Chapter 855 - Competing for a treat
Just focused on Yang Ping's treatment of blood vessels, has been assisting in the separation and ligation of blood vessels, and Yang Ping's operation is too fast, Director Long is very uncomfortable, his attention is highly focused on the ligation of blood vessels, and he does not pay attention to the overall direction of the operation, and he has not seen clearly how the tumor was cut off "by the way" after 30 years of surgical experience.
The graduate students and doctors gathered around the operating table were still around, and they did not disperse for a long time, everyone thought that the operation would be a long time, and the sudden end made everyone not react for a while.
Seeing nothing, the doctor thought something was going on inside, and anxiously asked the doctor inside about the operation.
These blood vessels are either the blood vessels of the tumor or the blood vessels of the organs, and to be separated, it is necessary to operate along the organs and tumors, and from time to time the organs and tumors must be lifted to leave room for operation, so it is completely possible to separate the tumor while separating the blood vessels, but such intertwined operations require extremely skilled surgical ability.
Director Long had planned very clearly before, and asked Yang Ping to help deal with these dangerous blood vessels, and then Director Long would do ex vivo resection by himself, and after the tumor was completely removed after leaving the body, and then autologous transplantation, Director Long was ready to complete the operation in more than ten hours.
This plan was also the best and most secure for the situation at that time, and Director Long was also very confident in this plan.
Now Yang Ping just hulala directly brought out a string of tumors and threw them in a sterile basin, which really surprised Director Long and Dr. Liao.
After examining the abdominal cavity, Director Long came to the sterile table to personally examine the tumor in the metal basin, not only the tumor was cut cleanly, but also some of the organs that needed to be removed were also on it, such as the head of the pancreas, the distal 1/2 of the stomach, the entire duodenum, the lower common bile duct, and the 15cm jejunum below the ligament of Treitz.
What's going on?
Director Long was even more confused, he returned to the operating table, my obedient, biliary intestine, pancreatic intestine and gastrointestinal anastomosis had been completed.
This is especially a cut and a suture at the same time, cut a little and suture a little, and after cutting, all the sutures are completed.
No wonder he moved so fast just now, and when he cut it, he still stitched it inside, and Director Long thought it was to sew up the bleeding point, or to repair the hole left by the separation.
This is how strong the planning ability of surgery can be so that the excision and reconstruction are carried out simultaneously, and I have never seen such an operation, and the world has never seen it.
Director Long couldn't cry or laugh, such a big operation, he said that he did it by the way, which was quite hurtful.
But it's nothing, now Director Long is uncomfortable because he was confused just now, and he didn't see the real steps of the operation clearly, but if the operation is done, no one can see the surgical steps.
Dr. Liao couldn't understand for a while, and reached out into the abdominal cavity to check the condition of the organs and tumors.
The crowd of onlookers around was also suddenly a little foggy, the tumor was completely cut out with a large string of organs that needed to be removed, and now it was placed on the sterile table, no need for ex vivo resection, no need for autologous transplantation, and the operation was over.
This helper was originally to deal with a few dangerous blood vessels on stage, but he accidentally cut the tumor, and Yang Ping was a little embarrassed.
I originally wanted to only deal with blood vessels, but I was a little too deeply involved in doing it, and I did it completely according to my own ideas, and I used too much force to finish the operation directly.
The tumor has been completely removed, and various reconstructions have been completed, such as ex vivo resection and autologous transplantation, all of which are not needed, and the operation of more than ten hours is compressed into a few hours.
After a period of confusion, Director Long finally recognized the reality, yes, the operation had been done.
In the absence of blood, the operation was completed, and if you look at the time, it was only more than 4 hours in total.
"Rinse? Closed abdomen? Yang Ping asked Director Long's opinion.
Now that the operation has been completed, it can only be like this, Director Long looked at the abdominal cavity, and then at the large string of excisions, and said, "Close the abdomen!" β
Seeing this situation, Dr. Lu also had a bit of a spectrum in his heart, and began to think about helping Director Long order a meal, if before, he was not very easy to book, the operation here is planned for more than ten hours, maybe in the middle of the night, and then he also asked himself to order dinner, obviously the time is not enough, now that the operation has been completed, there is no time conflict, and things are easy to do.
However, as for the place to order the meal, Dr. Lu still decided to ask Director Long, who was not easy to decide.
