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Vol 2 Chapter 278 How to simplify difficult surgery
Shen Feichen nodded: “Dr. Wu, how are the patient’s signs?”
Wu Yuan: “Blood pressure 80, heart rate 90, normal heart rate…”
Shen Feichen nodded: “The operation is divided into two parts. I perform left atrial tumor resection, and Dr. Wu performs liver S5 subregion resection.”
All the other nurses present were taken aback.
Everyone in the observation room also felt their scalps go numb.
Doesn’t this mean that the two operations are combined into one and performed at the same time!
An idea flashed in everyone’s mind – double main surgery.
But this is obviously not an ordinary double main surgery.
Usually, such an operation is done after one operation is completed, and then the next one is performed.
For example, the liver tumor is removed first, and then the heart tumor is removed.
Do two operations at the same time?
The risk is about to double.
But as long as senior cardiothoracic surgeons know it.
If the two operations are performed in sequence, such a major operation may take eight or nine hours to complete.
This is still under the condition that everything is going well. If there are some changes, the operation time is likely to be longer.
The patient is already seventy years old at this time, and his physical condition can only be said to be average, and it is unlikely that he will last for such a long operation time.
In this way, the surgical resection of the heart and liver tumors can be performed together, which can indeed greatly shorten the operation time.
Originally, it could be completed in eight or nine hours, but it can be shortened by two hours, or even three hours.
Of course, the risk is very high, and the general surgical team would definitely not dare to choose such a surgical plan.
The plan that Wu Yuan and Shen Feichen discussed at the beginning was indeed to remove the tumor of the liver first, and then remove the tumor of the left ventricle.
But at this time, it is obviously impossible to do so, and the time is too late.
If the operation is interrupted due to the decline of the old man’s vital signs, I don’t know when the operation will be performed again.
Maybe there will never be a second chance for surgery.
So when the two were wearing surgical gowns just now, they discussed whether to perform the two operations together.
Although the risks are also great, relatively speaking, the probability of successful surgery will be higher.
Of course, it was mainly because Shen Feichen trusted Wu Yuan’s level.
However, if Wu Yuan’s surgical level was a little worse, Shen Feichen would not dare to do it.
At this point, the nurse team was stunned.
After all, the rhythm of surgery has changed.
The operation is performed at the same time, which is equivalent to two main surgeons and requires two instrument nurses.
Shen Feichen said: “Let’s adjust it. If there are not enough people, we will transfer people over.”
The head of the nurse team nodded, turned his head and said, “I’ll call someone over.”
With that, the team leader said something on the internal phone in the operating room.
After a while, someone came in again.
Although he was wearing a mask, he still couldn’t hide his beautiful eyes.
This is the beautiful nurse Dong Nianrou.
The team leader said to Dong Nianrou, “Nianrou, cooperate with Dr. Wu.”
Dong Nianrou glanced at Wu Yuan, responded, and walked to Wu Yuan’s side.
Wu Yuan: “Beauty, you’ve worked hard.”
Dong Nianrou: “It’s not hard.”
At this time, Shen Feichen said: “Okay, let’s get started. Dr. Wu, you should be faster. Come back to help me with the heart tumor resection operation.”
Wu Yuan said: “Okay, I will finish it as soon as possible.”
Dong Nianrou looked at Shen Feichen and then at Wu Yuan.
Of course, Shen Feichen’s level is fine, but is Wu Yuan’s surgical technique really that high?
In the observation room, they could hear the conversation in the operating room from the loudspeaker.
They were really surprised.
Unexpectedly, Shen Feichen and Wu Yuanzhen would have to perform liver and heart tumor resection at the same time.
“Are they crazy, is it really okay to do this?”
“This is too dangling, the risk is too great, and the patient will die on the operating table!”
“But in comparison, this can greatly shorten the operation time, and if it goes well, the probability of success will be higher.”
“You said it all, if it goes well, what if it doesn’t go well? Then the operation will fail directly!”
“I want to see how great their abilities are, and how big they are!”
At this point, the surgery officially began.
The atmosphere suddenly became tense, and the people who originally spoke stopped talking and stared intently at the situation below.
At this time, Shen Feichen was doing the preparatory steps for thoracotomy.
