

With so much stool in the abdominal cavity, it is a miracle that the patient does not develop an intra-abdominal infection, and now the patient must be given antibiotics to avoid or suppress the intra-abdominal infection.

Xi Changjian hurriedly went to get the medicine, and Chu Tianyu said to Qi Jiarong: "Prepare for abdominal cleaning." ”

It is now necessary to remove all feces from the abdominal cavity and then repeatedly flush the abdominal cavity with a large amount of saline, leaving as little stool residue as possible.

Shan Ying ran back with an ugly face at this time, and hurried to get saline.

Chu Tianyu directly grabbed out the foul-smelling feces piece by piece in the deep abdominal cavity of his hand and put them in the basin prepared by Qi Jiarong.

The entire operating room was filled with a disgusting smell of feces at this time, and the gloves on Chu Tianyu's hands were full of feces, such a disgusting scene made the others retch, only Chu Tianyu looked as usual, rummaging through the feces in the abdominal cavity little by little, and then grabbed it out with his hands.

Xi Changjian was so disgusted that he couldn't speak, and the acid water in his stomach poured upwards, and he gave Chu Tianyu a thumbs up, which means you are a kid cow.

Scratching feces with one's hands is something that a normal person wouldn't do, even if one's own parents collapsed on the bed, pulled a bed, and changed the washing, how many people didn't feel disgusted or disgusted at all, let alone scratch feces for a stranger.

No one will do such a thing, but as a doctor, they have to do it, because this is their accusation, it is their mission, for doctors, life is always above all else, this is not a lie, a big talk, empty words, but a fact, there is always such a group of people in this world who are selflessly paying for other people's lives.

The smell in the operating room was so bad that Shan Ying had to open the door of the operating room to let the smell out somewhat, and at this time Chu Tianyu was rinsing the abdominal cavity, he had to rinse it as much as possible and leave no fecal residue, because leaving too much fecal residue would lead to abdominal infection, and at that time, even if Da Luo Jinxian descended to earth, he would not be able to save the old man.

Flushing is very cumbersome, it is necessary to repeatedly inject normal saline into the abdominal cavity, and then use a suction device to absorb it, but there will still be some residual normal saline, which requires putting in a dry dressing to suck these saline into the dressing, and after repeating it several times, there are already a lot of dressings piled up on the ground, and Chu Tianyu is also tired of sweating.

But these are not important, the important thing is that in the process of irrigation, Chu Tianyu found the cause of the patient's intestinal obstruction - cancer, and judging from the shape of the cancer, Chu Tianyu can confirm that this thing is malignant, and the intestinal tubes at the upper and lower ends of the cancer have necrosis of up to ten centimeters, which means that the intestinal tube up to twenty centimeters long will be removed, or even more.

The old man is eighty-one years old this year, and the intestinal function is much worse than others, if so many intestinal tubes are removed, the old man will not be able to live for a few days after the operation, because the absorption capacity of the old man will become very poor without so many intestinal tubes, and the intestinal tube cannot absorb enough nutrients, how can people live?

If there is a rectum to be cut off, then a stoma should be made in the left abdomen of the old man for fecal discharge, and the anus has to be sutured because there is no rectal connection, and it is normal to imagine that a person goes up to the anus and wants to make a stoma on the left side of the abdomen, which can also be said to be an artificial anus, which is a painful thing to do.

Every day you don't know that you want to defecate, and the feces flow out quietly and silently down the ostomy mouth, exuding a disgusting fecal smell, how many normal people can tolerate it?

But this is no longer important, the important thing is how to save the old man's life, but now it seems that this is almost impossible, so many intestines are removed, even if the tumor is not malignant, the situation that the nutrient absorption alone cannot meet the needs of the human body will kill the old man.

Xi Changjian was on the side, and said helplessly when he saw such a situation, "Xiao Chu, close your belly." ”

There is no need for surgery in the current situation, and it can be said that the old man is lacking surgery.

If you force the operation, it is not impossible, but it has completely lost its effect, what if the cancer is removed? What about the necrotic intestine? The old man is still dead, this will only increase the patient's pain, increase the cost, and cannot change the result, it is completely useless, so other doctors can only choose to give up the operation when they see this situation.

Wang Wenfeng also sighed helplessly at this time, the patient's condition was indeed no longer necessary to continue the operation, and the fact that he wanted to wait to see Chu Tianyu's jokes was also in vain.

At this time, Zhao Guoli walked in, and as soon as he came in, he hurriedly said, "How is the situation?" He was called by Cai Weizhong to save the stage, and Zhao Guoli also didn't believe that Chu Tianyu could do such a big operation.

As soon as Xi Changjian told him about the situation, Zhao Guoli's face was immediately full of helplessness, and he sighed and said, "Chu Tianyu should close his abdomen." After saying that, he turned around and was about to leave.

But at this moment, Chu Tianyu suddenly raised his head and said, "You can't close your stomach, the old man can still be saved." ”

As soon as these words came out, everyone was stunned for a moment, looking at Chu Tianyu like a madman, the situation is like this, what else can be done? Even if it is to invite the best general experts in the world, it will be in vain.