Surgery is mainly divided into three parts: anatomy, repair, and transplantation.

Autopsy is well understood, and involves dissecting the cortex, muscle, and even organs, and then removing or cleaning the lesion. The most important part of the dissection is the incision.

The second is dissociation and debridement, which evolved from incision.

Dissection is the pure destruction of the intact human body, and if you want to cure the patient, you must repair the damaged tissues and organs.

For example, if the blood vessel is cut, the bleeding must be stopped!

The nerves, blood vessels, and tendons are broken, and they have to be anastomosed back!

Therefore, the two main categories of surgery are anatomy and repair.

As for transplantation, it comes according to the actual needs.

Taking a piece of skin from the thigh and planting it on the face and neck is also called transplantation. Cutting off the skull and transplanting it into a complete body is also called a transplant. The degree of difficulty between the two is very different.

To practice any kind of medical skill, you must start with the basics, simple learning and practice.

Zhou Can's incision successfully practiced to level six, which is a major breakthrough in the field of surgery.

It means that he already has the foundation of the third and fourth level of difficult surgery.

In the past, the anatomical part of some third- and fourth-level difficult surgeries needed to be reluctantly completed with the help of quick knife method and stable knife method. Nowadays, with all kinds of dissections, excisions, and surgical capabilities in this area have been improved to a higher level, and they can be done better.

The most important thing in major surgery is safety.

The incision has reached the primary level of the director, which is equivalent to an improvement in surgical safety by at least one step.

He tried to remove a lymph node cancer lesion, and cut it all at once, and the hand felt completely different from a five-stage incision. What tissue has been cut, how deep it is, and whether it has been cut to the edge of the lymph node can be clearly perceived.

Even some tiny tubes, nerve endings, can have a more vague perception when removed.

In order to achieve a level where even small blood vessels and nerve endings can be clearly perceived when they are removed, I am afraid that it is necessary to raise the incision to the intermediate level of the chief physician, or even the advanced level.

Meals must be eaten one bite at a time.

To reach the current level of surgery, Zhou Can already feels very satisfied.

To put it more arrogantly, in the entire Tuya Hospital, there are no more than 40 surgeons who can reach the primary level of chief physician in incision.

The level of a certain surgical skill does not have much to do with the level of professional title.

For example, Director Liu of the Department of General Surgery.

Because his academic level is a little worse, he is still stuck in the title of deputy chief physician at the age of nearly sixty. However, his actual surgical ability may not be worse than that of the chief physician, and even better than many chief physicians.

Of course, he has now successfully achieved a positive high rating, which can be regarded as his wish.

Zhou Can is now a junior resident, but the level of incision has reached the primary level of chief physician.

I believe that there are many examples of the imbalance between professional titles and medical skills, and there may be many.

It is not uncommon for some academic and scientific chief physicians to have less surgical ability than an ordinary surgical resident.

"The sixth-level incision is cool!"

After Zhou Can experienced the director-level anatomical ability, he accelerated the progress of the operation.

At the moment, his experience points for incision and dissection are still growing rapidly.

Work harder and strive to raise the separation technique to level 6 as soon as possible.

Dissection is used in a wide range of applications for difficult surgeries. It is also a high medical skill that all surgeons have a headache for.

Some medical techniques are easy to learn but difficult to master.

Such as sutures, ligations, and debridement.

Separation is difficult to learn, and even more difficult to master.

Even if he is as powerful as Director Hu Kan, there was an accident because of the separation of the adhesion between the key diseased tissue and the large blood vessels. Since then, the body has not been as good as it used to be.

It can be seen that if you want to become a real top-level surgical saint, you must elevate the separation technique.

Otherwise, there will be major shortcomings, and there will be big heels at critical moments.

Others find it difficult, but Zhou Can is not afraid.

Anyway, as long as he continued to earn experience points for the separation technique, he would be able to push this medical skill to level six.

……

Nearly three and a half hours later, the operation was finally over.

In this operation, Zhou Can's gains were too great.

In addition to the incision being promoted to level six, the dissection technique is also very close to level six. There are still more than 1,700 experience points left. If he is lucky, he may only be able to successfully ascend to the top with two or three major surgeries.

Anyway, these days, I have to go to the cardiothoracic surgery department almost every day to help with major surgery.

Unlike in the past, when he stood next to Director Xueyan and Director Le, his current surgical mode basically requires him to be the main surgeon, and Director Xueyan or Director Le will give him a help.

It's the equivalent of standing next to him and 'instructing' him to do the surgery.

