Back in 2002 as a doctor

Chen Houkun has done thousands of lobectomies, and he understands the little tricks of thoracoscopic surgery.

Zhou Congwen also understands what he said, at most there is a small difference in the data.

For example, the model of the linear cutting stapler is 60, that is, 60 millimeters.Based on the 60mm gun, it is more safe to keep the distance between the front and back of the patient's lung root, and the approximate diameter of the bronchial arteries and veins is more suitable for the two-shot method. He said clearly.

It was so!

Zhou Congwen broke the window paper on Chen Houkun's thoracoscopic surgery, and a glare of sunlight came in.

"Director Chen, it's done!" The anesthesiologist was also very happy. He had just watched Pan Cheng's operation for a while, and he himself was very worried, for fear of giving Pan Cheng a scolded blood nozzle.

He never expected that Chen Houkun's operation would be fast and good. One operation only took one and a half hours, so he was a little excited.

"Here we come." Chen Houkun thought about Zhou Congwen's so-called two-shot method, and went to the stage.

Standing calmly in the position of the surgeon, Chen Houkun did not think too much, and started the operation step by step.

Going in the mirror, Chen Houkun observed the tissue structure, just like what Zhou Congwen said, the patient's interlobar fissures were moderately developed.

One shot to destroy the remaining interlobar fissure and bronchial artery, and another shot to destroy the bronchial vein and bronchi.

Surgery... seems too simple.

Before Chen Houkun could hesitate, two long forceps had already appeared in the operative field, grasping the deflated lung lobe, exposing the anatomical structure.

……

……

As Chen Houkun's operation began, Zhang You's eyes moved from Pan Cheng's operation screen to the other side.

Judging from the last operation, Chen Houkun's level is higher than Pan Cheng's, and the level is not even higher than 01:30.Maybe it was a coincidence, or maybe there was something wrong with Chen Houkun's operation, but he hadn't discovered it yet.

After watching two channels, one has no practical significance. Zhang You stared at Chen Houkun's operation screen.

The dissociation was just right, and the bronchial arteriovenous and bronchi were quickly and bluntly separated.

Not to mention anything else, Zhang You was amazed by this free technique alone.

Can you be as fast as Chen Houkun when you open your chest and look directly at the downstream?impossible.It's not bad to be able to approach the speed, but it has to be super-performing.

This time it takes three shots... no, four shots.Interlobar fissure, bronchus, arteriovenous each need a shot.Zhang You has his own assessment.

"Director, the operation is really fast, but it's too expensive. Professor Chen's heart is dark enough, hehe." The other professor who led the team beside Zhang You sneered twice.

The staple magazine used for cutting and stapler costs more than 3000 yuan a piece, and everyone knows how much gray income there is in it.

There are also people who have their chests opened and then cut and sutured with order bins. Everyone despises such people.It is okay to make money, but if it is not necessary, everyone can see whether the heart is black or not.

Only one high-value consumable is an exception-esophageal staplers.

After using the stapler, the operation speed is improved, the operation time is shortened by about 1 hour, and the probability of postoperative anastomotic leakage is reduced, which is indeed a sharp weapon.

And Chen Houkun just used 9 booking positions for surgery... In the eyes of others, it is indeed dark enough.

Zhang You didn't seem to hear the words of the professor with the group, and stared straight at the screen, which was the operation area.

Chapter 0147 Incomparable

"The patient's interlobar fissure was not well developed just now. Look at Professor Pan's operation. He wanted to save one order, but the bleeding is still stopping now." Zhang You said in a deep voice.

When Chen Houkun was away, Zhang You was not stingy with his opinions, being fair and objective.But if Chen Houkun is present, it is not certain how he can say this.

"Hey, I don't know how many positions will be used for this operation, it is estimated that at least 5."

"No, at most 4, maybe only 3."

"Director, you simply overestimated Chen Houkun." The professor leading the group didn't believe it.

