During the operation, it is found that the situation has changed, and the operation plan needs to be changed temporarily, or there is a better plan. It is necessary to communicate with the family members.
Because the cost of surgery and the risk of surgery will increase, the consent of the family must be obtained before it can be implemented.
This time, Director Wen did not send Tang Li to communicate, but came forward to communicate this matter in person.
When it comes to changes in important surgical plans, only the chief surgeon knows the surgical thinking best.
It will be over soon.
The girl's family was shocked when they heard that it was a malignant tumor. Almost without much consideration, he agreed to Director Wen's proposal for a complete tumor removal.
In fact, the vast majority of family members would agree.
The word cancer has long been deeply rooted in the hearts of the people.
In many people's minds, cancer is no different from the death penalty.
The doctor now proposes to try his best to eliminate the residual tumor, and the family members are naturally willing to do so.
The next operation will proceed according to the plan proposed by Zhou Can.
The second vascular access is first established by bypass.
This process is relatively easy.
Artificial blood vessels are used instead.
A bridge is directly bypassed from a branched small artery in the neck to supply blood to the blood supply area of the central cerebral artery that is about to be blocked.
With this heavy blood supply guarantee, even if there is an accident when the separated tumor remains, it can be dealt with calmly.
Director Wen calmly tried to separate the remaining tumor remnant again.
One knife at a time, like a craftsman is carefully crafting.
Sweat continued to seep from Director Wen's forehead.
People who watched it didn't think there was anything wrong, but the psychological pressure that Director Wen endured must have been beyond imagination. I believe every surgeon has experienced this feeling of dancing on a sharp knife.
When the final central part was separated, Director Wen's cutting speed became slower and slower, and his movements became more and more cautious.
The speed of sweat oozing from his forehead is getting faster and faster.
The nurse on tour kept wiping his sweat, with a hint of nervousness on his expression.
She knew that Director Wen was sweating so badly that the operation must have reached the most critical part.
And Director Wen probably wasn't sure.
Accidents can happen at any time.
"No, the last piece is too tightly bonded, and it's too difficult to separate. I'm not sure if I can continue."
Director Wen sighed dejectedly.
In the center of the tumor, can the adhesion not be tight?
I guess it almost didn't take root.
"I'm afraid we can only separate this section of blood vessel, then cut it off, and then take the vein blood vessel to make up."
Director Wen has a lot of experience in surgery, he knows if it will work or not.
"Isn't it okay to use artificial blood vessels directly? Why bother to take veins from other parts." A resident doctor expressed his "high opinion".
"That's a good question, I just take this opportunity to explain it to you. The artificial blood vessel has a lifespan of only 1020 years. The patient is only in his twenties now, and the blood vessel to be repaired is an extremely important central artery in the brain. Now use The artificial blood vessel cured her disease, but one day ten years later, the blood vessel burst suddenly, what should I do?"
Director Wen questioned the resident who asked the question.
Compared with Zhou Can, this resident doctor's consideration is obviously too one-sided.
"Remember, when treating a patient, you must not only consider the present, but also the future. You must truly consider the issue from the perspective of the patient's interests. Only in this way can you become a truly good doctor."
After Director Wen finished speaking, he looked at Zhou Can.
"On this point, Dr. Zhou Can did a good job."
Zhou Can didn't want to spread hatred.
Hurry up and say modestly, "I just happened to know this knowledge, and it's not as good as you said." After the modesty and politeness, he asked Director Wen with a glimmer of hope.
"This blood vessel is going to be cut off anyway, can you let me try to separate the tumor remnant?"
Zhou Can has been practicing sharp knife for some time.
It's a little bit of success so far.
His separation technique has reached the inferior level of the main treatment, which is basically enough to separate ordinary tumors or glued body tissues.
To separate this tumor remnant, he wanted to use the sharp knife technique, combined with the separation technique, to make an attempt.
It certainly won't work on animals.
The best exercise opportunity is directly on the patient.
Director Wen hesitated and did not agree.
Zhou Can also knows that it is extremely difficult to obtain such high-risk surgical training opportunities.
