Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 185: Sure enough, it is a level 3 operation

Wu Yuan changed into a surgical gown.

Chen Zhongsheng whispered, "Thank you, Doctor Wu."

Wu Yuan glanced at Chen Zhongsheng: "Concentrate on the surgery, everything else is secondary."

Chen Zhongsheng was startled for a moment, but immediately understood.

For a surgeon, he still has to stick to his heart.

As long as you stand on the operating table, the patient's life is the most important thing.

Such as getting a staffing, a promotion title, or a bonus, they are all outside the body.

If a surgeon is still thinking about those yellow and white things on the operating table, it is definitely difficult to guarantee the effect of the operation, and it is basically coping with it.

In fact, it is inevitable that there are many surgeons with bad mentality.

After all, not all doctors have high medical ethics.

Everyone is profit-seeking.

Chen Zhongsheng: "I understand, I will try my best to do this operation well!"

Wu Yuan patted Chen Zhongsheng on the shoulder: "It's okay, if there is any trouble in the middle, I will remind you."

Chen Zhongsheng: "Okay! Sorry to trouble you, Dr. Wu!"

Strange to say, Wu Yuan is about the same age as Chen Zhongsheng, and has the same professional title, both are residents.

But Chen Zhongsheng would completely listen to Wu Yuan's command, and he didn't feel that there was anything wrong.

In fact, it's not just Chen Zhongsheng. In the emergency department of Dongcheng Hospital, Wu Yuan is indeed the third in command after Cheng Weimin and Peng Shuhua.

Even Zhang Hongwei would listen to Wu Yuan's advice on most of the medical issues.

At this moment, Wu Yuan and Chen Zhongsheng changed into surgical gowns and entered the operating room.

The patient has fallen asleep and is unconscious.

The anesthetist: "She was in severe pain, so I asked him to do an IV in advance, so that she would feel better."

Wu Yuan nodded and took the position of Kazaki.

Chen Zhongsheng took the position of chief surgeon.

From the anesthetist to the equipment nurse, everyone was taken aback.

I didn't expect Chen Zhongsheng to perform this operation.

You must know that the difficulty of this operation is definitely not low, and it may even be very high. Is it really okay?

Unknowingly, they also regarded Wu Yuan as the mainstay of surgeons in the emergency department.

As long as Wu Yuan takes the lead, there will be no problems that cannot be solved.

Although Chen Zhongsheng is not bad, he is still far behind Wu Yuan.

Especially in pancreatitis surgery, Wu Yuan is almost at the master level.

I don't know if this is an illusion.

However, Wu Yuan is the first assistant, which is also a good thing, and can help Chen Zhongsheng complete the operation.

Chen Zhongsheng was obviously nervous, his hands were shaking all the time.

This is likely to be a very difficult third-level operation.

If it is really a third-level operation, it will probably affect Chen Zhongsheng's score.

When thinking of these ties, Chen Zhongsheng's mood will fluctuate.

Wu Yuan; "Doctor Chen, let's treat it as an ordinary pancreatitis operation, is it okay?"

Chen Zhongsheng took a deep breath and finally regained his composure.

Chen Zhongsheng: "No problem."

If it is pancreatitis surgery, Chen Zhongsheng is very confident now.

Recently, there have been many opportunities to practice. In private, Chen Zhongsheng often watches Wu Yuan's surgery videos, so he has made great progress.

Chen Zhongsheng glanced at the vital signs on the monitor, and it seemed to be all right.

Chen Zhongsheng: "Let's start."

Chen Zhongsheng chose small incision laparoscopic surgery.

Sterilize the patient's abdominal incision site first, and then spread a sterile drape.

The surgery has officially begun.

Chen Zhongsheng got the scalpel and opened the incision.

At this moment, Wu Yuan was a little surprised.

Although Chen Zhongsheng's hand holding the scalpel is not as stable as Wu Yuan's, his progress is very obvious. Compared with other young surgeons, he must have an absolute advantage.

It seems that this kid has worked hard in private.

Chen Zhongsheng himself is a student of the bully type, but his mental quality is a bit weaker. As long as he is willing to learn and practice, he should improve quickly.

Next, Wu Yuan tried his best not to disturb Chen Zhongsheng's train of thought, and let him perform the operation according to his own ideas.

This is also what a chief surgeon should do.

As Chen Zhongsheng was doing it, he was talking about the steps he had to do next.

This is also Wu Yuan's request, not only as a record of the operation, but also to let others understand what he is going to do and why he is doing it.

At the beginning, everything went well, and Chen Zhongsheng's basic skills and recent hard training have achieved great results.

But after that, the situation took a sharp turn for the worse.

