Chapter 466
There was suddenly a 2cm oblique incision on the skin of the right lower abdomen.
The incision is small, even smaller than an adult appendiceal incision.
When everyone on the stage saw this, they were so surprised that they couldn't open their mouths from ear to ear.
Although everyone knows that this pediatric liver resection is a demonstration operation with a small incision.
But when everyone saw this small incision with their own eyes, they couldn't help but marvel.
"This incision is shorter than an ordinary person's thumb. Can the child's cyst cavity be completely removed later?"
"With a small incision of 2cm, appendectomy is a challenge. Now we can directly perform liver resection. No wonder so many professors need to be on stage together. This operation is also too difficult."
Ideas popped up in everyone's mind.
Especially Yang Dehuai.
He specifically discussed this issue with Xiao Chenguang during the pre-operative consultation last night.
Although small incisions are of great help to the child's prognosis, if the positioning is not accurate, the incisions may deviate.
It is very likely that during further surgery, it will be found that the incision cannot meet the needs of removing the cyst, resulting in a second surgery.
Just when Yang Dehuai suggested that Xiao Xiao cut an additional 1cm just to be on the safe side, Xu Guoqiang beside him had already reached out and put the retractor on the incision.
His silent actions silently supported Xiao Chenguang's choice.
Xu Guoqiang knew in his heart that since Xiao Xiao on the stage dared to perform pediatric liver resection surgery with a 2cm incision, he must be absolutely confident.
This has been verified in many collaborations with him.
When Yang Dehuai saw this, he immediately shut up.
He could feel the trusting gaze of Xu Guoqiang next to him.
A professor from a provincial capital can choose to trust him unconditionally. It seems that Xiao Xiao's surgery cannot be viewed through ordinary people's eyes.
At this moment, Xiao Chenguang was still concentrating on the operation.
Because the children on the stage have low body fat and less subcutaneous fat.
Xiao Chenguang directly chose to do it in one step.
The scalpel was raised again, the arm muscles were relaxed, and the force was controlled to cut open the subcutaneous tissue.
As a trace of blood oozes out, wipe it with gauze, and then free the fascia and muscle layers.
The whole process went smoothly.
The tip of the knife went all the way down and soon reached the peritoneum.
Without any reminder, the instrument nurse handed over the prepared abdominal wall retractor.
With a slight pull, the metal hooks on both sides of the incision move outward, and the 2cm incision is instantly opened.
The field of view of the surgical area is open, and the entire liver area can be seen at a glance.
Lin Gaoyang, who was in the third assistant position, immediately raised his hand to adjust the angle of the shadowless lamp to focus the light on the surgical field.
The pink liver tissue is full of vitality and is swaying rhythmically from side to side with breathing.
"This is it, that's right."
Xiao Chenguang's voice sounded for the first time.
After exploration, it was found that the location of the cut was just above the cyst.
The deep-hidden liver cyst in the surgical area could not escape Xiao Chenguang's detection.
He found it immediately and marked it.
"Really, Xiao Xiao's approach is too right!"
Yang Dehuai, who was standing in the first assistant position, was also observing in the field of vision.
After he discovered the location of the cyst, he couldn't help but feel excited.
Xiao Xiao's knife was impartial and aimed squarely at the bull's-eye.
You must know that during the pre-operative discussion, Yang Dehuai knew from the X-ray that the location of the cyst was very bad.
If the position of the incision is a little off, it will be difficult to find the cyst.
Not only has it been found, but the position is also very correct, which provides valuable operating space for the subsequent surgical resection.
"Did you get it right? Xiao Xiao is still very good. Chairman Yang, it doesn't matter whether the 2cm incision is small or not. As long as Xiao Xiao is the surgeon, there will be no problem!"
Xu Guoqiang was the second assistant and his vision was not as good as the first assistant. He could only see a little bit of the cyst they found.
He had no idea whether the cyst was complete or whether the incision area was spacious.
But this does not prevent him from admiring Xiao Chenguang himself.
"The boss is so strong!"
Lin Gaoyang, the third assistant, missed the laparoscopic equipment at this moment.
Because of the position he was standing in, even if he was a head taller than others, he couldn't clearly see what was going on in the area.
If there is imaging equipment, we can see Boss Xiao's style more intuitively.
"Xiao Xiao, can the operation be completed within two hours?"
Liu Tie, who was sitting at the head of the bed, immediately glanced at the time embedded on the wall after hearing everyone's voices.
It's only been five minutes since the show started.
Xiao Chenguang has completed the exploration and found the location of the liver cyst.
Next comes the routine resection surgery, the difficulty of which varies from person to person.
If Xiao Xiao was the surgeon, Liu Tie would probably finish it quickly.
Therefore, he asked about the operation time to consider whether to reduce the dose of anesthetic to prevent the operation from being performed too fast and the child not being able to wake up in time.
"Half an hour!"
Faced with the inquiry, Xiao Chenguang answered calmly.
Upon hearing this, Liu Tie nodded and immediately began to reduce the dosage.
But these words caused an uproar in Yang Dehuai's heart.
"It only takes half an hour to complete this pediatric liver resection operation. This is extremely fast."
This was the first time he and Xiao Chenguang were paired up for surgery. Yang Dehuai didn't understand many habits and practices.
Therefore, compared with the calmness that others were accustomed to, he could not calm down for a long time.
"President Yang, if the force of the hook here is stronger, the blood flow in the liver will be blocked and it will be time to cut."
At this time, Xiao Chenguang's reminder sounded.
Yang Dehuai, as an assistant, realized that others were still cooperating with Xiao Chenguang in an orderly manner. Only he occupied the best position, but he seemed out of tune with everyone.
Yang Dehuai's old face flushed.
His skills were not authoritative in the provincial capital. The level he showed now was not even one-tenth of his usual level.
"Sorry, I will adjust it immediately."
Yang Dehuai threw all his thoughts behind him, and began to follow Xiao Chenguang's rhythm and perform the operation step by step.
It must be said that Yang Dehuai's skills are indeed convincing.
After discarding distracting thoughts, his understanding and operation of the surgical steps were immediately demonstrated.
The field of vision in the surgical area was suddenly much wider, and the feeling of being restrained before was swept away.
Seeing this, Xiao Chenguang once again raised the operation to a higher level.
The two forceps in his hands cooperated with each other to continuously block the arteries and veins in the surgical area and free the intrahepatic ligaments.
He leaned forward, stretched out his arms, and remained motionless like a sculpture.
His wrists were moving, and his ten fingers were hooked on the tail ring of the metal instrument, clamping or clamping, changing positions quickly.
The sudden speed-up also made everyone present feel unprecedented pressure.
Yang Dehuai adjusted the angle and strength of the hook in time according to Xiao Xiao's operation.
Xu Guoqiang took the negative pressure suction device to extract the non-coagulated blood from the body, fully maintaining the clear vision of the surgical area to prevent contamination by blood.
Lin Gaoyang became the hand of several people. He was nervous and handed the required instruments to everyone in time.
Xiao Chenguang was overwhelmed by the operation, and even if there were three people assisting on the scene, he was still busy.
"Gaoyang, prepare the linear cutting stapler."
After a moment, Xiao Chenguang's calm voice sounded.
In the surgical field, a completely free liver cyst was completely exposed to everyone.
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