Unlike laparotomy, the process of cardiac surgery is more complicated, and the chest may not be opened for a while.
Wu Yuan can already make an incision.
Wu Yuan said to Dong Nianrou, “Now start the S5 subregional resection of the liver, a scalpel.”
Dong Nianrou immediately handed the scalpel to Wu Yuan, moving very quickly.
Although Dong Nianrou is young, she has gone to the operating room a lot, so she is quite experienced.
Moreover, Dong Nianrou not only worked as a device nurse, but also skillfully sterilized the surgical site.
At this time, Wu Yuan started to make incisions.
When Wu Yuan used the scalpel, Dong Nianrou could see it.
Wu Yuan’s basic skills are really good, not ordinary.
Dong Nianrou has participated in so many surgeries, and rarely sees such a steady grip on a scalpel.
Wu Yuan’s arm is like a stone carving, thinking about it carefully, it even feels terrible.
The incision made by Wu Yuan was straight and neat, and there was even less bleeding.
The incision has been made, and Wu Yuan cut open several layers to reveal the internal organs.
Opened successfully.
Wu Yuan said: “Ascites, help me attract it.”
Dong Nianrou responded immediately and used an aspirator to **** out the blood in the abdominal cavity.
After the suction is clean, the liver can be seen.
The people in the observation room also stretched their necks to watch, and then couldn’t help but take a deep breath.
Now you can see many areas of the liver with the naked eye, and there are already many lesions, and I don’t know if all of them are cancerous areas.
On the left side of the liver, there were obvious tumor features.
It seems to occupy a large area. If the tumor area is deep enough, it is likely to remove the entire left side of the liver.
Everyone in the observation room is a surgical expert with rich experience, and can see that the difficulty of this liver tumor resection is very high.
In short, if the situation is better, the liver tumor removal surgery may be completed in two hours.
But now, even for an experienced surgeon, it takes three hours.
At that time, it may disrupt the rhythm of Shen Feichen’s side, causing the operation to fail and the whole game to be lost.
And a doctor as young as Wu Yuan may do it more slowly, and the situation is even more serious.
No matter how you think, this operation is unlikely to be successful.
Just as everyone was stunned, Wu Yuan had already begun to act.
Wu Yuan didn’t ask for a small scalpel this time, because he saw that it didn’t require a particularly precise operation to remove the tumor.
At the same time, Wu Yuan has activated the “Key Lock” skill, and the field of vision is full of marked areas of different colors.
Wu Yuan breathed a sigh of relief. Although the patient’s liver condition looked serious, it was actually lighter than it seemed.
Of course, although such an operation is not difficult for Wu Yuan, it is an extremely difficult operation for most surgeons.
Especially if it is to be completed within the stipulated time, it is even more difficult.
At this time, Wu Yuan began to operate.
Dong Nianrou’s eyes widened, looking at Wu Yuan’s movements, she was immediately taken aback.
so perfect!
Move so fast!
Dong Nianrou didn’t expect that Wu Yuan’s tumor resection would be so fast, and the tumor was cut out very quickly.
Moreover, Wu Yuan did not simply and rudely remove the tumor, but along the edge of the tumor.
Obviously, Wu Yuan is trying to preserve as much liver as possible for the patient.
After all, if there is not much left in the liver, it will greatly affect the quality of life.
In the observation room, the surgeons who were watching were also dumbfounded.
“Okay, so fast! Is this really possible?”
“It looks like that’s really the case, it’s not a random cut.”
“He wanted to keep more of the liver, not remove it as a whole.”
“Courageous enough, isn’t he afraid of incomplete tumor resection and serious consequences?”
At this time, Wu Yuan had already cut off the tumor area.
This fools a lot of people.
This speed is too fast, so fast that even bystanders can’t react.
Dong Nianrou was stunned, not knowing what level a surgeon like Wu Yuan was at.
Incredible!
I feel that Wu Yuan is more powerful than those senior surgeons.
Dong Nianrou even felt that Wu Yuan’s ability was unfathomable.
At this time, Wu Yuan said, “Monopolar electric knife.”
This is for coagulation.
Dong Nianrou immediately handed over the monopolar electric knife to Wu Yuan.
Wu Yuan operated it very seriously and sealed the incision on the liver with a monopolar electrocautery.
