Chapter 139

"Director, the patient's splenic hilum and central area are not damaged, so a partial resection can be performed to save the spleen."

In the operating room, after examination, the patient did have the conditions to save the spleen.

Although the vital signs were unstable, Xiao Chenguang still insisted on his point of view.

This was not blind confidence, but he had already planned the most scientific surgical route in his mind at this moment.

Seeing Xiao Chenguang's firm attitude, Wang Jingang did not insist any more. After all, a stalemate would not be good for the patient's surgery.

He looked at the vital signs on the stage and estimated a relatively safe operation time.

"Xiao Xiao, can you do it in half an hour?"

"Yes."

Xiao Chenguang answered very straightforwardly. In his calculations, half an hour was more than enough.

"Okay, I will fully cooperate with you."

"But if it exceeds half an hour, I still stick to my point of view."

Wang Jingang said in a deep voice.

Generally, a complete spleen removal takes nearly an hour, not to mention the more difficult partial spleen removal.

Now Xiao Chenguang actually wants to complete a partial spleen removal within half an hour.

This is like carving on tofu, and suturing the cut tofu together in a short time.

The difficulty can be imagined.

Wang Jingang was a little surprised, but the surgeon was Xiao Chenguang. Since he said he could do it, he had to cooperate with him with all his strength.

"Old Xia, come and help."

Such a delicate operation had to be done in a hurry. He might not be able to do it alone, so he directly pulled Xia Tao over.

Seeing this, Xiao Chenguang said, "Gao Yang, come here too, stand next to me, I need your help later."

"Okay."

At this moment, the three of them surrounded Xiao Chenguang and assisted him.

"First, free the splenic artery and observe the discoloration of the spleen's blood circulation."

After Xiao Chenguang said this, he did not slow down his movements and began to clamp and separate the right side of the gastrocolic ligament into the omental cavity.

This is where the splenic artery is.

"Gao Yang, prepare the vascular clamp."

"Okay."

As the splenic artery was temporarily closed, the inactivated tissue was soon ischemic and gradually appeared dark gray.

"Prepare to cut off the splenocolic and splenogastrostomy ligaments, and retain the splenocolic septum and splenorenal ligaments."

Xiao Chenguang found the ligaments connected to the inactive spleen tissue at a glance, and began to free and clamp them one by one.

"Director Xia, you are responsible for ligating the splenocolic ligament."

With the assistance of two directors, Xiao Chenguang can complete the operation earlier and faster.

He began to assign tasks, asking Xia Tao to ligate the splenocolic ligament and Wang Jingang to ligate the splenogastrostomy ligament.

As for Xiao Chenguang, he and Lin Gaoyang chose to remove the inactive spleen tissue and perform anastomosis.

Three groups of people, four pairs of hands, operating in an effective space at the same time, racing against time with the god of death, this is also the first time in the history of surgery in Shengli Hospital.

The anesthesia and circulation on the scene were so tense, and the instrument nurse on the stage was like a hang at this moment, busy and couldn't stop at all.

This side.

"No. 1 absorbable line, prepare to separate the inactive tissue."

"Okay."

Over there.

"Double No. 7 line, prepare for through suture."

"Understood."

The instrument nurse was like a spinning top, with a highly nervous expression, her hands were constantly working, and she was frantically adjusting the table.

Xiao Chenguang, because of Lin Gaoyang's cooperation, did not let the instrument nurse busy.

"Boss, his spleen is now broken at the touch, how to cut it?"

Due to the impact of shock and impact, the patient's spleen was brittle, and Lin Gaoyang was afraid that the whole spleen would be torn into pieces with one cut.

"Be steady, it's okay."

Xiao Chenguang picked up the scalpel, cut vertically at 90 degrees with the tip of the knife, and cut open the spleen capsule along the dividing line.

Suddenly, some devitalized tissues that had been smashed into pieces fell down.

"This..."

This was the first time Lin Gaoyang had seen such a scene.

The tissue was devitalized and broke before it was touched, which made him very nervous.

"Boss, do you want me to give you a spoon to scrape these broken pieces?"

This scene reminded Lin Gaoyang of when he first started his internship and followed the neurosurgeon teacher to the stage.

It was also a patient who fell from a height and hit his head.

At that time, blood plasma flowed out of his ears.

When he went on stage to open the skull, he found that most of the brain was inactive. The neurosurgeon teacher had no choice but to use a small spoon to dig it out bit by bit.

Lin Gaoyang still remembers that scene vividly.

"Time is tight, it's too late."

Faced with Lin Gaoyang's idea, Xiao Chenguang shook his head decisively.

With that fingernail-sized spoon, how long will it take to dig out the inactive tissue of the spleen.

"Prepare the vascular clamp, and remember to clamp the bleeding blood vessels."

"Okay."

Lin Gaoyang's throat surged, and the muscles in his hands were tense.

After giving instructions, Xiao Chenguang put all his energy on the spleen in front of him.

