Chapter 52: The Master Knife

"The male patient, now 55 years old, found a single nodule with a diameter of 1.1 cm in the left lobe of the thyroid gland, and the cytology of fine needle aspiration showed that it was ** carcinoma, and planned to undergo left lobe and isthmus resection of the thyroid gland and prophylactic left zone VI lymph node dissection."

Under the envious gaze of the three residents, Dr. Howard handed the case information in his hand to Tian Lu, and continued expressionlessly: "Before coming to the operating room to report, give you two hours, draw an anatomical drawing, and then write a surgical plan for me!" ”

"Yes, sir."

Tian Lu took the information with some excitement, nodded his head, and immediately returned to the duty room.

Coming soon, is his first surgery!

Even under the system simulation function, Tian Lu has dissected countless human bodies, but in reality, this is the first time completely!

Suppressing the agitation in his heart, Tian Lu sat on the chair and quickly entered the system.

"Activate the Clinical Operations Support System!"

"Start the simulation implementation function!"

"Simulated Surgical Conditions: Operating Rooms in the Nineteenth Century of the Twenty-First Century."

"Simulated surgery personnel: one chief surgeon, one anesthesiologist, two assistants, three nurses。。。。。。"

With the issuance of Tian Lu's instructions, the hall of the clinical operation support system has undergone great changes: a complete operating room appears in an instant, and a number of instruments and surgical instruments appear in front of his eyes.

"Simulated surgery: left lobe and isthmus resection of the thyroid gland and prophylactic left VI lymph node dissection."

"Simulated patient profile: male, 55 years old, 1.84 meters tall, weighing 79 kilograms. Lesion location: There is a single nodule with a diameter of 1.1 cm in the left lobe of the thyroid gland, and the specific location is 。。。。。。 Pathological findings: ** carcinoma。。。。。。 ”

"The scenario simulation is complete!"

The assistants and nurses appeared at the operating table, and according to the description of the case data, referring to the results of various examinations, a virtual patient also quickly appeared on the operating table!

"Refer to the entry of surgical plan template No. 017, simulate surgery, five times the speed!" When everything was ready, Tian Lu issued the next order as soon as possible.

In order to facilitate teaching, the Department of General Surgery will film some classic surgeries for medical students or residents to learn, and the surgeries entered by Tian Lu in advance just have the content of today's surgeries. After a long period of exploration, Tian Lu found that as long as the system is provided with a template, it can perfectly simulate the whole process of surgery, which is extremely practical.

With Tian Lu's order, a virtual doctor who was exactly like him instantly appeared in front of the operating table and began to operate without the slightest pause.

In the process of operation, a mechanical voice appeared in Tian Lu's mind at the same time.

"Patient position: supine position, patient under the shoulders 。。。。。。"

"Mode of anesthesia: general anesthesia."

"Disinfection site: upper to lower jaw, lower lip line, sides to neck, cervical junction and supraclavicular fossa, down to 。。。。。"

"Disinfection method: hold the sterilized yarn ball with surgical forceps, dip it in disinfectant solution, and disinfect it from both sides of the incision line in the center of the surgical area。。。。。。"

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"Incision location: median of the neck, 。。。。。。 above the sternal notch"

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"A high-frequency electric knife cuts through the white line."

。。。。。。

"Disconnect the lower vein."

。。。。。。

"Dissection of lymph nodes in area VI with a dissection area of 。。。。。。"

。。。。。。

"Simple nodular suture of the platysma muscle and subcutaneous."

。。。。。。

"Count the surgical instruments and materials, and the operation is over."

At five times the normal speed, the virtual physician soon demonstrated the entire process of the operation. In the process of simulating the operation, Tian Lu's vision is not from the perspective of a bystander, but from the perspective of operation, so the whole process of surgery can be said to be clearly remembered!

"Prompt intraoperative precautions and intraoperative risks, and list risk plans!"

After watching the entire operation, Tian Lu did not operate it himself at the first time, but gave an order again.

β€œγ€‚γ€‚γ€‚γ€‚γ€‚γ€‚β€

β€œγ€‚γ€‚γ€‚γ€‚γ€‚γ€‚ The recurrent laryngeal nerve is exposed and adequately protected before proceeding to the next procedure. ”

β€œγ€‚γ€‚γ€‚γ€‚γ€‚γ€‚β€

The key points of the operation and the risk plans were clearly and systematically listed, and it was only at this time that Tian Lu was lightly relieved.

For a successful operation, the correct operation during the operation is only a part of it, and the determination of the preoperative plan and the plan for various emergencies during the operation are also extremely important.

