If you find that the situation has changed during the operation, and you need to temporarily change the surgical plan, or have a better plan, it is necessary to communicate with the family.

Because the cost and risk of surgery will increase, the consent of the family must be obtained before it can be performed.

This time, Director Wen did not send Tang Li to communicate, but personally came forward to communicate about the matter.

When it comes to important surgical plan changes, only the chief surgeon knows the surgical idea best.

It was over quickly.

The girl's family was stunned when they heard that it was a malignant tumor. Without much consideration, I agreed to Director Wen's plan to completely remove the tumor.

In fact, the vast majority of family members will agree.

The word cancer has long been deeply rooted in people's hearts.

In many people's minds, cancer is no different from the death penalty.

The doctor now proposes to do his best to sweep away the remnants of the tumor, and the family is naturally willing.

The next operation was to advance according to the plan proposed by Zhou Can.

A second vascular access is established by bypass.

The process is relatively easy.

Artificial blood vessels were used instead.

A bypass directly from a branching arteriole in the neck supplies blood to the area that is about to break the central cerebral artery.

With this resupply, even if there is an accident when isolating the tumor remnant, it can be calmly handled.

Director Wen began to calmly try to isolate the remaining tumor residue again.

One knife at a time, it looks like a craftsman is meticulously carving.

Sweat continued to seep from Director Wen's forehead.

Those who watched it didn't think there was anything, but the psychological pressure on Director Wen, who was in charge, must be beyond imagination. I believe every surgeon has experienced this feeling of dancing on a sharp knife.

When separating to the final center, Director Wen went under the knife more and more slowly, and his movements became more and more cautious.

The sweat on his forehead is oozing faster and faster.

The patrol nurse kept wiping his sweat, and there was a hint of nervousness in her expression.

She knew that Director Wen's sweating was so serious, and the operation must have been carried out to the most critical part.

And Director Wen is probably not sure.

Accidents can happen at any time.

"No, the last piece is too tightly bonded and too difficult to separate. I'm not sure I'll do it any longer. ”

Director Wen sighed.

In the center of the tumor, can the adhesion not be tight?

It is estimated that it has almost not taken root.

"I'm afraid that this section of blood vessels can only be separated, then cut off, and then replaced by venous blood vessels."

Director Wen has a lot of experience in surgery, and he knows whether it will work or not.

"Isn't it okay to use artificial blood vessels directly? Why bother taking veins from other sources. "A resident doctor expressed his 'high opinion'.

"That's a good question, and I'm taking this opportunity to explain it to you. The lifespan of artificial blood vessels is only 10-20 years. The patient is now in his twenties, and the vessel to be repaired is the most important central artery vessel in the skull. Now she has been cured of her illness with an artificial blood vessel, but one day ten years later, this blood vessel suddenly bursts, so what should she do? ”

Director Wen questioned the resident who asked the question.

Compared with Zhou Can, this resident doctor's consideration is obviously too one-sided.

"You have remembered that to treat the sick, you have to think not only about the present, but also about the future. It is necessary to truly consider the problem from the perspective of the patient's interests, and only in this way can you become a truly good doctor. ”

After Director Wen finished speaking, he looked at Zhou Can.

"Dr. Zhou Can has done a good job of this."

Zhou Can didn't want to pull hatred.

Hurriedly said modestly, "I just happened to know this knowledge, and it is not as good as you said." After being modest and polite, he asked Director Wen with a hint of hope.

"This section of blood vessel is going to be cut off directly anyway, can you let me try the separation of that tumor residue?"

Zhou Can has been practicing fast knives for some days.

At present, it is a slight success.

His dissection has reached the level of the main treatment, and it is basically enough to separate ordinary tumors or body tissues that are glued together.

To isolate this tumor residue, he wanted to use a quick knife technique and cooperate with the dissection technique to make an attempt.

It definitely doesn't work on animals.

The best opportunity to exercise is to use it directly on the patient.

Director Wen hesitated and did not agree.

Zhou Can also knows that it is extremely difficult to fight for such a high-risk surgical exercise opportunity.

