Chapter 431

The endless yellowish ascites, like a vast ocean, blocked the way forward for the laparoscope.

The picture on the screen was desperate.

The atmosphere on the scene was even more depressed.

"Put on a condom, negative pressure suction tube!"

Xiao Chenguang's voice sounded, and the instrument nurse began to install the negative pressure suction device.

A transparent tube as thick as a pencil was handed to Xiao Chenguang.

Inserted into the abdominal cavity along the punch card.

With the hum of the electric motor, a large amount of abdominal fluid was drawn out of the body.

In the waste liquid bottle, the rising water level was about to touch the 1000ml scale.

There was a mixture of protein, impurities and light red exudate.

This is portal hypertension, liver failure, systemic blood stasis, and fluid that keeps seeping into the abdominal cavity from the vascular tissue.

"Pay attention to the abdominal pressure, blood pressure, and electrolyte disorders, and draw blood gas for the patient later."

Xiao Chenguang took a look at the patient's vital signs on the ECG monitor.

The blood pressure dropped from the original 120/65mmHg to around 90.

The monitor began to alarm.

The red light flashed, and the blood oxygen saturation and heart rate gradually began to change.

Liu Tie, who had been guarding the patient, immediately took out a large amount of vasoactive drugs from the operating table and began to aspirate the liquid and prepare pressor drugs.

Then he drew blood gas without stopping and called someone to the laboratory for emergency inspection.

At this time, everyone present knew that it was not advisable to drain too much abdominal fluid at one time for the first time, and it was best not to exceed 1000ml, otherwise the chest and abdominal pressure would change sharply, causing symptoms such as hypotension and shock.

But the operation had to continue.

If the abdominal fluid was not drained, the patient's stomach would be full of water, affecting the field of vision in the surgical area, and it would be impossible to perform the operation.

Everyone present could only look nervously at the few people who were operating carefully on the stage.

"Xiao Xiao, the blood pressure has been raised. The patient's arterial blood gas has some acidosis. This is the result."

Busy Liu Tie took advantage of the interval of draining ascites on the stage to jog all the way and took the deep vein puncture kit from the material warehouse, ready to put a deep vein catheter of more than ten centimeters in length on the patient's neck.

Tear open the plastic package and assemble it. The operation is quick and capable.

Insert the needle into the blood vessel, draw blood back, and fix the film.

Soon the internal jugular deep vein puncture was completed. Under the effect of pressor drugs, the vital signs of the patient on the stage gradually returned to normal.

"Okay, drip half a bottle of sodium bicarbonate intravenously. Brother Liu, when did you learn to puncture the deep vein?"

When Xiao Chenguang saw the blood pressure drop, he originally planned to change the sterile gloves again and perform the deep vein puncture operation himself.

Unexpectedly, Liu Tie could complete this operation alone, which saved Xiao Chenguang a lot of trouble.

"I saw you rescuing patients some time ago and performed several operations. I was very impressed. Since then, I have started to study step by step."

Liu Tie has not been idle during this period. Instead, he has been constantly training puncture techniques under the inspiration of Xiao Chenguang, which has led to his growth today.

"Okay! Awesome!"

Xiao Chenguang's casual praise made Liu Tie's heart suddenly shrink and beat with excitement.

It seems that the operation just now has been recognized by Xiao Chenguang, which is more precious than Liu Tie's encouragement from the professor when he went to the provincial capital for further studies.

As the ascites was drained, the intracavitary structure gradually became clear and appeared on the screen.

Lin Gaoyang, an assistant, controlled the laparoscope and explored all the way, and soon came to the vicinity of the liver area.

On the screen, the liver area was severely adhered and the tissue was edematous, and there was a risk of bleeding with a slight touch.

But Lin Gaoyang's operation was still familiar. Even if the intra-abdominal adhesion was serious, he could open the passage with his understanding of the tissue structure.

The skilled operation and bold attempt made the audience stunned.

They came to learn the demonstration operation from Xiao Chenguang. Who would have thought that Lin Gaoyang, who was only standing in the assistant position, could perform laparoscopic surgery so well.

Not only was there no bleeding in the area he passed through, but there were several times when the separation forceps were about to touch the hyperplastic tissue, but Lin Gaoyang used his strength to bypass it.

The sense of space and distance was just right.

This skill alone required everyone in the audience to study it carefully for a while.

