"Activate the Clinical Operations Support System!"

"Surgical conditions: operating theatre in the 10s of the XXI century. ”

"Surgical staff: the user is the chief surgeon, one anesthesiologist, two assistants, and three nurses。。。。。。 ”

"Loaded pre-set case No. 1 data for left lobe and isthmus resection of the thyroid gland and prophylactic left VI lymph node dissection assisted by the Clinical Operational Support System. ”

After a series of commands were issued, Tian Lu quickly waited for a response from the system: "The system is ready, and the user can start the operation at any time!"

"Let's go!"

At the moment when this order was issued, Tian Lu only felt as if an extremely strong electric current had passed through his body, and his whole body couldn't help but tremble slightly!

After the anesthesiologist administers anesthesia, the patient is positioned according to a pre-set plan.

Tian Lu took a step forward and stood where the surgeon should stand.

"Mark the incision location!"

The head "buzzed", and it shook very slightly, and Tian Lu's eyes suddenly rose a trace of coolness, and after a moment of trance, the patient's neck in the eyes was in the middle, along the direction of the skin lines, about a centimeter above the sternal notch, a faint red line suddenly appeared!

Tian Lu's slightly trembling right hand carefully traced the red line with a marker.

Dr. Howard stood aside, his eyes narrowed slightly, and when he saw the red line, he nodded imperceptibly.

After confirming that the red line he drew completely overlapped with the part prompted by the system, Tian Lu issued the next order: "Start disinfection." ”

From the upper jaw and lower lip line, to the neck, cervical junction and supraclavicular fossa on both sides, and down to the two ** lines, a large reddish area immediately appeared on the patient's body, and with the red line as the center, two arrows kept flashing outward!

Holding the oval pliers, Tian Lu picked up the disinfection gauze ball, and quickly disinfected the red area in the direction of the arrow.

"Yes, precisely. ”

Dr. Howard nodded again secretly.

After washing his hands, laying out the towel routinely, and revealing the operation area, Tian Lu's heart suddenly beats.

"Scalpel!"

Suppressing the tension in his heart, he took the scalpel handed over, and motioned to the assistant to tighten the skin on both sides of the patient's neck。。。。。。

。。。。。。。。。。。。。。。。。。。。。。。。。。。。。

"It's so slow!"

Looking at Tian Lu's operation, in the observation room, a thought couldn't help but rise in the hearts of the resident doctors who were observing, and a first-year resident couldn't help but murmur in a low voice.

There is a very complete viewing equipment in the viewing room, and the operation of Tian Lu is clearly visible on the huge display screen.

"That's normal!"

It was not only the first-year resident who observed the operation, but a second-year resident nodded and said with appreciation: "I was also very slow the first time, and you can see that although Tian's operation is very accurate, his movements are a little stiff, which shows that he is still a little nervous." ”

No one answered, and everyone was watching Tian Lu's operation intently.

Indeed, unlike the previous surgeries of the attending doctors, the operation of Tian Lu is much slower. From the incision of the skin, subcutaneous tissue, and platysma muscle, then to the free flap, until now the incision of the white line, the high-frequency electric knife in Tian Lu's hand has to pause every time it falls, as if he is receiving some command!

And when the lateral side of the glandular lobe is dissociated and the middle vein is severed, Tian Lu's movements in his hand are even slower! The ultrasonic knife in his hand is cautious, for fear of damaging the surrounding tissues.

"However, the operation is very accurate, although the incision is small, but it is very clearly revealed!"

No one answered, but the second-year resident doctor continued to say to himself with great interest: "The most important thing is that Tian's thinking is very clear, what he is doing now and what he is doing next, he understands it very well, which shows that his foundation is very solid and his understanding of surgery is also very thorough." If it was his first time, he did really well! ”

If he could have heard the comments of the second-year residents, Dr. Howard would have been very much in favor of it, in fact, until now, he has been remarkably satisfied with Tian Lu's performance!

"But here's the real test。。。。。。 ”

The previous operation is not very difficult, starting from the free cricothyroid space, to cut several blood vessels, but also to protect the superior paraglands and expose the recurrent laryngeal nerve, which is definitely much more difficult for a novice.

While doing his duty as an assistant, Dr. Howard's face became solemn, ready to stop and terminate the operation of Tian Lu at any time.

I didn't notice the reaction of others, but now, the tension in Tian Lu's heart has gradually dissipated, and his attention is highly concentrated at the moment, and there is only a small area in his eyes at the surgical site!

"Split the bundle and break the upper polar blood vessels!"

"Ultherapy!"

With the prompt of the system, Tian Lu let out a low sigh, took the ultrasonic knife, and clamped it to the white part marked by the system!

。。。。。。

"Break the inferior artery!"

。。。。。。

"Expose the recurrent laryngeal nerve, please be careful not to damage the recurrent laryngeal nerve!"