So he quickly added, "I assure you, even if you make a mistake, you will only break this blood vessel, and will not hurt other tissues." This opportunity to exercise is extremely important to me, and I would like you to make it happen to me. ”

Zhou Can has also helped Director Wen a lot in the past two days.

With a certain foundation of trust, it is not too much to ask for this kind of surgery.

"Okay! Seeing that you are very steady, you must be careful and careful. In addition, when I have an excision, I need to put gauze around it to protect it. ”

The mouth that eats people is soft, and the hands that take people are short.

Director Wen finally couldn't bear the emotion, so he had to agree.

Maybe Zhou Can's desperate and motivated eyes moved him.

It is common to put gauze around the area to protect other tissues.

"Thank you! Thank you! ”

Zhou Can won this hard-won opportunity to exercise.

I am really full of gratitude to Director Wen in my heart.

If it is replaced by Dr. Xu today, this exercise opportunity may not be given to him.

Therefore, the benefits of mixing with different senior doctors are different.

The key depends on how you fight for it.

Instead of using an electric knife, Zhou Can used a traditional scalpel.

The advantage of the 'cold weapon' is that it is more flexible, and when separating this tightly bonded tissue, it is possible to separate extremely thin layers of tissue.

It's like a chainsaw, when it cuts a piece of wood, it will be about 0.5cm thick and directly sawed into powder. If you use a sharp knife to cut directly through the middle of the wood, the wood will hardly lose any length.

There is one more reason.

He uses a traditional scalpel to practice quick knife.

This is also what Dr. Xu asked.

At this moment, it is definitely more customary to use a traditional scalpel.

Holding the handle of the knife, he took a deep breath and held the tweezers with his other hand to lift the part of the tumor tissue that had been successfully separated, revealing the adhesive site underneath.

His gaze was fixed on the parts that needed to be separated.

The whole person slowly seemed to be enchanted, and in his eyes and heart, only the residual tumor tissues and blood vessel walls that needed to be separated were left. Everything in the outside world is not visible.

Brush!

Without any hesitation, he slashed it out directly.

Phew!

The sound of a knife cutting through meat.

Director Wen didn't expect Zhou Can to come out with the knife so quickly, so frightened that his hands couldn't help clenching, and a heart almost burst out of his throat.

He had already begun to regret agreeing to let Zhou Can get started.

The stakes are so high, why did you agree?

But before he could stop, Zhou Can had already stopped the operation.

With just one stab, the operation is over.

"Is that the end of it?"

Director Wen's eyes widened in shock.

Not to mention the others, one by one they stretched their necks as if they were living in broad daylight.

Even Zhou Can's movements were over before he could see them clearly.

"Fortunately, the tumor remnant was successfully peeled off."

On the tweezers held by Zhou Can in his left hand, the tumor residue was impressively sandwiched.

A confident smile on his face.

The knife just now seemed simple and fast, but in fact, it contained all the essence of his practice of the quick knife technique, as well as the separation technique, and even the incision technique.

Ten years of work off the stage, one second on the stage.

Thick accumulation, all the accumulation, all into the unpredictable knife just now.

[Congratulations on your successful performance of the Quick Knife Technique, and comprehending one of the essences, and obtaining a special knife technique - Quick Knife Technique.] This knife technique can be applied to dissection, separation, and debridement, and can quickly cut the target tissue at a very fast speed. 】

Zhou Can's usual surgical skills are all certain surgeries, such as debridement, incision, suturing and so on.

This time, it is called the fast knife method.

Spells and spells, together are called spells. That's what the Taoists call it.

From a scientific point of view, it can be said that the combination of methods and technologies is ultimately more powerful than the original technology.

For example, in the isolation just now, even if Director Wen's separation technique reached the director level, he was not able to safely isolate this tumor residue.

But Zhou Can did it.

On what basis?

It is nothing more than the fusion of the quick knife method into the separation technique, forming a more powerful 'spell'.

With the integration of the Quick Knife Technique, his actual combat ability of the Separation Technique even surpassed that of the Director-level Separation Technique.

You know, his current separation technique is only at the inferior level.

After integrating the fast knife method, it directly jumps to two major realms.

