Doctor's Life Simulator

Chapter 269 Director Liao, here I come!

The anesthetist performed general anesthesia on the patient with endotracheal intubation. Since Director Liao performed the operation himself, the director of the anesthesiology department cooperated of course.

Even though he had seen many kinds of surgeries, he was still a little surprised at this scale of operations, especially, the small doctor Qin Lang was mixed among the group of directors.

However, Qin Lang is still very well-known in the surgery department of the First Hospital of the city, and the anesthesiologist is also looking forward to Qin Lang's performance in this top-level surgery.

Director Liao stood at the position of the chief surgeon, and now the patient needs to undergo thoracotomy. Since the patient's forehead is affected on the left side of the chest, the left thoracotomy will be performed.

Director Liao skillfully chose the patient's fifth rib to enter the chest, and based on his clinical experience, he chose the most suitable posterolateral incision.

Because the patient's tumor was very huge, in order to ensure that the tumor could be removed smoothly, Director Liao chose to resect the two adjacent ribs together.

Watching Director Liao start the operation, the directors of the first city hospital beside him were a little impressed. As expected of the top surgical director of Xiehe Hospital, this move was really decisive and neat.

The entire operating room was very tense, and all the doctors worked hard to cooperate with Director Li Liao.

".Scalpel and Needle Holder."

After the chest was inserted, Director Liao quickly determined the next step based on his experience, which was to start removing the tumor.

However, the tumor is very huge, and the blood supply of this tumor is normal, the capsule is complete but the blood supply is relatively rich.

"Director Zhou, you cooperate with me to open the capsule together. We will remove the tumor in pieces first, and then deal with the relationship between the capsule and the surrounding organs."

Director Liao looked at the patient's condition with a heavy expression. Since the tumor occupied the entire chest cavity on the left side, the operation was very difficult.

Director Zhou Heng, of course, tensed his nerves, and followed Director Liao's instructions and began to cooperate.

However, because the patient's condition is very complicated, the capsule has rich blood supply, and the vision is very poor. Although Director Liao and Director Zhou have rich experience, they are both old after all, and they are not as good as young people in terms of concentration and vision. That has advantages.

In particular, Director Zhou Heng had little experience in dealing with this kind of solitary fibrous tumor. Even with the guidance of Director Liao, there were still slight mistakes during the operation.

All of a sudden, in the field of vision, it began to bleed.

"not good!"

There was a roar in Zhou Heng's head. Due to the serious adhesion between the tumor body and the surrounding tissues in this kind of operation, the field of vision itself is not clear, and bleeding during separation is also normal. If the tumor is removed skillfully, Director Zhou can handle it, but now, First of all, the operation itself is not familiar, and it is cooperating with Director Liao, so the psychological pressure is already great.

In such a situation, Director Zhou stopped for a short while, thinking about how to deal with it.

Moreover, the bleeding site is a bit deep and difficult to detect and control. If it is not handled properly, it will be very unfavorable for the patient's postoperative recovery.

Director Zhuang, Director Zu is always paying attention to the movements in his field of vision. Seeing this situation, his head is swollen, and the situation is not optimistic.

When Zhou Heng had an accident, Liao Yan, the chief surgeon, also instantly discovered the problem of Zhou Heng's area of ​​responsibility, and frowned slightly.

Now he is also performing key separation and resection, and it is impossible to stop his hand to assist Zhou Heng. At this time, the first problem to be solved is to stop the bleeding and restore vision as soon as possible for subsequent operations.

While Director Zhou was thinking about the plan, the second assistant on the side, Qin Lang, seemed to have been prepared, and gave instructions to the equipment nurse beside him:

".Habib 4X Coagulation Electrode"

After responding, Qin Lang said to Zhou Heng: "Director Zhou, leave the bleeding control to me."

Qin Lang's tone was calm, calm, and full of strength, and having seen Qin Lang's excellent technique of controlling hemorrhage from chest tumors, Zhou Heng immediately felt a sense of relief.

The body instinctively gave way to Qin Lang. Although it looked a little embarrassed, he didn't care about face in front of the patient's safety.

After Qin Lang received the Habib 4X coagulation electrode, Zhou Heng and Director Liao immediately understood Qin Lang's intentions.

Habib 4X coagulation electrode is a surgical instrument with the functions of hemostatic cutting and radiofrequency ablation. It is mainly used in liver resection, and has the reputation of blood cutting liver.

The principle of this coagulation electrode is composed of two sets of rectangularly arranged needle-shaped electrodes. By heating the tissue cells are dehydrated and coagulated, and can directly seal blood vessels below 7mm.