Everyone was stunned.

The patient did have peritonitis, and it was severe.

Peritonitis is an inflammation of the peritoneum, which is relatively serious clinically.

Peritonitis is divided into primary peritonitis and secondary peritonitis. Clinically, primary peritonitis is relatively rare, and secondary peritonitis is relatively common.

Secondary peritonitis is often secondary to gastric perforation, appendix perforation, gallbladder perforation, intestinal perforation and other diseases.

At this time, what the patient got was secondary peritonitis.

During the process of abdominal exploration with a laparoscope, the patient's abdominal cavity can be said to be a mess, and various pus, food residues and other unknown foreign objects can be seen on the screen.

Chen Zhongsheng panicked at the time.

He has never encountered such a situation.

What is certain is that this is no longer the scope of pancreatitis surgery, and there must be something wrong with other organs.

However, Chen Zhongsheng is not bad, at least maintaining his superficial composure.

Chen Zhongsheng: "Doctor Wu, what do you think?"

Wu Yuan pondered for a while: "Doctor Chen, how do you think the patient's peritonitis was caused?"

Chen Zhongsheng was startled for a moment, and immediately said: "We can see food residues, which means that there is something wrong with the patient's stomach, esophagus, or intestinal tract."

Wu Yuan nodded: "Doctor Chen, you remember that we discussed this situation before."

Chen Zhongsheng was stunned: "Have you discussed it?"

Wu Yuan: "We discussed it."

Chen Zhongsheng showed a look of sudden realization.

He is not an idiot, of course he knows that Wu Yuan is setting up a stage for Chen Zhongsheng to sing for him.

Wu Yuan continued to explain: "You also said before that although peritonitis is not the same as pancreatitis, they are similar in the end. It is nothing more than finding the infected tissue and removing it."

Chen Zhongsheng nodded: "That means..."

Wu Yuan has no words.

Chen Zhongsheng: "Change the surgical method, large-scale laparotomy!"

Wu Yuan breathed a sigh of relief, Chen Zhongsheng is really not stupid, he knew to change his mind.

Including the anesthesiologist and the equipment nurse, everyone was taken aback.

During the operation, it is not a small matter to change the operation plan.

Ordinary surgeons would never do this rashly.

Originally only Wu Yuan dared to do this, but it was Chen Zhongsheng who proposed it on his own initiative this time.

It is true that birds of a feather flock together, and people are divided into groups.

It's crazy!

In fact, Chen Zhongsheng was also subtly influenced by Wu Yuan.

Wu Yuan: "I agree."

Chen Zhongsheng was a little excited, but also very uneasy.

This is a proper third-level operation!

Win or lose!

No!

Chen Zhongsheng immediately dispelled distracting thoughts, and said loudly: "Change the operation plan, large-scale incision and laparotomy!"

Everyone jumped into action.

Time is tight, nearly 20 minutes have been wasted just now.

Large open surgery is much more troublesome than laparoscopic surgery, so we must hurry up.

Chen Zhongsheng skillfully made a large incision on the patient's abdomen, layer by layer, revealing the inside of the abdominal cavity.

Although everyone was mentally prepared, they were still taken aback by the condition of the patient's abdominal cavity.

It's like experiencing the end of the world inside, all kinds of mucus substances are mixed together, making people feel that there is no way to start.

Chen Zhongsheng forced himself to calm down, and looked up at Wu Yuan.

Wu Yuan quickly made a judgment and said: "Doctor Chen, can you see if this works? We will divide the work and cooperate. You should give priority to the pancreas problem. I will find the source of peritonitis infection as soon as possible."

Chen Zhongsheng's eyes lit up, as expected of Wu Yuan, his thinking was too clear.

Chen Zhongsheng nodded: "Okay, let's start!"

Chen Zhongsheng immediately proceeded to perform pancreatectomy, hoping that after he finished, Wu Yuan could find the source of peritonitis infection.

To be honest, Chen Zhongsheng didn't know how Wu Yuan was going to find him. He only knew that changing a doctor might require the help of instruments and equipment to find the exact location.

However, Chen Zhongsheng had a feeling that Wu Yuan would definitely be able to handle this matter.

This is an almost blind trust.

Of course, Wu Yuan has his own way. Things that are difficult for others are easy for Wu Yuan.

Wu Yuan activated the "Key Lock" talent.

In this messy abdominal cavity, although it is green as a whole, there are still many red parts, and they are of different shades.

The darker the red, the more serious the disease in that place, and the lighter red is not serious.

Wu Yuan took a general look. In the patient's abdominal cavity, apart from the part of the pancreas that was relatively red, the color of the stomach was also very dark. There was a piece of red that was even darker than the red on the pancreas.