Now, Zhou Can finally understands why Dr. Xu has become so famous.

The combination of magic and surgery is definitely a top-notch surgical ability.

[Quick knife method, current experience value: entry-level 1/10000, win with speed, and correct other surgical shortcomings quickly. It can be integrated into all surgical procedures with a knife. 】

Zhou Can looked at the newly added fast knife technique, and actually ranked first.

Even before the pathological diagnosis.

This may be the personal surgical style, or the characteristics of the individual surgery.

"I'm just at the beginner level, and when I put it into dissociation, it's already so powerful. Dr. Xu's level of quick knife technique is definitely much higher than mine. How strong is he? ”

Being able to set the record for the fastest surgery in the world and keep it all the way without being surpassed by others is enough to show Dr. Xu's strength.

"Now that the quick knife method has been officially introduced, I don't know if I can change to other surgical styles in the future?"

The knife just now was extremely fast, and it was a glimpse.

Even Director Wen couldn't solve the surgical problem, so he solved it with a knife. The momentary pleasure is enough to increase the dopamine in the brain several times.

After being happy, Zhou Can also had a trace of worry.

Director Yin in the gods and Director Shen outside the bones had advised him that it was best not to follow the old path of Dr. Xu.

Now that I'm on a thief ship, can I still get off the ship?

However, although the knife just now was extremely fast, Zhou Can's heart was very quiet, and his thinking was very clear. There is no phenomenon that the hand is faster than the brain.

Is it because of the stillness in my heart that I suppressed the magic brought by the fast knife?

There is such a possibility.

Find a chance to ask Dr. Xu and maybe get a better answer.

After Director Wen came back to his senses, he hurriedly checked the patient's central artery and blood vessels.

The walls of the blood vessels are smooth and there is no residual tissue from the tumor. What is even more shocking is that there is no damage to the blood vessels, and this small piece of separation is even better than him.

Clean, smooth, and incredible.

"You, you let me see the second Xu Yidao, really, too similar. Director Xu back then, he did all kinds of difficult surgeries, and he was always clean and neat. The ability to operate is incredible, as if possessed by a god. ”

Director Wen had obviously seen Dr. Xu's strength firsthand.

Even after many years, I still remember it deeply.

And full of reverence.

"Immediately take this tumor fragment for pathological testing, if the edge is clear, the central artery blood vessel does not need to be moved. If tumor cells infiltrate and metastasize, the scope of surgery must be expanded. ”

Director Wen said to a graduate student.

The errands were originally undertaken by Zhou Can, a newcomer.

Now that Zhou Can has shown his surgical strength, even Director Wen has to bow down, who would dare to let Zhou Can run errands and do chores?

……

More than twenty minutes later, the results of the pathology test came out.

The margins are clearly defined, and no diffusion is found.

This is incredibly exciting news.

In the operating room, there was a cheer.

Even Director Wen smiled happily and sighed, "Dr. Zhou is really the lucky star of our group!" After he came, good things happened one after another. ”

From another point of view, after Zhou Can came, several difficult cases in their group were all solved.

It's not a matter of luck.

But it just so happens that Zhou Can has the strength of surgery in this area.

"Remove the artificial blood vessel from the bypass, and then clean the wound, and the suture can be completed directly."

Director Wen's gaze looked at Dr. Zou.

"You're here to remove the bypass blood vessels, is there a problem?"

"Guarantee that the mission is completed safely."

Dr. Zou failed to exert his strength in the previous operation, and now Director Wen took care of him and deliberately gave him a task of sweeping the end. He gave it his all.

Otherwise, he and Director Wen will not look good.

This operation has been full of twists and turns, and it seems that it has always been Zhou Can, a new recruit to the group.

Naturally, the faces of the crowd were gloomy.

The operation ended quickly, and Dr. Zou's operation was decent and quite good.

It can be regarded as saving a trace of face.

Of course, the biggest gain must be Zhou Can.

Not only did the fast knife method directly promote to the entry level, but also accumulated the practical experience of the fast knife method. At the same time, his status in the group has not risen by a star and a half.

