Back to 1999: From Operating Surgeon to Becoming a Top Doctor

Chapter 374

"Prepare the pneumoperitoneum machine, and the poke card will be established soon."

At the invitation of Xu Guoqiang, Xiao Chenguang stood at the main operating position naturally, and took the scalpel without slowing down, and operated on the skin that had just been disinfected and dried.

The tip of the knife cut across the skin, and before the blood flowed, the electrocoagulation had stopped the bleeding of the incision.

Free and downward cutting, with a wisp of green smoke drifting by, the poke card was set up, and the pneumoperitoneum needle pierced the peritoneum.

Connect the pipeline, and as the pneumoperitoneum machine hummed, the patient's abdomen began to bulge slowly.

The whole process was pleasing to the eye. Xiao Chenguang was chatting with the anesthesia and patrol next to him while operating.

The atmosphere in the operating room was harmonious and natural.

Although everyone was working with Xiao Chenguang for the first time, under his spring breeze smile, it seemed like a surgical team that had been running in for many years.

If there is no comparison, there is no harm.

Compared with the previous scene, this scene is simply a world of difference.

The operation went smoothly, and both the surgeon and the stage set up were in a good mood.

It is still easiest to cooperate with Xiao Xiao.

Even though Xu Guoqiang was only responsible for assisting at this time, he clearly felt this change.

He even had an illusion that Xiao Chenguang in front of him should be the professor who came from the imperial capital to perform a demonstration operation.

"The pneumoperitoneum is established. This is the blood gas that has just been checked."

Without being reminded, the anesthesia has handed the copied blood gas results to Xiao Chenguang.

Several key values ​​were specially marked with red pens, for fear that Xiao Chenguang could not see clearly.

The instrument nurse on the operating table also assembled the abdominal instruments that should be used and was waiting for Xiao Chenguang's call.

This is the state of doing surgery.

The familiar and smooth feeling made Xu Guoqiang unable to help but do his part for this operation.

"Very good, prepare for abdominal exploration."

There was no abnormality in the blood gas, and the patient's vital signs were also stable.

The opening operation was done very well. Xiao Chenguang stretched out his hand and the abdominal camera was handed over. He directly followed the established poking card and inserted it into the patient's abdominal cavity.

The same abdominal exploration, Xiao Chenguang is faster and more accurate.

The screen shook twice, and in a moment, the right hemiliver lateral tumor appeared on the monitor.

It was so fast!

Everyone present was amazed at Xiao Chenguang's operation.

The most important thing is that during the rapid exploration, the lens was not contaminated by tissue, and Xiao Chenguang found the best observation position for the surgical field with a slight turn of his wrist.

As mentioned before, the patient's liver interlobar fissure was dysplastic, the liver was not full, and even a little atrophied.

The operation was greatly reduced, and the operation was indeed difficult. Whether it was the operating space or the later cutting and suturing, it was extremely challenging.

When everyone saw the liver in the picture, they were silent for a while, and they vaguely felt a little worried.

"Or... wait for Professor Kang to come?"

Xu Guoqiang was a little embarrassed.

Laparoscopic partial liver resection is a field he has not yet touched.

Although it is often done during major surgery, it is the first time to perform laparoscopic surgery.

When he thought of the difficult operation of Kang Dashu just now, he was at a loss.

"Professor Kang is not good enough, so don't wait for him."

At this time, Xiao Chenguang, who was standing at the main operating position, still had a calm expression, and his eyes were indescribably steady.

Professor Kang from the capital is not good enough?

What kind of lewd words are these?

Everyone in the operating room was shocked when they heard this, and even Xu Guoqiang couldn't help but glance at the camera beside him.

They were afraid that Xiao Xiao's words would be heard by the directors who were watching the live broadcast outside in front of the camera.

"That...there is no sound in the live broadcast, don't worry."

The cameraman who was huddled in the corner was also trembling at this moment.