Wu Yuan couldn't help sighing, this gastric perforation is serious enough.

This surgery did not go up to the third level!

At this moment, half of Chen Zhongsheng's pancreatectomy was completed.

This surprised everyone else, the speed of this operation is also quite fast, I am afraid that only Peng Shuhua may not be so fast.

Of course, Wu Yuan's speed is faster.

Moreover, Chen Zhongsheng's operation method is actually very similar to Wu Yuan's, it can be said to be in the same line.

This is not surprising, it can be said that Chen Zhongsheng's pancreatectomy operation was completely carried out by Wu Yuan.

Chen Zhongsheng can be 70% similar to Wu Yuan's techniques and methods.

In other words, Wu Yuan is Chen Zhongsheng's master.

After Wu Yuan found the source of the stomach infection of peritonitis, he did not take action to deal with it, but waited for Chen Zhongsheng to complete the pancreatectomy.

Fortunately, Chen Zhongsheng performed the operation very quickly, and it took another ten minutes to remove all the organs and tissues that should be removed from the pancreas.

Chen Zhongsheng heaved a sigh of relief, at least one big problem was solved.

Wu Yuan said: "Dr. Chen, I will suture the pancreas, and you will deal with the infection source of peritonitis."

Chen Zhongsheng was stunned: "Found it?"

Wu Yuan: "I found it, in the stomach, in the small bend, here..."

Chen Zhongsheng was taken aback, he didn't expect Wu Yuan to find such a small place and hide it very secretly.

At the same time, Chen Zhongsheng was also in high spirits!

The source of peritonitis has been found, and the rest of the work is actually clear.

Excision of the source lesion followed by suturing.

As Wu Yuan said, in fact, the solutions to pancreatitis and peritonitis are basically the same, nothing more than excision and suture.

Even so, Chen Zhongsheng must be extremely careful.

After all, the stomach is involved this time.

Chen Zhongsheng had never performed a stomach operation before, but only served as a first assistant or a second assistant to observe a few times.

Fortunately, Chen Zhongsheng understands all the relevant theories, but he lacks practice.

What's more, Wu Yuan is the first assistant to watch, if there is any problem, he will remind.

When Chen Zhongsheng thought of this, he became more at ease.

Relying on the position Wu Yuan pointed out, Chen Zhongsheng found the lesion at the small bend, which is the infection source tissue of peritonitis.

Now this small piece needs to be excised and sutured.

At this time, Wu Yuan had already sutured the pancreas, and then he concentrated on watching Chen Zhongsheng perform the stomach resection operation.

As I said before, Chen Zhongsheng's basic skills are very good. Recently, he has done a lot of hard work and has made great progress.

Although Chen Zhongsheng's operation efficiency is far behind Wu Yuan's, it is enough at this time.

Although proficiency in surgical skills is very important, what is more important is whether the method is right.

Chen Zhongsheng's set of methods was brought out by Wu Yuan, and it is suitable for this time.

So Chen Zhongsheng's operation progressed quite well, and Wu Yuan didn't give too many pointers during the period, but occasionally gave simple instructions in a low voice.

Finally, Chen Zhongsheng completed the resection of the gastric lesion.

Using the talent of "Key Lock", Wu Yuan checked again, it should be all right.

At least the big problem is gone.

For minor problems, it can be cured with conservative treatment.

Surgery, in fact, is an objective operation on the patient's body. If you can move less, you need to move less.

Chen Zhongsheng was about to ask the equipment nurse for needles and threads to suture, but Wu Yuan said first: "Doctor Chen, let me do the suture."

Chen Zhongsheng: "OK."

Wu Yuan's stitching skills are superb, and he is indeed the most suitable one.

But next...

The abdominal cavity is about to be cleaned.

As I said before, the patient's abdominal cavity is very lively at this time, various thick fluids, food residues, and other unknown sticky substances are mixed together~IndoMTL.com~Chen Zhongsheng has a headache, but he can only bite the bullet and clean it up.

After Chen Zhongsheng cleaned up the abdominal cavity, Wu Yuan had already closed the gap in his stomach.

The whole operation process was very smooth.

Chen Zhongsheng glanced at the time, one and a half hours, the operation time is not long.

You know, they also changed the operation plan halfway.

Such a complicated operation is already considered a super long play.

Of course, the reason why it is so fast is inseparable from Wu Yuan's help.

Without Wu Yuan, Chen Zhongsheng felt that it would be very difficult for him to complete.

Although Chen Zhongsheng's hands were full of dirty things, he still expressed his sincere thanks to Wu Yuan.

Chen Zhongsheng: "Dr. Wu, you have worked hard."