Chapter 233: Take advantage of the situation to seize the power of the main sword

is as strong as Zhu Huoyan, when he encounters this kind of ceiling-level N1 surgery, he is also bottomless, he can do it, but the chance of success is pitiful.

As for Yizhu Shen Zhemin, he is already confused, he can understand, but he will not do such a high-level operation at all.

Director Zhu's brows furrowed tightly, and his stomach felt more and more painful, making him unconsciously bend his liver slightly, sweat covered his head again, and his back was completely wet.

"Lao Shen, after a little more contact with the family, I said that the pancreatic head cancer was confirmed, and the success of the operation was less than one layer, and we recommended that the abdomen be closed directly."

"Okay, I'll go tell you!"

Seeing Director Zhu so uncomfortable, everyone in the operating room was anxious, but the aseptic injury did not allow physical touch during the operation, so Chen Qi could only command the itinerant nurse to move the stool again for Director Zhu to sit down.

The entrance to the operating room

"Yes, it has been confirmed that it is pancreatic cancer, and metastasis has occurred, Director Zhu means that the chance of success of the operation is very small, do you want to continue your family to make up your mind."

The old lady and a few female rolls were already crying.

The eldest son hurriedly asked, "How long can my dad live if he doesn't have surgery?" ”

Shen Zhemin said a little embarrassed: "It won't be more than a year, if it's soon, it will only be a month or two, and your family members must be mentally prepared." ”

"The Great Age of Genes"

As soon as these words came out, the faces of the children of the deputy county magistrate changed, and they didn't know whether they were scared or worried.

"A month or two? One or two months, by the way, Dr. Shen, if the operation is performed, what is the chance of success? ”

"No more than one floor, the possibility is very small, I suggest forget it."

"One layer, there is another layer of probability, second brother, little sister, Mom, we have to fight it, anyway, it will be a month or two if it doesn't move, and there is still a layer of hope for fighting."

The second son also gritted his teeth and said: "Then fight hard, if Dad knows, he will agree to fight." ”

The youngest daughter was already crying: "I don't want to be a school leader, I want my father to survive, woo woo woo~~~"

The old man is not there, and the two sons are the ones who make the idea, and both sons advocate fighting hard and continuing the operation, so what else is there to say?

After a while, Shen Zhemin, who questioned his family for the second time, came back, still scolding in his mouth.

"Damn, this group of family members is really cold-blooded, and they actually said that they would continue the operation."

Director Zhu didn't say anything, doctors only have the right to suggest, family members have the right to choose, and respect for family members comes first.

"Okay, don't think about anything else, continue the operation, in addition, the whole process of the operation must be recorded in detail, if the operation is successful, the technical level of our Vietnamese People's Hospital will be greatly improved, and it will also leave valuable experience, we always have to improve."

A soldier who does not want to be a general is not a good soldier.

A conservative doctor who retreats when he sees a difficult operation will never become a top surgeon, and Zhu Huoyan naturally has his own ambitions.

As soon as everyone in the operating room heard what the chief surgeon said, they all lifted their spirits and did their own auxiliary work.

Chen Qi was also simulating the surgical process in his mind at this time, if he was the chief surgeon, where should he start, he didn't notice it at all, and Director Zhu's body next to him trembled slightly.

The operation continued, and Director Zhu was ready to free the bridge loop jejunum after breaking the biliary intestinal anastomosis.

When the scalpel was just pointed at the adhesions of the head of the duodenal pancreas, Director Zhu suddenly stopped the scalpel and fell to the ground all of a sudden.

"Director Zhu~~~"

There was an exclamation all around.

The severe stomach pain even radiated to his back, so that Zhu Huoyan finally couldn't bear it and collapsed.

In fact, his body today is not suitable for the operating table at all, but one is that he has a strong personality, and the second is that there is really a lack of doctors on duty during the Chinese New Year, which is not even Chen Qi, a barefoot doctor who gives gifts.

Now that the surgeon has fallen, it seems that it is impossible to insist on the operation anymore, and all the pressure is concentrated on Shen Zhemin.

Shen Zhemin is the deputy director of the first department of surgery, a senior surgeon, and the highest-ranking doctor in the operating room.

The problem is that Shen Zhemin was already confused, and then scolded in his heart: "Lao Tzu won't!"

! ”

Yes, to remove the cancerous head of the pancreas, it is a difficult operation that has reached the ceiling level.

For example, in this current operation, the diameter of the cancerous pancreatic head is more than 6cm, which is very large, and the fatal gas, duodenal artery, hepatic artery, and common hepatic artery next to the pancreas are all surrounded by cancerous masses.

None of these arteries are easy to mess with, and if you cut one at random, it will be heavy bleeding, and if you can't stop it, the heavy bleeding will cause the patient to die on the spot, which is the first difficulty.

It is not only these arteries that are difficult, but also the fact that the last operation at the county hospital was not done well, resulting in extensive adhesions between the tissues of the abdominal organs.

For example, the head of the pancreas and the vena cava, the air of the bridge loop, the stomach and the colon are all adhered together, just like a pulp lake, how difficult is it to separate? This is the second hurdle.

You think that's all it takes?

There's a third level!

When the gastroduodenal artery and pancreatic head cancer are fused together, the hepatic portal vein cannot be exposed, which makes it difficult to separate the pancreatic head sulcus from the portal vein, so how do you remove the cancerous pancreatic head?

