Doctor's Life Simulator

Chapter 257 Qin Lang taught Director Zhou the surgery
Director Zhou began to identify and protect the ureters on both sides, find out the small and hardened inferior mesenteric artery, clamp it, cut it off and suture it, and the whole operation is smooth and smooth.

Qin Lang nodded again and again, admiring her.

Before Director Zhou blocked the aorta, Qin Lang prepared 20mg of heparin in advance. When Zhang Anyi saw Qin Lang, he always assisted Director Zhou one step ahead. awesome.

In front of him, what was his previous support!

Although Director Zhou has been concentrating on the operation, I don't know that it is the credit of Qin Lang, but Zhang Anyi knows that one or two steps are okay, this operation is too much, even with his thick skin, he can't handle it.

How about being a courier by yourself?
Zhang Anyi gave a wry smile, standing here was completely unnecessary, and honestly gave up the position of Yizhu.

Qin Lang wasn't hypocritical, so he switched places with Zhang Anyi, after all, this way could better cooperate with Director Zhou.

To be honest, Qin Lang also felt that Zhang Anyi was in the way.

With the immediate assistance of Qin Lang, Director Zhou injected heparin into the aortic aneurysm to provide protective anticoagulation for the lower limbs when the aortic aneurysm was blocked.

After completing these steps, Director Zhou began to place an aortic clamp distal to the renal artery proximal to the aortic aneurysm to block the blood flow.

At this point, the upper and lower arteries of the entire aortic aneurysm are blocked, as if an egg is stuffed into a small intestine, and the two sections of the egg are wrapped in the small intestine to block the ligation.

Qin Lang quickly handed the scalpel to Director Zhou, Director Zhou was a little surprised, what happened to An Yi today?He knows his own thoughts too well, and when did he become so familiar with aortic aneurysm surgery.

Being able to think ahead of him every step of the way is enough to show his skill in this operation.

Director Zhou suddenly raised his head, glanced at the assistant beside him, and saw those piercing young eyes on the mask.

"Yes, Qin Lang!"

Only then did Director Zhou realize that it was no wonder that he was a little uncomfortable. It turned out that it was not Zhang Anyi who had become stronger, but Qin Lang who was assisting him.

In this comparison, Director Zhou suddenly disliked Zhang Anyi, so Qin Lang could be called a real assistant.

This operation was so comfortable.

Director Zhou took the scalpel, took a deep breath, and started another important operation. He cut the anterior wall of the tumor longitudinally, and a silver light flashed, and the blood vessels surrounding the tumor were cut open. The organic matter, the cholesterol substance, was revealed, and a cloud of blood whimpered.

With Qin Lang's assistance, Director Zhou took it out very smoothly.

At the same time, Qin Lang had already handed over the needle-holding forceps and sutures.

After Director Zhou took it, he said to Qin Lang in a gentle tone:

"Qin Lang, if you have the opportunity to come to my thoracic surgery department in the future, I will take you to operate. You just happen to be studying thoracic tumor surgery with Professor Shen in the First Hospital of Zijingang. After that, if there is a suitable one, I will also pay attention to it for you. "

Hearing Director Zhou's discriminating treatment, Zhang Anyi felt envious and jealous at the same time.

What an honor it is for a dignified head of a department to beg a junior doctor to study with him.

Zhang Anyi looked at Qin Lang's operation, thought for a while, and quickly changed his mind. He can learn Qin Lang's assistive skills. If he can learn this assistive skill, he will not be able to serve Director Zhou comfortably.

Zhang Anyi calmed down, but he found that he couldn't keep up with Qin Lang's train of thought.

In his medical career, he has always followed the orders of the chief surgeon. How can he be like this, always one step ahead of Director Zhou, and, under his careful observation, it seems that Director Zhou has not thought of some operations.

Zhang Anyi looked at it, and a terrible thought came to her mind. Is there a possibility that Qin Lang is better than Director Zhou in abdominal aortic aneurysm surgery?

"No way? How old is he?"

Zhang Anyi didn't dare to think about it, so she could only study quietly.

