Liu Shuyun had already been pushed to the operating room, Qin Shengjie didn't go with him because he was going to attend the press conference, and only asked a nurse from the department to follow over to help take care of Liu Shuyun, Su Hongwen had already asked the anesthesiology department to start anesthesia before returning to the department for a meeting, so when he arrived at the operating room, the anesthesia was just completed, and the operation could be performed directly.

There are four people in this operation, Su Hongwen, the chief surgeon, one to help Qi Dongfeng, two to help Yu Jian, and three to help Qin Shengjie, in fact, there are just three people in this kind of gastrectomy surgery, and there is no need to have one more, but in order to allow Qin Shengjie to watch the operation up close, Su Hongwen gave him the position of the three assistants.

Qin Shengjie is no problem to help Su Hongwen, but it is his wife who is lying there after all, even if Qin Shengjie has been engaged in medical treatment all his life, he does not dare to operate on his wife, he is afraid that he will make something wrong to cause the operation to fail, the more worried his relatives are, the stronger he is, the more worried he is, the more nervous he is, and the more nervous he is, the easier it is to make mistakes, so few doctors operate on their relatives, and they all find familiar doctors to do it.

Today's instrument nurse is Geng Hai'an, and the anesthesiologist is a thirty-five or sixteen-year-old woman named Zhu Mengya, who is said to be the top three anesthesiologists in the anesthesiology department, Su Hongwen has never cooperated with her, but this is a provincial hospital after all, since the anesthesiology department says that Zhu Mengya's anesthesia skills are good, it should be good.

The recovery nurse is a small-eyed nurse named Guan Xin, who is not tall, but her hands and feet are very sharp, when Su Hongwen came in to disinfect and sterilize the list, Guan Xin prepared the disinfection bowl and the surgical sheet without Su Hongwen saying it, and put it in a place that Su Hongwen could see at a glance and was easy to take. From this point, it can be seen that the level of nurses in the operating room of the provincial hospital is good, and when Su Hongwen was operating in the city hospital in the past, there were few nurses who could have this eyesight, and put everything in front of the doctor's eyes for them to use.

The operating room of the provincial hospital is very large, with three floors, because today's operation is to be broadcast live, so the operating room where Liu Shuyun is located is the largest and best operating room, in the middle of the second floor, this operating room is also used by the provincial hospital for teaching, and the operating room layout is similar to that of Donglai City Hospital, but the equipment is better and more advanced. The roof of the operating room is clear tempered glass. The walls on the roof and the third floor of the operating room are also made of tempered glass, and the four observation rooms of different sizes can condescendingly see the scene in the operating room, of course, it is impossible to see very clearly, so a large LCD TV is installed in each observation room. Su Hongwen and others have cameras on their surgical caps. You can clearly convey the situation in the field to the LCD TV above. In addition, a camera is also installed on the shadowless lamp, which makes it more convenient for people in the observation room to watch the operation.

In the past, if there was a major teaching operation, it was usually enough to use an observation room, but today there are more people here. The four observation rooms were opened, the biggest and best one was left to Gao Shufeng, the big man in the province, Mu Xihua not only personally accompanied but also found an old tumor expert to serve as Xu Wei as a commentator, and the other better observation room was left for reporters, and the remaining two were given to the doctors of the oncology department and the radiotherapy and chemotherapy department, Zhu Hongwen, Wang Banxian, and Sun Jia also came, and also ran to one of the two observation rooms, and there were doctors from other departments inside, and they also ran to see it when they were curious, so that the two smaller observation rooms were crowded with people.

Su Hongwen stood in the position of the chief surgeon, still looked at the ECG monitor first, and saw that Liu Shuyun's vital signs were stable before saying to Zhu Mengya: "Can you start the operation?" ”

Zhu Mengya also glanced at the ECG monitor, nodded and reached out to start the operation timer, and the operation officially began.

Su Hongwen didn't play any knife into the abdomen this time, this kind of operation is not an emergency, there is no need to be in such a hurry, the bright scalpel under the shadowless lamp slid down from the xiphoid process in a straight line, and a straight red line appeared, Qi Dongfeng dipped it with a dressing, and found that the cortex was completely opened, and it did not hurt a little subcutaneous fat tissue, so he rushed to the steps of opening the cortex with this knife Qi Dongfeng also had to shout a word.

Young doctors like Su Hongwen rarely can open the cortex with a knife without hurting the lower fat, some young doctors even if they open the cortex with a knife and hurt the lower fat, most young doctors have to open the cortex with a knife, although this step does not matter even if it is not done well, it will not cause big damage to the patient, but it is this small step that can best see the basic skills of a surgeon.

The depth of everyone's cortex is different, and it takes a lot of basic skills to open the cortex with a knife like Su Hongwen without hurting the fat underneath, and to infer the approximate thickness of the cortex through the feeling of the guò scalpel in contact with the skin, and then choose the appropriate strength to enter the knife, this method is quite simple to say, but it is impossible to achieve Su Hongwen's Cheng dù without a few years of hard work.

