Chapter 380
This laparoscopic liver resection surgery, known as the most difficult one, was completed smoothly.
Until the next patient came to the operating room, Xu Guoqiang was still in shock and had not recovered.
It was so smooth that it seemed unreal.
The most important thing was that the liver resection operation, which took several hours, was completed so quickly, which was beyond his understanding.
Xu Guoqiang, as the director of minimally invasive surgery and the organizer of this demonstration surgery, suddenly discovered that the protagonist today was not Kang Dashu from the imperial capital, nor him as the director, but Xiao Chenguang, who was now preparing to perform the surgery.
Thinking of the last liver resection surgery he led, almost every "shot" hit Xu Guoqiang's heart, which was very beneficial.
This feeling of using anatomical structures and instruments to the extreme seemed to take him back to his student days, when he studied surgery with his instructor.
"Teacher Xu, what are you thinking about? The patient is about to come on stage, let's continue."
"Oh oh oh, okay, whatever you need me to do, just ask Director Xiao."
"???" Xiao Chenguang.
When did Xu Guoqiang become so polite?
Xiao Chenguang, who was about to position the patient, didn't think much and said directly: "The three-dimensional reconstruction of this patient was done well. Considering that the tumor grows on the outside of the right hemi-liver, the head is high and the feet are low, and the right tilt is 30°. Lift the right side of your back.”
A good posture can enable the surgeon to achieve twice the result with half the effort.
"Director Xiao, don't move, I'll do it!"
"I can do this kind of work. If something happens on stage later, you can call me."
Completely different from the support provided by Professor Didu, on Xiao Chenguang's side, Xu Guoqiang truly responded to every request.
And the harder I work, the more energetic I become.
Xu Guoqiang also did it himself even if it was a job for training interns such as positioning.
Seeing this scene, everyone else in the operating room was stunned.
"What's wrong with Director Xu? He's doing the same thing as a Taiwanese follower." Xianyou whispered.
"It goes without saying that the operation was so smooth, naturally because Director Xiao was here. If I had such a big boss following me, I would definitely be more exaggerated than Director Xu." Anesthesia said with envy.
"If you say that, I understand, but what is the device that Director Xiao was holding just now? I have never seen it before, and I didn't expect it to be so easy to use." Youyou said in a low voice.
"I don't know either. I'll ask after the operation starts."
Anesthesia is also very curious about new equipment.
At this time, the patient's position has been completed, and the anesthetist stopped chatting after seeing the situation.
Anesthetize and intubate, put on ventilator, and observe vital signs.
Be familiar with the road and write an anesthesia record sheet.
Xu Guoqiang directly started disinfecting the skin and spreading the drapes. The two of them had a cooperative relationship at best from the previous surgery.
But since this demonstration surgery, as the director of minimally invasive surgery, Xu Guoqiang has completely used himself as an assistant.
The key is, this is all of his own free will.
"Director Xiao, this is all my fault. I didn't listen to your suggestions and made my own opinions. As the organizer of this event, I originally wanted to set an example for endoscopic technology in the provincial capital and expand its influence, but it almost overturned."
"If you hadn't helped me over and over again, I probably wouldn't be able to work as the director of minimally invasive surgery." Xu Guoqiang said sincerely.
Indeed, without Xiao Chenguang's full help today, as the organizer, this demonstration surgery would have failed.
Minimally invasive surgery and his director will also become the laughing stock of the provincial capital.
When the time comes, the endoscopic technology that has finally come to the fore will be completely destroyed due to his eagerness for quick success.
At least it feels like I won’t be able to turn over in a few years.
On the stage, Xiao Chenguang didn't think anything of Xu Guoqiang's apology.
The original intention of the demonstration surgery was good. Although the process had twists and turns, the current results were what Xiao Chenguang wanted to see.
Minimally invasive surgery replaces traditional open surgery, changing the original liver incision of more than ten centimeters, leaving only a few small holes in the body that are less than one centimeter and difficult to detect.
This in itself is an improvement.
"Mr. Xu, it's nothing. You have helped me a lot before. The three colleagues you personally selected for emergency support are all very good and have put the trauma center of Shengli Hospital on the right track."
"You don't have to meet anyone outside, just call me Xiao Xiao."
Xiao Chenguang said it calmly, but Xu Guoqiang felt very guilty.
In terms of help, thanks to Xiao Chenguang's two previous rescues in the provincial capital, Xu Guoqiang is now the director of minimally invasive surgery.
He knew it very well.
Now that Xu Guoqiang was deeply moved when he saw that Xiao Chenguang ignored the past grievances and even found a step for him to get off.
"Xiao Xiao, I will do whatever you ask me to do during the operation. Let's try to complete all the next few operations and let Kang Dashu, who dislikes our provincial capital's skills, see whose level he is. Low!"
"Teacher Xu, you want to go with me."
Xiao Chenguang was smiling. When he performed three-dimensional reconstruction on the patient last night, he had already simulated the intraoperative situation in his mind.
With the help of the linear cutting stapler, each subsequent surgery will be more stunning than the last.
"Director Xiao, Director Xu, the patient's muscle relaxants and anesthetics have begun to take effect. The RASS sedation index is -5. Surgery can be performed."
The anesthetist has been adjusting the dose and observing the patient's breathing pattern. After confirming that the breathing has been completely eliminated, he said to the two people on the stage.
"Teacher Xu, come on stage!"
"good."
After washing their hands and changing into surgical gowns, Xiao Chenguang and Xu Guoqiang stood on the stage again.
Establish pneumoperitoneum and perform laparoscopic exploration.
The liver tumor was found quickly.
This time, the patient's liver was smooth and delicate, without fatty liver and cirrhosis, and the liver margin was full. If it weren't for the tumor, it could be a normal anatomical specimen and be on the cover of a textbook.
"Xiao Xiao, do you still use a gun for this time?"
Xu Guoqiang has a strong learning ability. After Xiao Chenguang briefly introduced the role of the linear cutting stapler, he was able to master it.
"Yes, manual cutting is too slow, and guns are faster." Xiao Chenguang nodded.
Although the patient's liver is well developed, manual resection would take more than half an hour even if Xiao Chenguang did it himself.
Now holding the linear cutting stapler, he shoots two shots and is done.
Easy and free, safe and effective, and not troublesome at all.
"Okay, I'll do the right hepatic blood flow occlusion."
With the experience of the previous operation, Xu Guoqiang was eager to help Xiao Chenguang block the blood flow and free the hepatic arteries and veins in advance.
However, this time, Xiao Chenguang shook his head.
Xu Guoqiang's initiative was rejected, thinking that Xiao Xiao did not approve of his skills, and he was frightened and hurriedly explained.
"Xiao Xiao, I have done hundreds of traditional liver resections without mistakes, and I am also familiar with laparoscopic technology. This time I will be very careful to free the blood vessels."
"Teacher Xu, you misunderstood." Xiao Chenguang shook his head and dispelled his doubts.
Then he said: "I think we can change to a more efficient way to complete this demonstration operation this time."
"For example, try the three-shot method to knock out this liver lobe."