Back to 1999: From operating surgeons to becoming a top doctor

Faced with such a huge object, Xiao Chenguang was also thinking about countermeasures.

According to the position and size on the CT film, just push the forceps through the bronchoscope, find the right position, clamp the foreign body, fix it and then pull it out little by little.

The operation is not difficult and the operation is relatively easy. The whole process can be completed in half an hour at most.

But now, the position of the foreign body is close to the pulmonary blood vessels, and there are adhesions around it. It is estimated that the foreign body has shifted during the transportation for several hours. Now it is completely embedded in the opening of the tongue segment, and it is not easy to clamp it with forceps.

Xiao Chenguang's mind is showing a schematic diagram of the entire right lung structure, simulating where to enter and remove the foreign body at one time.

"It should be... impossible to get it out with a bronchoscope." Director Huang controlled the laparoscope, turned left and right, and the lens tried to find the possibility of clamping around with the force of his wrist control.

But with a little force, the lens will inevitably touch the foreign body, causing the foreign body to move deeper into the trachea.

As a result, the operation becomes more difficult.

Huang Shi was a little discouraged by the situation that the difficulty was increased manually due to personal reasons.

"Or... let's open the chest and cut the lung segment."

Because it was not general anesthesia, he muttered softly, afraid that the patient would hear him on the stage and become nervous.

Xu Guoqiang, who was standing by, also frowned, looking at the foreign body on the screen where he had nowhere to start.

He didn't understand bronchoscopes, but he knew clearly what Director Huang said about the operation of opening the chest and cutting the lung segment.

Although it was the work of thoracic and cardiovascular surgery, the principles were similar. Even the point that thoracotomy was more difficult than laparotomy was the problem of surgical field of view.

Because the heart and lung organs are protected by the sternum and ribs, it is necessary to cut the ribs and open the chest during the operation.

Just like the patient in front of him, to perform a segmental resection of the left upper lobe of the lung, he needed to lie on his right side, lift the left lung, and then make a 20cm arc incision along the ribs.

A few ribs had to be sawed off before the operation could continue.

It can be said that the patient had lost four or five hundred milliliters of blood before the operation officially started.

For the total blood volume of 4,000 milliliters in the human body, HP has been reduced by one tenth. If the bleeding during the entire operation is taken into account, it is not impossible to lose 1,000 milliliters of blood.

Patients, it's difficult...

"This matter is originally a peanut matter, but it involves more and more problems."

Xu Guoqiang couldn't help but whispered.

The patient's lungs are fine, and there are no tumors, nodules, scars, bronchiectasis and other problems. It's a bit unfair to have to remove the lungs.

"Director Huang, you can try the principle of negative pressure suction." Xiao Chenguang made a suggestion at this time.

"The pressure is not enough." Director Huang thought for a while, looking frustrated: "Negative pressure suction is only suitable for clearing sputum accumulation. This foreign body is too big and has a smooth surface. Even if I turn the pressure to the maximum, I guess I can't suck it out."

"You don't have to suck it out directly. As long as you can move the foreign body and leave a certain amount of operating space, you can clamp it out."

"Have you ever done bronchoscopy on patients before? Do you know how difficult it is?" Huang Shi's tone was a little cold to Xiao Chenguang's whimsical proposal.

"Have you seen how big the clamp of a bronchoscope is? It's smaller than a fingernail and has limited grip. Even if a foreign body is placed in front of you, it takes a long time to clamp it."

"You just move it a little bit and want to clamp the foreign body out. It's too unrealistic."

It's no wonder that Huang Shi's tone was unfriendly. Anyone who rushed from home to rescue in the middle of the night, wasted time and effort, and worked for a long time, but still couldn't do it, would be upset.

Facing their dispute, Xu Guoqiang couldn't help out either, after all, he didn't know about bronchoscopy, but according to past experience, it seemed that as long as Xiao Chenguang made suggestions, they would always be successfully completed in the end.

"Director Huang, how about letting me take a look?"

Xiao Chenguang said lightly: "I know a little bit about bronchoscopy. If it really doesn't work, it's not too late to decide to do a thoracotomy."

Take a look, take another look...

This sentence was like a spell, turning back and forth on Xu Guoqiang's head.

Then he blurted out a sentence for some unknown reason.

"How about letting Director Xiao take a look? He is very good at laparoscopy, and I guess bronchoscopy is not much different..."

"Uh..."

Huang Shi was almost broken by the old and the young. Although both laparoscopes and bronchoscopes are supported by the mirror hand, there is still an essential difference in their operation.

Thinking so in his head, his body instinctively handed the mirror to Xiao Chenguang who was standing beside him.

"Director Huang, don't worry. You will still operate the clamps later. I will only be responsible for adjusting the lens."

Having said that, when he held the bronchoscope, Huang Shi was shocked to find that Xiao Chenguang's originally gentle and elegant temperament disappeared.The loss disappeared, replaced by a sense of confidence and dominance.

This feeling was like an expert from another hospital came to guide the work.

Familiar, too familiar.

When Xiao Chenguang began to operate, Xu Guoqiang's eyes lit up.

This feeling was just like the last time he demonstrated the laparoscopic three-dimensional reconstruction technology in front of everyone.

Domineering and unquestionable.

Before, on the stage, Xu Guoqiang focused on the operation and didn't know what Xiao Chenguang did specifically.

Now, Xiao Chenguang was on top and he was on the bottom, and he could see the whole operation process clearly.

There was no obstruction to his vision. Xiao Chenguang stood at the head of the patient's bed and stretched the mirror in his hand into the patient's lungs again. Almost instantly, he reached the right tongue segment where the foreign body needed to be clamped.

This speed was more than one or two times faster than Huangshi just now.

At this moment, even Huangshi was attracted by Xiao Chenguang's operation.

It seemed that he did not use much force, and the range of wrist rotation did not exceed 30°. After twisting back and forth a few times, the foreign body that was originally motionless and even sunk deeper and deeper actually gave up a tiny operating space under Xiao Chenguang's operation.

"Director Huang, put on the clamp. Operating at this angle can avoid the pulmonary blood vessels just now. With a little force, the foreign body can be taken out."

"Is it really possible?"

After hearing this, Huang Shi's originally depressed expression was instantly replaced by excitement.

He took the slender metal clamp and carefully inserted it into the camera, his eyes fixed on the screen, fearing that any possible details would be missed.

However, the next second, he was shocked to find that the clamp that had just been inserted had already come to the foreign body along the gap before he could operate it.

"Director Huang, open the clamp."

"Oh, okay."

Huang Shi, who was a little dazed, quickly pressed the buckle, and the closed clamp instantly opened, revealing the jagged "teeth" inside.

The camera shook again, and Xiao Chenguang's voice came to my ears.

"Clamp."

"Okay."

Following the reminder, Huang Shi quickly closed the clamp, and saw on the screen that the jagged clamp was firmly biting the foreign body.

"Director Huang, it's good, it hit the target, and it succeeded in one go."

In the endoscopy room, the voices of Xiao Chenguang and Mu Chunfeng were heard.