Zhang You shook his head slightly, but stared at the screen without blinking.

The linear cutting stapler goes down the poke card, and with the assistance of two long forceps, the interlobar fissure and bronchial artery are smoothly contained.

After one shot, the cutting and stitching were completed, and Zhang You's brow furrowed at some point.

A very "bold" idea suddenly popped up in his mind-Chen Houkun was going to shoot only two shots!

It's... impossible!

Since the linear cutting stapler has entered the clinic, it will also be used during thoracotomy.According to Zhang You's experience, if you want to be safe, you need at least 3-4 shots.

But Chen Houkun dared to shoot only two shots under the thoracoscope!

Too bold!

Sure enough, it turned out that Zhang You's guess was right.

The simple blunt dissection ended quickly. After Chen Houkun found the tissue structure, the linear cutting stapler entered again. The 60mm muzzle encloses the bronchial veins and bronchi, and then shoots down with one shot.

Zhang You's eyelids twitched.

My previous conjecture turned out to be true!

Two shots, Chen Houkun actually completed the operation with only two shots.

I don't know if there will be an air leak, if not... This operation is simply shocking to Zhang You!This is a way I never thought of.

If possible... Zhang You suddenly regretted it.Is it my own carelessness to throw the laparoscopic surgery directly to Chen Houkun?

Flush with warm saline, and the anesthetist inflates the lungs.

Zhang You stared his eyes like copper bells, and saw the suction device inserted without blinking.

There was no air leakage, no bleeding, nothing, and the surgical field was clean, completely different from the thoracic surgery that Zhang You was familiar with.

Can surgery still do this?

Zhang You rubbed his sore eyes, feeling inexplicably horrified.

The professor leading the team who was making sarcastic remarks next to him was also dumbfounded. He was stunned for a long time before asking in a low voice, "Director, can this be done in surgery? Isn't Chen Houkun afraid of accidents? Two shots, he only used two shots! Too bold Alright."

"What happened!" Zhang You closed his eyes and said coldly, "Didn't you see the salt water for washing? There was no air leak or bloody fluid."

"I saw it, but I always think it's not possible." The professor with the group said in a daze.

"Hey."

The two actually had the same idea, but Zhang You was pretending to be calm.

You can't say in front of so many people that Chen Houkun did a good job in the operation. As a director, there is still a city that should be there.

But Zhang You was more scared and dumbfounded. He had never thought of what Chen Houkun did.

At this time, the noise in the venue has grown from small to loud, roaring like a long sea.

All the people who participated in the meeting were well-known figures in the circle. Everyone knew the operation well, and no one expected to see such an "unparalleled" operation.

"Who is performing the operation in the end!"

"It seems to be a professor of thoracic surgery in the Second Hospital of Medical University. It is said that he leads the newly established thoracoscopy team in the Second Hospital."

"The Second Hospital of Medical University established a separate thoracoscopy team? So advanced?!"

The focus of everyone's discussion gradually shifted from the initial technology to the organizational structure of the Second Hospital of Medical University, especially the unique approach of cardiothoracic surgery, and the establishment of a thoracoscopy group spread like wildfire.

There are very few people with such a forward vision, and this vision is not enough to have outstanding technology.

The Second Hospital of Medical University sees both of them occupying both!

On the one hand, the professor of Imperial Capital has not yet finished one operation, and on the other hand, the professor of the Cardiothoracic Surgery Group of the Second Hospital of Medical University has completed two operations, even including a shocking two-gun laparoscopic operation.

Is this the power that leaders value?

Everyone thought that it must be Director Zhang's full support, otherwise, who would have nothing to do to set up a thoracoscopic team.More and more eyes were looking at Zhang You, most of them were burning with a hint of admiration.

There are not many such directors. Many doctors who think that thoracoscopy has a future look at Director Zhang You, and Zhang You feels uncomfortable.

The phone rang, and Zhang You glanced at it. It was the doctor he had just sent to the department to see the patient.

