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Back to 1999: From operating surgeons to becoming a top doctor - Chapter 213

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Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 213
"Director Xu, you are amazing. Such a large tumor can be completely removed without damaging other organs. This operation is a milestone in the history of the Second Provincial Hospital."

When the tumor was removed, the anesthesia that had been very nervous finally breathed a sigh of relief.

Then compliments rang out in the operating room.

"It's nothing. I was lucky this time and the operation went smoothly."

Despite this, Xu Guoqiang was very excited at this time.

He didn't expect that his laparoscopic skills had reached the level of being able to completely remove gallbladder cancer.

It was still a super complex gallbladder cancer operation involving multiple organs of the liver, gallbladder and pancreas with severe adhesions and abnormal wrapping.

He is really awesome!

Xu Guoqiang was complacent, and his whole face looked happy. He looked at the large gallbladder on the screen, as if he was looking at an exquisite work of art, which made people linger and couldn't help themselves.

Now that the operation has been completed, what remains is to clean the surrounding lymph nodes step by step, then remove the gallbladder from the abdominal cavity, clean the abdominal cavity with gentamicin, and close the abdomen to reduce inflammation.

The patient can get off the stage safely, and the condition is not too bad. Although the anesthesia time for the operation is a bit long, which will affect the subsequent recovery of the elderly, it is a miracle that the operation can be done.

Xu Guoqiang cleaned the surrounding lymph nodes, and the operation was so handy.

When he thought of Shen Yiwei's dead fish face when he left, Xu Guoqiang had never been so proud as today in all these years in the department.

At the end of the operation, all that was left was to put on the bag to take out the tumor in the patient's abdominal cavity.

But at this time, there was a problem of not too small or too small, which was placed in front of him.

The tumor in the patient's abdominal cavity was too large, and Shen Yiwei had not considered this situation at all when he was the main surgeon before.

Therefore, the puncture card was only a centimeter incision.

The bag can be put in, but it is difficult to take out the entire gallbladder.

Moreover, the location of the card was not ideal. Even if the incision was extended outward, it would probably not help.

Xu Guoqiang studied for a long time, but there was still no progress.

"Shen Yiwei, this guy, wanted to bury a hole for me before leaving. What should I do now? Do I really have to make another incision from the side of the stomach?"

Xu Guoqiang was worried at this time. It was a perfect operation, but because others did not prepare enough in the early stage, he had to do another operation on the patient.

Moreover, the purpose of the operation was only to remove the tumor. No matter how you think about it, it seems too uneconomical.

Everyone in the operating room also considered this problem, and the original joyful mood disappeared.

At this time, no one dared to express an opinion, let alone a solution. The atmosphere in the entire operating room was a little depressed.

But at this time, on the screen that no one was paying attention to, the picture was changing.

Xiao Chenguang was holding a laparoscopic camera and looking for something around the gallbladder.

The strange behavior attracted the attention of Xu Guoqiang on the stage.

Could Xiao Xiao have another way?

At this time, Xu Guoqiang suddenly realized that the reason why the operation was successfully completed just now was largely due to the perfect assistant Xiao Chenguang.

Xu Guoqiang had started as a scope holder before, and he was very clear about the influence of the assistant on the main surgeon.

Before, because the operation was too difficult, he was excited to be able to do it, so he ignored Xiao Chenguang's contribution.

Now it seems that Xiao Chenguang is the soul of this operation and dominates the entire operation process.

"Xiao Xiao, have you thought of any good ideas?"

Xu Guoqiang came back to his senses and asked humbly on the stage. The arrogance that had just risen disappeared without a trace.

Because the doctors in the audience were far away and did not know the details of the operation, when Xu Guoqiang asked Xiao Chenguang for advice, the entire operating room suddenly fell silent.

They looked at the two people on the stage in disbelief, but they had ten thousand questions in their hearts.

Obviously, this operation was performed by Director Xu himself and the whole process was done.

Why should he be so respectful to the assistant beside him? It feels like a master actively showing kindness to his apprentice. He has to be cautious in everything he does, for fear of making the other person unhappy.

The people in the audience were puzzled, but Xiao Chenguang on the stage turned a blind eye. At this moment, all his attention was on the screen.

"Teacher Xu, I just looked at it. The one-centimeter poke card can extend a few more centimeters outward because the skin is ductile."

"Now according to the size of the gallbladder on the screen, combined with the effect of three-dimensional reconstruction, as long as the internal capsule can be cut and drained, the shrunken gallbladder can be taken out of the poke card."

While speaking, Xiao Chenguang had simulated the scene of incision and drainage in his brain. After calculation, this plan is completely feasible.

His words were calm and light, but they dumbfounded everyone present.

Incision and drainage in the abdominal cavity, or through laparoscopic technologyThis operation is as difficult as the previous one, and even more difficult.

After hearing Xiao Chenguang's suggestion, Xu Guoqiang on the stage was also shocked by his wild imagination.

"Xiao Xiao, this is too difficult. If everything goes wrong, the bile and cancerous secretions in the internal capsule will contaminate the abdominal cavity, and the operation will be in vain."

Xu Guoqiang knew that Xiao Chenguang had many ideas, but this was the first time he encountered such a risky thing.

After all, the radical operation of gallbladder cancer is to prevent the cancer from spreading outward.

The best method is to do a whole-body cut, which can effectively stop the spread of cancer cells and inflammatory mediators.

But now, Xiao Chenguang actually asked to drain the cut gallbladder, a method he had never dared to think of before.

"Then cut better. Laparoscopic cholecystectomy, drainage before bile extraction is the general trend."

"I remember that the family members chose laparoscopy because they were afraid of having a major operation. Now if we deliberately make an incision for the purpose of bile extraction, do you think the family members will agree?"

Xiao Chenguang said lightly.

With the interests at stake, Xu Guoqiang thought about it and could only accept it. After all, sometimes the wishes of the family members will also affect the direction of the entire operation.

"Xiao Xiao, I remember hearing Lao Wang say that you are most familiar with puncture and drainage. How about I assist you in this operation?"

Now that the radical operation has been completed, the puncture and drainage can be handed over to the assistant.

This is in line with the hospital's regulations.

However, Xu Guoqiang is really unsure about this operation.

I have heard Wang Jingang say before that Xiao Xiao's puncture technique is unmatched in the entire Shengli Hospital.

Even in the provincial capital, they are all top-notch.

Whether it is pericardiocentesis, closed thoracic puncture, abdominal puncture, or several other times, they are all blind punctures performed in emergency situations.

At first, Xu Guoqiang thought that Lao Wang was just bragging about this ability in order to highlight the power of his apprentice.

But after Xiao Chenguang's description just now, this gallbladder puncture, which he had no idea about, seemed to be really feasible.

But it is feasible, but he can't do it, so he can only pin his hopes on Xiao Chenguang.

"That's fine, anyway, it only takes a few minutes, and everyone will feel at ease after it's done and stepped down."

Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 213

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