The skin, subcutaneous tissue, muscle, and pleura are separated suddenly, and the thoracic cavity is entered, and the laparoscope begins to work.

Zhou Lao slept peacefully, breathing evenly, Ren Haitao looked at Zhou Lao, looked at the ECG monitoring, and there was no abnormality at all.

"Flexible bronchoscopy. ”

After entering the chest, Wu Mian said to Ren Haitao.

The mirrors have already been prepared, but Zhou Lao is lying on his left side, which is a little uncomfortable. But this couldn't help Ren Haitao, and he put the bronchoscope in the fastest time. The movements were gentle, and Ren Haitao did not dare to disturb the sleep of the old man.

While getting off the mirror, Ren Haitao looked at Zhou Lao's state.

Fiber bronchoscopy is still quite stimulating to the patient, and many patients in the awake state call it upper punishment.

But Zhou Lao was in a state of sleep, assisted anesthesia, and he didn't feel it at all, he should sleep or sleep, it was really powerful.

"The tracheal carina, 2 cm above and 3.5 cm long, blocked most of the lumen, and there was bleeding on the surface. Ren Haitao looked carefully with a tracheoscope, and immediately reported the situation, and the forceps of the tracheoscope made a mark for Wu Mian at the edge.

Wu Mian nodded and began to use laparoscopic forceps to do blunt separation.

The forceps were as dexterous as their hands, and the blunt separation was not fast, but before Li Zhong, who was holding the mirror, could see that Wu Mian had already begun the steps of cutting the tumor.

The contralateral normal tracheal wall is retained about 1/4 of the circumference, and the length of the resection is up to 5 cm. Go down to the position of 0.5cm above the tracheal carina, and hold it just right.

"Artificial blood vessels. ”

When the tumor was cut, Zhou Lao still did not move and kept sleeping. Now it is no longer a problem to look at anesthesia, as long as the operation is over quickly, this one will be taken down!

Li Zhong was a little excited, he couldn't understand anesthesia, acupuncture anesthesia + compound anesthesia next week, as long as he was not agitated, his attention was mainly on the operation.

Director Li Zhong has done a lot of tracheal surgery, and the difficulty is that the tracheal intubation is in the lumen, which has a great impact on the operation.

In order to completely remove the tumor, it is necessary to overcome the negative effects of endotracheal intubation, and delay the operation for at least about 1 hour.

However, under the effect of acupuncture anesthesia + compound anesthesia, there is no endotracheal intubation at all, the only problem is that there is no single-chamber ventilation, the lungs cannot be deflated, and the surgical field of view is very narrow.

But this point is overcome by Mr. Wu with techniques, the free trachea is called a slip, the tumor is cut off almost in the blink of an eye, and the local hemostasis is also perfect.

"Mr. Wu, what arc do you want for the wire?" asked Li Zhong.

"You don't have to do it, I'll do it myself. Wu Mian said, "Tefloeethylene artificial blood vessels with a diameter of 1.8 cm, prepare a 4-0 Prolene line." ”

Li Zhong has undergone many similar surgeries, artificial blood vessels instead of trachea, and 4-0 Prolene sutures are used. However, there is no tracheal cartilage in the artificial blood vessels, which can easily collapse, which is a big problem.

Therefore, it is necessary to use a steel wire to fix the skeleton outside, and the specific arc depends on the meaning of the operator.

Li Zhong glanced at the time, it has been 22 minutes since the opening of the stage, and the operation is really fast.

Fast is only one aspect, the key is that you don't realize it at all. Mr. Wu is doing every step step by step, and when I look at it little by little, I feel very ordinary, and there is nothing special about it.

Every step is written in a textbook, there is no ingenuity, and there is no magic pen like a flying fairy out of the sky, but this is it, and before you know it, you have reached the step of anastomosis of the airway.

The forceps and tweezers of the thoracoscopic surgery were stuck in the poke, and Li Zhong was engrossed in the mirror, he knew how important his work was.

Laparoscopic surgery is generally only two people, and the work of the assistant is very important. As with ordinary surgery, exposing the surgical field is the greatest need of the surgeon. Laparoscopic surgery to hold the mirror requires rich surgical experience, and novices will be scolded for their blood spray.

His level is still very high, Li Zhong thought to himself. At least for this operation, Mr. Wu didn't say a word about himself.

The 4-0 Prolene thread perfectly matched the PTFE artificial blood vessel and the trachea, and then Wu Mian reached out and handed the wire to him.

Wu Mian took out the pliers, clamped the wire and sent it directly into the chest cavity along the poke card.

"Teacher Wu, arc!" Li Zhongzheng was engrossed in exposing the field, and suddenly saw the steel wire straight in, he was startled, thinking that Wu Mian had forgotten, and hurriedly reminded him.

didn't hear Wu Mian's answer, under the camera, two pliers clamped the steel wire, dexterously like two hands, gently broke an arc, and then began to fix it.

It's still a 4-0 prolene line, it's still the same as before, it's still unhurried.

Li Zhong was taken aback.

Others don't know, but his heart is clear.

It's a steel wire! It's still only about 3 cm of steel wire! If you want to break a suitable arc by hand, it will take at least 5-10 minutes. Even because the steel wire is too short to work hard, many times the steel wire will be broken and replaced with a new one. And the size should be suitable for the thickness of the poke card, and the arc is too large to send it in.

Although the hardness of the steel wire is high and the flexibility is slightly poor, the steel wire must be used, and the thing with good flexibility cannot act as a trachea skeleton.

I didn't see any special movements from Mr. Wu, and the steel wire was well-behaved like a nylon thread, which became the most suitable arc. Put it on the PTFE artificial blood vessel, tightly fit, and there is no need to repeatedly correct the arc to fit the artificial blood vessel.

I'll it!

This is a detail that only connoisseurs can see.

What blunt separation, what resection of tumors, those are all small jobs in Li Zhong's eyes. This is where the most time-wasting part of this surgery is here!

But under Mr. Wu, this piece seems to have no difficulty at all, and it is simply completed. And instead of using both hands, he made them with long pliers of about 30cm in his chest.

This has to be understood as what the material looks like!

In an instant, Li Zhong felt goosebumps on his back come out, and he almost fell to the ground.

Cattle!

This is real awesome!

The more skilled the person is, the easier it seems to be to perform the surgery, because many of the difficulties are not considered difficult at all, but only part of the surgical process.

"Smack~"

There was a muffled sound in his chest, and Li Zhong's hand trembled.

"Focus, open vision. Why did you do so well before, but suddenly you don't move? Wu Mian said coldly, "It's only past eight o'clock, and you're sleepy?"

“......”

Li Zhong was embarrassed, he patronized and pondered Teacher Wu's technique, and his hands and eyes didn't keep up for a while, so he was knocked out.

Fortunately, it was a laparoscopic operation, and it is said that Mr. Wu used hemostatic forceps to hit the radial styloid process in a person with special pain, and it could not be relieved for a few days.

Minimally invasive surgery has the benefits of minimally invasive surgery, the patient is less traumatized, and the assistant is less traumatized, Li Zhong thought to himself.

But I thought about it, but I didn't dare to wander anymore and watched the operation intently.