Back in 2002 as a doctor

Zhou Congwen didn't care about any changes in himself, what he saw in the orange light of the lighter was how to do the surgery.

Without a suitable instrument, the effect of "V" cutting and volume reduction is not as good as that of "U" cutting, and the risk of postoperative air leakage is very high.

The patient also has emphysema, and his lungs are as rotten as a broken rag, which falls off when touched.

What a headache, Zhou Congwen thought silently. He didn't let go of the switch until the lighter was hot, and stuffed the lighter into the pocket of the white suit.

Fortunately, there was no delay after my rebirth, and I have been doing surgery training. Although my level is not at the peak level, I can always try it.

Zhou Congwen sat on the steps with his back straight, his legs spread wide apart, his eyes squinted, an unlit cigarette dangling from his mouth, and only his fingers kept moving.

Time passed by every minute and every second, and after an unknown amount of time, the phone rang.

"director."

"Congwen, the patient is under anesthesia, how about you?"

"I'll be right there." Zhou Congwen hung up the phone, stood up straight and strode out of the fire escape to the locker room.

……

The atmosphere in the operating room was a bit dull. Although the anesthesiology department agreed to anesthesia under Li Qinghua's stubbornness, no one liked it.

After the blood oxygen saturation clip was clipped on, the monitor displayed the patient's blood oxygen concentration—78%.

The anesthetist was anesthetizing while sighing, Li Qinghua watched Shen Lang and Li Ran busy.

"Director, I'm here." Zhou Congwen's voice came from behind.

Li Qinghua nodded. He didn't say any witty words to ease the awkward atmosphere, but kept silent.

The operating room is most afraid of this kind of atmosphere.

If everyone is talking and laughing and the car is flying, it means that the operation went well.

But if the operation has not yet started and the atmosphere is tense and depressing, and there are occasional sighs, it is self-evident what it means.

Set the body position, disinfect, lay the sterile sheet, and open the stage.

Double-lumen endotracheal intubation, combined intravenous anesthesia, lying on the healthy side.

Before the operation, the healthy side was ventilated with one lung, and the affected side was ventilated with air.Li Qinghua stood in the position of the practitioner and took a deep look at Zhou Congwen.

Zhou Congwen nodded, indicating that he knew.

Li Qinghua did not say anything else. First, a 7cm incision was made at the seventh intercostal space on the midaxillary line, and a 1.5mm 10° mirror was inserted.

Then he made a 4cm incision in the 5th intercostal space mixed with the anterior axillary line and the 1.0th intercostal space of the posterior axillary line, and then placed Trocar and grasping forceps to grasp the lung lobes, and explored the lung lobes, parietal pleura, mediastinal pleura, and diaphragm in sequence .

There were many adhesions in the chest cavity, which were in the form of flakes or strips, and Li Qinghua was freed little by little with Zhou Congwen's assistance.

Chest surgery is not afraid of heaven and earth, but adhesion.

You don't even have a surgical field, so how can you do it!

And because of the existence of bullae, the effect of one-lung ventilation is not good, and the operative field is limited.

Seeing the adhesion between Li Qinghua and Zhou Congwen's free lungs and pleura in the thorax with no surgical field, the anesthesiologist sighed deeply again.

Originally, there was only one person in the third hospital who could do single-lumen intubation, but recently a new director came in. Anesthesiologist Li Wenbo also felt that this was a technique that must be mastered, so he continued to study and learned to insert single-lumen cannula.

At that time, he was still very proud, but he never thought that he would give anesthesia to patients with respiratory failure after he learned it!

It's better not to.

He looked at the TV screen of the thoracoscope with some distress. The bullae were huge, occupying a large surgical field.In addition, the adhesion was heavy, the lungs were not completely deflated, and the vision was extremely poor.

This kind of operation still needs to be done, the chest department is really crazy, and the anesthetist complained in his heart again.

But he didn't say it, after all, it's a human life, since the chest department wants to try it, let's try it.Who wouldn't want to save a life without paying a huge price.

Contrary to the expectations of the anesthetist, the operation went relatively smoothly.

Adhesive tissues were clamped and cut one after another. After about 15 minutes, the lungs were finally free of adhesions to the pleura, and the operative field became better.

Li Qinghua's investigation found that most of the bullae target areas were located in the middle lobe, and were distributed in all lung lobes.

"Congwen, I'm going straight up." Li Qinghua seemed to be asking Zhou Congwen, and seemed to be talking to himself, encouraging himself.

"Wait a minute, it's better to have a U-cut here." Zhou Congwen said.

"U-shape?" Li Qinghua was taken aback.

"The notch of the U-shaped incision is relatively smooth, the damage is small, and the postoperative air leakage time will be shortened as much as possible."

"..." Li Qinghua, the anesthesiologist, and Shen Lang standing behind them all knew what Zhou Congwen meant.

However, the straight linear cutting stapler needs to be U-cut, Zhou Congwen is sure he is not joking?

Everyone on the operating table will tell jokes, but this operation is difficult, everyone is under great pressure, and no one is in the mood.

"Congwen, I'm not kidding. Should I pop the bullae first or..."

"Director, wait a moment." Zhou Congwen squinted his eyes and looked at the TV screen, "I will control the linear cutter and stapler, and you will cut the bullae when I am ready."

Li Qinghua was a little puzzled.

It is said that the linear cutting stapler is operated by the surgeon, but since Zhou Congwen asked, he did not insist.

In short, it is impossible for Zhou Congwen to cut out the word "U".

Holding his breath, Zhou Congwen held the linear cutting stapler in both hands and inserted it into the chest cavity.

