Auto chess in the operating room

Chapter 262
"Doctor Tang Lou from the general surgery department."

The intern said something softly.

Dr. Wu's hands trembled while closing the abdomen, and almost rolled over. Fortunately, closing the abdomen was not a big operation, and suddenly felt sad from it.

Tang Lou, a trainee physician in the general surgery department, of course he knew, because he knew, he was even more depressed.

"Tang Lou, has it reached this level?"

"Oh, ╯﹏╰"

When Tang Lou returned to the nurse's desk in good spirits, he saw Dr. Liu Jinjin again, but this time, he was a little hunched and left the operating area lonely.

"What's up with him?"

Tang Lou asked with some doubts.

When Yuan Hu saw it was Dr. Tang, his face was full of smiles: "Doctor Tang, you have performed another surgery."

Tang Lou nodded, not feeling tired at all: "I'll see if there is anyone who can continue the operation. How is Dr. Liu?"

Yuan Xun shook his head, and said with some sympathy: "Dr. Wang Chuan is doing a partial liver resection. I just asked Dr. Liu to be an assistant, but after doing it for a while, I was kicked out by Dr. Wang. I was disgusted that the operation was too rough. .I'm also contacting the attending physician, but the fastest seems to be 10 minutes later."

After all, Dr. Wang Chuan came back from Xiehe for advanced studies. His vision and surgical requirements are very high, and he never compromises professionally.

While Tang Lou was communicating with Yuan Xun, an intern under Dr. Wang Chuan ran over, very anxious: "Sister Yuan, how is the assistant's contact? Dr. Wang said that he needs to go there as soon as possible, Dr. Guo alone is too late. "

"Today's surgeries are very heavy. As you know, I've tried my best. The fastest doctor, Dr. Huang, will arrive in 10 minutes. You see, Dr. Tang just rushed to a surgery. There is really no one else."

Yuan Xun shrugged her shoulders. She had no choice but to make Dr. Wang Chuan's reputation too big. Recently, many patients were transferred to the hospital.

Of course, Tanglou also contributed to it. Many patients came here because of the word-of-mouth spread of the patients who were cured by Tanglou.

"How can I do that? The patient's liver is bleeding heavily, and if no one comes, I'm afraid that Dr. Wang and Dr. Guo won't be able to handle it."

If two senior doctors could work together to complete this difficult operation, Guo Caier is just a resident doctor. After all, she has limited experience. If she hadn't had a solid foundation and persisted while learning and doing, she might end up Same as Liu Jinjin.

Yuan Aldo looked at Tang Lou, but quickly put out his thoughts. After all, the field of liver surgery is completely different, and he had never heard of Tang Doctor Association before.

In addition, this operation involves hemorrhage on the hepatic section, and involves hepatic hilum blocking technique. Since the liver cannot be continuously ischemic, it needs to be opened intermittently. The time control inside and the right way of opening require a very high level of experience of the doctor. .

It would have been impossible to get started without a surgeon who had been in charge several times. Dr. Wang himself had to perform excision and suture operations, and he didn't have the energy to guide and control the opening time at the same time. That's why Liu Jinjin was kicked out.

"Then what to do!"

The intern was so anxious that she was about to cry. Dr. Wang was very strict. He gave a death order and must bring the assistant in within 5 minutes. Now that she has not completed the task, she dare not go back to report at all, but waiting here is not enough. Doesn't help.

"Sister Yuan, maybe I can give it a try."

Tang Lou didn't want to go to this muddy water at first. After all, this is Wang Chuan's operation, and it's not very suitable to be his partner. Moreover, Wang Chuan probably doesn't want him to go.

However, human life is at stake, and it seems that there is no more suitable person than him now.

"Dr. Tang, this surgery is different from what you imagined. The portal block technique involved in massive liver cross-section bleeding is to explore the degree of liver cirrhosis and the size, location, boundary of the tumor, its relationship with surrounding blood vessels, and the liver during the operation. The scope of resection must be carefully considered based on the surgeon's experience and habits. It's not that easy."

Yuan Xun thought about it for a while and still wanted to make it clear to Tang Lou that at this time, it is not just a matter of courage, but the operation depends on experience and strength.

"Don't worry, I'm very good. As long as it's not those level [-] and level [-] surgeries, I'll be able to do it once."

Tang Lou smiled, and joked very lightly, "Let's go, I'll go with you to the operating room."

When the intern saw the tenement building that was not much older than him, he looked at Yuan Hu with some embarrassment. He didn't believe it in his heart. He could learn it after just one look. This was too much to brag about.

