Before leaving, Mo Chenggui told Ji Xiang not to be disturbed by Qin Chu's affairs, work hard, and have an unlimited future in the future.

Ji Xiang's mind was full of resolutely not empathizing with him this time, so that he didn't pay much attention to what Mo Chenggui said after that.

And Qin Chu is already in the past tense in Ji Xiang's consciousness.

When he came to the hospital, Ji Xiang was not in a hurry to go to the ward, he was going to ask the system NPC first.

Ding cancer does not seem to be very malignant, and it is written in the book.

As for the patient......

Ji Xiang also knows that he is not even willing to empathize, how much better can the patient be.

Sitting next to the Trek butterfly, Ji Xiang said hello to the strong man, and then closed his eyes and entered the system space.

"Teacher, I'm here." Ji Xiang entered the system space and greeted the system NPC.

The system NPC looked Ji Xiang up and down and smiled slightly.

"Teacher, what's wrong?"

"How did it feel to fight for the first time?" System NPCs asked.

"It's okay, I'm a little excited." Ji Xiang replied truthfully, "Teacher, when you were young, you used to throw your medical records in the face of your students? ”

"Hmm." The system NPC was a little embarrassed, and he laughed, "When I go to work, I check the medical records every Wednesday afternoon." There is a row of flowers in the middle of the desk in our department, just for fear that I will get angry and drop the medical record clip and hurt people. ”

“……”

Ji Xiang didn't expect the system NPC to be so short-tempered when he was young.

"It's really annoying, especially when I see the mess they write." The system NPC sighed, "Later, I found it particularly interesting to smash the report in other people's faces during the school and battle. Once, a consumables vendor applied for a drug-loaded stent......"

Ji Xiang silently listened to the system NPC tell about the fact that a phase II clinical trial did a very bad drug-loaded stent entered the country but was slapped in the face by the system NPC, and then remembered that he smashed the document on Ling Tian's face.

It's really cool, Ji Xiang thought to himself.

But in the blink of an eye, Ji Xiang repeatedly warned himself that he was a regular doctor, he didn't want anything to happen, and he couldn't figure it out, and finally begged his mother to go to him.

After the system NPC finished speaking, Ji Xiang turned the topic back, "Teacher, today Teacher Mo and Teacher Wang asked me to go to the hospital to observe a patient who needs to undergo a total resection of Ding cancer. ”

"Oh." The system NPC nodded, "It should indeed be seen, especially the postoperative psychological reconstruction of patients, which is a very advanced content course." ”

"Teacher, can you elaborate on it?" Ji Xiang asked.

The system NPC looked at Ji Xiang seriously, with expectations in his eyes.

Ji Xiang thinks that it must be his own more and more empathy that makes the system NPC delusional.

"I don't." Ji Xiang said firmly.

"Huh." The system NPC smiled, and was not reluctant, "There are several points to be solved in this matter, the first is early detection, early diagnosis, and early treatment. If it is detected early, it can be solved with partial excision + lengthening, which does not affect the patient's life. ”

The system NPC did not force Ji Xiang to empathize, but began to give Ji Xiang a lecture.

Partial resection + prolongation surgery for the treatment of early-stage Ding cancer, the system NPC explained very thoroughly, and began to take Ji Xiang for surgery.

The simulator is brought in, and the entire system medical team gets busy.

Continuous epidural anesthesia was performed, and the simulated person took the lithotomy position, and Ji Xiang saw that the anesthesia was completed, and went to brush his hands to disinfect and wear clothes.

Then the system NPCs got dressed and went on stage.

"Knives!" The system NPC reached out and slapped a scalpel in his hand.

"Teacher, why don't you say the knife?" Ji Xiang asked.

"Did I say that?" The system NPC was puzzled, but he was very steady, and when he spoke, he had made a fusiform skin incision around the root of the surgical area.

"Yes."

"Maybe the waves have brought me badly." The system NPC smiled, "There was a time when Shen Lang liked a book, and from then on, he would shout a knife when he went to surgery." ”

"Huh." Ji Xiang asked happily, "Who is Shen Lang?" ”

"A little guy in Zhou Congwen's medical team, the advantage is that his life is hard."

"Hard-hitting?" Ji Xiang is strange.

"Well, if you have rabies, you don't die, do you say that your life is hard enough?" As the system NPCs spoke, blunt separation of the subcutaneous tissue, fat, and deep fascia at the base of the surgical area.

"Amazing, isn't rabies a 100 percent mortal rate?" Ji Xiang was stunned.

"Not 100 percent, but 99 death is always inevitable."

As he spoke, the system NPC had identified the tumor site.

He used an electric knife to cut the urethra and the corpora cavergy of the urethra 2 cm away from the tumor, and reserved a certain length of the urethra as a stoma opening, and used proximal dissection measures to isolate the corpora cavernosum to avoid damage to the urethra.

Immediately, the system NPC made an incision in the median position between the anus and the base of the capsule in the surgical area, and led out the proximal urethral cavernosa and the incision, retaining the length of 1 cm, and cutting off the excess part.

The operation of the system NPC is extremely old and spicy, and Ji Xiang is relaxed and happy.

Coupled with the fact that the system NPC did not force him to empathize, it was quite humane, and Ji Xiang's restless heart gradually stabilized and concentrated on watching the operation.

The system NPC transversely cut the end of the urethra, and the upper and lower mucosa valgus were sutured with the skin margin to fix the urethral opening.

Subsequently, the suspensory ligament of the surgical area was cut in the midline, the fascia of the surgical area was incised, the dorsal deep vein, dorsal artery and nerve of the operative area were separated, and the surgical area was cut and ligated.

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Finally, along the stem cavernous body, it is separated to the attachment of the pubic ramus, the stem cavernous body is cut off, and the stump is sutured.

After the surgical excision is completed, the wound is cleaned, and the midpoint of the capsule incision and the suprapubic incision are sutured to raise the capsule to avoid sagging.

Partial resection, surgery was done cleanly, and lymph nodes were dissected. After treating the tumor, the system NPC underwent a lengthening operation to ensure the patient's life and mental health after surgery.

"Well, that's the basic process of surgery." After the system NPC was finished, he was also satisfied, "Do you know what Ding Cancer is most afraid of?" ”

"Scared the most?" Ji Xiang didn't understand.

"Ding cancer is more common in men aged 40~60, and the typical clinical symptoms are the secretion of purulent substances or bloody secretions from the skin and orifice, and there are more papules, **-shaped or flattened protrusions, plaques at the lesions, accompanied by ulcers at the lesions, foul-smelling discharge, etc."

The system NPC said, paused, and said in an accentuated tone, "The most feared thing is that the patient will judge that the initial pimples and flat bumps are genital warts and other diseases, and the treatment will be in the wrong direction or delayed treatment, and finally the patient can only do a total resection." ”

"What I just showed you is the treatment method for early Ding cancer, which can be done without lymph node dissection. If it is late, it can only be cut in full. ”

"I get it." Ji Xiang was a little worried and glanced at the system NPC.

The system NPC did not force Ji Xiang to empathize with the idea, and Ji Xiang was relieved at once.

Ji Xiang is not stupid, nor reckless, if the job of castration falls on him, even if it is just empathy in the system space, Ji Xiang subconsciously refuses.

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