As the so-called experts will know if there is one as soon as they make a move, Qi Dongfeng and the others are all old doctors, and they can see at a glance that Su Hongwen's basic skills are extraordinary, they are afraid that they don't have this water skin at Su Hongwen's age, so they will take a knife and tremble, it is impossible to open the cortex so neatly like Su Hongwen.

Qin Shengjie and the three of them praised Su Hongwen's solid basic skills in their hearts, but no one said it, he was doing surgery now, not watching people play tricks on the overpass, and it was impossible to see the highlights and shout good.

Su Hongwen put down the scalpel and took the electric knife handed by Geng Hai'an to simply stop the bleeding of the cortex, and as soon as the electric knife moved, the smell of barbecue and roast immediately spread to everyone's nose, this smell is not very good, but everyone is used to such a smell, so it is impossible for anyone to turn their heads and avoid it.

The steps of opening the fat, muscle, and peritoneum Su Hongwen was completed smoothly, watching him do the operation gave Qi Dongfeng and others a very enjoyable and comfortable feeling, and only old doctors like Qi Dongfeng would have this feeling, and ordinary people would only feel bloody or even terrifying, after all, it was to disembowelment a living person.

Qi Dongfeng used an automatic hook puller to open the incision, and the appearance of a large omentum immediately appeared in everyone's eyes, and the whole tissue was yellow, with red or dark red blood vessels in between.

Qin Shengjie breathed a sigh of relief when he saw that there was no granular bulge on the omentum on the side, if there was a granular bulge, it would mean that Liu Shuyun's cancer cells had metastasized, and now they have not appeared, and it cannot be said that they have not metastasized, but there is a certain chance that they have not metastasized.

Su Hongwen put his hand in and began to explore the various organs in Liu Shuyun's abdominal cavity, he had to find out whether the cancer in the stomach had invaded other organs, such as the pancreas and liver, whether there were cancer cells metastasized, this kind of exploration was in a certain order, from far to near, and finally the cancer was examined.

Liu Shuyun's stomach cancer was discovered relatively early, Su Hongwen checked it and found no metastasis, and immediately took off his gloves after taking out his hand, without him talking, Guan Xin immediately brought a new pair of gloves for Su Hongwen to change.

The reason for changing the gloves is that I am afraid that the cancer cells on the probing gloves just now will be contaminated with cancer cells, and I will have to contact other organs during the operation, which will not be good for implantation metastasis, the so-called implant metastasis is that the cancer cells adhered to the operator's gloves are artificially implanted to other organs, in order to prevent this situation, Su Hongwen must change to a new pair of gloves.

Su Hongwen changed his gloves and touched the omentum again, and then stretched out his hand directly without saying anything, Geng Haian immediately handed him the hemostat, everyone present knew that Su Hongwen was going to free the omentum and then remove it, only by doing so could the cancer cells be removed as much as possible, now there is indeed no granular bulge on the omentum, but no one dares to guarantee that the cancer cells have not metastasized, if Liu Shuyun's stomach cancer is going to metastasize, then the omentum that protects the stomach must bear the brunt, Therefore, the safest way is to completely remove the omentum.

Of course, it is not necessary to remove the omentum of the whole abdomen, as long as the omentum that protects the stomach can be removed, the removal of the omentum is nothing more than three steps: free, blocking blood vessels, and resection, which is not difficult, and it is even easier for Su Hongwen, and the omentum is cut off quickly.

Geng Haian put the omentum into a special small bowl, and then immediately handed it to Guan Xin, Guan Xin took the bowl and poured the omentum into a transparent bag that could be sealed, and there was a small label on the plastic bag, she picked up the pen and wrote the words "No. 1 excision omentum" on it, and then walked out.

If cancer cells are found on this omentum, Liu Shuyun's cancer will metastasize, and the postoperative chemotherapy regimen needs to be adjusted, if there are no cancer cells, the chemotherapy regimen needs to be adjusted.

Su Hongwen looked down at his stomach, stretched out his hand and touched it again, and then said to Qin Shengjie: "Teacher Qin, you can also touch it, and then I will have a gastric curvature resection, just now I touched it as I thought, the cancer is not very big, and I can remove a quarter of the stomach as I expected." ”

Qin Shengjie's face did not change and he reached out and touched it, and when he took out his hand, Qi Dongfeng immediately couldn't wait to touch it, and then said urgently: "Director Su, this cancer is indeed not big, but it is routine to remove two-thirds of the stomach, so that it is not easy to recur after surgery, if you cut a quarter, the chance of recurrence after surgery is too high." ”

Su Hongwen smiled: "If I have a way to remove only a quarter of the stomach, I can make the chance of recurrence the same as removing two-thirds of the stomach, then?" ”

Yu Jian glared and said, "How is this possible?" Director Su, don't be kidding, okay? Now we're having surgery! (To be continued......)