After raising a cat, the goddess doctor became popular in the interstellar

Chapter 177 Doctor's Heart
Dave stands on the right side of the patient, and the deputy director of the Second Grant stands behind him.The first assistant, Director Shen, stood on the left side of the patient, and the third assistant, Mr. Guo, stood under Director Shen.

Director Ran, the anesthesiologist, stood at the head of the patient, behind him was the most expensive machine in the entire operating room—the anesthesia machine.

The equipment nurse stood at the top of Dave, and Tao Le stood opposite her.

Yang Ruixue and Chen Ke, who were waiting outside, looked this way eagerly, but they couldn't see anything at all.

Surrounded by seven people, the entire operating table was packed so full that it would be strange to see anything.

The operation begins.Just like what Dave told Tao Le earlier, he wanted Tao Le to take a good look at his current level, so he did it all by himself. Director Shen and Deputy Director Jin just cooperated with him in pulling the hook, handing things, and cleaning.

But the more this is the case, the more you can see Dave's level.

He made an oblique incision under the right costal margin, parallel to the pancreas.This is different from the usual right upper abdominal incision through the rectus abdominis muscle.

The incision is made through the rectus abdominis muscle in the right upper abdomen. Generally, the incision should be extended to 3 to 4 cm below the navel. The woman in front of her is also an obese woman with an A-shaped body, so the exposure of the surgical field is not sufficient by this method.

As for the other type of upper abdominal transverse incision, although the operative field is fully exposed, it does too much damage to the muscles, and it is also not suitable for such older women.

Director Shen, Deputy Director Jin, and President Guo all understood the reason why Dave chose this incision, and they nodded secretly in their hearts.

After laparotomy, the second and third assistants assisted the retractor to fully expose the surgical field.

First of all, a general inspection is carried out, the purpose is to understand the nature of the lesion and see if there are any problems that affect the operation.

Dave scrupulously explored the pelvic cavity, liver, and abdominal lymph nodes in order from far to straight, and finally touched the extrahepatic bile duct and pancreatic head with his fingers to carefully feel whether there were enlarged lymph nodes around.

Tao Le wanted to observe this operation carefully, but didn't want to heed Goldfinger's prompt.

But this operation is really very complicated, just looking at this place, the questions accumulated in her heart are full of piles.

For example, why such a curved incision was made, and Dave was probing hard there, trying to figure out what.

In addition, the reminder of Goldfinger appeared repeatedly, and then it hung in front of her eyes brightly, blocking her sight:

"After testing, pancreatoduodenectomy is supported under the current conditions. Do you need a simulation-guided exercise? Yes/No."

Tao Le sighed, didn't go any further, and directly chose "Yes" to enter the system space.

Probably because he was dissatisfied with her coming in slowly after so many reminders, the man in the mask showed his poisonous tongue again today.

But compared to these, the operation itself brought her a greater sense of frustration.

It is really too complicated and too difficult.

It took only two and a half hours for the masked man to complete the teaching operation.

When it was her turn, the first operation took eight hours, but the simulated patient died on the operating table.

Tao Le once felt that she couldn't hold on at all.This operation is not something she can handle now, and it would be difficult for her to learn it.

"Oh, it turns out that you are nothing more than that." The man in the mask sneered, "I don't have the heart of a doctor. I entered the wrong profession. Why don't you change careers now!"

This sentence full of contempt aroused the unyielding energy in her heart.

Doctor's heart.She has been a human being in the two lives, and she has cultivated this heart, unswerving in her determination, and has no complaints or regrets.

She didn't speak, but she just discarded all distracting thoughts and continued to do it wholeheartedly.

once, twice, three times. a hundred times, two hundred times
The operation time is getting shorter and shorter, and there are fewer and fewer intraoperative mistakes and postoperative complications.

Five hundred times, six hundred times.
Tao Le has forgotten everything, only the patient and the operation are in his eyes, and he just wants to prolong his survival time as much as possible.

"Three hours, fifteen minutes and 33 seconds. Evaluation: Excellent."

Tao Le stood back on the operating table, and Dave was still doing careful inspection.

This time, Tao Le not only knew what he was doing, but also judged everything he felt based on his movements.

There is no way, she is too familiar with every part of this patient's body.

Dave stopped.Tao Le knew that he had already understood that the lesion had not metastasized to distant places, so he could proceed to the next step: separation before resection.

The separation process was done delicately and gracefully under Dave's gentle movements.

His fingers were long and slender, and his movements were slow but extremely agile. The onlookers, Director Shen and others were fascinated by the beauty, and even Tao Le nodded secretly.

It was precisely because she had been tempered in the golden finger space for so long that she could see the subtleties and rare things in Dave's movements.

Separation of the portal vein and the superior mesenteric vein is the main difficulty during the separation period.

Of the hundreds of surgeries performed before Tao Le, at least 20 made mistakes in this step, which directly led to massive bleeding.

Dave did it very carefully. He used blunt-tipped forceps to gently separate upward along the surface of the vein at the lower edge of the pancreas.

Seeing this, Tao Le also looked at him with admiration.

She herself reached Dave's current level only after performing hundreds of surgeries in the Goldfinger space, and sublimation appeared only after performing hundreds of surgeries.

And Dave, how did he develop such surgical skills?In addition to talent, he must have also put in a lot of hard work.

Thinking of this, when she looked at Dave, her eyes became more appreciative.

After completing the separation before resection, it was concluded that pancreatoduodenectomy was feasible, and it was only the beginning of the operation.

Tao Le looked at the time.It took nearly an hour just to separate, and Dave was really slow and meticulous.

All the people present felt that the operation was performed slowly, and she was the only one.

If Director Shen came on stage, he would be more cautious and slower.

In his eyes, although Professor Dave's separation was light, he did not hesitate and was decisive, which showed the other party's composure and confidence, and it was a proof of his strength.

Next is the cutting process.

The patient is in the middle stage of adenocarcinoma of the head of the pancreas. According to the standard pancreatoduodenectomy, it is necessary to resect the distal stomach, the lower segment of the common bile duct, the gallbladder, the head of the pancreas, the neck, and the uncinate process, as well as the jejunum about 10 cm proximal .

Patients who are over 50 years old only need to resect one-third of the distal side of the stomach; if the patients are younger than 50 years old, often one-half of the stomach needs to be resected.

The distal gastrectomy, gallbladder, pancreas head, neck and jejunum resection all went smoothly. At most, it was because of insufficient cooperation that slowed down the speed and increased communication, which was not a major problem.

But when the uncinate process was cut off, an accident happened.

(End of this chapter)