After drawing a simple anatomical diagram, Tian Lu printed out the surgical plan, including precautions and risk plans, on the computer.

Looking at the watch, less than an hour has passed, and there is still plenty of time, Tian Lu immediately entered the clinical operation support system and reopened the simulation implementation function。。。。。。

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"That's what you just wrote?"

The corners of Dr. Howard's eyebrows jumped, and his dark face was full of surprise.

Tian Lu nodded and said, "Yes, sir." I had seen the video of Corey's surgery in advance, so I was able to write it so quickly. Take a look, is there anything wrong? ”

Looking down and looking at it again, Dr. Howard's heart was even more amazed.

Howard would not be so surprised if he could sort out a complete surgical plan after watching Corey's video. Although Tian Lu did a very good job in this regard, after all, he just drew a scoop according to the gourd, which can only show that he is diligent enough and has a solid foundation. However, being able to summarize so many precautions and intraoperative risks, and make a perfect plan, is definitely not something that an ordinary resident can do!

In fact, even Dr. Howard himself, after reading the materials of Tian Lu, did not have the confidence that he could do it so perfectly!

"Very good!"

A satisfied smile finally appeared on Dr. Howard's cold face, and he nodded, "It's a perfect plan, and this operation will be carried out according to this plan today!" ”

"Thank you."

Now Zitian Lu is finally relieved. Even for the same disease, it is difficult for the situation of two patients to be exactly the same, so after printing out the surgical plan, Tian Lu has been worried that there will be something to ignore.

Now it seems that the simulation scheme of the system is very powerful and has been fully approved by the attending physician.

Tian Lu's mood relaxed here, and Dr. Howard hesitated slightly, and suddenly asked with a smile, "Tian, can I keep your plan?" It's great as a teaching material! ”

"Absolutely!"

Tian Lu nodded hurriedly and said, "You can use it as you like." ”

Dr. Howard is one of the attending officers in charge of residency training in the Department of General Surgery, and leads a team of residents every year, including UC medical students, so a good program is very helpful for his teaching.

Dr. Howard was obviously very happy to have an unexpected gain, and his attitude towards Tian Lu became a lot more enthusiastic, constantly instilling in Tian Lu the problems that need to be paid attention to during the operation, so that the other three residents who were preparing to observe the operation on the side couldn't help but be envious and jealous.

Soon, the scheduled time for surgery arrived, and after changing into a sterile gown, Tian Lu and Dr. Howard entered the operating room together, while the blonde girl sat in the observation room outside the operating room along with several other residents.

A resident in the other group said enviously, "Hey, Lucy, that is the legendary Chinese who entered neurosurgery at the age of twenty-four?" Yes, you can be an assistant so soon? ”

"It's just a matter of luck!"

The blonde snorted sourly.

"Can't say that!"

Another resident doctor looked at Tian Lu with a calm face and said seriously: "I read the surgical plan he wrote, and it is really great!" He's qualified to be a surgical assistant! ”

"Nerds, Chinese people are very good at making these things!"

The blonde girl Lucy shook her head with some disdain, and forced herself to argue: "I'm sure, I'm afraid he hasn't even seen the operation a few times, as long as he stands on the operating table, he will definitely panic, and even forget how to take the scalpel。。。。。。 ”

Speaking of the back, Lucy's voice suddenly gradually lowered, and a pair of blue eyes looked at the center of the operating room in amazement.

Tian Lu was also very surprised at the moment!

"Tian, you will be in charge of the operation!"

Dr. Howard's voice was low and clear, causing the other assistant and the nurses to look at each other in surprise at the same time.

"This 。。。。。。 I'll do the surgery? Are you sure? ”

Tian Lu, who was surprised and delighted, couldn't help but widen his eyes. Happiness came so suddenly, he thought for a moment that his ears were wrong!

"Yes, it's up to you! Of course, I'll be watching from the sidelines, and I could terminate your operation at any time! Dr. Howard smiled slightly and said seriously.

"Thank you!"

Tian Lu was pleasantly surprised, and sincerely thanked Dr. Howard: a physician who has just entered the training for a few days is a rare good opportunity!

After Dr. Howard's reconfirmation, except for a hint of strangeness in the eyes of the other assistant, the anesthesiologist and nurses quickly adapted to the change of roles between the two, and their eyes brushed to Tianlu.

Looking at Dr. Howard again, whose eyes were full of encouragement, Tian Lu took a deep breath and silently issued a command in his heart!

"Activate the Clinical Operations Support System!"

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Exaggerate appropriately, and connoisseurs don't spray.