So he quickly added, "I assure you, even if you make a mistake, it will only break this blood vessel, and will not hurt other tissues. This exercise opportunity is extremely important to me, please give me another chance."
Zhou Can also helped Director Wen a lot in the past two days.
With a certain foundation of trust, it is not too much to ask for this kind of operation.
"Okay! Seeing that you are very prudent, you must be careful. In addition, when you perform the resection, I need to put gauze around it for protection."
The mouth that eats people is soft, but the hands that grab people are short.
In the end, Director Wen couldn't hold back his sympathy, so he had to agree.
Maybe Zhou Can's eager and motivated eyes moved him.
It is more common to put gauze around it to protect other tissues.
"Thank you! Thank you!"
Zhou Can won this hard-won opportunity to exercise.
I am really grateful to Director Wen in my heart.
If it were Dr. Xu who performed the surgery today, he might not be given the opportunity to exercise this time.
Therefore, mixing with different superior doctors will give you different benefits.
The key is to see how you fight for it.
Zhou Can did not use an electric knife, but a traditional scalpel.
The advantage of the 'cold weapon' is that it is more flexible. When separating such tightly bonded tissues, it can separate extremely thin tissue layers.
Just like a chainsaw, when it cuts a piece of wood, it will be directly sawn into powder with a thickness of about 0.5cm. Splitting with a sharp knife straight down the middle of the wood will lose almost no length.
There is another reason.
He uses a traditional scalpel for his sharp knife practice.
This is also the request made by Dr. Xu.
At the moment, I am definitely more accustomed to using a traditional scalpel.
Holding the handle of the knife, he took a deep breath, held the tweezers with the other hand, and lifted up the part of the tumor tissue that had been successfully separated, exposing the adhesive part underneath.
His eyes fixed on the parts that needed to be separated.
The whole person slowly seemed to be possessed by a demon. In his eyes and heart, only the remaining tumor tissue and blood vessel walls that needed to be separated remained. Everything outside is invisible.
brush!
Without any hesitation, he slashed out directly.
Chi!
The sound of a knife cutting flesh.
Director Wen didn't expect Zhou Can to strike the knife so quickly, he couldn't help clenching his hands in fright, and his heart almost burst out of his throat.
He has already begun to regret agreeing to let Zhou Can do it.
With such a high risk, why did you agree?
But before he called to stop, Zhou Can had already stopped the operation.
With just one cut, the operation was over.
"Is this the end?"
Director Wen's eyes widened in shock.
Not to mention the others, all of them stretched their necks, as if they were living **** in broad daylight.
It was over before Zhou Can's movements were clearly seen.
"Fortunately, the tumor remnants were successfully stripped."
On the tweezers held by Zhou Can's left hand, the tumor remnant was clamped impressively.
There is a confident smile on his face.
The knife just now seemed simple and quick, but it actually contained all his background in practicing the quick knife technique, as well as the separation technique, and even the incision technique.
Ten years off stage, one second on stage.
All the accumulated accumulation has been integrated into the unpredictable knife just now.
Congratulations on successfully performing the Quick Sword Technique, and comprehending a trace of its essence, you have obtained the special knife skill - Quick Sword Technique. This knife method can be applied to dissection, separation, and debridement, and can quickly cut target tissues at an extremely fast speed. 】
The surgical skills that Zhou Can usually acquires are all so-and-so, such as debridement, incision, suture and so on.
What I got this time is called the Quick Knife Technique.
Laws and techniques are collectively called spells. That's what the Taoists call it.
From a scientific point of view, it can be considered that the method and technology are combined, and the final power is stronger than the original technology.
For example, in the separation just now, even if Director Wen's separation technique has reached the director level, he is still unable to safely separate the tumor remnant.
But Zhou Can did it.
Based on what?
It is nothing more than merging the quick knife technique into the separation technique to form a more powerful 'spell'.
You know, his current separation technique is only attending the lower level.
After integrating into the quick knife technique, it directly jumped to two great realms.
Now, Zhou Can finally understands why Dr. Xu has gained such a great reputation.
