Doctor's Life Simulator

Chapter 270 Director Liao: This little guy has a bright future

Qin Lang controls the operation and performs the resection stably. With the blessing of +1 vision and super surgical field, Qin Lang's operation is fast and precise.

"Excellent excision technique."

It is also the first time for Liao Yan to see such a powerful excision technique, especially during the whole process, Qin Lang skillfully combined the Habib 4X coagulation electrode, and through the ablation technique, perfectly controlled the bleeding point, really like a butcher Solution of cattle in general.

Under Qin Lang's operation, Liao Yan actually felt a beautiful sense of art, strength, techniques, and innovative skills, all of which are at the textbook level.

After 10 minutes, Qin Lang quickly completed the removal of most of the tumors, and at the same time, sutured several blood vessels during the process.

Director Liao was once again shocked by Qin Lang's blood vessel suture technique.

He finally understood why so many directors were impressed by Qin Lang. Even among the surgeons in Xiehe Hospital, this surgical technique was rarely rivaled.

Liao Yan thought of this time, his real job in Hangzhou was the Huaguo Medical Association's Surgery Youth Symposium, and Qin Lang, isn't he the best candidate for this seminar?
The participants must have a look at Qin Lang's surgical demeanor. Director Liao was so enthusiastic that he began to plan a plan to invite Qin Lang over.

Due to the serious adhesion between the tumor and the adjacent lung tissue, it was impossible to fully separate the tumor that had invaded the lung parenchyma. Qin Lang knew that his task had been completed. The difficulty of the next total pneumonectomy is only three and a half stars.

Of course, Qin Lang wanted to complete it completely, but he hadn't mastered the left pneumonectomy yet, so he could only hand over the rest of the work to Director Liao.

Reluctantly!

"Director Liao, I have completed most of the tumor resection in the first stage. I haven't studied and studied the remaining left pneumonectomy, and I still need you to complete it."

Qin Lang said with some regret, and at the same time began to exchange places with Director Liao.

Regarding Qin Lang's words, Director Liao has a different opinion. After all, according to his observations, Qin Lang's basic operations are top-notch, and even solitary fibrous tumors in the chest can be diagnosed and completed the most difficult part of resection. Then The rest of the left pneumonectomy can be done logically.

Then the reason why this little doctor hides his merit and fame is because he doesn't want to steal the name of the chief surgeon of this operation.

Director Liao is able to be the assistant to the president of Peking Union Medical College, so his mind is exquisite and thorough. He understands that Qin Lang is giving him face again. After all, he is the one who will be the chief surgeon today, and he will definitely be responsible for most of the final work. It's just like it's done.

The following total left pneumonectomy, after Qin Lang solved the most difficult part before, the rest is just a routine operation, and there is no difficulty at all.

Not fighting or grabbing, who can stand up at critical moments, and knows how to protect the face of superior doctors, such a small doctor, which director can refuse.

Especially, after he got the scalpel, he could feel the humility and studiousness in Qin Lang's eyes.

He was really watching his operation process seriously, as if he really didn't understand it.

Director Liao couldn't help but sigh with emotion, as expected of Shen Xi's student.

It seems that in the future, I have to mention it to Academician Wu, his nephew is really a talent to make.

After a few distracted thoughts, Director Liao began to undergo total left pneumonectomy. Since the incision had been opened with a chest opener, the intrathoracic adhesions had been separated, and the pleural effusion had been cleaned up. Now What is needed is the identification of hilar structures and hilar mediastinal lymph nodes.

With Director Liao's rich experience, he soon had a surgical idea and began to dissect the inferior pulmonary vein.

"Qin Lang, help me pull Ye Lung to the side."

However, to Director Liao's surprise, Qin Lang, who was the first assistant, returned to the position of second assistant at some point, and replaced him with Director Zhou Heng.

Zhou Heng was a little embarrassed, but he still cooperated seriously: "Doctor Qin is not familiar with total left pneumonectomy, so I will assist you next."

After Zhou Heng finished speaking, he didn't quite believe it. In fact, he also felt that Qin Lang had even completed the most difficult task of being the chief surgeon. How could he not be able to do this simple assistant job.

