I'm a god of medicine

Chapter 113

On the stage, Yang Xi touched the patient's stomach first, and a smile appeared on his face.

Based on his intuition, he thought that he could win this operation without using a surgical skill card, and saved a level 1 surgical skill card worth 1 yuan. In his heart, it was sweeter than eating honey.

Even Xiangdong replaced the original Yizhu, and he also experienced the feeling of following Yang Xi. Unlike Yang Xi, this guy's two eyebrows almost frowned.

"The inflammation is not shallow, the edema is not light, the difficulty is not small!"

Yang Xi nodded, did not reply, and went straight to work.

Free the greater curvature of the stomach, cut the hepatogastric ligament, separate the right gastric artery on the pylorus, ligate, cut off, cut off the left gastric artery, and ligate the branches of the left gastric artery along the lesser curvature to the distal end to complete the free of the lesser curvature.

The technique is proficient, it can be said to be done in one go.

A few beads of sweat oozed from Lian Xiangdong's forehead.

This monster...

Fortunately, Director Jiang is still alive, otherwise, I would really believe in the fantasy setting of rebirth, reincarnation, and seizing.

The operation continued, Gao Yong quietly appeared, he had washed his hands, asked for a surgical gown and put it on, then put on gloves, without saying a word, stood in the position of the second assistant, did not help, even He didn't even bother to touch the hook, so he just watched Yang Xi operate it.

Yang Xi didn't seem to see Gao Yong, and just focused on the operation. After the duodenum was treated, the posterior wall of the stomach was separated. When he was about to cut off the stomach body, Gao Yong said: "Do you want to do Bi 1 or Bi 2?" Woolen cloth?"

Only then did Yang Xi take a look at Gao Yong, and replied, "I'm worried that the patient will develop stress ulcers, so I'll just do it."

Gao Yong nodded and said, "Go ahead."

Bi 1 and Bi 2 are two types of subtotal gastrectomy. Bi 1 type subtotal gastrectomy is to anastomose the gastric stump and duodenal stump. The change is also much smaller, and the patient's postoperative adaptability will be much better, but the problem is that gastric juice will still flow through the duodenum, which may easily cause ulcer recurrence.

However, the Bi-2 type subtotal gastrectomy is to match the gastric stump with the upper part of the jejunum. Although this operation is more complicated, it also greatly changes the physiological structure of the human body. The patient's postoperative adaptation period will be longer, but , because the anastomosis is not limited by tension, more parts of the gastric body can be removed, and the possibility of postoperative secondary ulcers is much smaller.

For patients with organophosphate poisoning, the most likely complication is stress ulcer. Therefore, Yang Xi's choice of Bi 2 type subtotal gastrectomy is completely correct.

The operation finally came to the last stage, the anastomosis of the stomach stump and the upper jejunum, and it was this stage that made Gao Chao retreat from the difficulties, and only then did Yang Xi make his debut.

In the first injection, the force was too great during the ligation, and a small hole was slightly torn in the stomach wall tissue.

For the second stitch, the force of the ligation seemed to be less. Yang Xi shook his head, and asked for thread cutters, and removed the two stitches just now.

Gao Yong remained calm, just silently looking at Yang Xi's hands.

If it is placed on him, you have to try a few stitches, otherwise, it will be difficult to grasp the strength and measure.

But Yizhu Lian Xiangdong was inexperienced. Seeing that Yang Xi failed two consecutive injections, he couldn't help becoming nervous, and kindly said: "Master Xi, if it doesn't work, change to the boss."

Yang Xi didn't answer, just raised his head and smiled at Lian Xiangdong.

Another stitch, Yang Xi lost the cautiousness of the first two stitches, and his movement speed was about the same as before. After the ligation, he cut off the root of the thread and nodded slightly.

Gao Yong could see it clearly, then Yang Xi must have found the feeling.

Sure enough, the speed of Yang Xi's sewing began to increase.

Gao Yong shook his head slightly and reminded: "I am the one who is in a hurry to drink, what are you in a hurry for?"

Hearing this, Yang Xi gave Gao Yong a thankful glance, and then slowed down.

Dean Lin did not know when he stood by the stage, watching Yang Xi's operation in the field, couldn't help shaking his head, and sighed softly.He, Old Lin, is finished, and he will never try to reach the level of this little brat in his life.

Seeing that there was no problem with Yang Xi completing the operation, Gao Yong stepped back from the stage, took off his gloves, found the surgery registration book, asked Dean Lin for a pen, and signed his name on the position of the chief surgeon. name.

"Yang Xi, I'll leave first, Lao Lin, why are you still standing there? Go get some wine and order some food. When the two of them get off the stage, won't they be able to eat some hot food?" Gao Yong said, taking off his clothes. Surgical gown, walked out with Dean Lin's shoulders.The feeling of being aroused by Jiu Chong is really uncomfortable. Just now, I endured the surgery for a while, but now it is boring to watch the surgery. Gao Yong really can't wait.

The gastric stump and the upper part of the jejunum were successfully anastomosed, and then the duodenal stump was sealed. A Bi-2 subtotal gastrectomy came to an end. The abdominal cavity was washed, and then the gastric volume was rinsed to ensure that there were no residual bleeding points. After indwelling abdominal drainage, the last step is to close the abdomen.

Lian Xiangdong was so emotional that he directly dismissed Yang Xi as the chief surgeon.

After Gao Chao got off the operating table, he left the operating room for a while on the pretext that the department had patients to deal with.According to his estimate, even if Yang Xi didn't hit the stage, he would still have to spend more than two hours doing it.

After comfortably drinking two cups of tea, smoking two cigarettes, and making two phone calls, I checked the time and it was only an hour later. I figured that the operation would be at most until the stump was anastomosised, and then I wandered back to the operating room.

As soon as he stepped into the door of the operating room, Gao Chao felt something strange. Director Gao and Dean Lin, who were talking and laughing in the lounge when he left just now, had disappeared.After thinking about it for a while, Gao Chao burst out laughing. It must be that Yang Xi had screwed up, and had no choice but to invite Director Gao to the stage.

Gao Chao hurriedly quickened his pace, he couldn't wait to see what the messed up Yang Xi looked like.

After rushing to the operating room, Gao Chao couldn't help being stunned.

The complexion changed again and again.

Why are Director Gao and Dean Lin not in the operating room?
Ma De, the operation is over?

It's only been an hour, what happened?
Looking at Yang Xi who was about to step down, his face was indifferent, as if it was only natural to complete such a difficult operation, and it was not worth being excited at all.

That superbness, the fire in his chest burned even more vigorously.

"Doctor Gao, why are you back? Didn't you go with Dean Lin?"

Yang Xi's tone was normal, but in Gao Chao's ears, no matter what, he felt a sneer.

But the face has not been torn, and the response still has to be responded.

Gao Chao tidied up his emotions, and said as calmly as possible: "I went to the department to treat patients just now, by the way, where are Dean Lin and Director Gao?"

Yang Xi shrugged his shoulders and said, "I guess I should drink it now."

Gao Chao's expression changed again.

Is Director Gao so relieved of Yang Xi?If so, wouldn't he have no chance of winning?
(End of this chapter)