Risks at the level of laws and regulations must be avoided.

He doesn't need to be in charge, but he needs to sweep the formation, and he just needs to stay in the same operating room.

The largest operating room in cardiothoracic surgery has three operating rooms that can perform three surgeries at the same time.

Taking advantage of this convenience, it is often like just now, Director Xueyan leads people to operate in the operating room next to her. Zhou Can and Deputy Director He operated in the operating room next to him.

In case Director Xueyan needed support, Zhou Can could immediately rush over to help.

The benefits of this are very great, and it can greatly improve the digestibility of difficult surgeries.

In the past, a large number of people worked overtime in one night, and they may only be able to complete two major surgeries. It can be doubled today.

This is extremely beneficial for the expansion of cardiothoracic surgery.

Zhou Can's harvest tonight is also very big. After his incision was promoted to grade 6, he found that there seemed to be a link between debridement and incision when removing tumors or other tissues that might be cancerous.

This linkage is magical.

When the lesion was removed, he could use debridement to faintly perceive whether there was any remnant of diseased tissue around the removed tissue.

For example, when he removed a lymph node, he sensed a lesion in a large blood vessel next to it.

It was the first time he had such a wonderful feeling, and he was a little puzzled at the time.

In a responsible manner, he carefully observed the blood vessel with the help of the magnifying glass he wore on his eyes. Then a small inconspicuous spot was found. Later, after repeated identification, and based on the experience of surgery, it was compared with the cancerous blood vessels that had been cut before.

It was eventually determined that the vessel was likely to have developed early cancer.

After cutting it, contact the pathology department immediately for testing.

It didn't take long for the news to come back that the blood vessel was really cancerous.

At that time, Zhou Can was particularly excited.

Because if it weren't for his incision to be promoted to level six, it happened to be linked to the debridement surgery, and he sensed that there was something wrong with that blood vessel. Even with the world's most advanced examination equipment, it is difficult to detect this early-stage cancerous blood vessel.

Don't underestimate such a cancerous blood vessel, as long as the surgery does not remove it, it will not be long before the patient will recur again.

You know, cancer is like a weed.

Even a single rhizome, or even a leaf, can sprout again, and then quickly grow into a large patch.

Therefore, the skill that Zhou Can has now is of great significance.

It can ensure that the cancerous tissue of the lesion is removed as much as possible during cancer surgery.

Why do many patients with malignant tumors find that the cancer cells have metastasized in the middle and advanced stages when they go to the hospital for examination? The doctor will then tell the patient that the opportunity for surgery has been lost.

It is because according to the doctor's experience in surgery, it is no longer meaningful to have surgery after metastasis.

Cut out the large tumor, and the small one will grow again quickly.

In addition to making the patient suffer more and draining the patient's family's money, it will not prolong the patient's life.

Rather than knowing that the treatment will not be good, and the patient's family will be empty of money and money, it is better to let the patient go home to eat and drink well, and spend the last days of his life in the company of his family.

This is actually a kindness from the doctor.

It's just that sometimes family members and patients can't understand, and they scold the doctor bitterly, and before leaving, they scold fiercely, "You quack, you can't even do such an operation." Let's go to a smart doctor who can do it. ”

When encountering this, doctors often suffer in silence.

When I came out of the operating room, it was already eleven forty-two. Quite a bit earlier than the expected time for surgery.

This is because Zhou Can's incision was promoted, and the speed of the operation was much faster.

"Hopefully, the cancerous tissue in this patient's body has been removed." Zhou Can could only pray silently like this.

For such patients, radiotherapy must be done after surgery to consolidate the results of surgery.

Radiotherapy and chemotherapy are still the two most common methods of cancer treatment.

Chemotherapy, in particular, is largely demonized.

Many people think that chemotherapy is dead, that chemotherapy is useless, and that it will bring down the body. This kind of argument has been deeply ingrained in the hearts of many ordinary people. As soon as you hear the doctor say that you are going to do chemotherapy, you immediately shake your head like a rattle.

It can only be said that there are two sides to everything.

There are pros and cons.

Chemotherapy is a chemical agent that kills cancer cells to prevent recurrence.

It is a double-edged sword, killing cancer cells at the same time, chemotherapy drugs are cytotoxic, directly destroy the cell structure, the most damage to the proliferative cells, the body's important organs such as liver, kidneys, heart, lungs have a certain toxicity, if the function of these organs is too damaged, the patient will have organ failure, or even death.

In addition, chemotherapy suppresses the immune system, which is an equally frightening side effect.