Wu Yuan said aloud, “Send the slices for inspection.”
Immediately a nurse took out the removed tumor.
Wu Yuan: “Scalpel.”
Dong Nianrou was stunned. She didn’t expect to use a scalpel, but she quickly handed it over to Wu Yuan.
The liver tumor resection is not yet complete, and there are still several lesions that need to be treated.
But these are small issues.
For Wu Yuan, it didn’t even take twenty minutes to get it done.
Everyone in the observation room was watching Wu Yuan’s movements, almost all of them had the same expression, dumbfounded and speechless.
This speed is too fast, unimaginably fast.
Someone glanced at the time, and it was just over fifty minutes later.
In other words, the tumor-removal operation for part of the liver has come to an end.
At this rate, Wu Yuan is likely to finish in an hour.
This can no longer be described as “surprising”, it is simply against the sky.
At the same time, Shen Feichen had already opened his chest.
This speed is also very fast, making the people in the observation room open their mouths.
If Wu Yuan finished the operation and helped Shen Feichen perform the heart tumor resection together, the operation time would probably be shorter than expected.
At this time, Wu Yuan suddenly heard: “The liver part is over.”
Dong Nianrou’s eyes widened and she looked at Wu Yuan with an incredible look on her face.
Although she was the closest and had the clearest vision, when Wu Yuan announced that the liver tumor resection had been completed, she was still surprised.
Immediately afterwards, Dong Nianrou looked back at the electronic clock. It only took one hour and seven minutes from the beginning of the operation.
Those onlookers in the observation room were of course even more surprised.
Wu Yuan’s speed was like taking off, almost to take off.
These people are all experienced and surgeons, but none of them have much confidence that they can complete the tumor resection of part of the liver in such a short time.
And take a closer look, Wu Yuan’s completion is very beautiful, with high quality and quantity, definitely not just fooling around.
No, it’s not just about quality and quantity.
In fact, what Wu Yuan has done can even be said to be perfect, not only retaining most of the liver, but removing only the tumor part, and even removing the lesions on the liver surface.
It’s incredible, Wu Yuan didn’t even want to leave a little bit of potential pathogenic tissue behind.
After all, those lesions, diseased tissues, are likely to become cancerous as well.
After the removal, the problem of the liver is completely solved.
“Amazing, how did you do this?”
“I didn’t see it clearly just now. I should watch the video when I go back.”
“This Dr. Wu’s use of the scalpel is incredible. It’s fast and accurate. I’ve carefully observed it, and it’s almost all done with one knife.”
“It’s really incredible. I can’t believe it at such an age. How did he train?”
“No wonder Director Shen is so confident, this young man does have two brushes.”
“More than two brushes, more than an order of magnitude stronger than most of the new generation of surgeons.”
They didn’t fully say what they said in their hearts. At Wu Yuan’s level, I am afraid that none of the surgeons present dared to say that he was stronger than him, even if it was difficult to compare with him.
At this moment, Shen Feichen said: “Very good, help me with heart tumor resection at any time.”
Wu Yuan nodded.
Shen Feichen didn’t seem surprised.
Wu Yuan’s super performance in surgery has been witnessed many times.
Shen Feichen has much more experience in cardiac surgery than Wu Yuan.
The tumor resection of the patient’s left heart is relatively simple. Wu Yuan only needs to cooperate with Shen Feichen’s surgical procedures.
Dong Nianrou couldn’t believe that such a difficult and risky operation could be done like this.
If all goes well~www.readmtl.com~ the entire operation time may be controlled within three hours.
The surgeons in the observation room also felt their scalps tingle while watching such an operation.
Originally they would also talk about the procedure, but as the operation went on, they stopped talking.
Because the cooperation between Shen Feichen and Wu Yuan is quite skillful and smooth, and it is seamless.
Both are really masters and seem to understand each other’s thoughts.
Shen Feichen is the main player, and Wu Yuan will help at the right time, just right and will not affect the rhythm of Shen Feichen’s surgery.
Shen Feichen seldom even gave instructions to Wu Yuan.
Dong Nianrou was stunned by the side.
It’s really amazing, such a combination of operations, I feel that no matter how difficult the cardiothoracic surgery can be done.
In three hours and 20 minutes, this scalp-tingling operation was over.