He looked at Xiao Chenguang on the stage suspiciously, wondering who this person was, and how could he speak more arrogantly than the professors in the capital.

"Really, there is no need to wait. His operation takes at least two and a half hours. By the time he gets here, the daylily will be cold."

"..."

Indeed, if it is really as Xiao Chenguang said, not to mention the daylily, Xu Guoqiang is really afraid that the patient will be cold.

After all, the temperature in the operating room is still very cold.

When leaving the operating room, few people shivered. It was not because they were afraid of the operation, but because they were cold.

"Xiao Xiao, are you sure?"

"In the auditorium outside, there are at least more than a hundred pairs of eyes watching the operation. If it can't be done..."

Xu Guoqiang didn't dare to think about it anymore.

"Don't worry, although laparoscopic liver resection is difficult, it is only a little bit more difficult than the abdominal aortic aneurysm resection we did before. You just need to hold the lens and it will be fine." Xiao Chenguang said lightly.

"Really?"

Xu Guoqiang was immediately alert when he heard that it was similar to the previous operation.

As long as Xiao Xiao said it could be done, it would definitely work.

The operation continued.

Xu Guoqiang acted as the lens holder, and Xiao Chenguang picked up the instrument and began to operate.

Enter the abdominal cavity and accurately locate.

Controlling the instrument, Xiao Chenguang began to free the hepatic artery and portal vein at the first liver portal, and performed the right hepatic blood flow blocking technique.

The lens moved with Xiao Chenguang's operation, and the picture on the screen kept changing.

The liver periarthritis ligaments were adhered, and the fingernail-sized separation forceps were used to separate them in the cramped space.

Xiao Chenguang's eyes were sharp, and his arm that controlled the instrument was motionless like a sculpture.

His wrists turned, and his fingers precisely controlled every detail.

Whenever he saw Xiao Chenguang doing this, Xu Guoqiang would think of the crystal clear eggs under the drill bit.

His hands were as steady as ever!

Xu Guoqiang was alert and cooperated with Xiao Chenguang's operation, not daring to make the slightest mistake.

The whole process of freeing was very fast.

After a while, the blood vessels and ligaments were freed, and even the adhesions in the abdominal and thoracic cavities were cleared by Xiao Chenguang.

"Xiao Xiao, it has to be you!"

Xu Guoqiang was very excited, and he instinctively glanced at the timer embedded in the wall.

It only took half an hour to complete the operation that would have taken an hour to open the big surgery.

If he had known that this would be the result, he might as well have asked Xiao Chenguang to perform a demonstration operation directly, so that he would not have to suffer the anger and could also learn the experience and skills brought by the operation.

Just as the freeing was over, Xu Guoqiang turned the camera to the liver area that needed to be cut.

The scene in front of him made his originally relaxed mood suddenly heavy.

A problem quietly emerged.

In the picture, the patient's liver area occupied by the tumor is severely atrophied, black on the surface, and hard in texture, like a hard stone.

This is liver cirrhosis caused by the tumor.

The fissures of the surrounding liver and the freed liver area to be cut are almost squeezed together, severely compressing the cutting and suturing angle, which makes the operation extremely difficult.

If the operation angle is not enough, if you are not careful, you will scrape the surrounding blood vessels, which will inevitably cause massive bleeding in the liver.

But if you don't cut, convert to laparotomy, and expand the surgical field, then this laparoscopic liver resection demonstration operation will lose its meaning.

What to do?

Xu Guoqiang looked embarrassed and couldn't make a decision.

The atmosphere on the scene was a little heavy. Everyone knew that the operation had encountered a bottleneck. No one dared to speak. The whole operating room was quiet and extremely tense.

At this moment, Xiao Chenguang's steady voice sounded again.

"Director Xu, I need an instrument."

Chapter 374/517
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Back to 1999: From Operating Surgeon to Becoming a Top DoctorCh.374/517 [72.34%]