Section 60

"I have seen a case from a foreign hospital before. The tumor adhered to several organs in the peritoneum and the entire peritoneal wall. It was very difficult to dissociate. The entire tumor was like a stone and was completely stuck inside. I had to find it if I wanted to dissociate it. There is no place to cut the knife.

When their doctors opened the abdomen, they found that the intestines and urethra were squeezed out of shape, and a large pile of feces and excrement accumulated in the bend of the intestine.

I see that this tumor is similar to the one in that case. It is estimated that the entire pelvic and abdominal cavity is adherent. This kind of surgery is too difficult.

Moreover, the diameter of the blood vessels on the tumor blood vessel wall is also two centimeters, which shows that the blood vessels in the tumor are very tense. Once they rupture and bleed, there is no place to stop the bleeding.

Therefore, I suggest that we directly open the abdomen to check the situation and do the best we can. If it cannot be done, the patient should be transferred to Imperial or Modu Hospital immediately. "

The urologist suggested.

The hepatobiliary surgeon shook his head: "We are a provincial hospital. If we can't perform this operation, isn't it a loss of reputation?"

As soon as the hepatobiliary surgeon said this, everyone in the other departments nodded.

"Yes, I remember there was a 15-centimeter tumor the year before last. Shouldn't we also remove it? This 23-centimeter tumor is very difficult, but if we all work together and dissociate it bit by bit, it shouldn't be a big problem. " said the anesthesiologist.

This surgery is similar to radical gastrectomy.

It's difficult to say, but it's not difficult either.

But it is definitely not simple.

It's very troublesome. The trouble is dissociation.

Separate the adhering organs bit by bit.

It also tests the doctor's eyesight and anatomy knowledge.

It is necessary to know which oblique muscle is affected by this incision and which connecting ligament is affected by this incision.

Otherwise, if a major blood vessel is cut, it will cost a life.

after an hour.

After discussion among the doctors, they decided to perform abdominal dissection directly.

They choose to believe in themselves~~

After a series of tests, fortunately, the tumor was not malignant.

As long as the large lump is removed, the patient can return to his normal life.

In the operating room of the provincial hospital.

All the doctors swear by it and are full of confidence.

Patients and their families also trust the doctors in the provincial hospital.

After all, this is a provincial hospital, and they are all big bosses.

The chief surgeon is Yu Shen, deputy director of surgical oncology.

The rest are all helping with the dissociation. Of course, they are all chief physicians of gastrointestinal surgery and urology surgery.

The surgery was very difficult, so all the people who came were serious and experienced.

The young doctor can only stay in the monitoring room nearby.

Tracheal intubation, general anesthesia, skin preparation, disinfection, and draping.

Midline incision in the abdomen.

Because the tumor is large, the surgical field must be fully exposed.

Yu Shen expanded the incision to fifteen centimeters.

As the electric knife moves down bit by bit, the epidermis, fat, and muscles are pulled apart.

But what no one expected was.

A fifteen centimeter incision and nothing can be seen? !

Looking at the deep red tumor in front of me, I just used a spreader to spread the skin, and it seemed like the tumor was about to burst out!

Completely blocked the incision!

"No, if you can't see the boundary clearly, then expand the incision."

The fifteen centimeter incision was enlarged to twenty centimeters!

Look again.

Now I can see the boundaries a little more clearly.

However, due to operational needs, Yu Shen expanded the incision by five centimeters.

Then, use a spreader to spread the skin on both sides.

At this time, the entire abdominal cavity was completely exposed to everyone's eyes.

But for a moment, the entire operating room was quiet...

Why quiet?

Because people are stupid!

Yu Shen admits that he has never seen this kind of tumor in more than 20 years of medical practice!

It fits almost the entire stomach, intestines, bladder, and various other blood vessels and fascia!

It's like someone stuck it in with glue!

How to cut this special cat? !

In the operating room, it was eerily quiet.

No doctor can take on this difficult job.

It’s troublesome, complicated, and very difficult.

It is not yet known whether there are arteries and large blood vessels in the organs and blood vessels to which the tumor adheres.

If so, that's even more troublesome!

Yu Shen looked at the doctors next to him:

"Um...this surgery..."

Next to him, the urologist hesitated for a while and said:

"How about... take the patient to the Rong Provincial Cancer Hospital? Professor Wang Pingqi from the cancer hospital is an expert in the oncology department. The case I mentioned before was done by Professor Wang Pingqi."

Several doctors were silent.

Are they really being sent to Rong Province?

How about trusting yourself and trying to free yourself?

Suddenly, Shen Wei, the director of gastrointestinal surgery who was standing in the second assistant position, suddenly said:

"I have a way to avoid sending it to Rong Province. We can do it ourselves!"

Everyone looked at him: "What method?"

Shen Wei: "Ask Zhang Yi to help!"

Chapter 51 What else can be done? Looking for Zhang Yi

"Zhang Yi?!"

"Yes, he is the young man who came to our hospital for surgery with Professor Xu Changxu last time."

Shen Wei was thinking about it the second he saw the tumor.

What would happen with this level of free difficulty in Zhang Yi's hands?

After all, he had seen the video of radical gastrectomy.

Zhang Yi's free speed and accuracy make Shen Wei envious!

so amazing!

Therefore, he believed that Zhang Yi might be able to perform this operation.

In the operating room, several directors have heard of this name.

But some of them are unfamiliar.

"Zhang Yi? I know him. I heard that he and Professor Xu completed that neurosurgery operation together?" Yu Shen asked.

"Yes, that's him! Although this guy is young, his operation and suturing are simply amazing!"

Shen Wei said, with a hint of admiration in his eyes!

"Who is Zhang Yi? Is he a top student in which hospital?" The urologist asked curiously.

He was not there when Professor Xu came to the provincial hospital last time.

Naturally, he didn't know about this and didn't know Zhang Yi.

But now that I heard Shen Wei bragging, I was a little curious about who this young man was.

Giant tumors are not small tumors of a few centimeters.

It is not something that ordinary young doctors can do.