"It's not an away game!"

Zhou Can smiled and was about to raise his hand to scratch his head, realizing that he was wearing gloves on his hands and needed to be as sterile as possible, he put his hand down again.

In fact, wearing a hood at the moment, it is impossible to scratch your head.

The status of anesthesiologists is quite high, not to mention that Director Mingxin is also Director Xiang Fei's mentor, and his status is even higher. Zhou Can didn't dare to hate this female boss.

This time, I took the opportunity to save Deputy Director Lu, and I was fortunate to meet many bigwigs from the Provincial People's Hospital, and he cherished it very much.

Because the people who are willing to take the team into this operating room are basically like-minded people with him. They are willing to take huge risks to save patients' lives.

This medical ethics is extremely noble.

Zhou Can is especially willing to get acquainted with such medical staff.

If you don't accumulate small streams, you can't become a big river. Only by uniting more like-minded doctors and nurses can we truly become bigger and stronger in the future. This is also an accumulation of network resources.

"What is away or not, being able to invite you to participate in the operation means that you are not treated as an outsider. In the rescue, everyone is a boatman on the same boat, and everyone has the obligation to play the spirit of ownership at the moment of danger. ”

Director Mingxin estimated that he was frightened, so he grabbed Zhou Can and taught him a lesson, and then stopped.

But she didn't mean it.

It is normal for the operating room to be scolded by senior doctors and to be scolded by tours. There have even been incidents in the operating room, where the chief surgeon and the anesthesiologist fought over each other.

Everyone is trying to get better treatment for patients, and they have different ideas, but they have the same goal.

"That's what you said! Then do I dare to let Director Gou hand over the next surgical task to me? Zhou Can looked at Director Gouqiang.

In laparoscopic surgery, Director Gou Qian is the chief surgeon and has the highest right to speak.

"No problem, I'll be your assistant, if there is a problem I will stop at any time. If you feel that the risk is too high, be sure to discuss it with me in advance. "Director Gou Qian saw Zhou Can's amazing hemostasis and anastomosis technique, and his trust in Zhou Can has obviously increased a lot.

While delegating power, he did not forget to make a 'tight spell' to prevent Zhou Can from causing trouble.

may still feel unsafe, he looked at Director Wu Yongming outside his head again.

"Lao Wu, you can also help me keep an eye on the point and check the check, but don't let anything happen. Otherwise, it will be difficult for everyone to explain. ”

"Okay!"

Director Wu Yongming didn't say half a word of nonsense, and agreed.

The person also stood next to Zhou Can.

With these two guarantees, the director of Gou Poverty is much more relieved.

The surgery continued.

Zhou Can manipulated the endoscope and began to quickly repair the ruptured spleen.

Which organ of the human body is the most vulnerable?

Cerebral plasma cannot be considered an organ, it is certainly one of the most fragile body tissues. The spleen is the most fragile of all organs. Even the human kidneys are much stronger.

As for the universally recognized eye, this organ is considered to be a relatively strong organ in the human body.

It's just that because the vitreous and eye membrane are very tender and are directly exposed to the surface of the body in most cases, it is considered fragile by the public.

The eye's ability to tolerate and resist blows is actually much stronger than we think.

Spleen repair is a great test of the doctor's suturing and ligation.

Fortunately, Zhou Can's ligation was promoted to level six, otherwise it would be much more difficult to repair the spleen.

I saw him manipulating the endoscopic arm to debride, suture and knot the patient's spleen, and the whole process was like a cloud of peers. It's even faster. The hearts of the people who watched kept applauding him for filming.

In less than ten minutes, Zhou Can had already completed the repair of his spleen.

It looks like a broken piece of porcelain, and after being restored, it is completely displayed in front of everyone. Simply impeccable.

The surgeon's surgical repair is much more difficult than the porcelain restoration.

Because even if the porcelain is broken, it is difficult to put it together, and it is a test of patience and carefulness. A human organ is a living thing, and after repair, it needs to be guaranteed to survive and restore most, or even all, of the functions of the organ.

There are many technical difficulties.

"The spleen is basically repaired. During the care, the patient's spleen organ needs to be taken care of for at least one week and let it recuperate as well as possible. You can't let it stop, and you can't overwork it. ”

After Zhou Can completed the spleen repair, he said to the itinerant nurse.

This is actually a kind of verbal doctor's order.