Patients who have just completed chemotherapy should be especially careful of various infections.

Even a common cold can kill you.

Despite all the dangers of chemotherapy, it is also recognized for its ability to kill cancer cells.

At the very least, it is a treatment that can ensure that cancer cells are killed without killing people directly.

In addition, because the cancer cells are so tenacious, chemotherapy cannot destroy them all at once.

Only a part of it can be wiped out.

As a result, patients need to undergo multiple courses of chemotherapy to achieve a satisfactory treatment effect.

It is conceivable that patients who are weaker will not survive two or three more chemotherapy treatments.

This is also one of the big reasons why chemotherapy has become notorious.

The way of killing 800 enemies and losing 1,000 is not something that everyone can bear.

Fortunately, today's advanced drugs are on the market or have entered the research and development stage. For example, targeted drugs and immunological cancer drugs. The drugs that create super T-cell warriors fall into this category.

Human immune cells can be divided into two categories, T cells are equivalent to scouts, and B cells are equivalent to missile soldiers.

As long as the T cells can spot the enemy, the B cells have a thousand ways to kill the enemy.

But when confronted with cunning enemies, such as the AIDS virus and cancer cells, the T cells cannot recognize their identity, and at this time, the B cells become blind and deaf, and there is no way to attack.

In developed countries in the West, it is indeed a good idea to cure cancer by creating super T cells through drugs and improving their detection ability.

Speaking of which, this idea still comes from the theory of traditional Chinese medicine in our country.

Many developed countries are paying more and more attention to traditional Chinese medicine, and it is precisely because they have tasted the sweetness of traditional Chinese medicine.

For example, the little devil, now all kinds of Chinese medicine decoctions, almost dazzling, everything.

The price is even more expensive than you think.

The key is that the therapeutic effects of these decoctions are gradually being recognized by the public.

Otherwise, it would not have been able to grow to the size it is today.

Something that is unprofitable is something that absolutely no one wants to do.

On the other hand, in our country, traditional Chinese medicine is declining more and more, and there are fewer and fewer high-level Chinese medicines. It's actually suffocating and heart-wrenching to watch.

It can only be said that there is still a long way to go, and the revival of traditional Chinese medicine still has a long way to go.

The main thing is that young medical students should believe in Chinese medicine, be willing to spend time learning Chinese medicine, and give them the opportunity to practice.

It's just that it's too hard to have these market conditions.

Even if someone has studied Chinese medicine and has a certain level, there are not many people who are willing to try Chinese medicine treatment after people get sick. Without the market, there is no momentum, and this creates an endless loop.

If a group of powerful Chinese medicine practitioners can grow up in the future, and vigorously promote Chinese medicine with the help of their fame and real treatment effects, it will be possible to change this unfavorable situation.

Therefore, there is still a long way to go to revive traditional Chinese medicine.

At present, the mainstream consciousness of doctors in China is basically that when they encounter patients who have no money, or difficult patients, or people who are not sick and say that they are sick, doctors will persuade these people to see Chinese medicine.

It's really not to belittle Chinese medicine, this kind of ideology is indeed the mainstream of current doctors.

There are very few Chinese medicine practitioners like Mr. Chen Guoli.

"Dr. Zhou, it was really shocking to see you perform the mediastinal lymph node dissection surgery today. I admire you for your young age and skill in surgery. ”

Dr. Pu chased after him from behind.

On weekdays, Zhou Can has relatively little contact with this person.

The other party is a doctor who has not been recruited for a long time in cardiothoracic surgery, and the two are not very familiar with each other.

However, Director Tingle and others have a good evaluation of Dr. Pu.

Dr. Pu was able to enter the operating room this time because he was a doctor in charge of the bed, and he had a chance to operate on the same page.

"Dr. Pu has won the award, but in fact, my level is about the same as yours. That is, there are more opportunities to practice, and it is just a little more proficient. ”

Zhou Can replied modestly.

"You are always so humble, whether it is medical skills, medical ethics, or personality, you are especially worthy of my learning. I...... Can you have a few words to talk to you individually? ”

Dr. Pu took the initiative to catch up with him and accosted him, apparently with some purpose.

"Well, no problem, what do you have, please say!"

Zhou Can turned to look at him.

"Uh...... Well, can we talk about it in another place? I'm afraid you won't agree to what I'm saying, and then I'll lose my job. It was really not easy to enter Tuya Cardiothoracic Surgery this time. ”

Dr. Pu had a look of resignation.

"Yes! Lead the way! ”

Zhou Can didn't know what this person wanted to say?

(End of chapter)