Chapter 819 - Contraindicated Thoracoscopy?

Knowing that Wu Hai was going to have surgery in the afternoon, Qin Lao led his disciples to watch the operation.

Before Wu Hai entered the operating room, Jiang Bai pulled Wu Hai and said with a smile, "There are so many audiences, don't you panic?" ”

Wu Hai smiled and said, "It's okay, I have a little junior brother to give me a cover, and I am full of confidence." ”

Among the several senior brothers, Wu Hai's technology can rank in the top three.

First, he has rich experience, 1,000 surgeries a year, and has done tens of thousands of surgeries for decades, which has reached a very high level.

Second, his age is at his peak, like Jiang Bai, his skills are very high, and the number of surgeries is more than Wu Hai, but his age is close to sixty, and he has passed his peak. It may be okay for him to have a boutique demonstration surgery. But let him do three or four surgeries in a row, the quality must be unstable.

Third, Wu Hai has been working in a chest hospital, specializing in lung tumor diseases, so this is his strength. Each surgeon has his own label, compared to He Jun's label is organ transplantation, Zhao Yuan's label is aortic dissection, and other surgeries are not impossible, but they are slightly inferior to their core research fields.

Therefore, everyone is looking forward to his surgery.

Of course, this is also an opportunity for Jiang Bai, Ling Zhen, Xiao Hua, and other fellow students to meet their junior brother Zhao Yuan.

Except for He Jun and Wu Hai, the others did not have an intuitive understanding of Zhao Yuan's strength.

Especially those doctors who were not descendants and had been guided by Qin Lao, they all wanted to see how powerful the closed disciples that Qin Lao was proud of were.

The thoracic and cardiac surgery observation area was full of people.

There is no place for people like Li Xian and Gao Qian, let alone other doctors.

"I didn't expect so many people to come to observe this operation today. I would have come early to grab the spot. ”

"Rob? You're thinking too much. Do you see the three regular doctors on the right? They had already arrived, but they were chased away by Jiang Bald. ”

"Alas, I didn't expect an operation to attract so many people's attention."

"Wu Yuan is a top expert in lung tumors, and Director Zhao serves as an assistant, so this operation is full of gold."

Zhao Yuan and Wu Hai didn't realize that there were many people outside who came to observe the operation.

They have worked together in Yanjing a few times before, and they are familiar with each other, but their identities and roles have changed.

Zhao Yuan served as a helper, while Wu Hai served as the chief surgeon, and disease was an area that Wu Hai was good at.

Jiang Bai stood beside Qin Lao, staring at the fifth and sixth children.

Although Qin Lao had many students, there were only these six people who officially accepted apprentices.

Jiang Bai, as the senior brother and the leader of the second generation of the Qin faction, was full of expectations for these two people.

Although there are good people in the third generation, at most they are at the level of provincial experts, and within five to ten years, they will have to rely on Wu Hai and Zhao Yuan to act as the technical cards of the Qin Gate.

Jiang Bai has watched Zhao Yuan's surgery video and has a certain understanding of him.

But perhaps because he couldn't see it enough, Jiang Bai felt that there would be a gap between Zhao Yuan and Wu Hai.

Xiao Hua and Ling Zhen communicated side by side.

"I still saw the fifth child have surgery two years ago. I don't know if he has grown in the past two years. Xiao Hua said with a serious expression, "His basic skills are okay, that is, the details are handled, which is more old-fashioned." ”

Ling Zhen smiled, "My own junior brother, don't be so harsh. Anyway, the level of the fifth brother is there, I am more curious about the level of the little junior brother, and I don't know what kind of wonderful performance he has in lung tumor surgery. ”

Xiao Hua knew Ling Zhen's character, this person laughed when he saw people, and he was stricter than himself in his bones.

Ling Zhen was two years younger than Xiao Hua, but he joined Qin Lao's sect earlier than himself.

Their rank is based on the time of entry.

Surgery begins.

Zhao Yuan stood in the position of one assistant and cooperated with Wu Hai to help.

Wu Hai's separation is quite beautiful, not only is there very little bleeding, but in the blink of an eye, the laparoscope is sent into the established position.

With the cavity, the field of vision becomes clear, and soon the tumor is exposed to the field of vision.

When an expert makes a move, he can immediately notice the difference.

Precision and dexterity come second, and the key is to be skillful and confident in every movement.

The accumulation of tens of thousands of surgeries and the feeling brought by each knife are unforgettable.

The thoracoscopic viewing hole is located in the eighth intercostal space in the midaxillary line.

The 2 cm auxiliary foramen is located in the seventh intercostal space of the anterior axillary anterior.

Two 3 cm incisions are located in the third and sixth intercostal spaces of the anterior axillary line.

When the field of vision was fully exposed, Wu Hai and Zhao Yuan's expressions changed at the same time.

The surgeon's biggest fear is the difference between preoperative testing and intraoperative exploration.

Although there have been great advances in the accuracy and accuracy of assistive devices today, there are still differences in preoperative examinations.

"What happened? Dean Wu seemed to hesitate. ”

"Not surprisingly, the tumor invaded not only the opening of the bronchi, but also the adjacent pulmonary artery!"

"What now? Can only do a total left lung resection? ”

"If the left lung is completely removed, the damage to the patient is too great."

Qin Lao glanced at Jiang Bai, "What do you think the fifth child will do next?" ”

Jiang Bai pondered for a few seconds, "I should choose to remove both sleeves!" ”

Qin Lao said lightly, "I didn't expect that today's operation can see the famous technique of the fifth child." ”

Jiang Bai looked forward to it, "This is a hellish difficulty!" ”

When the lesion is located in the opening of the bronchial lobe, simply removing the corresponding lobe will cause residual, so to completely resect it, it is necessary to remove the corresponding lobe bronchi and the adjacent section of the main bronchus, which is called sleeve resection.

After lobectomy sleeve resection, the remaining bronchi is resuturated with the main bronchus, so that the normal lobes are preserved and the consequences of total lung resection are avoided. m.

This type of surgery is also called bronchictomy sleeve resection, or "single sleeve."

In more complex cases, where the diseased tissue invades not only the opening of the bronchial tubes, but also the adjacent pulmonary arteries, then a technique similar to that of bronchectoctomy is used for the pulmonary arteries.

The affected vascular segment is excised, and the connection is re-sutured to reconstruct the blood vessel.

This is called a "double-sleeved" surgery.

Ten years ago it was even considered a contraindication to thoracoscopy.

Although there are quite a few teams that can perform this surgery, there are very few cases.

Only a skilled surgeon has the courage to touch this procedure.

The main trunk of the pulmonary artery is one of the largest blood vessels in the body, and half of the blood flow through the body passes through it.

The risks are predictable!

Wu Hai didn't see a look of panic in Zhao Yuan's eyes, and even vaguely saw a look of excitement.

Wu Hai's heart is bright!

This kid is excited when he sees the difficult operation!

Although Wu Hai has a similar success story, he is not completely sure in his heart.

He took a deep breath, a look of tenacity in his eyes.

The difference between ordinary people and masters is that ordinary people will retreat and give up, and masters will be stronger when they meet stronger!

Some people died, but not completely......