The combination of law and technique is definitely a top-level surgical ability.
Quick knife method, current experience value: entry-level 1/10000, win with quickness, and correct other surgical shortcomings with quickness. Integrate into all knife-wielding surgical procedures. 】
Zhou Can looked at the newly added Quick Swordsmanship, and it actually ranked first.
Even before the pathological diagnosis.
This may be a personal surgical style, or call it a personal surgical idiosyncrasy.
"I'm just an entry-level person, but when I integrate it into the separation technique, it's already so powerful. Dr. Xu's quick knife technique must be much higher than mine. How strong is he?"
Being able to set the record for the fastest surgery in the world and maintain it all the time without being surpassed by others is enough to show the strength of Dr. Xu.
"Now that the quick knife method has been officially introduced, I don't know if I can learn other surgical styles in the future?"
The knife just now was extremely fast, and it was a glimpse.
Even Director Wen couldn't solve the surgical problem, so he solved it with one knife. The pleasure of that moment is enough to increase the dopamine in the brain several times.
After being happy, Zhou Can also felt a little worried.
Director Yin, who is in the heart, and Director Shen, who is outside the bone, have advised him that it is best not to follow the old path of Dr. Xu.
Now that I'm on the thief ship, can I still get off the ship?
However, although the knife just now was extremely fast, Zhou Can's heart was very quiet, and his thinking was very clear. There is no phenomenon that the hand is faster than the brain.
Is it because of the calmness in my heart that suppressed the magic brought by the sharp knife?
There is such a possibility.
Find an opportunity to ask Dr. Xu, maybe you can get a better answer.
After Director Wen came back to his senses, he quickly checked the patient's central artery.
The vessel wall was smooth without any tumor residual tissue. What is even more shocking is that the blood vessel was not damaged in any way, and the separation of this small piece was even better than him.
Clean, smooth, incredible.
"You, you let me see the second Xu Yidao. Really, it's too similar. Back then, Director Xu performed all kinds of difficult operations, and he was always clean and neat. His surgical ability is simply unimaginable, as if possessed by a god. General."
Director Wen has obviously seen Dr. Xu's strength with his own eyes.
Even after many years, I still remember it deeply.
And full of respect.
"Take this tumor remnant immediately for pathological examination. If the edge is clear, the central artery need not be moved. If tumor cells infiltrate and metastasize, the scope of surgery must be expanded."
Director Wen said to a graduate student.
The chores of running errands were originally undertaken by Zhou Can, a newcomer.
Now that Zhou Can's surgical prowess is showing, even Director Wen has to bow down. Who would dare to ask Zhou Can to run errands and do chores?
…
Twenty minutes later, the pathological test results came out.
The margins were well defined and no diffusion was found.
This is very exciting news.
There was cheers in the operating room.
Even Director Wen smiled happily and exclaimed, "Dr. Zhou is really the lucky star of our group! After he came, good things happened one after another."
From another perspective, after Zhou Can came, several difficult cases in their group were all solved.
It's not luck.
It happened that Zhou Can had the surgical skills in this area.
"Remove the artificial blood vessel bypassing the bridge, and then clean up the wound, and then the work can be sutured directly."
Director Wen looked at Dr. Zou.
"You come to remove the bypassed blood vessel, is there a problem?"
"Guaranteed to complete the task safely."
Dr. Zou couldn't do his best in the previous operation, and now Director Wen took care of him and specially gave him a finishing task. He went all out.
Otherwise, he and Director Wen will not look good in face.
This operation was full of twists and turns, and it seemed that Zhou Can, a newcomer to the group, Gui Peisheng, was acting all the time.
Naturally, everyone's faces were dull.
The operation was over quickly, and Dr. Zou's operation can be said to be quite satisfactory.
It can be regarded as saving a little face.
Of course, Zhou Can must have gained the most.
Not only did the quick knife technique directly advance to the entry level, but it also accumulated practical experience in the quick knife technique. At the same time, his status in the group has not risen by a single star.
