Chapter 639: A Tricky Operation
On this side, Su Hongwen was embarrassed, and on the other side, Xia Lingxue stared at the ground in a daze, when Su Hongwen arrived, she had an indifferent expression, and she didn't seem to know the gentle man on the stage at all, but when he left, Xia Lingxue's heart also left with him, and there was no indifference on her pretty face, and some were just a pain that couldn't be dissolved.
"Ling Xue, you still can't let him go?" Xia Lingxue's best friend in this school, Xue Minqian, knew about her and Su Hongwen, and when she saw her friend so uncomfortable, she couldn't help but come over and ask in a low voice.
Xia Lingxue smiled miserably, and her haggard pretty face was raised to meet the indescribable loneliness and helplessness of the sun, which had become hot.
Xue Minqian stretched out her hand and hugged Xia Lingxue's shoulders and said, "It's all over, it's okay slowly, don't think about him, you two don't have that fate." ”
Xia Lingxue nodded and lowered her head again, still not saying a word, Xia Lingxue at this time had a lot of sadness on her body, and people couldn't help but hug her into her arms to shield this girl from the wind and rain, but Xia Lingxue hoped that this person was Su Hongwen, but unfortunately this was just her wishful thinking, Su Hongwen had already disappeared, and disappeared from her side so suddenly.
This will make Su Hongwen still have a headache, he doesn't know how to save Li Yemao, he can't live if he cuts his intestines, he still can't live if he doesn't cut it, Su Hongwen is facing such a tricky operation for the first time along the way.
Qin Shengjie was a little disappointed when he saw that Su Hongwen had not come up with a solution, but he didn't blame Su Hongwen, doctors are not immortals, not all diseases can be treated, let alone Su Hongwen in the current situation, even if the best oncologist in the world is found, it is helpless, this is simply an unsolvable problem.
Qin Shengjie let out a long breath, touched Su Hongwen on his shoulder, and said, "Director Su, let's go talk to the family." There is no point in continuing this operation, so it is better to close his abdomen, so that at least he can live for a few days. ”
Su Hongwen also sighed and said: "But it's too painful for him to live like this, the current condition of the intestinal tube will rupture at any time, and once it ruptures, he will soon die due to severe infection in the abdominal cavity." ”
Qin Shengjie looked at the black intestines as thick as a giant python in the field and said helplessly: "But this operation is only a temporary relief of his condition, it can allow him to live a few more days, but the pain caused by cancer will make him feel painful, it is better to ......, it is better to let him go like this, he is too tired." It's time to rest. ”
What Qin Shengjie said, how could Su Hongwen not know? But he really couldn't bear to watch Li Yemao die like this. This ordinary rural old man is indeed too tired, it is enough for a white-haired person to send a black-haired person once, but he sent it three times, and it would have been impossible for others to face such a huge blow for a long time. But he survived. For what? It's not that I want to bring up a few grandchildren. He wasn't willing to just leave.
The home that has been pierced with holes can't have an accident, if Li Yemao just leaves, the old lady will not be able to stand it, once she has three long and two short, the family will be completely dispersed.
In order to continue to save this stormy home. Su Hongwen wanted to save the old man who was lying quietly on the cold operating table at this time and was sleeping deeply, there were many rural old people like him in the land of China, Li Yemao was very ordinary like them, but his strength was solemn and respectful.
But now Su Hongwen can't think of a way, if he has a large number of people and mustard seeds, he can still save him, but now Su Hongwen doesn't have it, and it is impossible to make the spaceship in manufacturing, without so many raw materials, Su Hongwen can't think about it for a while.
Qin Shengjie knew that they had no power to return to the sky, and regardless of the rule that aseptic operations could not pat Su Hongwen's shoulder with his hand, he stretched out his hand and patted his shoulder and turned out, he wanted to find the old lady to talk about the old man's situation, and the decision on whether to do the operation or not to leave it to the old lady.
Su Hongwen suddenly shouted, "Teacher Qin, wait, let me think about it." ”
Qin Shengjie smiled miserably and didn't say anything, he knew that Su Hongwen couldn't get over this hurdle, he went too smoothly all the way, there was almost no surgery that he couldn't do, and today suddenly appeared an operation that made him helpless, he must feel uncomfortable, aggrieved, and feel powerless, but this situation is what every doctor has to experience, doctors are not immortals, not all diseases can be cured, and in many cases, doctors are helpless, they can only watch the patient die, which is not comfortable, but he must get through, Only by surviving this hurdle can a doctor be considered mature, obviously Su Hongwen has not survived yet, he needs time, Qin Shengjie gave him this time, he hopes that Su Hongwen will become more mature.
Su Hongwen closed his eyes and raised his head and stood there quietly, and he didn't know how long it had been, he suddenly said: "Prepare for surgery, full abdominal lymph node dissection." ”
Qin Shengjie and the others were stunned, and the whole abdominal lymph nodes were dissected? How is this possible? There are so many organs in the abdomen, and there are countless lymphatic, how can they all be cleaned? After saying that, the mesentery is now full of cancer, is it clean? Isn't this doing useless work?
