Chapter 272

The aneurysm on the screen is contracting and expanding in an orderly manner with the beating of the heart.

As the largest artery in the human body, the expanded part is located below the navel, close to the iliac artery.

Due to the previous repair, the conditions for the resection operation are provided.

"Director Sui, pay attention to the patient's blood pressure and blood supply to the lower limbs, and pay attention to the pulsation of the dorsalis pedis artery."

"Okay."

Director Sui of the Department of Anesthesiology cheered up. No matter what the result was, the operation had begun.

Xiao Chenguang in the stands looked determined and stopped persuading him, but cooperated 100%.

After all, the last person who jumped out to stop the operation had been pushed out of the operating room alive.

"Teacher Xu, pay attention to negative pressure suction, deal with bleeding in time, and don't contaminate the lens."

"Understood."

Xu Guoqiang responded immediately.

At this moment, Xiao Chenguang controlled the instrument with both hands, blocking both sides of the blood vessel with a special clamp, preparing to remove the tumor.

The work of negative pressure suction can only be handed over to Xu Guoqiang.

He watched the screen, Xiao Chenguang's steady operation, every step was reasonable, unhurried, the whole process was very precise, as if this kind of operation had been done hundreds of times.

It's stable, it's stable.

At first he was a little uneasy, but as Xiao Chenguang operated, Xu Guoqiang began to get excited.

But he didn't dare to say anything, for fear of affecting Xiao Chenguang who was in the operation.

The arterial wall is very thick and solid, and the operation is not difficult. After separating the entire tumor and ligating it with needles and threads, Xiao Chenguang took the puncture needle and steadily inserted it into the cavity to extract the light red bloody fluid.

Compared with the previous operation in Yingcheng, the same emergency was performed on the stage, one was traditional laparotomy, and the other was laparoscopic. Because of the different methods, the results were also completely different.

This operation was obviously more delicate.

Xiao Chenguang changed to electrocautery and cut at the root of the ligated tumor.

The operation was simple and unpretentious, but steady as a rock. As Xu Guoqiang watched the tumor being gradually removed, he was holding a negative pressure suction device to keep the picture clear, and suddenly an idea came to his mind.

If he was the main surgeon in this operation, how far could he go?

Xu Guoqiang's memory kept pushing forward, and combined with Xiao Chenguang's operation, he sadly discovered that he might not be able to do even the initial hemostasis.

Maybe he could do it in the future, but definitely not now.

The purpose of this operation was to treat the symptoms, but if it could be done, who would not want to treat the root cause?

But with Xu Guoqiang's current ability, he might not even be able to treat the symptoms, and Xiao Chenguang in front of him was about to treat the root cause.

After the electrocautery was over, the amount of bleeding was very small, and there was no obvious damage to the blood vessels. Xiao Chenguang carefully performed the final repair.

The needle and thread rotated and jumped on the blood vessel wall bit by bit, without stopping.

Even the most difficult separation of the tumor and reconstruction of the vascular side wall seemed to be easy.

The fingers controlling the laparoscope kept rotating with the instrument, as if they were really operating with both hands, freeing, removing, and repairing.

With the aneurysm removed as a whole, the whole process took less than ten minutes.

You know, even with traditional laparotomy, this step alone would probably take more than fifty minutes, which is why Xu Guoqiang hesitated at the beginning.

What a gap!

Xu Guoqiang had a complicated expression, and he didn't know what to say at this moment. In addition to being thankful, he was deeply shocked.

"Prepare to loosen the clamp and see if there is a false cavity or bleeding in the blood vessel."

Just when Xu Guoqiang was stunned, the laparoscope in his hand trembled slightly.

Only then did he realize that the operation was almost over, and Xiao Chenguang was tapping the camera through the instrument on the screen to remind him.

"Oh, okay, right away..."

Xu Guoqiang responded in a panic, and the camera began to move, checking up and down along the direction where the clamp was loosened.

The originally slightly shriveled artery gradually filled up at the moment the clamp was released, and was now receiving the blood ejected from the aortic arch by the right ventricle.

The rapidly ejected blood was like a high-speed car, impacting the anterior wall of the newly repaired abdominal aorta.

The suture needles and threads were clearly visible, and they were slightly tightened under the high-pressure blood flow.

As time passed, the blood vessels were still intact, and the blood shuttled back and forth in the large blood vessels, nourishing the patient's entire lower limb circulation.

"Anesthesia, how is the patient's lower limb?"

At this time, the anesthesia director, who had reacted, quickly reported.

"The patient's dorsalis pedis artery pulsated well, there was no obvious cyanosis and purple spots on both lower limbs, and the blood supply was normal."

"Very good."

After hearing this, Xiao Chenguang nodded with satisfaction, but he did not stop the operation.

Even though the blood vessels were already in normal use, Xiao Chenguang was still cautiously checking the toughness of the blood vessels. There was almost no bleeding at the location where the aneurysm was cut in the surgical field. After cleaning, he performed preventive electrocoagulation repair on several key blood vessels that might have false aneurysms, just in case.

Seeing this scene, Director Sui of the Anesthesiology Department was already dumbfounded and speechless.

As for Ge Hongchao in the high-ranking cadre ward, he was dumbfounded and muttered to himself, as if this matter had exceeded his cognition.

"It's done so quickly, is it really done, how can it be so fast..."

In fact, the reason why this operation can be done so quickly is mainly because the patient's hemangioma is unilaterally expanded, like an inflated tire.

It only needs to be cut and sutured, with gentle movements and prevent bleeding.

If the artery swells as a whole, it will be troublesome.

Block the upper and lower blood vessels, cut the tumor, place artificial blood vessels, re-anastomose and fix, suture the upper and lower ends, and wrap the surrounding blood vessel walls. It takes two or three hours to complete the whole process.

Of course, the best way is intervention. Insert a guidewire through the femoral artery, perform superselection, enter through the common iliac artery branch, enter the abdominal aorta, and place an umbrella (stent) to open it. It is easy and labor-saving, but now...

It can only be said that the patient on the stage is lucky. Even if he is an old smoker, his blood vessels will not be completely scrapped.

"Warm saline is here."

The circulating nurse hurried over with the saline for abdominal flushing.

"Xiao Li, why did the saline take so long to warm up this time? The operation here is done."

The instrument nurse and anesthesia head nurse on the stage were quite dissatisfied with the speed of her subordinates.

"The operation is done? How long has it been..." Xunxing's expression was a little confused. She was usually the most efficient in the operating room, otherwise she would not be pulled to the operation in the middle of the night.

It was just that she had just been out for a short time, how come the operation was already completed? Tonight's patient was special, she knew it very well, and even her movements were a few points faster than before, for fear of delaying things...

Xun Xun felt a little aggrieved and wanted to explain, but when he looked up and saw Xiao Chenguang who was removing the tumor from the abdominal cavity, he was completely stunned.

This... It was really on her way to get the warm saline, just like warm wine killing a hero, not only stopped the bleeding, but also removed the false aneurysm at the same time. How could this young surgeon do the operation so quickly?