Chapter 0304 Cut the arc with a straight line cutter

The linear cutting stapler went in, but Zhou Congwen didn't stop, and he went in with the grasping forceps along the poking card.

"Congwen..." Li Qinghua was taken aback for a moment, and said helplessly.

I have two hands, and one hand needs to use a knife to cut the bullae; Zhou Congwen has two hands, and I need a double linear cutting stapler to contain the bullae together.

But he slipped in two more grasping pliers.

From the simplest point of view, five instruments on the operating table, two surgeons + assistants with four hands, cannot handle them.

Li Qinghua didn't even know the significance of Zhou Congwen's actions.

"Director, I'll do it myself." Zhou Congwen said lightly.

"You... by yourself?" Li Qinghua was stunned for a moment, and then saw Zhou Congwen's middle finger and index finger holding the linear cutting stapler, and the middle finger and ring finger holding the grasping forceps, operating the same with both hands.

I go!

Everyone was dumbfounded.

Both hands, dual wielding, Shen Lang was startled, and suddenly thought that it would be great if online games could have such a bug.A warrior, holding two dragon slayers in both hands, what would it look like.

In science fiction novels, Shen Lang dare not write like this.

But this is reality, Zhou Congwen's doing so has no other meaning in everyone's eyes other than being handsome and cool.

"Congwen, you can't do it like this." Li Qinghua dissuaded him.

"Director, it's all right." Zhou Congwen said, and then he moved his ring finger, and the grasping forceps deftly grasped the edge of the bullae. The strength was just right, and the two grasping forceps were almost in sync.

Li Qinghua was taken aback, was he dazzled? !

Shen Lang was also taken aback, for a moment he even suspected that Zhou Congwen was the reincarnation of an octopus.

Why don't old doctors like to do thoracoscopic surgery?Because they have long been used to operating by hand, and the grasping forceps of the thoracoscope are extremely long, so it is difficult to use them meticulously.

For example, what Zhou Congwen did just now looked simple, but the real difficulty was overwhelming.

If one hand holds the pliers and the other holds the pliers for fixation, Li Qinghua has a 30% chance of completing the operation.

However Zhou Congwen...

It was done in one go, and he also held a pair of grasping forceps in each hand, and what's more, he also held two linear cutters and staplers.

This is a BUG!

"Congwen, what are you going to do?" Li Qinghua asked puzzled.

"U-shaped cut." Zhou Congwen said lightly.

"..."

Not only Li Qinghua, everyone in the operating room became emotional.

With both hands, he can also be dexterous, and he needs to use a straight-cut stapler to do "U" sutures.

Is this possible?

From the perspective of physics, this is completely unscientific and does not conform to human cognition of the existing world.

Li Qinghua was speechless, he glanced at Zhou Congwen silently, and asked after a few seconds, "Congwen, tell me when I need to cut the bullae."

Zhou Congwen nodded, moving his ring fingers slightly, looking for a suitable direction.

There is no way to practice this kind of operation before the operation. The situation of each patient is different, and the angle and strength are also completely different.

However, it only took Zhou Congwen more than ten seconds to grab the outer membrane of the bullae with his grasping forceps, and the bullae were not damaged.

"Director, I'll count down. When the count reaches one, you cut the bullae." Zhou Congwen said in a deep voice.

Li Qinghua took a deep breath. He didn't know what Zhou Congwen wanted to do, but he knew that the next step was the most critical step of the operation.

He held his breath and listened to Zhou Congwen counting down.

"three."

"two."

"one."

Zhou Congwen's voice was calm, cold and cruel. When he counted to one, Li Qinghua made a 0.5cm incision with a knife.

The gas in the bullae "hissed" out.

Li Qinghua did not take out the knife in a hurry, but concentrated on watching Zhou Congwen's technique.

but!

Li Qinghua didn't understand.

Zhou Congwen's fingers, palms, and wrists seem to be still, and they seem to be in motion all the time.

His movements are very slight, and every movement is done carefully, but the combination is like a magician conjuring magic, and like a few elves jumping on Zhou Congwen's palm.

"Director, shoot." Zhou Congwen's hand stopped, and finally he stopped making any movements, and the night sky as brilliant as fireworks suddenly fell silent.

Li Qinghua was taken aback for a moment, then looked up at the TV screen.

The linear cutting stapler has contained a part of the bullae, just waiting to pull the trigger.

Is this all right?I can't see the arc.

Li Qinghua thought that Zhou Congwen was joking, and he smiled inwardly. Zhou Congwen was still young and willing to show off his skills.

But his technique is really good.

As Li Qinghua pulled the trigger, there was a creaking sound.After finishing the two linear cutting staplers, Zhou Congwen grabbed the excised bulla with forceps and took it out along the poking card.

"Send the pathological tissue for biopsy." Zhou Congwen said lightly.

"That's the end of the matter? What about the U-shaped suture?" the anesthesiologist asked curiously.

"Just kidding, how can you take it seriously." Li Qinghua "relieved" Zhou Congwen.

Zhou Congwen squinted his eyes, he was also very satisfied with his operation just now.

Although not perfect, it has reached 80% of the peak level.

However, it is enough.

The pliers went in again, grabbed both ends of the remaining bullae, and picked up the bullae as if holding a piece of clothing with both hands.

An unbelievable fact appeared in front of my eyes.

An arc appeared on the remaining bullae!

The arc is not perfectly round, but it can be clearly seen that it is an arc rather than a straight line.

An arc can be cut with a straight-line cutting stapler. No one would believe such a bizarre thing if he hadn't witnessed it with his own eyes.

"This is……"