Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 278: How to simplify difficult surgery
Shen Feichen nodded: "Doctor Wu, how is the patient's condition?"
Wu Yuan: "Blood pressure 80, heart rate 90, normal heart rate..."
Shen Feichen nodded: "The operation is divided into two parts. I will perform left atrial tumor resection, and Dr. Wu will perform liver s5 subregion resection."
The other nurses present were all taken aback.
Everyone in the observation room also felt their scalps go numb.
Isn't this the same as combining two surgeries into one and performing them at the same time!
An idea flashed in everyone's mind - double surgeon surgery.
But this is obviously not an ordinary double-surgery operation.
Usually for such operations, one operation is completed before the next one is performed.
For example, the liver tumor is removed first, and then the heart tumor is removed.
Do two surgeries at the same time?
The risk will be doubled.
But anyone who is a senior cardiothoracic surgeon knows it.
If the two operations are performed sequentially, such a large operation may take eight or nine hours to complete.
This is still under the condition that everything is going well. If there are some accidents, the operation time may be longer.
This patient is already seventy years old at this time, and his physical condition can only be said to be average, so it is unlikely that he will last for such a long time.
In this way, the surgical resection of heart and liver tumors can be performed together, which can indeed greatly shorten the operation time.
Original eight or nine hours can be completed, and it can be shortened by two hours or even three hours at once.
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 resect the liver tumor first, and then resect the left ventricle tumor.
But in the current situation, it is obvious that this cannot be done, and the time is too late.
If the operation is interrupted because the old man's vital signs are declining, I don't know when the second operation will be performed.
Maybe there will never be a second chance for surgery.
So just now when the two of them were wearing surgical gowns, they discussed whether to perform the two operations together.
Although the risks are great, relatively speaking, the possibility of successful surgery is higher.
Of course, it was mainly because of Shen Feichen's trust in Wu Yuan's level.
As long as Wu Yuan's surgical skills are inferior, Shen Feichen dare not do this.
At this moment, the nurse team were all stunned.
After all, the rhythm of the operation will change.
The operation is carried out at the same time, which is equivalent to two chief surgeons, requiring two equipment nurses.
Shen Feichen said: "Let's make some adjustments. If we don't have enough manpower, we will bring in more people."
The leader of the nurse group nodded, turned his head and said, "I'll call someone over."
Speaking, the team leader said something on the internal phone in the operating room.
After a while, someone came in again.
Although she was wearing a mask, she still couldn't hide her 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, thank you for your hard work."
Dong Nianrou: "It's not hard."
At this time, Shen Feichen said: "Okay, let's start, Dr. Wu, you should be faster, and then come to help me with a heart tumor resection."
Wu Yuan said: "Okay, I will finish it as soon as possible."
Dong Nianrou looked at Shen Feichen, then at Wu Yuan.
Shen Feichen's level is of course no problem, it's a good one, but is Wu Yuan's surgical technique really that high?
In the observation room, they could hear the conversation in the operating room over the loudspeaker.
They were really surprised.
Unexpectedly, Shen Feichen and Wu Yuan would have liver and heart tumor resection at the same time.
"Are they crazy, is it really okay to do this?"
"This is too dangerous, the risk is too great, otherwise the patient will die on the operating table!"
"But in comparison, this can greatly shorten the operation time. 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'd like to see how capable they are, and how big they are!"
At this time, the operation officially began.
The atmosphere became tense all of a sudden, the people who had originally spoken fell silent, and stared intently at the situation below.
At this time, Shen Feichen was making preparations for the chest surgery.
Different from laparotomy, the procedure of heart surgery is more complicated, and it may not be possible to open the chest for a while.
Wu Yuan can already make an incision.
Wu Yuan said to Dong Nianrou: "Now start the resection of the s5 subregion of the liver, with a scalpel."
Dong Nianrou immediately handed the scalpel to Wu Yuan, his movements were swift.