No matter how beautiful the surgery is, the level of care and nutrition cannot keep up, and it is in vain.

After so many surgeries in the emergency department, when checking the recovery of hospitalized surgical patients, Zhou Can found that postoperative care and nutrition are extremely important.

Some wrong care, or nutritional deficiencies and irrational conditions, can lead to an increased risk of postoperative complications.

The healing cycle after surgery is also significantly prolonged.

"Teacher Lian, keep a good record of Dr. Zhou's explanation, and you must implement it in place." Director Gou Qiao noticed that the itinerant nurse didn't seem to take Zhou Can seriously, so he hurriedly said.

In terms of postoperative care and nutritional support, Tuya Hospital is considered to be the tallest among the short, and it is at the top level in the province.

It is estimated that only the Provincial Children's Hospital can compete with Tuya Hospital in this regard.

In fact, each provincial top three compound has its own strengths and weaknesses.

For example, Tuya's nursing is strong because when the hospital was first built, its name was Women's Hospital. Mainly for official wives, powerful daughters, wives to see a doctor, postpartum care and so on.

Since then, its nursing skills have been passed down from generation to generation, and it has attracted enough of these patients to achieve the level of care it is today.

There is also Tuya's internal medicine department that can have a certain reputation in China, also because there was an extremely outstanding Chinese medicine doctor in the early days, and after returning from abroad, he founded the internal medicine department in Tuya. From the beginning of the Department of Respiratory Medicine, it has slowly developed until now all subdepartments of internal medicine are complete.

Even now, Tuya's respiratory medicine department is still one of the best.

Moreover, Tuya's internal medicine department also has a feature, most of the director-level internal medicine doctors like to study traditional Chinese medicine, and they also like the combination of traditional Chinese and Western medicine in diagnosis and treatment.

It's a kind of inheritance.

Any large hospital that can prosper for a long time relies on this kind of technology inheritance, accumulation, and eventual development from generation to generation.

If a hospital has only one or two medical field heritages, it will be very thin and easy to lose out in the competition.

For example, Xinxiang Women's and Children's Hospital is also a veteran hospital with a history of more than 70 years.

It has only been inherited from obstetrics and gynecology, and other pediatrics, gynecology, etc., have not been developed. In the end, because of an accident, it almost went bankrupt.

On the other hand, in Tuya Hospital, cardiothoracic surgery is also an ace department, and when Director Hu Kan died, the department was also miserable.

once almost fell from a first-class ace department to a third-rate department.

However, Tuya Hospital was not particularly badly affected.

Because in addition to cardiothoracic surgery, Tuya Hospital also has a number of strong department support.

This is the real essence of an old strong hospital.

It is definitely not comparable to the Third Hospital spending a high price to recruit a Japanese expert and buying a full set of imported equipment. It's Xinxiang Hospital, don't look at its rapid development momentum now, it seems to be very powerful.

In fact, it's just fat.

Lack of decades, hundreds of years of accumulation, no heritage, just like a tree without deep roots.

There is a serious risk of collapse.

"Okay."

The itinerant nurse listened to Director Gouqiao's speech, and quickly recorded it honestly, so that it could be put in place after the operation.

Zhou Can naturally does not care about the cold treatment of a nurse.

Respect is earned by strength.

Some itinerant nurses consider themselves to be old and well-informed, and have seen countless bigwigs perform surgeries. I am tired of all kinds of high-precision surgeries and difficult major surgeries.

didn't take the strength that Zhou Can just showed in his eyes.

It can only be said that she is too superficial.

Zhou Can may not be particularly top-notch, but the repair of his spleen just now is definitely not bad.

There may be some doctors of this level in the country, but in the province, it should be rare.

This is because endoscopic surgery is inherently more difficult than traditional surgery.

After Zhou Can repaired his spleen, Deputy Director Lu's physical signs improved significantly.

"The rate at which the blood pressure drops has almost stopped, and if it is stabilized, the operation time can be much longer. The patient's heart rate is also slowly decreasing, which is a good sign. ”

A small spleen, but it affects the whole body.

In the final analysis, it is mainly because the blood vessels in the spleen are broken, resulting in a lot of bleeding in the body. This poses a direct and serious threat to the patient's life.

Director Mingxin's words are tantamount to a shot in the arm for Director Gou Poor and others.

Everyone was very excited to see that the patient's condition was moving in a good direction.

It was also the first small result achieved after the operation began.

