Chapter 430
"Xiao Xiao, are you sure about the demonstration surgery?"
Li Guoyong got straight to the point. Although he trusted Xiao Chenguang 100%, laparoscopic liver tumor resection was the first case in the entire Yingcheng.
Especially when he saw the patient's condition and the diagnosis on the CT film, he was vaguely worried.
Others' demonstration surgeries were performed under extremely safe conditions, but Xiao Chenguang went straight to emergency surgery.
He was removing a huge liver tumor.
This was a risky decision no matter where it was placed.
"No problem."
Xiao Chenguang used only three words to dispel Li Guoyong's concerns.
His voice, like the spring breeze, coupled with his nonchalant appearance, made people trust him instinctively.
"Okay, I got it."
Li Guoyong then whispered a few words to the head of the Propaganda Section who came with him.
The latter showed a little surprise. He looked at Xiao Chenguang and the patient on the bed and nodded.
The patient was pushed into the operating room, and Liu Tie stood at the door of the No. 1 operating room waiting.
Seeing Xiao Chenguang coming over after changing into his gown, he greeted him.
"Brother Liu, long time no see."
"Xiao Xiao, what big job have you done this time since you came back from the provincial capital?"
Liu Tie joked as he and the others moved the patient to the operating table.
As a witness, he saw Xiao Chenguang grow up step by step.
It seems that Xiao Xiao has evolved again during this trip to the provincial capital.
Laparoscopic resection of giant liver tumors also involves new equipment, which makes me excited.
"Still the same? General anesthesia, intubation and ventilator."
After completing the three-party verification, Liu Tie has already skillfully used the gas anesthetic sevoflurane to anesthetize the patient.
Then the drugs were used: propofol, remifentanil, dexmedetomidine, vecuronium, intravenous sedation, analgesia and muscle relaxation.
Seeing that the patient's muscles gradually relaxed and the respiratory resistance weakened, the No. 7.5 tracheal tube in his hand was used with the laryngoscope to complete the patient's tracheal intubation.
Auscultation, ventilator, and volume control adjusted according to weight.
After Liu Tie's smooth operation, the patient's vital signs were stable and he was waiting for the next operation.
At this time, Liao Changgong, who also changed into a washcloth, came to the operating room with the cameraman.
Accompanied by the head of the publicity department, they could only stand far away in a corner of the operating room and set up the camera equipment.
Before Xiao Chenguang could speak, the head of the publicity department explained: "Director Xiao, this is the instruction of President Li to record the whole process of the demonstration operation to facilitate the later publicity."
When the head of the department said this, he was obviously a little lacking in confidence.
Just now, outside the operating room, when Li Guoyong told her that he would let the city TV reporter enter the operating room for an interview, she was shocked.
In all these years, Shengli Hospital has never allowed a surgery to be recorded by video throughout the process.
After all, the surgical process is uncontrollable. In order to prevent accidents, the best way is not to record it.
Although this will affect the authenticity of the operation to a certain extent, it is better than an uncontrollable situation.
But now, President Li not only requires the demonstration operation to be recorded throughout the process, but also asks her to hurry up and write a publicity draft.
The operation has not started yet, but they are promoting it in advance. How much confidence does it take to make such a decision?
"Director Xiao, you can do the operation with peace of mind. I understand the concept of sterility. I will not go anywhere except this area."
While Liao Changgong was speaking, a large sterile cloth had been covered on the camera.
Only the extremely black lens was exposed to the outside for easy recording.
In fact, on the way here, he was already very clear that if this demonstration operation was successful, it would cause a great sensation in the entire Yingcheng medical care.
By then, there will be many liver cancer patients who cannot undergo surgery.
Through surgery, the lesions are removed and a new life is regained...
Even Liao Changgong is already brewing the next promotional title.
All preoperative preparations are completed, and the operation officially begins.
Xiao Chenguang washed his hands, put on surgical clothes, and stood at the main operating position.
Lin Gaoyang, the first assistant, stood on the opposite side and disinfected the skin before the operation.
Since Li Wenxia was not there, the laparoscopic equipment was operated by the second assistant Gong Liang with the cooperation of the head nurse.
The operation was being carried out intensively on the stage.
The stage was also full of surgeons who came to observe the operation.
Most of them were young doctors, and their eyes were full of yearning for new technologies.
The huge No. 1 operating room seemed a bit crowded at this moment.
Xiao Chenguang didn't mind this.
When he went to a lower-level hospital to perform transplant surgery in the future, the scene was even more exaggerated than this.
The directors of various departments and elite backbones of the hospital were fully armed. While ensuring that the surgical area was not contaminated, they stepped on benches and tiptoed, formed a circle with the operating table as the center, and silently learned the surgical skills of Xiao Chenguang on the stage.
"Boss, the skin disinfection is complete, and the operation can begin."
"Director, the laparoscope is running well, the gas cylinder is ready, and pneumoperitoneum can be established at any time."
Compared with the doctors below who were stretching their necks, Lin Gaoyang and Gong Liang were lucky at this moment.
Being able to go on stage to personally assist Xiao Chenguang in performing demonstration operations, such treatment has surpassed many people.
"Okay, use the most common five-hole method of laparoscopy for surgery."
Xiao Chenguang turned sideways and took a look at the CT film inserted in the film light.
The five-hole method was chosen so that after the huge tumor was removed, it could be removed as a whole through the mesh without contaminating the abdominal cavity.
He reached out and took the scalpel.
Xiao Chenguang personally set up the puncture card and observation hole.
The tip of the knife cuts through the skin below the navel, covers the incision with sterile gauze, and performs blunt separation.
Gradually expose the subcutaneous tissue, fat layer, and muscle layer.
Under precise control, only a little bright red oozes out and is absorbed by the gauze on the side.
"Boss, peritoneal puncture needle."
Lin Gaoyang, who is standing as the first assistant, performs his duties conscientiously.
The moment he saw Xiao Chenguang expose the peritoneum, the assembled puncture needle was handed over.
The timing is just right, not a second off.
"Okay."
Xiao Chenguang nodded and took the instrument.
It seems that during this period, Lin Gaoyang's laparoscopic surgery has also made great progress.
The steel needle is inserted at an oblique angle, puncturing the peritoneum, and there is no blood return after aspiration, confirming that there is no damage to blood vessels and surrounding tissues.
Without waiting for Xiao Chenguang to speak, Gong Liang, who is in the position of the second assistant, has connected the prepared pipeline quickly and fixed the puncture card.
Then the carbon dioxide pneumoperitoneum is established in an orderly manner.
The dark grey gas cylinder hissed, and the originally shriveled skin began to swell.
Because the patient had severe ascites and a bulging abdomen, the pressure in the gas cylinder was not high.
Although the difficulty of the next operation would increase, the patient's safety was the top priority.
The operation holes were established one after another, and the needles and threads were sutured and fixed.
The screen lit up, and the laparoscope flashed white light. Lin Gaoyang put it into the patient's body through the observation hole.
The situation in the abdominal cavity was clearly visible and displayed in front of everyone in the operating room.