Although Dong Nianrou is young, she has been to the operating room a lot, so she has a lot of experience.
Moreover, Dong Nianrou not only works as an equipment nurse, but also skillfully disinfects the surgical site.
At this moment, Wu Yuan started to make incisions.
When Wu Yuan used the scalpel, Dong Nianrou could tell.
Wu Yuan's basic skills are really good, not so good.
Dong Nianrou has participated in so many operations, and it is rare to see him holding a scalpel so steadily.
Wu Yuan's arm is like a stone carving, and when he thinks about it carefully, he even feels scary.
The incision made by Wu Yuan was straight and neat, and even the bleeding was less.
The incision has been made, and Wu Yuan opened several layers to reveal the internal organs.
Successful laparotomy.
Wu Yuan said: "Abdominal fluid, help me absorb it."
Dong Nianrou responded immediately, and used a suction device to **** out the accumulated blood in the abdominal cavity.
After the suction is clean, you can see the condition of the liver.
People in the observation room also stretched their necks to watch, and then couldn't help but gasped.
Now you can see many areas of the liver with the naked eye, and there are already many lesions. I don't know if all of them are cancerous areas.
In the left area of the liver, there are obvious tumor features.
It seems to occupy a large area. If the tumor area is deep enough, it is likely that the entire left side of the liver must be removed.
Everyone in the observation room is an expert in surgery with rich experience, and they can all see that the difficulty of this liver tumor resection operation is very high.
Simply speaking, if the situation is better, the liver tumor resection operation may be completed in two hours.
But in this situation, even experienced surgeons still need three hours.
At that time, Shen Feichen's rhythm may be disrupted, resulting in the failure of the operation, and the whole game will be lost.
As for a doctor as young as Wu Yuan, he may be able to do it more slowly, and the situation will be even more serious.
No matter how you think about it, this operation is unlikely to be successful.
When everyone was stunned, Wu Yuan had already started to act.
Wu Yuan didn't ask for a small scalpel this time, because he saw that it didn't need a particularly precise operation to remove the tumor.
At the same time, Wu Yuan has activated the "Key Lock" skill, and his 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 milder than it appeared on the surface.
Of course, although such an operation is not difficult for Wu Yuan, it is extremely difficult for most surgeons.
It is even more difficult to complete it within the specified time.
At this time, Wu Yuan started to operate.
Dong Nianrou's eyes widened, seeing Wu Yuan's movements, he was immediately taken aback.
It's perfect!
It's so fast!
Dong Nianrou did not expect that Wu Yuan would undergo tumor resection so quickly, and the tumor was cut off very quickly.
Moreover, Wu Yuan did not simply and roughly remove the tumor, but cut along the edge of the tumor.
Obviously, Wu Yuan's purpose is 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 watching were dumbfounded.
"Okay, so fast! Is this really possible?"
"It really looks like that, it's not a random cut."
"He wanted to keep more of the liver instead of removing it in its entirety."
"He is courageous enough, isn't he afraid that incomplete tumor resection will cause serious consequences?"
At this time, Wu Yuan had already cut off the tumor area.
This makes a lot of people look stupid.
This speed is too fast, so fast that even the bystanders didn't react.
Dong Nianrou was stunned, completely unaware of the level of a surgeon like Wu Yuan.
It's incredible!
I feel that Wu Yuan is better than those senior surgeons.
Dong Nianrou even felt that Wu Yuan's ability was unfathomable.
At this time, only Wu Yuan said: "Unipolar electric knife."
This is about to coagulate.
Dong Nianrou immediately handed the monopolar electric knife to Wu Yuan.
Wu Yuan operated very seriously, sealing the incision on the liver with a monopolar electric knife.
Wu Yuan said aloud: "Send the slice for inspection."
A nurse immediately took out the excised tumor.
Wu Yuan: "Scalpel."
Dong Nianrou was startled, she didn't expect to use a scalpel, but she still quickly handed the scalpel to Wu Yuan.
