Fatal Surgery (Medium)

9:40 a.m.

The second operating room of the Provincial Affiliated Hospital.

The entire operating room was filled with a solemn and tense atmosphere, which was also the atmosphere that Chen Ling liked, because every time he stood in front of the operating table, he always had a kind of excitement about fighting on the battlefield.

"Here comes the knife!"

With Chen Ling's heavy drink, everyone was shocked, and the radical surgery for gastric cancer was officially launched.

After taking Liu Shiya's scalpel, Chen Ling made a cut between Xiao Dingzhong's abdomen, and made an incision around the umbilicus in the middle, about 24 centimeters long.

With a knife, a blood line immediately appeared in the abdomen, and the third assistant on the side hurriedly picked up the cotton cloth to suck the blood away, while Du Leixin and Bao Xinhui, who were the first assistant and the second assistant, hurriedly cooperated to cut the skin, and then opened it layer by layer into the abdomen.

After the abdomen is opened, the first line of the stage is not cut, but probed.

Although many auxiliary examinations have been done before surgery, sometimes the results of the examination are one thing, but what you see with your own eyes is another. This is the same principle as hearing is false and seeing is believing.

Sure enough, after exploration, it was found that the actual situation was worse than previously expected, where is the middle and advanced stage of stomach cancer, which is fundamentally advanced.

The mass is in the antrum, about above the pylorus, about six centimeters in size, has invaded the serous layer, is infiltrating and growing deeper in the surrounding area, in addition, the pancreas can see the mass tissue-like class points, suspected metastases, other places, such as liver and liver, gallbladder, spleen, small intestine, colon, mesentery, omentum, pelvis, abdominal wall no obvious metastases, no ascites.

After discussion, Chen Ling decided to undergo radical gastric cancer surgery.

Chen Ling didn't dare to hand over this operation to Du Leixin, not that he didn't believe in Du Leixin's technology, and he didn't have much confidence in doing this by himself, the tumor cells were infiltrating, if they were not clean when they were removed, and there was a little residue, it would be a wildfire that could not be burned out, and the spring breeze blew and reborn.

After receiving the high-frequency electric knife handed by Liu Shiya, Chen Ling began to make an incision, separating the gastrocolic ligament along the transverse gut wall, from the liver flexure to the spleen, and peeling off the superficial mesangic layer, together with the peeling off the pancreatic outer membrane.

After making this first step, Chen Ling raised his head, and another nurse hurriedly wiped the fine beads of sweat from his forehead for him.

After Chen Ling took a slight breath, he asked, "How much time has it been since the operation?"

Liu Shiya said: "It's almost an hour!"

Chen Ling frowned slightly, at this speed, I am afraid that the time of this operation will be very long, but can the old man's weak body withstand it? Hurriedly asked again: "How are the patient's vital signs?"

Bao Xinhui replied: "Everything is normal at the moment!"

Chen Ling nodded, "Go on." ”

Du Leixin said, "Teacher, why don't you let me come?"

Chen Ling shook his head, picked up the knife and continued to the next step, opening the Kocher incision, separating the starting segment of the duodenum, ligating the right gastric artery and vein respectively and dissecting it; ligating the right gastric omentum artery and vein respectively and dissecting it; separating the peripyloric blood vessels and ligating and disconnecting until about 3 below the pylorus, avoiding the common bile duct, cutting in a straight line at the beginning of the duodenum for anastomosis, and then using silk threads to encapsulate the duodenal stump, separating the hepatogastric ligament, and retracting the gastric wall,

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The short gastric vein is separated and severed, and about 70% from the distal stomach, the branches of the blood vessels around the stomach are separated, ligated and severed......

After these few steps, Chen Ling raised his head again and found that more than two hours had passed, and the time of the entire operation had passed a full four hours!

Chen Ling felt that his neck was a little stiff, turned a few times, and after the activity, he took a deep breath and buried his head in preparation for further cutting and anastomosis, this time as long as he bypassed a large blood vessel, removed the surrounding tissue, and sutured the purse, he could separate the surrounding connective lipid spinning tissue, that is, lymph node dissection.

So this step is very crucial, there can be no mistakes, Chen Ling cheered up, and was about to bypass the high-frequency electric knife to cut the mesangial tissue below the large blood vessel, only to hear the steel door in the operating room that could only be opened from the inside to the outside as long as the operation started, and suddenly there was a loud noise.

"Boom!" An earth-shattering sound rang out on the steel door, which had been violently bent outside, and the whole room was shaken.

This sudden loud noise and tremor is undoubtedly an extremely fatal blow to the quiet, busy and tense operating room.

The doctors who were devoting themselves to the operation were shocked, and the more nervous ones just trembled in their hearts, and subconsciously turned their heads to look out of the door, but the weak-willed ones trembled uncontrollably.

At such a critical moment, not to mention shaking, even a little distraction, it will cause an irreversible tragedy.