At this time, the phone in the operating room rang, and the itinerant nurse immediately answered the phone, it was a call from the blood transfusion department, and they got 6 units of suspended red blood cells and 2,000 milliliters of plasma after hard work, which was almost enough. However, if the operation was carried out as originally planned, the suspension of red blood cells was still not enough, and the blood transfusion department said to continue the effort.
"Director Long, the blood transfusion department got another 6 units of suspended red blood cells." The roving nurse reports on the recent progress of the blood transfusion unit.
"Got it, let's transfuse 4 units first, and the remaining 6 units will be spared, and then talk about postoperative observation, so that the blood transfusion department doesn't have to fight for it, saying that the operation has been done, thank them." Director Long replied.
At this time, a trainee doctor who was fighting guerrilla warfare in the operating room came in again, and saw the atmosphere of relief: "What's the situation? What is the step of surgery? β
"Professor Yang has finished the operation, and now he is waiting to close his abdomen." Someone answered.
The advanced doctor was speechless: "Professor Yang from the orthopedic department? β
This trainee doctor is an old fritter who often messes around in various operating rooms and has been scolded by the head nurse several times.
Professor Yang again?
Yesterday in the cardiac surgery department, Director Wen and another expert from outside the hospital were left to close the abdomen, and today Director Long will not be left to close the abdomen, this is simply the butcher of the operating room.
"That -ββ Xiao Liaoβlet's rinse off our stomachs." Director Long finally started the next step.
Dr. Liao said, "Director, you can rest, I'll just take them to close their stomachs, no special explanation, right?" β
Director Long thought for a while: "Professor Yang, there is no special explanation, right?" β
"Routine drainage, no special explanation." Yang Ping commanded.
"Director Long, is there any specific indication of where to order food at night?" Dr. Lu took the opportunity to ask, otherwise it would be too late to book, and I was afraid that I would not be able to book a large private room.
Director Long was stunned for a moment: "Dinner? Who's in for a treat? Are you in for a treat? What a good thing. β
I went, Dr. Lu was so surprised by Director Long's answer that stars appeared in front of him, and he himself said that he had a treat at night, but he didn't remember it.
"I can't go at night, so you can do whatever it takes." Director Long was about to take off his surgical gown.
Dr. Lu immediately followed, and while helping him undress, he said, "Director, didn't you say that you would have a treat at night?" Please Professor Yang and the orthopedic brothers together, let me count the number of contacts and places. β
After such a reminder, Director Long immediately remembered it, and gently slapped his forehead with the hand that had just taken off his gloves: "You said that this matter is so troublesome, I almost forgot, okay, who said that I am not free at night, I have a treat at night, you hurry up and book a place, find a better place nearby, everyone is free to go, hard work." β
"Yesterday I heard that Professor Yang completed coronary artery bypass in a few minutes in cardiac surgery."
"It's still a baby's coronary artery bypass, the youngest coronary artery bypass in the country."
"He'll do anything."
''What's going on with your surgery today?'' β
"Originally, it was difficult to do without blood, and it was expected to take sixteen or seventeen hours, but Professor Yang came to the stage to help, and now the operation is completed in four hours, and he is closing his abdomen."
"That's amazing."
"I heard that he is the director of the Institute of Surgery at Sanbo Hospital, and he does all kinds of surgeries, and all of them are difficult surgeries."
"Director Long has a treat today, are you going?"
"Isn't Director Wen a treat today?"
"It's weird."
Graduate students and doctors gathered together and whispered.
ββ
The operation on the orthopedic side has been stable, and the level of young doctors has really improved by leaps and bounds, which is the credit of Yang Ping's teaching, not only Song Yun and Kong Weiquan have made rapid progress, so the doctors have made rapid progress.
Professor Liang also has nothing to do in the orthopedic operating room, and these young doctors do a good job, and they don't need to guide themselves.
So he returned to the operating room of the pancreatic surgery department, where the cut out tumor had been placed in a metal basin, the itinerant nurse was contacting the pathology department, and the instrument nurse was delivering normal saline for irrigation of the operating area.
Director Long has also taken off his surgical gown, and Dr. Liao and the junior doctors are closing the abdomen.
Professor Liang calculated the time a little, the time is not quite right, didn't I hear that this operation was going to be done until the middle of the night, Professor Liang was still thinking about whether Director Long's invitation was serious, why the operation was over now.
How? The patient didn't hold on after all?