"Xiao Su, don't come nonsense, I understand your current mood, but there are so many lymph nodes in the abdominal cavity that they can't be cleaned at all, you are doing this in vain, and it will recur in the end, in a lymph node you have to clean the whole abdomen, the operation time is too long, he can't get through it, what if the patient's family really dies on the operating table? We ignored it! Qin Shengjie hurriedly persuaded Su Hongwen not to be impulsive.
He is right, there is no such thing as total abdominal lymph node dissection in the medical world, if Su Hongwen does this and his family makes a fuss, this is a serious medical mistake, Su Hongwen will have to walk around without eating, and his reputation will be ruined.
Su Hongwen exhaled and said, "Teacher Qin, I understand what you said, but please believe me, I won't mess around, okay, start the operation, Teacher Qin, you go out and talk to your family." After speaking, Su Hongwen didn't wait for Qin Shengjie to say anything, and then put his hand into the abdominal cavity, he wanted to check that all the organs in the abdomen had metastasized.
Qin Shengjie saw that Su Hongwen insisted on doing this operation, thinking that he was not a fool, there must be a reason for doing this, as soon as he gritted his teeth, Qin Shengjie decided to fight, once it became a major initiative in the medical industry, the most important thing is to let Li Yemao live for a few more years, thinking of this, Qin Shengjie took off the surgical gown in three or two and walked outside.
Yu Jian, who had not spoken, said at this time: "Director Su, are you sure?" ”
Su Hongwen said while touching the situation of the various organs in the abdominal cavity: "No, but I have to fight, okay, don't talk about it, what I have to do now is to hurry up the operation, and I can't delay the time, I'm afraid he won't be able to last too long." Speaking of this, Su Hongwen said to the instrument nurse: "Prepare saline gauze, I want to pierce the intestinal tube at the upper end of the cancer." ”
When Yu Jian heard this, this was not nonsense, and he began to help Su Hongwen get busy.
The biggest difficulty of surgery is that there is no way to remove too much intestine, once Li Yemao's postoperative nutrient absorption can't keep up, sooner or later he will die, in the words of the common people, he will starve to death, but there is no way to remove as many cancer cells as possible, and finally Li Yemao is still dead, now Su Hongwen wants to clean the lymph of the whole abdomen to find a feasible way, but this method is too taken for granted, so many lymph in the abdominal cavity is impossible to clean, even if it can be cleaned, but what about the cancer cells in the blood? still couldn't clean up, and in the end, Li Yemao still had to die because of the recurrence of cancer.
If it were replaced by someone else shouting what to do with this Whole Abdominal Lymph Node Cleansing Qin Shengjie These people would have to scold him to death, but this sentence was said by Su Hongwen, and now they have a blind trust in Su Hongwen, so they are messing around with him, but at this moment, no one knows the bottom of their hearts, it is really too ridiculous.
Su Hongwen didn't care what others thought, he was busy with the work in his hands, he really had to do a full abdominal lymph node dissection, but first he had to cut off the cancer and necrotic intestines, otherwise once it ruptured and caused Yan Zòng's abdominal infection, Da Luo Jinxian would not be able to save Li Yemao.
It is not easy to remove the cancerous and necrotic intestine, because Li Yemao's intestinal tube has been necrotic and swollen quite large, and it may rupture when touched, and the feces inside will have to leak out as soon as it ruptures, and it will definitely not be able to run away if the abdominal cavity is severely infected at that time.
At this time, Su Hongwen didn't dare to be fast, and carefully tied the sigmoid colon with saline gauze at the upper end of the cancer, and then gently lifted it and pulled it to the right, seeing that he did this step Yu Jian and the others were all frightened, because the sigmoid colon also had necrosis, and it would be troublesome if it was really broken, but fortunately, Su Hongwen was very careful and did not break this bowel.
Seeing this scene, everyone breathed a sigh of relief, Su Hongwen didn't dare to delay, and wanted to cut along the left root of the sigmoid mesocolon and the peritoneal reverse of the descending colon, and extend it to the pelvis until the rectum and bladder were hollowed.
This step is simple, but it is not easy to do, because the cancer has already invaded, so that these tissues have adhesions, and these adhesions have to swim away before doing, and the intestinal tube is quite brittle, and one accidentally will break the intestinal tube, and then the operation will be a complete failure.
Watching Su Hongwen do this step, everyone's heart hung in their throats, but seeing his steady hands doing these steps without hurry made everyone feel a little relieved.
After completing this step, Su Hongwen himself was sweating, and he really couldn't make the slightest difference, his nerves collapsed tightly, and as soon as he finished his nerves and relaxed, Su Hongwen immediately felt tired.
But this will not be the time to rest, he still has to continue the operation, at this time Qin Shengjie came in, and without waiting for Su Hongwen to ask, he said directly: "The family has signed, but what is the whole abdominal lymph node dissection written on the consent form for this operation, right?" If someone who knows how to look back and see the family members making a fuss, what should we do? (To be continued......)