Everything, all the blood rushed out, and the patient died in front of your eyes immediately.

Shen Zhemin is going to cry, he is really going to cry, he regrets it, regrets why he didn't go out to eat and was pulled into a strong man? Otherwise, what's the matter with him?

Now the patient is in danger, the stomach is opened, the operation is halfway through, and the surrounding tissue has been cut in half, you say you won't do it?

That's a complete rollover.

The other party's family is still a cadre, easy to provoke? All the black cauldrons have to be carried by him, Shen Zhemin.

Not only do you have to carry the black pot, but you will also have no way to gain a foothold in surgery in the future.

A deputy director didn't even dare to take over the operation? I can't run if I don't have a responsibility, and I don't have this level and technology to be a deputy director? It's better to become a pediatrician.

"God~~~ What kind of sin have I created~~~"

Director Zhu had already been helped out, and Chen Qi was very anxious, "Teacher Zhu, Teacher Zhu, what do you feel uncomfortable about?" ”

Zhu Huoyan waved his hand lightly: "Stomach pain, old illness, sudden severe pain, I don't know if there is a perforation, you can't bear this operation, hurry up and find Dean Guo......"

When Shen Zhemin heard this, his eyes lit up: "Yes, hurry up and find Dean Guo, be quick." ”

The head nurse ran out as fast as she could, and after a while, she ran in in a panic: "Dean Guo is not in the hospital, there is no way to contact him!" ”

In the era of no surgery and BB machine, unless Dean Guo comes back by himself, he will definitely not find anyone, the ghost knows which leader's house he went to to pay New Year's greetings, and he will reveal it to you?

If Zhu Huoyan had a stomach perforation, it was also very dangerous, and he had to have emergency surgery immediately, so he was helped out by the head nurse.

The remaining Shen Zhemin and Chen Qi stared at each other, you look at me, I look at you.

"Director Shen, why don't you continue to be in charge?"

Shen Zhemin's eyes were confused and blank, and he swallowed his saliva in embarrassment: "Xiao Chen, this operation is quite difficult, I, um, cough cough ......."

Chen Qi's eyes rolled, thinking that he was sure to do this operation, or he would have to do it himself, anyway, now Dean Guo and Director Zhu are not there, the tiger is not in the mountain, and the monkey is the king.

Besides, the chief surgeon of this operation is Director Zhu, and if he really doesn't do it halfway through the operation, it's one thing for his family to make trouble, and it's not good to affect his teacher's reputation.

What I knew was that Director Zhu had a sudden illness, and those who didn't know thought that he couldn't do the operation and pretended to be sick to escape.

At this time, the blood in the surgical inclement is still oozing out, and after a long time, it will cause hemorrhagic shock.

Chen Qi didn't say a word, and immediately shouted: "Hemostat forceps!" ”

Shen Zhemin's mind hadn't reacted yet: "Oh, give!" ”

"Give me the tissue forceps, and prepare the 7th line, I have to do the ligation here first."

"Good!"

Everyone in the operating room couldn't react for a while, thinking that Chen Qi was just doing some simple hemostasis and ligation.

But Chen Qi was already excited, just like a test car, first ten or twenty yards to start warming up, and then ready to accelerate, and when he ran to the track, could he still stop?

When Chen Qi quickly severed the adhesions between the duodenum, pancreatic head and vena cava, which had just been cut halfway by Director Zhu, and showed the superior mesenteric vein on the right side, Shen Zhemin came back to his senses.

The shock in his eyes couldn't be stopped, and he gritted his teeth and scolded viciously:

"Chen Qi, you're going to die, do you know what you're doing now?"

Chen Qitou didn't raise his head: "I know, I'm separating the superior mesenteric vein, and Director Zhu wanted to do this just now." ”

"Who gave you the guts? Chen Qi, this is not appendicitis, don't fool around, the patient will die if something goes wrong, and you can't afford to take this responsibility at that time! ”

In fact, Shen Zhemin didn't say a word, and he couldn't afford this responsibility, because he was the highest-level doctor on the scene, and he was still a helper, so he couldn't run away from this leadership responsibility.

"Director Shen, you see that the superior mesenteric vein has not passed the second and third levels, which means that it will not work to start here."

"If it doesn't work, then we'll ...... No, Chen Qi, didn't you understand what I said? Don't talk about Director Zhu for this operation, even Dean Guo may not be able to take it, don't mess around, stop it quickly. ”

Shen Zhemin saw that Chen Qi's hand speed was getting faster and faster, and he was so frightened that cold sweat was about to come out, and his voice began to tremble.

But at this time, he could only use words to stop it, and he didn't dare to touch Chen Qi, because as long as Chen Qi's hand shook slightly, which artery was cut, it would be too late for the patient to be rescued.

The current state is that Chen Qi has completely stepped on the accelerator and is driving on the highway at high speed, and the passengers next to him have no time to stop it, and they don't dare to stop it casually.

The nurses and anesthesiologists next to them looked at Chen Qi as if they had seen a monster.

Chen Qi didn't care, took the scalpel and didn't blink in his eyes, and cut the common bile duct with a brush.

Shen Zhemin had already screamed, and his voice was about to break: "Chen Qi, what are you doing?" How did you cut off the common bile duct? ”

Chen Qi became angry: "Shut up, hurry up and stop the bleeding!" ”