Chapter 640: Whole abdominal lymph node dissection

Yu Jian was anxious when he heard Qin Shengjie say this, and complained: "Teacher Qin, how can you write a full abdominal lymph node dissection?" You should follow the writing of radical sigmoid cancer surgery, so that even if the operation fails, the patient's family will make a fuss against Director Su. ”

Qin Shengjie said unhappily: "Isn't that a fraud?" Now I am doing radical sigmoid cancer surgery, but won't Xiao Su have to do a full abdominal lymph node dissection after a while? I have to put this into the surgical consent form! ”

Yu Jian stomped his feet angrily when he heard Qin Shengjie's words, he is a good teacher, but he is too old-fashioned, and he doesn't know how to be flexible at all, you said that you have been engaged in medical treatment all your life, don't you know that there is no total abdominal lymph node dissection at all? Timely there is also a kind of surgery that has not been clinically verified by Su Hongwen, and it is used on patients without clinical verification, and if the operation fails, it will be a serious medical accident, you know that writing this will bring huge trouble to Su Hongwen once it is seen by someone with a heart, you still write? Aren't you pit Su Hongwen?

Thinking of this, Yu Jian hurriedly said: "It's like this, but you can't write like this, isn't this Director Pit Su?" You let me tell you what is good about that. ”

Qin Shengjie is indeed an old-fashioned and serious person as Yu Jian said, and he will not do deceitful things, this is his advantage, but also his disadvantage, the advantage is that Qin Shengjie has gone further than others in the rigorous discipline of medicine, and has made certain achievements, the disadvantage is that he has been mixed all his life before he became a director, and he gave way in advance, and his achievements in medicine are not much, he is too old-fashioned and does not know how to be flexible. This is destined to make him unable to make much contribution to medicine, which is rigorous, but it also needs to be flexible, and the same makes him hesitate.

Now that Qin Shengjie has been criticized by his own students, he can't hold his face, and his old-fashioned temper immediately said angrily: "What do you call me cheating him?" Since Director Su said that we should do a total abdominal lymph node dissection, we must clearly write it on the surgical consent form, so that the patient's family can understand what surgery we are doing to his relatives. ”

Yu Jian was about to speak again, Su Hongwen frowned and said, "Okay, don't make any noise." There is nothing wrong with writing a full abdominal lymph node dissection. I was going to do this, and Mr. Qin brushed his hands on stage and helped me with the operation. ”

"But ......" Yu Jian still felt that Qin Shengjie would bring trouble to Su Hongwen by doing this, and wanted to save it.

"Don't. Now is not the time to argue. Let's get the surgery now. Su Hongwen interrupted Yu Jian's words. Now it doesn't matter to him anything except surgery, but what Su Hongwen didn't expect was that the conversation record written by Qin Shengjie brought him a lot of trouble, of course, this is a later story.

The surgery continued. There is a strong foul smell spreading in the entire operating room, which is the smell of Li Yemao's intestinal necrosis, if ordinary people smell it, they will definitely vomit and vomit, but Su Hongwen and a few people have no reaction at all, it is really that the operation has entered a critical moment, who still has the mind to manage whether it smells or not, after saying that, they have long been used to such a smell, many patients with intestinal cancer sometimes have intestinal necrosis, and the intestinal tube at the Yan zhòng point is ruptured, and the abdominal cavity is full of feces, At that time, Su Hongwen and the others had to take out the feces in the abdominal cavity with their hands, the smell at that time was much more smelly than now, and the situation made people want to vomit even more, and the current situation was really small compared to that time.

Li Yemao's surgery is not only a radical resection of sigmoid colon cancer, but also a rectum that has to be removed, because the rectum has already died of obstruction, and the anus can not be saved in this case, so he can only make a stoma in the left lower abdomen to make an artificial anus, and the intestines that are removed are a bit more, but it is also less than the intestines that have been cancerous and metastasized.

And this operation is quite difficult, because of the large area of intestinal necrosis, swelling must be careful during the operation, perhaps an inadvertent touch will rupture the intestinal tube, lead the feces in the intestinal tube into the abdominal cavity, causing severe infection of the abdominal cavity, and the intestinal tube is also stored in the zài cancer cells, once the intestinal tube ruptures, these cancer cells will enter the abdominal cavity and appear artificial implantation metastasis, no matter what kind of situation Li Yemao will definitely die.

Therefore, Su Hongwen and the three of them must be careful to do this operation, there can be no mistakes, not the slightest, the three of them are nervous, they don't feel tired, they don't feel tired, they only have surgery in their eyes, the operating room is terrifyingly quiet, only the "dripping" sound of the ECG monitor from time to time, and the gentle "click" sound of the hemostat clamping a piece of tissue.

The three of them were sweating like rain, and before they knew it, the surgical gown was all soaked, and the nurse kept walking around to wipe their sweat with a dressing between the three of them, and a lot of dressings were used to wipe the sweat, which would all be piled on the ground.