Zhou Can did not speak, but concentrated on manipulating the endoscope and began to explore the part of the pancreas that he thought was injured.

When his endoscope examined the pancreas, he found some fluid here. Indicates that there is also bleeding, but the bleeding may not be large and will stop automatically soon.

"Director Gou, help me flip my pancreas up a little. I suspect the source of the bleeding is on the lower left side, so you need to be careful and try not to make the wound bigger. ”

He told the director of the poor hook.

Because of the upward turning of the pancreatic tissue, it is easy to cause the wound that has stopped bleeding to tear and bleed again.

With Deputy Director Lu's vascular condition, not to mention that there are already wounds, even if there are no wounds, they are easy to tear blood vessels.

Director Gou's endoscopic surgery level is quite good, and he carefully lifts the pancreas up.

"Oh my God, what's that?"

"It looks like a tumor!"

"This kind of strange-shaped tumor, the boundary is not clear, it is best to do an intraoperative pathology."

Everyone stared at the display screen, and after Director Gou lifted the pancreas up, many people let out a very soft exclamation.

The eyes are also wide-eyed.

No one expected that there was a tumor behind the patient's pancreas. And it looks very unfriendly.

Like human appearance, kind-hearted people tend to be kind and kind-eyed. People who are dark and vicious in their hearts are often terrible-looking.

Even if you don't have much social experience, when you see some people, you feel scared and subconsciously want to hide away. It means that the person is most likely not a good person.

A person's temperament and image are closely connected with the inner world.

People who like to read will become elegant for men and intellectuals for women.

People with bad ideas tend to have cloudy and evil eyes. Temperament is almost none.

Zhou Can stared at the screen carefully, and then adjusted the angle of the endoscope and kept observing.

"I really didn't expect it to be a pancreatic tumor, and it's not like a good class. Director Gou, can you take a sample for intraoperative pathology? Then decide on the next step of surgery? ”

That's the benefit of a friend's help with the surgery.

We will be considerate of patients without any worries.

Pancreatic cancer is known as the king of cancers and is one of the most feared cancers. It has an extremely poor prognosis, with a shockingly low three-year survival rate.

The best way to treat this disease is to detect it early and have surgery to remove it as soon as possible.

As long as the diameter of the tumor is not more than 2 cm, it is basically considered early. At this time, as long as it is cut clean, there is still a lot of hope for a radical cure.

After careful inspection, Zhou Can felt that Deputy Director Lu's situation should be early with experience.

With the naked eye, no significant spread was found.

Nearby lymph and blood vessels were not significantly affected.

That's all good thing.

"Have a quick conversation with the family, sign and then take a sample for a biopsy!"

Director Gou Poor reluctantly agreed.

At this moment, the operation is mainly to save the patient's life, and the treatment of pancreatic tumors is basically not included in the original surgical plan.

Considering that the size of the tumor is not small, and now that the pancreas is injured, if the tumor is not removed immediately, the irritated tumor may grow wildly and spread rapidly.

At that time, Deputy Director Lu still could not escape death.

At most, it's just a little longer.

In the process of communicating with family members, Zhou Can was not idle, but continued to investigate.

Finally, it was found that there was a ruptured hemorrhage in the pancreas, which was closely related to the tumor. Everything else is fine.

In addition, he examined the left kidney.

The injury is minor, and this one has the potential to heal itself. However, be alert to the occurrence of nephritis.

Soon, news came from outside that the family had agreed to the operation and had signed it.

So what else is there to say.

Zhou Can directly separated the entire tumor from the surrounding tissues, and then cut it off.

The separation from the vascular site made every chief physician breathtaking.

They asked themselves, no one could isolate the tumor so intact like Zhou Can.

"Unexpectedly, Dr. Zhou not only has first-class ability to anastomostomoses blood vessels, but also has excellent ability to ligate blood vessels, and even the level of isolating lesion tissues is extremely amazing!"

"Prizes, prizes!"

Zhou Can snorted, debrided the surgical wound, and then sutured and stopped the bleeding. In addition, the lymphatic and other tissues around the area that may have spread are examined again and again to confirm that there is no problem, and then the surgery is completed.

At this point, laparoscopic surgery is basically completed.

The intraoperative pathological results came out quickly, and the probability of malignant tumors was more than 90%. Seeing this result, I believe that many people pinch a cold sweat for the patient.

(End of chapter)