It is estimated that in Director Wen's mind, Zhou Can's status is higher than that of the two attending doctors.

You can't blame Director Wen for being realistic.

Because Zhou Can has too many skills.

"Doctor Zhou, I have an operation in the afternoon, can you go over and help?"

When he was about to leave the operating room, Dr. Zou took the initiative to invite Zhou Can. This surprised Zhou Can.

The relationship between the two was originally very stiff.

He didn't have a problem with Dr. Chow.

It's just that Dr. Zou doesn't like him a little. Because he was too good to be in the limelight.

Old comrades, unwilling to be surpassed by new comrades, this is the most common psychology.

"Well, I'm glad I did."

Zhou Can naturally won't lose the other party's face.

An old attending physician took the initiative to put down his posture and show favor to him, easing the relationship between the two. That's a rare remark.

"Hehe, is Dr. Zou arresting a strong man? Another day, if I have a separate operation, I will have to learn from you and arrest Dr. Zhou as a strong man. Tang Li joked with a smile.

also used a half-joking tone to say hello in advance.

said that next time she had surgery alone, she would also ask Zhou Can to come over to help.

"Those who can work hard! Dr. Chow's surgical ability is so strong, everyone is in the same group, presumably he will not mind contributing more. ”

Dr. Zou smiled rarely.

His eyes were also looking at Zhou Can.

"Thanks to you for looking up to me as a junior and taking care of me, I promise to be on call and never lazy. Be sure to do your job. ”

Zhou Can was warmly welcomed by the two attending doctors, and he didn't dare to his tail.

His humble performance of taking the initiative to lower his stature also won the favor of several senior doctors.

……

In the afternoon, Zhou Can cooperated with Dr. Zou to operate on the woman with a broken skull.

I wanted to keep a low profile.

As a result, Dr. Zou's fracture joint and osteopathy were very average.

It is also understandable that Shenwai has always looked down on orthopedic surgery and thinks that orthopedic surgery is all rough work.

Naturally, few doctors outside the gods did a good job of orthopedic surgery.

In many cases, when you have a fracture surgery, you have to call an orthopedic surgeon to help.

Note that it is called, not please.

Shen asked the doctor of the orthopedic surgeon to help, but he didn't see any politeness.

Zhou Can has been in the orthopedic surgery department for three months, and he has really learned something.

In addition, the multi-door orthopedic surgery has been upgraded to the level of three levels. At present, only the slight weakness of bone grafting is the level of regular training.

This woman's fracture surgery, Zhou Can made a lot of effort.

Get the key parts of the surgery right.

Dr. Zou said bluntly that asking him to help was the right person.

Originally, Dr. Zou didn't know that Zhou Can's orthopedic surgery ability was also so strong. It's just thinking that fracture surgery is not easy for one person to operate. The residents were as stupid as pigs.

In addition, it is a brain surgery, so safety must be maintained.

Zhou Can is steady, and his ability to perform multiple surgeries is very strong, please come over and help, at least be safe.

As a result, Zhou Can really didn't disappoint him.

It even gave him a big surprise. This skull fracture surgery was completed by the two of them.

And it's done very well.

At the end of the operation, the patient is still awake for anesthesia.

Zhou Can said to Dr. Zou, "The injuries on this woman's body don't look like they were falling, but more like they were violently beaten. Did you say she had suffered domestic violence? ”

"Doctor Zhou, we can't take care of this. If she's underage, we can take care of it. She's an adult and believes she has her own considerations. And in my experience, it's easy to be thankless about it. ”

Dr. Zou gave him some advice.

"I just saw that there were too many injuries on her body. You see, these injuries are old, indicating that she was being subjected to violent beatings. I really don't understand, why not just divorce? ”

Zhou Can pointed to the woman's shoulders, legs and other parts.

There are bruises and hematomas everywhere, which is shocking to see.

"Marriage isn't as easy as you think. Whichever means that you can leave. Children, relatives and friends on both sides, parents, joint property, and constant separation, in short, when you get married, you will understand. ”

Dr. Zou must have started a family at the age of 40.

He just shook his head and smiled.

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(End of chapter)