Chapter 213

"Director Xu, this is amazing. Such a large tumor can be removed en bloc without damaging other organs. The difficulty of the operation is a milestone in the history of the Second Hospital of the Provincial City."

When the tumor was cut out, I finally breathed a sigh of relief after being nervous about the anesthesia.

Immediately, compliments rang out in the operating room.

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

Having said that, Xu Guoqiang was very excited at this time.

He didn’t expect that his endoscopic skills had reached the level of being able to remove gallbladder cancer en bloc.

It is still a very complicated gallbladder cancer surgery with severe adhesions and abnormal wrapping, involving multiple organs of the liver, gallbladder and pancreas.

He is so strong!

Xu Guoqiang was so pleased with himself that his whole face looked happy. He looked at the bold sac on the screen as if he were looking at an exquisite piece of art, which made people linger and find it difficult to extricate themselves.

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

The patient was able to get off the stage safely, and the condition was not too bad. Although the anesthesia time for the operation was a bit long, which would affect the elderly's subsequent recovery, it was a miracle that the operation could be completed.

Xu Guoqiang cleaned the surrounding lymph nodes with ease.

Thinking of Shen Yiwei's dead face when he left, Xu Guoqiang has never been as proud as he is today in all his years in Corey.

At the end of the operation, only bagging is left to remove the tumor from the patient's abdominal cavity.

But at this time, a big or small problem appeared in front of him.

The tumor in the patient's abdominal cavity was too large. Shen Yiwei did not consider this situation at all when he performed the surgery.

Therefore, the stamp card made has only one centimeter opening.

The bag can be put in, but taking out the entire gallbladder is a problem.

Moreover, the location of the poke card is relatively unsatisfactory. Even if the incision is extended outwards, it may not help.

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

"Shen Yiwei, he wanted to dig a hole for me before he left. What should I do now? Is it really necessary to make another incision from the side of his stomach?"

Xu Guoqiang was worried at this time. Although the operation was flawless, he was asked to give the patient another knife because of lack of preparation in advance.

Moreover, the purpose of the surgery was only to remove the tumor. No matter how I thought about it, I felt it was not cost-effective.

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

At this time, no one dared to express opinions, let alone solutions, and the atmosphere in the entire operating room was somewhat gloomy.

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

Xiao Chenguang held the abdominal lens and looked for something around the gallbladder.

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

Is there any way Xiao Xiao can do it?

At this time, Xu Guoqiang suddenly realized that a large part of the reason why the operation just completed was successfully completed was because Xiao Chenguang, the assistant, was so perfect.

Xu Guoqiang also started as a mirror holder before, and he is very aware of the impact of the assistant's quality on the surgeon.

Previously, it was because this operation was too difficult, and he was so excited that he could do it, that 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 humbly asked for advice on the stage. The arrogance that had just risen disappeared without a trace.

Since the doctor in the audience was far away and did not know the details of the operation, when Xu Guoqiang asked Xiao Chenguang for advice, the entire operating room fell silent.

They looked at the two people on the stage in disbelief, but tens of thousands of questions arose in their minds.

It was obvious that Director Xu performed the entire operation himself.

Why should I be in awe of the assistant beside me? It feels like a master taking the initiative to show kindness to his apprentice and being cautious in everything he does, for fear of making the other person unhappy.

Everyone in the audience was puzzled, but Xiao Chenguang turned a blind eye on the stage. At the moment, all his attention was focused on the screen.

"Teacher Xu, I just took a look. The one-centimeter stamp card can extend a few centimeters more because the skin is malleable."

"Now, based on the size of the gallbladder on the screen, combined with the effect of three-dimensional reconstruction, as long as the internal cyst can be incised and drained, the shriveled gallbladder can be taken out from the stamp card."

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

His words were light and gentle, but everyone present was dumbfounded.

Incision and drainage in the abdominal cavity are still done through laparoscopic techniques. This operation is no less difficult than the previous surgery, and it is even more difficult.

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

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

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

After all, the purpose of performing radical surgery for gallbladder cancer is to prevent the cancer from spreading outwards.

The best method is to perform overall incision, which can effectively prevent the spread of cancer cells and inflammatory mediators.

But now, Xiao Chenguang actually asked for the removed gallbladder to be drained. This method was something 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 patient to extract the bile, 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, puncture and drainage can be handed over to assistants.

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 even 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's just a matter of a few minutes, and everyone will feel at ease after it's done and stepped down."

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