medical road high rise

Chapter 344 Precision Surgery
3Chapter 16 Precision Surgery
"Doctor, I agree to the operation." The patient's wife said hoarsely.

The patient let out a long breath and smiled contentedly.

It's just that no one saw it. Two tears slipped quietly from the corner of the patient's eyes.

Isn't this his redemption, whether it is life or death, he will not bring any burden to this family.

After Zhao Guoping received Qin Feng's call, he directly arranged for the operating room. For this operation, Zhao Guoping directly prohibited viewing the stage.

This is to protect Qin Feng. Qin Feng is not 100% sure about this operation.

Generally speaking, operations that are not 100% sure will not be open to viewing. Once it fails, the reputation in the hospital will also be greatly damaged.

For most doctors, reputation is a very important thing, which is closely linked to performance.

A very simple example, you are going to have an operation, there are two doctors for you to choose, one doctor's operation success rate is 90.00%, the other is 80.00%, which one do you choose?
This thing, carefully speaking, is still a very important thing.

Due to the high difficulty of this operation, Li Xuewen did not bring interns, but acted as Qin Feng's second assistant, and the first assistant was a throat doctor.

There is a specialization in surgery. Although Li Xuewen is proficient in most operations, there are too few doctors as monstrous as Qin Feng, and laryngology is a very unfamiliar subject. Li Xuewen can be a second assistant because of experience.

For this operation, Qin Feng is going to use partial laryngectomy for glottic laryngeal cancer.

The best performer of this surgery is the Cancer Hospital Affiliated to Sun Yat-Sen University in Shanghai, which ranks among the top three in the country.

On the contrary, in other tertiary hospitals, there are very few laryngologists who can perform this operation.

Because this operation is relatively refined and specialized, there are too few people who specialize in learning it, and doctors also have to live. Everyone learns common surgical techniques, which is a bit biased.

After waiting for about two hours, the operating room was cleaned up. The head nurse called Qin Feng and asked him to go directly.

Qin Feng poured himself a glass of water and drank it down.

After getting on the operating table, it will be difficult to drink water.

Entering the operating room, Qin Feng stood beside the operating bed. The patients on the operating bed relaxed a lot after seeing Qin Feng coming.

With so many doctors in the hospital, only Qin Feng gave him an inexplicable sense of security.

If it were another doctor who performed the operation, he still seemed a little distrustful.

It is also a good thing for patients to give their lives to doctors they think are reliable.

The patient closes his eyes and his thoughts drift away.

What he was most afraid of before was death, but after going through the coma and bleeding this time, he figured it out.

The feeling of walking around the ghost gate made him less afraid of death.

"Let's get ready for the surgery." Qin Feng looked at the patient with his eyes closed tightly, and was also a little surprised.

Few patients are able to maintain such calm in the face of such life-or-death major surgery.

There are even many patients who think about giving up the operation before taking anesthesia, and there are many people whose blood pressure soars due to emotional agitation.

After all, the ECG monitor is not a decoration, and any fluctuations in the patient will be displayed on it as soon as possible.

"I have to say that Dr. Qin is a good doctor, and he can make patients trust him so much." The laryngologist is a person who has experienced it.

Obviously, in fact, the emotions of patients are closely related to doctors to a large extent.

The more trust the doctor has, the smaller the patient’s mood swings will be.

Because the patient thinks that this doctor can save his life, and he may be a little worried if he is another doctor.

"It's the patient's own choice, and I'm just an executor." Qin Feng said, "Get ready to start the operation. The patient is placed in a supine position, the head is fixed, a tracheotomy is performed under local anesthesia, and an anesthesia catheter is inserted for general anesthesia. .”

The anesthesiologist stepped forward and began to administer local anesthesia to the patient, and then the trachea was incised and the anesthesia catheter was inserted into it.

After waiting for about 5 minutes, after the patient was under general anesthesia, Qin Feng announced the start of the operation.

"Scalpel."

The equipment nurse slapped the scalpel on Qin Feng's hand, and Qin Feng held the scalpel firmly and began to make the incision.

Because the patient had lymph node invasion in addition to the throat cancer tumor, what Qin Feng did first was to clean the lymph nodes, and the scope of neck skin preparation would be extended to the sides of both necks.

The incision is a T-shaped incision, and the incision is made according to the route at the marked place.

"Pull the hook."

The laryngologist quickly pulled up the hook and assisted Qin Feng to pull away the cut skin and open the surgical field.

The scalpel in Qin Feng's hand smoothly cut through the subcutaneous tissue and reached near the platysma. Then he replaced the surgical forceps and began to separate the platysma.

And the skin platysma flap was lifted to both sides and above, exposing the superficial cervical fascia and strap muscles below.

"Stabilize the platysma."

Li Xuewen fixed it quickly, and Qin Feng took the opportunity to find the hyoid bone.

The sternohyoid, thyrohyoid, and scaplohyoid muscles were cut at the lower edge of the hyoid bone.

Immediately afterwards, all the muscles attached to the hyoid bone were resected, because the surgical method chosen by Qin Feng, the main scope of resection was behind the hyoid bone muscle, and the surgical area could only be reached after all the hyoid bone muscle was removed.

The first difficulty of this operation is that there are too many muscles removed, and too many muscles need to be sutured after surgery.

It is important to know that these muscles control tongue movement and swallowing movements. If any muscle is not sutured well enough, serious sequelae may occur.

After the autopsy, Qin Feng began to explore the lymph nodes in the neck.

Because the front and side X-rays of the patient's larynx showed that the patient's lymph nodes had been invaded by the tumor, it is necessary to fully explore the lymph nodes in the neck.

Otherwise, once the lymph node exploration is not clear, the affected lymph nodes cannot be completely removed, and the tumor has a high probability of recurrence.

The laryngologist separated the anterior edge of the sternocleidomastoid with a retractor and pulled it laterally, exposing the protruding carotid bifurcation.

Qin Feng checked the lymph nodes more conveniently, took out the suspicious lymph nodes with forceps, and handed them directly to Li Xuewen for frozen section, and waited for the results before deciding whether to perform neck lymph node dissection.

While waiting for the results, Qin Feng did not sit idle, but cut the perichondrium at the upper edge of the thyroid cartilage, and peeled it down to the middle of the thyroid cartilage.

Immediately after freeing the hyoid bone, Qin Feng cut off the two outer sides of the hyoid bone, and then cut the middle section of the hyoid bone attached to the thyrohyoid periosteum.

The laryngologist looked at Qin Feng in surprise. You must know that laryngology surgery is a precision surgery.

(End of this chapter)