The system takes me for surgery

"Isn't this hospital too irregular?" Qin Hanyun said.

"Yes, this kind of strange operating room must be very careful, otherwise no matter how good the operation is, you may fall into the trap." Xu Bowen looked at Liang Yi and asked: "How do you know that there may be problems with disinfection in their hospital?"

Liang Yi said with a smile: "I saw that their medications were not standardized in the outpatient clinic, so I wanted to see if their instruments were strictly sterilized."

Xu Bowen asked: "Why add appendix forceps?"

"I was inspired by such a story. Every time Van Halen lead singer David Lee Rose signed a tour contract, he would add a clause: there must be a bowl of mm chocolate beans in the dressing room backstage, and absolutely No brown chocolate chips."

Qin Hanyun said: "This additional clause is equivalent to your appendix forceps."

"That's right, if the organizer fails to deliver the chocolate beans they asked for, the concert will be cancelled, and the band will be required to pay full compensation for all expenses. This request sounds unreasonable, but it is actually a touchstone to ensure the safety of the concert." .Because the problems and techniques involved in the performance are extremely complicated, and the Van Halen Band uses more equipment than most bands, so the requirements for the stage will be much higher. If the organizers have not carefully read this mm bean clause If it is implemented, it is very likely that there will be problems in other links. The mm bean has become their checkpoint."

"Understood!" Xu Bowen laughed and said, "You deliberately wrote the appendix forceps at the end, and you wrote it in a crooked way, just to let them prepare the equipment to see if they are serious, or as usual, this is really exposed Yes, their perfunctory attitude."

Gan Xiaoyi looked at Liang Yi with eyes full of admiration. This doctor from a lower-level hospital really has two talents, and he doesn't know what kind of background it is that makes Director Xu Bowen pay him so much attention.

Could it be the son of some big surgeon? Otherwise, how could he have such strength at such a young age? It's incredible.

Tuk Tuk Tuk

There was a knock on the door.

Gan Xiaoyi went to open the door.

It turned out that the director of Renxin Hospital came over.

He was the only one coming, and no one else followed him.

Xu Bowen also said unceremoniously: "Aren, you are also a surgeon and a student of mine. I don't think I should tell you some things. I'm afraid you won't be able to accept them. But I think I should tell you."

The dean had followed Xu Bowen when he was studying in the past. This time he was able to use the whole team to make throwing knives, and part of it was for the sake of his students. There is no shortage of surgery.

The dean immediately sneered, and said respectfully: "Mr. Xu, if you have something to say, just tell me. Although I am the dean of a small hospital, you are a teacher. If you have anything to say, just tell me, and I will correct it."

Xu Bowen said: "You are a commercial hospital, I can understand, but some details still need to be done well, especially we still need to do a good job of asepsis in our surgical operations."

"Yes, this aspect is indeed our negligence." The dean said.

"You also know that infection is a case without a head. Once an infection occurs after the operation, how can we foreign doctors dare to perform operations in the future." Xu Bowen said truthfully.

"Teacher, I will definitely follow the instruction." The dean said sincerely.

"Okay, how is the arrangement over there?"

"It's ready, we can go to the operating room now."

"Well, let's go." Xu Bowen said.

When he came to the operating room, Xu Bowen didn't rush to do it this time, but carefully checked the necessary things for the operation.

After you are satisfied, start the surgery.

This time I used general anesthesia with air intubation, conventional catheterization, and Qin Hanyun's sterile drapes.

Xu Bowen performed the surgery, with Liang Yi as his assistant. A 1cm incision was made in the center of the upper abdomen from the xiphoid process to the navel. The incision was as long as the palm of a hand.

It turned out that the patient weighed more than 180 kilograms, but now it is only about [-] kilograms. The fat is very small, and it quickly reached the abdominal cavity.

When the abdominal cavity was explored, no obvious metastasis of the liver and gallbladder was found in the abdominal wall and pelvic cavity.

However, the colic ligament was cut at the upper edge of the transverse colon, and the posterior gastric wall tumor widely invaded the transverse mesocolon.After separating the posterior wall and transverse mesocolon, the tumor invaded the head of the pancreas, and multiple large lymph nodes at the hilus were seen.

Xu Bowen frowned, and said: "This is difficult to handle, there are too many, and the position of the pancreatic head is very close to arteriosclerosis, once it ruptures, will it be troublesome?"

Qin Hanyun, who was standing beside her, asked, "Teacher, can't you make this pancreas?"

"Yes, it's very difficult to get it, and it's just near the head of the pancreas." Xu Bowen said.

He glanced at Liang Yi and said, "What do you think?"

Liang Yi was thinking, building a three-dimensional anatomical model in his mind, but did not hear his words.

"Liang Yi, what's the matter?" Xu Bowen asked.

"Director?" Liang Yi shook his head and said, "Are you calling me?"

"Yeah, I think you're distracted, what are you thinking?"

"I was thinking about the tumor of the head of the pancreas. If blunt dissection is used, blood vessels should still be completely avoided, but very delicate operations are required."

"Really? I took a look. Its location is too tricky. There is no way to completely avoid it. It has already spread, so it probably doesn't make much sense to remove it."

"Although I don't know what the meaning is, but removing it is more likely to completely cure it than leaving it alone."

"That's what I said, but the risk of surgery is also proportional. Let me think about it and deal with the stomach tumor first."

It was decided to perform gastrectomy, subtotal distal gastrectomy, closed anastomosis, hilar lymph node ethanol injection.

For Xu Bowen, this is just a simple operation, and it can be done in about ten minutes.

Qin Hanyun knew that her teacher had neurosis, and whether she could concentrate for too long. After the gastrectomy, she stood at the chief surgeon's position, separated the posterior wall of the stomach and the pancreatic tissue, and freed the root of the right omentum artery.

The next step was too complicated, she couldn't tell the structure and stopped.

Xu Bowen was still thinking about radical resection, and asked: "If it is radical surgery, what do you plan to do?"

Liang Yi told him his thoughts.

Xu Bowen said: "This is feasible, but it is very difficult. Do you think it is worth doing this?"

Sometimes surgery is to weigh the pros and cons. It is necessary to be an actuary to help patients calculate carefully and make the best choice between risk and prognosis.

Liang Yi said firmly, "I think it's worth doing."

"That's fine, I'll be your assistant. Once you find that the situation may be uncontrollable, you must stop in time."

"it is good……"