Chen Ling's nerves were very thick, even if the sky fell and the thunder struck his body, it would not be possible to affect his operation, so at the moment when the door made a loud noise, his knife stopped in time and stopped above the major artery, only a few millimeters away.

However, unfortunately, Wei Songliang, who was standing on the opposite side and acting as Chen Ling's third assistant, was not as calm as him, and when the huge earthquake sounded, the camera in his hand could not control himself and slashed forward, and it was pressed against the major artery, pushing it against Chen Ling's scalpel.

How sharp the scalpel was, and how tense the muscular wall of the aorta, the two intersected, and the aortic was punctured instantly.

The pressure of the major arteries was so great that blood spurted out of the major arteries at once, and it flew up, reaching a height of about fifty or sixty centimeters.

Chen Ling, who was bending down and bowing his head, felt that his eyes suddenly turned red, and his entire upper body was red when he was sprayed with blood.

Seeing this, everyone was dumbfounded, some people looked at the door, and some people looked at Chen Ling blankly.

However, to add insult to injury, the moment the door was bent open, a man dressed in black held a long knife and flew in from the outside, the tip of the knife slashing straight at Chen Ling with a fierce murderous aura.

The doctors and nurses in the operating room were in a panic again, and some of them had already lost their voices and screamed.

It was at this time that a beautiful girl suddenly appeared out of thin air!

Yes, everyone was not dazzled, this girl did appear in mid-air, her figure flashed, and in an instant she reached behind the man in black, Rou Yi suddenly stretched out, grabbed the man's back collar, and threw it to the door!

The man in black rushed forward like a leaf in the wind, and was thrown out violently.

Immediately afterwards, the ghostly figure of the girl also rushed out.

The figures of the two were just a flash in the pan, and they disappeared in front of everyone in an instant

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It was the shouting and fighting sounds in the corridor outside the door that reminded everyone that none of this was a hallucination.

No one could figure out what the situation was, but on the operating table, the old man's blood was still gushing, and his vital signs had dropped sharply.

Chen Ling reacted immediately and shouted angrily: "What are you doing here, hemostats!"

Liu Shiya quickly recovered from the panic and handed the hemostat to Chen Ling.

However, by this time, the abdominal cavity had been filled with gushing blood, and the ruptured artery had sunk underneath, and its place could not be found at all.

This sudden situation has made everyone scramble, and they don't know what they should do!

However, if this situation continues for a few more seconds, the life of the old man may be reimbursed in advance.

At such a critical juncture, Chen Ling, who was the main knife, made a decision immediately, and he didn't have time to call Du Leixin They used a negative pressure straw to suck the blood away, revealing the surgical field, and reached into the abdominal cavity with their bare hands, relying on the feeling on their hands to grope in the blood, and the kung fu did not take much effort, Chen Ling's luck was not bad, and he quickly found the broken blood vessel, and the hemostat immediately stretched out!

Although several doctors were distracted, after seeing Chen Ling's calm performance, they all came to their senses and hurriedly cooperated with him to do rescue work.

The old man's vital signs were still declining rapidly, his heartbeat was rapid, his blood pressure dropped sharply, and it reached an extremely dangerous value in an instant!

The rescue work is thrilling, and it is even more dangerous, because Chen Lingyi and the others are moving a little slower, so there is no need to do any more surgery in the future, just do the aftermath!

Fortunately, Chen Ling had made sufficient preparations before the operation, and as soon as he found that the arterial hemorrhage was massive, he immediately gave a doctor's order to give the patient a blood transfusion to replenish blood volume and speed up the rehydration speed.

At the same time, his hands did not stop, and he hurriedly sutured and repaired the blood vessel, and after finishing it, he started various emergency treatments.

Under Chen Ling's calm command and everyone's concerted efforts, the old man finally turned the corner and his vital signs stabilized.

Seeing that the old man was finally rescued, everyone breathed a sigh of relief, but there was already a cold sweat on their bodies, because if Chen Ling hadn't stopped the bleeding in time just now, everything would definitely be over at this time!

Everyone thought back to the situation just now, and finally couldn't help but look out of the door, because no one understood what was going on outside, why someone broke into such a heavy place as the operating room, and finally, their eyes couldn't help but see Wei Songliang, because it was his loss of control just now that almost caused a tragedy.

Wei Songliang was embarrassed and embarrassed, and said with a red face: "Gu, Doctor Gu, I'm sorry!"

Chen Ling shook his head, "You can't be blamed for this, I was scared just now!"

Bao Xinhui said: "What the hell is going on, why did someone rush in?"

Liu Shiya also said in a panic: "Yes, I still have a knife, it's too scary!"

Chen Ling raised his hand, stopped everyone's discussion, and pointed to the itinerant nurse who was standing on the side and was pale with fright, and his lips were still trembling, "Notify the hospital security department and ask them to send someone to guard it quickly!"

The frightened little nurse nodded hurriedly, "Oh, oh!"

Chen Ling waved his hand and said in a deep voice, "The operation continues." ”