The liver tumor resection operation is not yet complete, and there are still several lesions that need to be treated.
But these are minor issues.
For Wu Yuan, it can be done in less than twenty minutes.
People in the observation room were all watching Wu Yuan's movements, almost all with the same expression, stunned and dumbfounded.
This speed is too fast, too fast to imagine.
Someone glanced at the time, only fifty minutes had passed.
In other words, partial liver tumor resection has come to an end.
At this speed, Wu Yuan can probably complete it in an hour.
This can no longer be described as "astonishing", it is simply against the sky.
At the same time, Shen Feichen's chest has been opened.
This speed is also very fast, making the people in the observation room open their mouths.
If Wu Yuan had completed the operation and then helped Shen Feichen perform a cardiac tumor resection, the operation time would probably be shorter than imagined.
At this time, I suddenly heard Wu Yuan say: "The liver part is over."
Dong Nianrou's eyes widened, and she looked at Wu Yuan with an incredulous look on her face.
Although she was the closest and could see the most clearly, when Wu Yuan announced that the liver tumor resection operation had been completed, he still couldn't help being surprised.
Immediately afterwards, Dong Nianrou looked back at the electronic clock. It only took one hour and seven minutes since the operation started.
The bystanders in the observation room were of course even more surprised.
Wu Yuan's speed is simply taking off, so close to flying.
They are all experienced surgeons, but they don't have much confidence that they can complete the partial liver tumor resection in such a short time.
Moreover, if you take a closer look, Wu Yuan's work is very beautiful, with high quality and quantity, and it's definitely not just a matter of fooling around.
No, it's not just about quality and quantity.
In fact, what Wu Yuan did can even be said to be perfect. Not only did most of the liver be preserved, but only the tumor part was removed, and even the lesions on the surface of the liver were also removed.
It's unbelievable, Wu Yuan didn't even want to leave any potential source of disease.
After all, those lesions and diseased tissues are likely to become cancerous.
After the resection, the liver problem will be completely resolved.
"Amazing, how did you do this?"
"I didn't see clearly just now, I should watch the video when I go back."
"This doctor Wu's technique with the scalpel is amazing, fast and accurate. I observed carefully, and almost all of them were done with one knife."
"It's really amazing. I can't believe it at such an age. How did he train?"
"No wonder Director Shen is so confident, this young man really has two talents."
"There are more than two brushes, which are more than an order of magnitude stronger than most of the new generation of surgeons."
They didn't fully express what was in their hearts. At Wu Yuan's level, I am afraid that none of the surgeons present dare to say that he is better than him, even if it is shoulder to shoulder it will be difficult.
At this time, Shen Feichen said, "Very good, help me to have a heart tumor resection anytime."
Wu Yuan nodded.
Shen Feichen didn't seem surprised.
He has witnessed Wu Yuan's super performance in surgery many times.
Shen Feichen has much more experience in heart surgery than Wu Yuan.
The patient's left heart tumor resection operation is relatively simple, Wu Yuan only needs to cooperate with Shen Feichen's operation steps.
Dong Nianrou really couldn't believe that a very difficult and risky operation was actually done like this.
If everything goes well, the entire operation time may be controlled within three hours.
The people in the observation room and the surgeons watching such an operation~IndoMTL.com~ also felt their scalps go numb.
Originally, they would talk about the procedure, but as the operation progressed, they stopped talking.
Because Shen Feichen and Wu Yuan's cooperation is very skillful and smooth, seamless.
Both are really masters and seem to understand each other's thinking.
Shen Feichen takes the lead, and Wu Yuan will help at the right time, which is just right and will not affect Shen Feichen's operation rhythm.
Shen Feichen rarely even gave Wu Yuan instructions.
Dong Nianrou was stunned.
It's really incredible. With such a combination of operations, I feel that no matter how difficult the cardiothoracic surgery is, it can be completed.
Three hours and twenty minutes, this scalp-numbing operation was over.
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