Dave stood to the right of the patient, and the deputy director of the second assistant stood below him. The first assistant director Shen stood on the left side of the patient, and the third assistant Guo stood under the director Shen.

Director Ran, an anesthesiologist, stood at the patient's head, and behind him was the most expensive machine in the entire operating room, the anesthesia machine.

The instrument nurse stood on top of Dave, and Taule stood across from her.

Yang Ruixue and Chen Ke, who were waiting on the periphery, looked over here, but they couldn't see anything at all.

There were seven people around the entire operating table, and it was so full that it was strange to see anything.

Surgery begins. Just as Dave said to Tao Le before, he wanted Tao Le to take a good look at his current level, so he did the whole process himself, and Director Shen and Deputy Director Jin just cooperated with him to pull the hook, hand over things, and clean.

But the more this happens, the more you can see Dave's level.

He made an oblique incision under the right costal margin, parallel to the pancreas. This is not the same as the transrectus abdominis incision that is commonly done in the right upper quadrant.

The right upper quadrant is incised through the rectus abdominis muscle, and the incision is generally extended to 3 to 4 cm below the navel.

The other transverse incision of the upper abdomen, although the surgical field is fully exposed, is too much muscle damage, and it is also not suitable for such older women.

Director Shen, Deputy Director Jin and Mr. Guo all understood Dave's reason for choosing this incision, and nodded secretly in their hearts.

The abdomen was opened, and the second and third assistants assisted in pulling the hook, fully exposing the surgical field.

A general exploration is done first to understand the nature of the lesion and to see if there are any problems that could affect surgery.

Dave explored the pelvic, liver, and abdominal lymph nodes in descending order, and finally touched the extrahepatic bile duct and pancreatic head with his fingers to feel for enlarged lymph nodes around.

Tao Le wanted to observe the operation properly, and didn't want to pay attention to the hint of the golden finger.

But this operation is really very complicated, just seeing this place, the questions that have accumulated in her heart are piled up.

Like why such a curved incision was made, and like what Dave was trying to figure out when he was trying to figure it out.

In addition, the hint of the golden finger appeared repeatedly, and then it simply hung in front of her eyes, blocking her view:

"After testing, the current conditions support the implementation of pancreatic head duodenectomy. Do you need simulation instruction exercises? Yes/No. ”

Tao Le sighed, didn't go any further, directly selected "yes", and entered the system space.

Probably because she was reminded so many times, she came in slowly and was dissatisfied, and the mask man once again revealed his poisonous tongue today.

But compared to these, the operation itself brought her more frustration.

It's really too complicated and too difficult.

It only took two and a half hours for the man in the mask to complete the teaching operation.

When it was her turn, the first operation took eight hours, and the simulated patient died on the operating table.

Tao Le once felt that she couldn't hold on at all. This operation is not something she can control now, and it is difficult for her to learn it.

"Oh, that's how you are." The man in the mask sneered: "I don't have a doctor's heart, I entered the wrong profession, or change careers now!" ”

This sentence, full of contempt, aroused the strength of not admitting defeat in her heart.

Doctor's heart. She has been a human being for two lives, and she has cultivated this heart, unswerving, and has no regrets.

She didn't speak, but just gave up all distractions and concentrated on what she did.

Once, twice, three times. A hundred times, two hundred times

The duration of surgery is getting shorter and shorter, and there are fewer and fewer intraoperative errors and postoperative complications.

Five hundred, six hundred.

Tao Le has forgotten everything, only the patient and the operation in his eyes, and only wants to do his best to prolong his survival.

"Three hours, fifteen minutes, and thirty-three seconds. Rating: Excellent. ”

Tao Le stood back on the operating table, and Dave was still carefully probing.

This time, Tao Le not only knew what he was doing, but could also judge everything he perceived based on his movements.

No way, every part of this patient's body, she is too familiar.

Dave stopped. Tao Le knew that he had understood that the lesion had not yet metastasized distally, and that he could proceed to the next step: separation before resection.

The process of separation, under Dave's gentle movements, is done meticulously and elegantly.

His fingers were slender, and his movements were gentle but extremely agile, and Director Shen and the others who were watching were fascinated and beautiful, and even Tao Le nodded secretly.

It was precisely because she had been sharpened in the goldfinger space for so long that she could see the subtleties and rarities in Dave's movements.

The separation of the portal vein from the superior mesenteric vein is the main difficulty in the separation period.

Of the hundreds of surgeries in front of Tao Le, at least 20 of them made mistakes in this step, which directly led to massive bleeding.

Dave did it very carefully, he used blunt-tipped forceps at the lower edge of the pancreas to gently separate up along the surface of the vein, the action was light and steady, the forceps were like arm commands, the score was exactly right, and the risk was avoided to the greatest extent.

Seeing this, Tao Le was also a little impressed by him.

She herself was in the goldfinger space, and after hundreds of surgeries, she reached Dave's current level; After hundreds of more units were made, sublimation appeared.

And Dave, how did he develop such surgical skills? In addition to his talent, he must have put in a lot of hard work.

Thinking of this, when she looked at Dave, there was a little more appreciation in her eyes.

After the separation prior to resection was completed, it was concluded that pancreatic head duodenectomy was feasible and was only the beginning of the operation.

Tao Le looked at the time. It took nearly an hour just to separate, and Dave was really slow to work.

She was the only one who felt that the operation was slow.

With Director Shen coming to power, he will be more cautious and slower.

In his eyes, although Professor Dave's action of separating his hands was light, he did not hesitate and was decisive, showing the other party's composure and self-confidence, and it was a proof of strength.

The next step is the excision process.

The patient has intermediate-stage pancreatic adenocarcinoma and requires removal of the distal aspect of the stomach, the lower common bile duct, the gallbladder, the head of the pancreas, the neck, and the uncinate process as per standard pancreaticoduodenectomy, as well as the jejunum about 10 cm proximal.

The patient is over 50 years old and only needs to have a third of the distal stomach removed; If the patient is under the age of 50, it is often necessary to cut off the half.

The distal gastric resection, gallbladder, pancreatic head, neck and jejunectomy were all relatively smooth, at most because of the lack of cooperation, which slowed down and increased communication, which was not a big problem.

But when the uncinate process was cut off, an accident occurred.