It is estimated that in Director Wen's mind, Zhou Can's status is higher than that of the two attending doctors.
Director Wen can't be blamed for being realistic.
Because Zhou Can has too many skills.
"Doctor Zhou, I have an operation this afternoon, can you help me?"
Before leaving the operating room, Dr. Zou unexpectedly extended an invitation to Zhou Can. Zhou Can was very surprised by this.
The relationship between the two was originally tense.
He has no objection to Dr. Zou.
It's just that Dr. Zou doesn't like him a bit. Because he performed so well, he was in the limelight.
Old comrades, unwillingness to be surpassed by new comrades is the most common psychology.
"Okay, I'm more than happy."
Naturally, Zhou Can would not disrespect the other party.
A veteran attending physician took the initiative to put down his figure, showed his favor to him, and eased the relationship between the two. This is extremely rare.
"Hehe, is Dr. Zou arresting a strong man? Another day, if I have a separate operation, I have to learn from you and arrest Dr. Zhou as a strong man." Tang Li joked with a smile.
He also greeted him in advance in a half-joking tone.
She said that the next time she had an operation alone, she would also ask Zhou Can to help.
"It's more work for those who are capable! Dr. Zhou's surgical ability is so strong, and everyone is in the same group. I think he won't mind doing more."
Doctor Zou showed a rare smile.
His eyes were also on Zhou Can.
"Thank you for looking up to me as a junior and taking care of me. I promise to be on call and never be lazy. I must work hard."
Zhou Can was favored by the two attending doctors, but he didn't dare to raise his tail.
His humble performance of actively lowering his figure also won the favor of several superior doctors.
…
In the afternoon, Zhou Can cooperated with Dr. Zou to operate on the woman with a fractured skull.
I wanted to be low-key and low-key.
As a result, Dr. Zou's fracture articulation and bone setting were very average.
It is also understandable that Shenwai has always looked down on orthopedic surgery, thinking that orthopedic surgery is all menial work.
Naturally, few doctors performed well in orthopedic surgery.
Many times when encountering fracture surgery, a doctor of orthopedic surgery has to be called to help.
Note that it is called, not please.
Shenwai asked the orthopedic surgeon for help, but he was never very polite.
Zhou Can spent three months in orthopedic surgery, and he really learned something.
Moreover, the multi-portal orthopedic surgery has been upgraded to the third level. At present, only bone grafting is slightly weak, and it is still at the standard training level.
In this woman's fracture operation, Zhou Can made a great effort ~www.mtlnovel.com~ to do the key operation properly.
Dr. Zou called out directly, asking him to help was the right person.
Originally, Dr. Zou didn't know that Zhou Can's orthopedic surgery ability was so strong. Just thinking about fracture surgery is not easy for one person to do. The residents under him are as stupid as pigs.
In addition, the operation is performed on the brain, so safety must be ensured.
Zhou Can is prudent in his work and has a strong ability in many surgeries. Please go over and help, at least be on the safe side.
In the end, Zhou Can did not disappoint him.
Even gave him a big surprise. The skull fracture surgery was completed with the cooperation of the two.
And it's very well done.
At the end of the operation, the patient was still under anesthesia.
Zhou Can said to Dr. Zou, "The injury on this woman's body doesn't look like she fell, but more like being violently beaten. Do you think she suffered from domestic violence?"
"Doctor Zhou, we can't take care of this matter. If she's underage, we can take care of it. She's an adult, so I believe she has her own considerations. And based on my experience, it's easy to take care of this kind of thing. "
Dr. Zou gave him some advice.
"I just saw too many injuries on her body. You see, these injuries are old injuries, indicating that she has been continuously beaten violently. I really don't understand, why not just divorce?"
Zhou Can pointed to the woman's shoulders, legs and other parts.
There were bruises and hematoma everywhere, which was shocking to see.
"Marriage is not as easy as you think. You can leave without saying anything. Children, relatives and friends, parents, common property, and feelings of constant separation. In short, when you get married in the future, you will understand .”
Dr. Zou must have married a long time ago when he was forty years old.
He just shook his head and smiled.