。。。。。。

"Break the lower vein!"

。。。。。。

The breathing is getting more and more slower, and the movements in his hands are becoming more and more stable, following the prompts of the system, Tian Lu keeps saying the name of the equipment he is about to use, and his attention is all focused on that square inch!

In a trance, it seems that the surgery being performed now is not a real operation, but just a systematic simulation surgery performed more than an hour ago!

When I was learning anatomy and other courses, the operation techniques practiced in the experimental class gradually began to play a role, and the speed of operation in Tian Lu's hands was also unconsciously accelerated!

"It's getting faster!"

The second-year resident was extremely keenly aware of the changes in Tian Lu, and couldn't help but whisper!

The resident doctors who observed were taken aback and hurriedly looked at it seriously.

Really!

Compared with the beginning, Tian Lu's movements in his hands are now much faster, although they are not as good as the attending doctors, but compared to the beginning, it is a world of difference!

"Great! The accuracy and stability of the operation have not changed!"

Dr. Howard also noticed the change in Tian Lu, and after a moment of nervous attention, the heart that had been raised gradually fell back. And when Tanlu began to process the cone lobes, Dr. Howard finally relaxed.

The operation continues.

It wasn't until the glandular lobes were cut off and the entire excision site was placed on the tray that Tian Lu finally breathed a sigh of relief!

"Very good!"

Dr. Howard couldn't help but say a word of praise. Originally, he just planned to let Tian Lu complete the work of cutting in front of him, as a reward for his excellent performance in the front. After all, it was the first time, and it was said that he was in charge of the operation, but in fact, it was just an incentive, and he never thought that Tian Lu would be able to complete all the operations smoothly.

In fact, from the very beginning, Howard was ready to stop at any time and take over himself.

But at this moment, he was very satisfied with the performance in front of Tian Lu!

The operation is very clean, the incision is small, the bleeding is less, the thinking is clear, although the front action is a little stiffer, but later, Tian Lu's technique is getting softer and softer, for a novice, quite a perfect performance!

After the completion of the operation, Tian Lu breathed a sigh of relief, and when he heard Dr. Howard's praise, he raised his head, only to find that the assistants and nurses around him were looking at him with appreciation.

"Tian, do you want to continue with the lymph node dissection operation below?" Dr. Howard asked with a smile.

Tian Lu nodded and said, "Of course!"

That handy feeling has just been experienced, and Tian Lu can't wait to continue!

"Very good, let's get started!"

Dr. Howard gave the order, and the operating table continued to be busy。。。。。。

Soon, the cleaning technique was completed, and the cleaning was very clean, so that Howard, who originally wanted to give a hint to Tian Lu, remained silent. Then the surgery entered the final stage of suturing, and at this point, Dr. Howard's attention was focused again.

Suturing techniques may seem simple, but they are often the best way to demonstrate the surgeon's basic skills and understanding of the surgery. Generally speaking, the method of suturing must be reasonable, so that the tissue can be sutured in layers, tightly aligned, and avoid leaving dead space. Although Tian Lu's surgical plan is also relatively clear, the specific operation still has to be seen with your own eyes.

After only a brief moment, Dr. Howard couldn't help but smile again.

"There is no problem with the method, the needle distance and margin are also extremely even, and the ligation is moderately tight, and the suture of the skin is also quite beautiful and perfect!"

"Bang bang。。。。。。 ”

After Tian Lu finished stitching up his skin, Dr. Howard couldn't help but puff out his palms gently!

"Bang Bang Bang。。。。。。 ”

The other assistants and nurses also applauded their hands!

"Bang bang bang。。。。。。 ”

At the same time, in the observation room, the second-year resident took the lead in gently applauding his palms, and after a while, there was a round of applause in the observation room!

Even the blonde girl didn't say anything at this time, just bit her lip hard.

"Thank you!"

Tian Lu thanked Dr. Howard and another assistant and nurse with some excitement, and nodded to his colleagues in the observation room.

It's so cool!

Although it was only a simple operation, it was definitely a moment of great significance for Tian Lu! At this moment, in his heart, the feeling of comfort was happier than that of the USMLE test, more than being admitted to the neurosurgery department, and more than any other time!

"Hehe, that's the sense of accomplishment of a surgeon。。。。。。 ”

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Thanks to the two professionals in the book review section for their opinions, but as I said at the end of the previous chapter, this book is a novel, so let's exaggerate it appropriately, hehe.

In addition, there are opinions that my professional knowledge part uses too many ellipses, about this, I tried this chapter, and wrote down the whole process of surgery according to the operation video, a full 5,000 words, basically the process text accounts for more than half of the chapter!

Among the people who read the book, there are only a few who study medicine, and it is just a bunch of boring words, so the same is true in this chapter, and the ellipsis is replaced.