I really don't want to be a doctor

Chapter 182 The operation begins

Although it is a pity,
Although Yu Wenxing's original idea was to perform laparoscopic cholecystectomy in a systematic treatment attempt.

but,
When Yu Wenxing entered the system space,
He has no regrets.

everything,
It's all worth it.

This time,
Yu Wenxing rented it for two months.

Watching videos for the first half month and exercising for a month and a half.

After returning from the system space, Yu Wenxing had a good night's sleep. It was not until the third morning that Yu Wenxing went to the hospital.

I did a preoperative ward round with Gu Jianjun,

Amu had already changed into his patient uniform, and was waiting anxiously.

After Yu Wenxing said a few words of comfort, he left.

After waiting at the entrance of the hospital with Gu Jianjun for Mary to come, everyone went to the operating room together.

Professor Mary is very proud,
She was called by Gu Jianjun through the relationship of Chairman Peter,

This made her rather unhappy,

she doesn't want to come,

But because of Pi De's face, she came.

But since she came, she had no reason to delay, and walked while looking at the materials Gu Jianjun handed over.

"Do a total left mastectomy and lymph node dissection."

After taking a look, Mary made a surgical plan.

"This"

Gu Jianjun glanced at Yu Wenxing with some embarrassment,
He did know that Yu Wenxing meant to be a nurse,
Although he didn't understand Yu Wenxing's approach, because breast conserving is generally suitable for localized lesions, and now Amu's situation has been confirmed to have lymph node metastasis after a needle biopsy.

At this time, the risk of breast protection is very high.
There may be a risk of transfer.

"Professor Mary, can we be conservative in this situation?"

Gu Jianjun asked.

"No."

Mary shook her head, "This patient's condition is too risky to be conservative."

"I thought so."

Yu Wenxing spoke,

"you are?"

Mary froze for a moment.
"He is Yu Wenxing, a friend of this patient, and a doctor in our hospital. The operation that Professor Pi De visited our hospital last time was performed by this doctor."

Gu Jianjun hurriedly introduced.

"Oh, Doctor Yu, hello, hello."

A smile suddenly appeared on Mary's indifferent face.

The expression on Pi De's praise of Yu Wenxing after returning from China last time is still vivid in my memory.

A doctor who can make Pi De crazily praise,
Mary did not dare to take it lightly.

"Professor Mary, hello."

Yu Wenxing nodded lightly to show respect, "That's right, I think this patient still has a chance to be breast-conserving."

"why?"

Mary asked.

"The patient's space-occupying lesion is not large, only 0.8cm, and there is a chance to save it with a small incision."

"But this patient has lymph node metastasis, and the risk of breast-conservation is high. Besides, if it is necessary to clean the lymph nodes, it is impossible to do so with a small incision."

Mary shook her head.

"I am not familiar with breast conservation, but I am very familiar with lymph node dissection. If possible, I would like to perform lymph node dissection under laparoscopy!"

"Under the laparoscopic???"

Mary was stunned.

She has done laparoscopic lymph node dissection,
But that was done when no metastasis was found in the lymph nodes.

This cleaning is basically preventive,

and,

this method,

Not yet recognized by the medical community.

And now,
Yu Wenxing actually wanted to clean the metastatic lymph nodes under the laparoscope.

That.
If it is not cleaned,

The surgery was done in vain.

Mary frowned, and looked at Gu Jianjun,

What's going on here?

Didn't you say that I will be the chief surgeon?
"Professor Mary, look, is this okay?"

Gu Jianjun pulled Mary aside, looked at Yu Wenxing, and said, "This Dr. Yu, as you know, has created several laparoscopic surgeries, so he is more interested in laparoscopic treatments."

"At that time, let him do it under the endoscope first. If it doesn't work out, you can do it again. Do you think it's okay?"

Gu Jianjun was a little embarrassed.

Mary almost died of depression,

But she also knew that Pi valued Yu Wenxing very much,

"Okay, then let Dr. Yu try it."

Mary sighed, "However, the dissection of the armpits will be more difficult if the operating rod is inserted. You have to explain this clearly to the patient first."

This is something Mary has to think about,
The anatomy of the armpit is complex.

Unlike the natural cavity of the abdominal cavity and chest cavity, it is artificially created. In an extremely small artificially created space, it is very, very difficult to clean the axillary fat and lymph nodes among the many nerves and blood vessels. .

after all,

This is an operation that requires a complete lymph node dissection.

But not non-metastatic breast cancer, the risk of missing one or two scans is not high.

And after letting Yu Wenxing try,
The normal anatomical structure of the armpit must be destroyed,

This was something Mary had to think about.

"I'll talk about that."

After Gu Jianjun nodded, he explained the situation to Yu Wenxing.

Yu Wenxing nodded silently,
This must be made clear before the operation.

The three of them came to the operating room together, and the two breast surgeons were already waiting. When they saw Mary, they immediately jumped up and offered all kinds of compliments.

Amu was already lying on the operating table,
Amu looked a little pale under the dim light.

Seeing Yu Wenxing, Amu's empty eyes became colored.

"Yu Wenxing."

Amu shouted.

"kindness."

Yu Wenxing replied, "Amu, that's right."

"Doctor Yu, explain your thoughts to the patient and let her choose the surgical method."

Mary urged,
She's in a hurry,
Flying knives so far made her very tired.

Yu Wenxing blinked his mouth a few times, but before he could speak, Amu spoke first.

"I trust Yu Wenxing."

A usual smile appeared on Amu's face,
Said lightly.

The soft voice made Yu Wenxing froze for a moment, and nodded his head heavily.

"Well, it's fine."

Mary was also taken aback for a moment, and then she gave a smile that I understood,

Yu Wenxing didn't even refute.

Everyone is ready,

The anesthetist administered anesthesia, and Amu fell into a coma.

After various line assessments, everyone washed their hands.

Lay out the surgical drapes,

Mary was about to start,

"I'll clean the lymph nodes first."

Yu Wenxing spoke suddenly.

Mary looked up suspiciously.

"I will clean the lymph nodes first. If there is a problem, it will be convenient to use a large incision. If the main body of the tumor is cleaned first, then the lymph nodes will be cleaned. If it is not cleaned, I will have to trouble you."

Yu Wenxing found a reason that was not a reason.

In fact, it is Yu Wenxing's mastery in the system space to clean the lymph nodes first.
Because of Amu's situation, the lymph nodes have already had positive metastasis, so to clean the lymph nodes, you have to clean all groups I, II, and III, and the lymph nodes in group III are below the pectoralis major.
In the initial cognition,
It is impossible to dissect the lymph nodes of group III in breast-conserving breast cancer surgery.

However, with the continuous improvement of the level of surgery,
In the case of breast conservation, some group III lymph nodes can also be removed.
And under the laparoscope,
If the tumor is resected first, it will inevitably affect the lymph nodes below.
If the lymph nodes are cleaned first, it is better to affect the resection of the tumor.

This is the real reason.

But Yu Wenxing didn't want to explain too much,
something,

tried,
will understand.

But the reason he gave was at least reasonable to Mary,
So, nodding, Mary reached out her hand to signal Yu Wenxing to start.

Take a deep breath.

Yu Wenxing started.

(End of this chapter)