"Is the person who is operating Director Xiao's apprentice?"

"It should be. When he came to the emergency consultation, I had several dealings with him. I heard from the nurse that he seemed to be promoted by Director Xiao."

"No wonder, just the operation just now, he would be a good surgeon in the provincial capital. Director Xiao is really amazing. The apprentices he taught are all awesome!"

Among the crowd in the audience, there was a group of three people from the provincial capital.

When they heard that there was a demonstration operation by Director Xiao, they immediately rushed to the operating room.

In the previous impression, it seemed that there was no other person in Shengli Hospital who deserved their attention except Xiao Chenguang.

But now, when they saw Lin Gaoyang's operation, the arrogance in their hearts had disappeared.

"Ping An, let me ask you, if we put ourselves in his shoes under the same conditions, can we do better than Lin Gaoyang?"

Liu Hua, one of the three members, suddenly asked a soul-searching question.

"..." Chen Ping An.

"..." Zhu Chao.

Seeing the three people silent at the same time, Hua Shuo, who was squeezed in the crowd and watched all this silently, had a little more surprise in his eyes.

The operation of each of the three people who just spoke was very sharp. Even among the young doctors in the provincial capital, they can rank among the best.

But now, facing Xiao Chenguang's apprentice, the three of them sighed that they were not as good as him. This was too incredible.

At this time, the smooth operation on the screen suddenly paused.

Lin Gaoyang's voice rang out in the operating room.

"Boss, the area ahead is a bit tricky."

The adhesion tissue attached to the surface of the liver at this moment was like an indestructible net, blocking Lin Gaoyang's operation.

He tried several times, but the net was like a solid wall, and he couldn't use the separation forceps to lift any corner and peel off the adhesion tissue.

"It's okay, I'll do it."

Lin Gaoyang's progress is obvious to all, but the operation in front of him is a bit too difficult.

Xiao Chenguang took the separation forceps in his hand and began to free.

Compared with Lin Gaoyang's operation, Xiao Chenguang seemed more at ease.

Choosing the angle of approach, his hands were extremely steady.

Under his control, the separation forceps, the iron-hard adhesions were peeled off bit by bit.

Lifting a corner, while not hurting the liver tissue, the forceps mouth tightly bit the connective tissue attached to it.

Precise and powerful.

Then, with a gentle pick, a whole piece of thin attachment was lifted up, revealing the fresh liver tissue inside.

With just one move, the entire adhesion area was directly peeled off, without bleeding or damaging the liver area.

Everyone present was speechless by Xiao Chenguang's operation.

The entire operating room was silent. The demonstration operation had not yet reached the most critical step. Now it was only in the preparation before cutting, which had already amazed them several times.

Even the doctors who came from the provincial capital to support began to shine in their eyes.

Just watching the operation under the stage can gain a lot. If you can go on stage to participate in the operation, even if you are just an inconspicuous second or third assistant, you will surely have a huge improvement.

This further strengthened their determination to follow Xiao Chenguang's operation.

Suddenly, the picture on the screen turned, and the entire liver area structure came into view.

Seeing this, everyone present took a breath of cold air.

Exclaimed.

"Oh my god, how can there be such a big tumor!"

"Is it a tumor on the liver, or is there a liver on the tumor? It's too scary."

The densely packed tumors, intricately growing in the patient's liver area, make people's scalps numb.

"Multiple tumors, the largest one can't see the edge on the screen, and the smallest tumor feels like it's the size of a fingernail. How can we perform surgery? Removing it completely?"

"It's definitely not possible to remove it completely, but given the current situation, the next surgery will be very difficult. If this is a traditional major surgery, I guess the surgeon will start cursing and prepare to close the abdomen and leave the stage."

The audience was whispering.

In their cognition, the situation in front of them was simply impossible to perform surgery.

A whole liver was eventually cut into pieces. Not only is the surgery a big project with extremely high risks, but the cutting and suturing alone may not be completed from dawn to dusk.

If the surgery is not completed by then, the patient who has been receiving general anesthesia and muscle relaxation will not be able to bear it.

What can we do?

Just when everyone was feeling heavy-hearted and didn't know how to solve the problem, Xiao Chenguang's voice rang out again.

"Chief Nurse, send someone to the supply room to bring the sterilized linear cutting stapler to the stage, the sooner the better!"

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