Professor Liang subconsciously thought that Yang Ping only has the authority to perform orthopedic surgery in Xiehe, but the doctor's authority, from the perspective of the practice certificate, the scope of practice of the surgeon is surgery, and the scope is quite wide.
Something flashed in his mind, and Professor Liang looked at the expression of the doctor in the operating room, it was not serious and dull, but talking and laughing, he turned to the side of the patient's head to look at the anesthesia monitoring, everything was normal and stable.
Is the surgery done?
It's not such an exaggeration, this is a pancreatic surgery, or a super large and difficult operation, and it is not an orthopedic operation, so it was done so quickly.
Is it to give up the surgery halfway?
"Director Long, what's going on, this is going to call it a day?" Professor Liang asked.
Director Long said with a smile: "Professor Yang has finished the operation, is finishing work, and will have dinner together in the evening, you must always be there." β
Professor Liang is an academician, and there are more than 20 academicians in Peking Union Medical College, but there are only two academicians in Union Medical College Hospital, so Professor Liang is definitely a highly respected existence in Union Medical College Hospital.
Since it was Yang Ping who was invited, Professor Liang had no reason not to go, not only to go, but also to have a good chat.
This operation can be described as twists and turns, now it is over, everyone is still a little uncomfortable, Yang Ping has been doing surgery in the orthopedic department before, people in other departments have only heard his name, and they are not very familiar with him himself, and now all the doctors in pancreatic surgery know Yang Ping.
However, this understanding is limited to the operating room, and it is estimated that it is still unfamiliar outside the operating room.
This is not surprising, many doctors who have worked together for many years are very familiar with the nurses in the operating room, but they may not know each other when they leave the operating room, because they usually wear masks and hats, and only show a pair of eyes, and everyone remembers what they look like when they work.
ββ
Director Wen of the Department of Cardiac Surgery took advantage of the noon break to go to the orthopedic operating room, and after looking for a long time, he didn't see Yang Ping, so he asked Song Yun: "Xiao Song, what about you Professor Yang, I have a dinner tonight, are you all free?" β
"Free!"
Song Yun estimated the time of the operation, and it would not be too late today.
"Okay, I'll have a treat tonight, all of you in your department will go if you're free, and I'll arrange for someone to send the location to you later, Professor Yang, I'll go and talk to him."
Director Wen has never seen Yang Ping, and the purpose of his invitation is to thank Yang Ping for his help yesterday.
"Song Yun!"
At this time, Dr. Lu from the pancreatic surgery department ran in.
"In the evening, our Director Long has a treat, how many people go to your department, and report the number." Dr. Lu and Song Yun are very familiar with each other, so they speak very casually.
Song Yun looked up at Director Wen, and then at Doctor Lu: "Why are you all entertained at night?" Together? β
Director Wen was confused by Dr. Lu, grabbed Dr. Lu and asked, "What's the matter with you guys?" Tonight we invited Professor Yang and his brothers to dinner together, what are you stirring up? β
Dr. Lu didn't understand why both of them had a treat, and Director Long didn't say anything about it beforehand.
"Our Director Long said that he had a treat tonight, saying that it was a friendship activity between the independent ward of orthopedics and the department of pancreatic surgery, who are you?" Dr. Lu did not dare to make a mistake with Director Wen, and spoke respectfully.
"This old dragon, what kind of fame, I'll go find him." Director Wen said, striding to the operating room of the pancreatic surgery.
"Old Dragon!"
A voice sounded, it was Director Wen of the Department of Cardiac Surgery.
"I heard that you have a treat tonight, and I am also a treat tonight, why did you suddenly rob me of my good deeds." β
There is nothing to say about the relationship between Director Wen and Director Long, in fact, most of the surgeons are bold, so the relationship between the director of surgery is generally very good, like brothers.
"What I robbed you of, I said it a long time ago." Director Long retorted.
"I've booked all the private rooms."
"I'm done, too."
"Where do you book, or don't you push it off, let's please it together?" Split the account? β
"The treat is still mixed with you? No way. β
"What then? I'll do it today and tomorrow, won't you? β
"How about me today and tomorrow?"
Director Long and Director Wen quarreled for a long time, and finally under the coordination of Professor Liang, it was decided that Director Wen would treat him tonight, and Director Long would treat him tomorrow night, because Director Wen had already booked a private room first, and Director Long had just started to show up.