I don't know how long it took, Su Hongwen finally cut off all the intestines under the cancer, and a black "giant python" was gently put into a big tray, at this time everyone breathed a sigh of relief, and the tense nerves of the three people finally relaxed, Su Hongwen felt that his body was weak, and his body couldn't help shaking, and the older Qin Shengjie fell backwards as soon as his eyes were dark, but fortunately, the nurse who found it quickly helped him, otherwise the old man would have to fall.

Seeing this scene, Su Hongwen hurriedly said: "Find a stool for Teacher Qin for him to rest, and bring him a bottle of 50% glucose to drink." ”

Surgeons often have to do seven or eight hours or more of the operation in a row, during this time, not to mention eating, drinking, even going to the toilet is impossible, older doctors often have a situation of motion sickness, tired, the only way at this time is to give them a stool, let them drink some glucose to replenish the body.

The operation is not over yet, just halfway through, Qin Shengjie is old and obviously can't let him go to surgery, so Su Hongwen said to the sword: "Director Yu, can you still stand it?" If he can't stand it, he will be replaced, and Teacher Qin will not let him go, so inform Teacher Qi and let him bring someone down to take over the stage. ”

Yu Jian exhaled a long breath and said, "I'm okay, Teacher Qin won't let him go." Speaking of this, he turned his head and shouted to the anesthesiologist: "Call us Corey and ask Qi Dongfeng to bring someone down, quickly." ”

Su Hongwen lowered his head and looked at the surgical field, the most difficult step is coming, now he wants to do a full abdominal lymph node dissection, in fact, this technique is not available in the spaceship, because the work of cleaning the lymph nodes in the medical training system is carried out by the cell machine qì people, and there is no need for the chief surgeon to do it, even if it is done, there are too many lymph in the abdominal cavity as Qin Shengjie said, how can it be cleaned by manpower.

But Su Hongwen asked the system to design a set of total abdominal lymph node dissection technology for him alone, he also had no choice, the spaceship was not perfect, and the cell machine qì people who made zuò were all disposable products, and the price was quite high, I really couldn't afford it, in order to prevent encountering patients like Li Yemao, Su Hongwen could only be tired by himself, but he had been learning drug research and development for a while, but he put aside the technology of total abdominal lymph node dissection, thinking about learning in the future, Who would have thought that he encountered a patient who needed a total abdominal lymph node dissection - Li Yemao, Su Hongwen had to bite the bullet, he really couldn't watch Li Yemao die, but he didn't do anything.

Because the time to learn whole abdominal lymph node dissection is too short, Su Hongwen is not proficient, so he is not sure.

After a little rest, Su Hongwen began to dissect the lymph nodes in the abdomen, but he couldn't afford to delay it, and the longer the operation, the greater the possibility of failure, after all, Li Yemao's health was not good.

The first position of the cleaning Su Hongwen chose the best intestinal tubes to be cleaned, and there were already dense cancers of different sizes on those intestines, which made people only get goosebumps all over their bodies, and they were as uncomfortable as they were, but Su Hongwen didn't feel it at all, and used hemostats to separate these cancers of different sizes from the intestinal tube one by one, fortunately, most of the cancers were on the mesentery, and there were not too many on the intestinal wall.

When Su Hongwen cleaned up all the cancers on the intestines, it had been more than three hours, at this time Su Hongwen's two hands were numb, but he still didn't dare to delay the time, activated the fluoroscopic glasses and began to free the cancer in other positions in the abdominal cavity.

This step is difficult, the abdominal cavity is so big, there are such and such organs in it, these organs have become obstacles, and the incision in the abdomen is not large enough, there are many places where the naked eye cannot see directly, and if you don't have see-through glasses, Su Hongwen can't do a full abdominal lymph node dissection.

Now that Yu Jian has also gone down to rest, Qi Dongfeng can't help much, so he can only do it in a hurry, watching Su Hongwen put his hands into the abdominal cavity for a while and use a hemostat to pull out a bloody small sarcoma, he is terrified, once the operation fails, Su Hongwen's reputation will be completely ruined, and it will also be a huge blow to the oncology department, who let Su Hongwen get a full abdominal lymph node dissection.

Qin Shengjie didn't leave, just sat on the side and waited, at this time his mood was also very anxious, he was worried about Su Hongwen, and he was also afraid that the operation would fail.

Time passed little by little, and before I knew it, it was more than 7 o'clock in the evening, Su Hongwen put the hemostat to the side, and the tray in front of the instrument nurse was already full of sarcomas of different sizes, this was already the third plate, and Su Hongwen said that tens of thousands of cancers were free.

The operation is basically over here, but the real crisis has just emerged, which Su Hongwen did not expect, he got off the stage and returned to the office to meet two uninvited guests. (To be continued......)

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