He picks up the phone.

"How is the patient?" Without waiting for the other side to speak, Zhang You asked impatiently.

"Director, the water column in the chest bottle fluctuates well. I observed it for half an hour, and the drainage is smooth, and the light red bloody fluid is drawn out..."

If it weren't for the phone call, Zhang You would have strangled the doctor's neck.

It's not handover, what are you doing talking so much nonsense, I have to listen to how much drainage fluid is!

"20ml of light red bloody fluid was drawn out, and no gas was drawn out."

"..."

Zhang You was stunned holding the phone.

With such a small amount of drainage, there is no gas extraction?How can it be!

If the chest cavity is flushed, the pleura reacts to stimulation, and the drainage volume is less than 50ml in the first hour after the operation, the operation is considered a success.

And this operation actually only led to 20ml of light red bloody fluid in the first hour after the operation!

Zhang You's face gradually turned cold.

Originally thought that he had put Chen Houkun into the cold palace, but can he turn himself over as a salted fish? !

Just the current level is not enough.

Zhang You's hands clenched into fists were full of sweat, and he was thinking about what to do next so that Chen Houkun could not threaten him.

At this time, the next patient on the screen has entered the operating room.

This is a female patient about 50 years old, thin and dry, with an estimated weight of less than 80 catties.

Chen Houkun helped the patient to lie down on the operating table, and the anesthetist started anesthesia. He turned around and saw Zhou Congwen watching a film with his head crossed.

"Xiao Zhou, I think this patient can still use the two-shot method!" Chen Houkun walked up to Zhou Congwen and said in a low voice.

"Two shots?"

"That's right, this patient is very thin. And the interlobar fissures are better developed on the film."

Chen Houkun pointed at the film on the film reader and said.

Well-developed fissures mean that there is no need to separate the fissures.The patient is thinner, which means that the diameter of blood vessels and trachea is smaller. Two shots of the 60 gun can firmly contain the blood vessels and trachea.

After Chen Houkun completed a case of two-shot surgery, he had a lot of experience in this kind of surgery, and he spoke clearly and logically.

Zhou Congwen smiled slightly, "Professor Chen, do you know what one-shot technique is?"

"One shot?!"

Chen Houkun was stunned.

"Yes, I think this patient can solve the problem with one shot."

Chapter 0148 one shot, into the soul

One shot!

Not only had Chen Houkun never heard of it, he hadn't even thought about it, even after Zhou Congwen mentioned it, he had to react for a long time before he realized what the young man opposite was talking about.

After one shot, the operation is over!

The operation of cutting the lung lobes has been shortened from 3-4 hours to about half an hour...

This is no longer running forward, but flying... No, it's going directly to Tokyo with a "swish" on the east wind.

I used to think that Zhou Congwen was as stable as an old dog, without a youthful heart, and would not compete for fame or fortune.Looking at it now, Zhou Congwen is still a young man.

Chen Houkun was stunned for a moment, then shook his head slightly, "Xiao Zhou, this is too risky, no way."

"Oh." Zhou Congwen said with a smile, "It has nothing to do with taking risks. After seeing the patient's organizational structure, try using a 60-degree gun. There is enough distance between the front and the back. There is no risk. If it doesn't work, don't do it. I'm just proposing a possibility. "

Chen Houkun's heart skipped a beat.

What Zhou Congwen said is completely reasonable, if you can do it, if you can't, don't do it, no one forces yourself to use the one-shot method.

You can talk about various preoperative evaluations casually, and it depends on the situation after you go in.

The patient is very thin, very small, and weighs no more than 80 catties, and the diameter of the bronchial arteriovenous and bronchi will be correspondingly smaller by a few millimeters.

If the interlobular fissures are well developed, it seems that there is a real possibility of a one-shot solution to the battle.

Once this idea appeared in his mind, he could no longer contain it, and Chen Houkun's mind became active.