The same is true for Director Liao, who looked meaningfully at the humble and quiet Qin Lang in the second assistant position.

No wonder, so many directors value him, this little doctor has a big picture at such a young age.

In addition to considering his own face, he also took care of Director Zhou's face, knowing that he would leave room for his colleagues.

"This little guy has a limitless future."

Liao Yan was also very satisfied with Qin Lang's humility. After all, he also felt that it was most appropriate to start with Zhou Heng and end with him.

Zhou Heng, as the director of thoracic surgery in the city's No. [-] hospital, is of course very proficient in left pneumonectomy.

Cooperating with Director Liao, he completed the identification of the pulmonary veins in a short while. At the same time, following Qin Lang's assisting habits, he handed the surgical scissors to Director Liao one step ahead of time.

Director Liao tacitly cut open the overlying mediastinum and venous sheath, and dissected the first-level tributary branch toward the lung side, and dissected toward the proximal pericardial reflexion toward the heart side.

".Blunt point right-angle pliers. No. 7 thick wire."

Director Zhou cooperated with Director Liao to quickly advance the operation.

Seeing Director Liao's operation, the other directors were also full of admiration, as expected of the Director of Oncology Surgery of Union Medical College Hospital.

Qin Lang also benefited a lot.

"In the pericardial cavity, after the first appearance of the lower pulmonary vein trunk, use obtuse right-angled forceps to insert into the vein and then bluntly separate the posterior wall of the vein. It is really a meticulous operation"

"Use No. 7 thick thread to complete the safe ligation of the proximal end, use No. 4 thread to penetrate the suture, lift the stump and perform another ligation on the proximal side of the first ligation line to ensure absolute safety. Director Liao's technique and experience are true. It's breathtaking."

Obviously, the chief directors have learned a lot about this operation, and with Qin Lang's amazing performance before, there is no doubt that this operation video will become a classic teaching video.

After completing the dissection and processing of the upper pulmonary vein, Director Liao and Director Zhou started to work on the lower pulmonary vein again, the upper edge of the left upper pulmonary vein and the lower wall of the left pulmonary artery.

Five minutes later, the two directors completed the mobilization of the heart side and processed the subaortic arch.

Two and 10 minutes later, the dissection of the aortic arch and subcarinal lymph node group was completed.

Three or ten minutes later, the left main bronchus was treated. Under the premise of one-lung ventilation, Director Liao chose the method of cutting and suturing, and Director Zhou cooperated to suck all the accumulated blood in the surgical field of view.

Director Liao used a blade to cut off the bronchus at the last two cartilage rings of the main bronchus and remove the diseased lung.

The next step is to enter the final stitching of the annulus-membrane stump. Zhou Heng can do it himself, but he still let it out.

Qin Lang played as the second assistant again.

If so, under normal circumstances, the chief surgeon and the first assistant would be rewarded for the second assistant, but looking at Qin Lang, Director Zhou blushed a little and was grateful.

If it weren't for Qin Lang, how could he have had such a long time to cooperate with Director Liao? After all, the video of this surgery would become a classic video case. It is also a great honor for him to be able to play for so long .

However, Qin Lang was able to give himself such an excellent opportunity. Naturally, Director Zhou would reciprocate by handing over the finishing work to him so that Qin Lang could show more.

Director Liao was also very pleased to see the mutual support between Director Zhou and Qin Lang. The atmosphere among doctors in the first hospital in this city is really good.

Next, Qin Lang once again demonstrated his perfect level of sewing skills.

After the stump was disinfected with povidone iodine, the stump was sutured with 3-0 absorbable suture intermittently for 45 stitches. Looking at Qin Lang's technique, several directors recognized it very much.

This suturing method is simple and reliable, without opening the airway, and is very suitable for lung lesions involving solitary fibrous tumors in the middle chest.

Another 10 minutes later, the whole operation was successfully completed.

[Congratulations to the host for completing the task, assisting Director Liao during the operation, completing the radical resection of the tumor, and completing the operation.Obtained task reward: 1 traumatic diaphragmatic hernia repair: entry level, 2.1 life simulation points]

(End of this chapter)