Regarding the position of the chief surgeon, Director Zhou was also a little surprised. He also had the same idea. Qin Lang's knowledge of this operation is no worse than his own.

After the operation is completed, Qin Lang should be called to the office to inquire carefully and let him evaluate his operation process.

At the academic conference on thoracic tumors in Zijingang this weekend, he was going to demonstrate the resection of an abdominal aortic aneurysm and the grafting of artificial blood vessels.

For a long time, his level was somewhat behind that of Director Tong Jinshan of the Thoracic Surgery Department of Zijingang No. [-] Hospital.

This time, can you use Qin Lang's onlooker's perspective to put forward some suggestions for improving your own surgery process? If you can make it to the top and push Tong Jinshan down, wouldn't you be proud!

With Qin Lang's assistance, Director Zhou naturally performed at a super level and reached a new height. Compared with the previous aortic aneurysm resection, it was faster and better.

"Qin Lang, next, you will assist me in the transplantation of artificial blood vessels."

Originally, the first assistant position belonged to Zhang Anyi, but at this moment, with such a useful assistant as Qin Lang, looking at Zhang Anyi again, Director Zhou looked disgusted.

From frugality to extravagance is easy, from extravagance to frugality is difficult!
Zhang Anyi looked at Director Zhou and Qin Lang as if they were masters and apprentices, and his chest hurt so much, but he could bear it, and he had to watch Qin Lang's operation carefully.

After all, Qin Lang's close teacher is Professor Shen Xi, and he is so talented, it's not that he looks down on Director Zhou, Qin Lang is not a thing in the pool, and it's impossible for him to be an assistant to Director Zhou all the time.

It didn't take long for him, Director Zhou, to know that only he was the real loyal apprentice, the one who would take care of him and see him die.

The transplantation of artificial blood vessels is also a very difficult part.

The first step is to choose an artificial blood vessel with a suitable diameter and length. Due to the early detection of Qinlang, the patient's aneurysm did not involve the iliac artery, so the straight type can be used directly.

If it is later, if the iliac artery is involved, a fork-shaped artificial blood vessel should be used.

With Qin Lang's strong assistance, he clearly arranged for Director Zhou, an artificial blood vessel, double-needle 3-0 non-injury sutures, needle-holding forceps, all fed to his mouth.

Director Zhou nodded slightly, and after receiving it, he began to perform continuous end-to-end anastomosis of the aorta and artificial blood vessels.

Looking at Director Zhou's suturing skills, Qin Lang really couldn't explain it in words, which is a bit embarrassing.

If Qin Lang came, it would be possible to insert the needle through the posterior wall, deep and far away from the edge, and even suture directly to the posterior fascia of the abdominal aorta.

"Mediocre!"

Qin Lang sighed silently in his heart.

Zhang Anyi on the side looked at Qin Lang with the same expression as Director Zhou looked at him just now.

"Director Zhou, are you disgusted by Qin Lang?"

Zhang Anyi discovered something extraordinary.

However, looking at Director Zhou's suturing, Zhang Anyi thought it was pretty good. Suddenly, he remembered Qin Lang's suturing skills that Director Zhou had shown them on the day when Qin Lang had undergone thoracic esophagectomy for massive bleeding.

In this comparison, it seems that Director Zhou is really inferior.

"It's just outrageous."

Looking at it, Zhang Anyi felt that the painting style of this operation was a bit off.

Didn't it mean that Director Zhou and himself inspected Qin Lang?
Co-authored, it became Qin Lang teaching himself and Director Zhou to perform surgery!In the position of chief surgeon, Director Zhou, under Qin Lang's disgust, completed the whole artificial blood vessel transplantation feeling good about himself.

The operation was successfully completed, and Director Zhou was more excited than ever. This operation is in his best condition ever.

After completing the postoperative doctor's orders, Director Zhou left Zhang Anyi to finish, and left with Qin Lang first.

The corner of Zhang Anyi's mouth twitched, she was no longer a pro-student.

Director Zhou led Qin Lang out of the operating room:
"Qin Lang, I think you know a lot about this aortic aneurysm operation. Come with me to the office and evaluate my operation. How about giving me some advice?"

(End of this chapter)