At the beginning Liu Jinjin was also high-spirited, and when he got on the operating table, he was immediately stopped by Wang Chuan as soon as he performed the operation, scolded a bloody sprinkler, and exited the operating room in despair.

"Dr. Tang, Dr. Wang is very cruel. If you can't do it, I think it's better not to show off."

After all, the intern couldn't hold back, and said to Tang Lou, his tone was very sincere.

After all, the fear of being dominated by Wang Chuan, their group of interns, would wake them up even from a dream.

"My friendship with Dr. Wang may be more complicated than you imagined. Don't worry, I have my own measure."

Tang Lou's tone also became serious. After so many operations and the chief surgeon, Tang Lou's strictness is also very imposing.

"Oh."

The intern immediately succumbed to Tang Lou's aura.

Soon Tang Lou finished his preparations and entered the operating room. During the preparation process, it was natural that Krypton Gold was exchanged to upgrade Samsung's partial liver resection.

"Dr. Wang, Dr. Guo."

Tang Lou greeted first.

Hearing the familiar yet annoying voice, Guo Caier immediately looked at the handsome figure walking in. For some reason, he thought of the beautiful spring scene in the Academician Building.

Suddenly, Guo Caier's face turned red.

Wang Chuan had no distractions, he was undergoing a wedge resection of the liver, and when he sensed Guo Caier's distraction, he immediately said, "Xiao Guo! Concentrate!"

Guo Cai'er was ashamed and irritable, and immediately kept his hands moving, raising the right side of the patient's right lobe tumor by 30°.

"Remember, the incision is generally made obliquely at 1-2 fingers below the right costal margin, and can be extended to the left if necessary."

As the chief surgeon, Wang Chuan has a very powerful aura and is indeed very professional, especially in this field of his specialization.

In a way, Wang Chuan is indeed a rare all-rounder, and he has basically no shortcomings in general surgery.

"I remember, Dr. Wang."

Sensing Wang Chuan's rigor and concentration, Guo Cai'er immediately nodded in agreement, and stopped paying attention to Tang Lou.

Wang Chuan quickly completed the incision, and unknowingly, he also began to try the style of Tanglou, which is airtight: "Enter the abdomen to explore the abdominal organs and tumor conditions, and selectively free the liver ligaments according to the location of the tumor. The principle is to fully expose the tumor."

Guo Caier immediately started laparoscopic exploration. It has to be said that under Wang Chuan's teaching, Guo Caier's basic skills are indeed solid, which has surpassed the level of general attending physicians.

While Guo Caier was probing, Wang Chuan followed her operation and began to correct and teach small skills: "Caier, remember that the liver tumor is located at the edge of the right lobe of the liver, 2-9cm away from the edge of the tumor. The thread was interlocked and sutured to stop the bleeding."

"Oh, I won't."

Guo Caier was flustered for a while. Interlocking sutures to stop bleeding required very high sutures, and she had no confidence at all.

Wang Chuan looked at the Tanglou on the side, and said lightly: "Have you seen enough, come here for stitches before you die!"

Wang Chuan admired Tang Lou's suture technique from the bottom of his heart, so when Tang Lou came in, his heart was at ease.

"Suture thick thread. Needle forceps. Microscope"

Tang Lou was also polite, and gave instructions to the equipment nurse very tacitly.

At the same time, Wang Chuan left a position for Tanglou to help.

"Will the portal of the liver be blocked?"

"no problem."

"Electrosurgery to incise the liver capsule and superficial tissue?"

"can."

"Blood clamp to separate liver tissue?"

"Of course!"

Although the two were incompatible outside the operating table, at this moment, they cooperated perfectly.

With Tang Lou's strong support, Guo Cai'er suddenly realized that he only needed to do a good job of holding up the mirror.

Seeing that although Wang Chuan and Tang Lou cooperated for the first time, they looked like an old married couple. For some reason, Guo Caier felt sore in his heart, but he was very happy.

It has been a long time since Dr. Wang had such a smooth operation.

"Ligate the pipe stump!"

"Finish."

"Sewing the bleeding point and bile leakage duct of the liver section!"

"It's done."

"The wound liver sutures and thick silk threads are aligned and sutured"

"OK"

"Tang Lou, come to my team?"

"what?"

"I can trade Xiao Guo and Director Cheng for you."

"do not want!"

"Then ask Xiao Guo to be your assistant."

"Need not."

Guo Caier: "Did I pick it up?"

"Xiao Guo's dressing up is no worse than Cheng Sisi's."

"Okay, Dr. Wang, my work is done."

"Really, Tang Lou, seriously consider my opinion and come to our group."

"Farewell!"

(End of this chapter)