In principle, it is really an excellent solution to the current situation, but even with Liao Yan's knowledge, it is rare to hear that someone uses this technique in the resection of chest tumors.

A few people couldn't help thinking about it, Qin Lang had already extended the electrode to the bleeding point.

With vision +1 and super field of vision, Qin Lang surpassed Director Zhou by too much. It is easy to find the bleeding point. Under the ablation, the bleeding point can be sealed within a few seconds.

". Scalpel hemostatic gauze"

After completing the ablation and sealing, Qin Lang snatched Director Zhou's work and began to wash away the blood stains. After his vision recovered, he directly started to separate.

"This kid is amazing."

Seeing that Qin Lang treated the bleeding point with the ingenious Habib 4X coagulation electrode, several directors were a little impressed and shocked.

"Qin Lang's surgical talent and sense are also great, especially for such emergencies, he can always think of the most convenient and ingenious way."

Zhuang Tong had seen too many surgeries performed by Qin Lang, and this operation left a deep impression on him once again.

Zhou Heng was even more grateful. This Qin Lang really helped him a lot. Otherwise, if he made an irreparable mistake in this kind of operation with Director Liao, it would have a huge impact on his reputation and reputation.

However, for Qin Lang to take over his follow-up work, Zhou Heng could not refuse, and was even a little relieved and grateful.

Thinking of Zhang Anyi, who could only assist with a distant look, Zhou Heng sighed again. It would be great if he had a student like Qin Lang.

Liao Yan, the chief surgeon, also felt Qin Lang's delicate handling, and immediately reversed the situation. Now he is even more skilled in cooperating with him, steadily, even more comfortable than Director Zhou playing as an assistant.

Director Liao looked sideways slightly.

The two quickly completed the initial separation and exposure.

"Qin Lang, you did a good job. Thank you for your hard work."

Liao Yan took the time to praise, and then signaled to temporarily stop the operation. After his careful evaluation, Director Liao made a decision:
"Dear directors, after thoracotomy and with the cooperation of Dr. Qin and I, it was found that the patient's tumor had already involved the lumen of the trachea, and the boundary with the surrounding tissues was unclear. Complete surgical resection was too difficult and risky. It is very high, and it is very easy to cause massive intraoperative bleeding. I suggest that endoscopic dividend resection be performed."

The so-called palliative resection can only treat the symptoms, not a complete cure, which means that the possibility of recurrence after surgery is very high. Of course, Director Liao knows that this will not achieve the best treatment results, but under comprehensive judgment, It is already the least risky option.

Even he couldn't complete a radical resection when the boundaries of the tissues were unclear and the field of vision was unclear.

Regarding Director Liao's judgment, Zhou Heng, Zu Liang, and Zhuang Tong naturally had no objection, but were slightly regretful.

After all, this is not the best solution. If this kind of malignant tumor is not completely removed, the probability of subsequent recurrence is very high.

"Director Liao, the best treatment for patients is radical surgical resection. Although it is very difficult, I am confident. Let me try!"

After simulating the results of the world, Qin Lang is of course full of confidence:
"Director Liao, my eyesight is much better than that of ordinary people. Moreover, for this kind of delicate operation, I believe I can maintain the strength and stability of my hand."

Qin Lang, of course, would not hide his clumsiness at such a moment, and showed his sharpness, trying to convince Director Liao.

Hearing Qin Lang's self-recommendation, Director Liao was also a little surprised. On such occasions, it is not easy for a doctor who can cooperate with the chief surgeon to complete the task, not to mention the courage to bear the pressure and take responsibility.

Liao Yan was truly moved by Qin Lang's responsibility and confidence.

Moreover, before, Qin Lang's excellent operation and his response to the bleeding point won him the respect of Director Liao.

What a young man!

Even in Xiehe Hospital, a place where geniuses gather, Director Liao rarely sees such outstanding juniors.

Director Zhou, Director Zhuang, and Director Zu are very familiar with Qin Lang's critical moment of trying to turn the tide, and they are also very relieved and even very proud.

After all, this was the time when the top surgical oncology directors at Union Medical College Hospital retreated despite difficulties.

What a fine lad!

"Director Liao, let Qin Lang try it, we believe he can do it."

Liao Yan was a little moved when he saw so many directors trusting Qin Lang, and nodded:
"Qin Lang, let's continue. You will be the chief swordsman, and I will assist you."

While the two were talking, they began to switch roles. Qin Lang took over the task of the chief surgeon and began to perform difficult excisions!
Seeing Director Liao personally working as an assistant for Qin Lang, the directors beside him, for some reason, felt envious.

(End of this chapter)