Although part of it was severely damaged, the spleen gate containing blood vessels and nerves was still intact.

Xiao Chenguang only needs to follow the direction of the spleen and steadily remove the damaged tissue.

At this moment, his upper body is bent and stretched, his arms are leaning forward, and he remains motionless.

Holding the knife in his hand, he hovers over the surgical area, the tip of the knife slowly falls on the surface of the spleen, his fingers move slightly, and every muscle is under Xiao Chenguang's control, like a machine, cutting accurately at an extremely uniform rate.

In Lin Gaoyang's eyes, Xiao Chenguang seems to be a motionless sculpture, standing there motionless, and there is no progress in the operation.

"Is the boss stumped, or what, why is he not moving."

Just when Lin Gaoyang was confused, Xiao Chenguang's voice suddenly sounded.

"Prepare the vascular clamp."

"Ah?"

Lin Gaoyang was stunned, and looked at the surgical area again. There was no change in the spleen, and there was no bleeding. Where to prepare the vascular clamp?

But the next second, half of the broken spleen had been taken away by Xiao Chenguang. He paused and stopped cutting.

A bright red blood began to ooze from the adjacent spleen. When Lin Gaoyang saw this scene, he suddenly noticed it.

It was not that Xiao Chenguang did not move, but the micro-operation of his fingers was blocked by his arm, so he did not notice it.

"Right away, boss, clamp the blood vessel now."

Lin Gaoyang immediately became 100% alert.

Soon, the devitalized spleen tissue the size of half a palm was thrown into the sterile bowl.

"Prepare for incision anastomosis, catgut, absorbable gauze, and mattress suture."

As soon as these words came out, Lin Gaoyang immediately prepared the supplies.

Xia Tao and Wang Jingang, who were nervously performing ligament ligation, were startled at the same time.

What? The incisions are going to be anastomosed, so fast?

The ligaments on their side haven't been ligated yet, but they are ready to suture over there?

They looked up quickly and were shocked to find that Xiao Chenguang was already anastomosing the spleen incision with the assistance of Lin Gaoyang.

The flying needle and thread appeared again, and at this rate, they would soon catch up with their progress.

Good guy, one person picked up the most difficult operation, but the speed was faster than the three of them combined.

This person is going to be amazing!

Realizing that they were dragging their feet, Xia Tao and Wang Jingang dared not stop, and gritted their teeth to complete the operation before Xiao Chenguang arrived.

Fortunately, at the last moment, the two directors finally completed the task assigned by Xiao Chenguang to them.

"Director, it's OK!"

After Xiao Chenguang finished the mattress suture, he happened to see that the operation here had been completed, and his eyes suddenly became more surprised.

It seemed that in his opinion, it was not easy for the directors to achieve this level.

The two looked at each other and saw each other's helplessness.

There is no way, it is really not comparable to this monster.

Especially Wang Jingang, he looked at the time on the wall.

It was agreed to be half an hour, only fifteen minutes passed, and the partial splenectomy was already at the end.

And the most difficult spleen removal and anastomosis was the fastest operation done by Xiao Chenguang.

With such ability, Wang Jingang didn't know what to say.

Even now, even if Xiao Chenguang said that he could do liver, kidney, and heart transplants, which were extremely difficult operations, he would not be surprised at all.

As the abdominal cavity was flushed with saline, a drainage tube was left in the spleen fossa. Seeing that the patient's vital signs were stable, Xiao Chenguang finally showed a long-lost smile.

The instructor's life was saved, and his spleen was also saved.

This means that he does not have to face forced retirement due to his health.

You must know that at the end of 1999, there will be a major military reduction due to technical reorganization.

And what Xiao Chenguang is doing now is just not to let him leave regrets.

As for other issues. For example, renal contusion does not require special treatment, but for pelvic fracture, since the position is OK, the director of orthopedics went on stage on the spot and performed pelvic incision, reduction and internal fixation.

During the operation, vital signs were stable, about 1800ml of blood was transfused, and 4000ml of fluid was supplemented. A urinary catheter was left during the period to ensure the amount of inflow and outflow, and to facilitate diuresis in the later stage and reduce the burden on the heart.

The operation was very successful in the end. It took a total of four or five hours. It was not until the afternoon when the get off work was almost over that the patient finally came down from the operating table.

"Okay, Xiao Xiao, after this operation, I believe that any other operation in the future will be carried out smoothly."

Wang Jingang was very happy. This operation was the largest joint operation that Xiao Chenguang had performed since he became the deputy director of the department.

Apart from other things, the surgical qualifications were there, and no one in the general surgery department could compare with Xiao Chenguang.

The position of the director of this department was stable.

Wang Jingang could also prepare for the application for the director of the general surgery department.

As the patient was awakened and the tube was removed, Xiao Chenguang pushed him out of the operating room.

The door opened and it was quiet outside, but when Xiao Chenguang walked out, he was shocked by the scene in front of him.