Back in 2002 as a doctor

"Dean Xiao, I am the best at radical resection of esophagus cancer under laparoscopy." Zhou Congwen narrowed his eyes and gave Xiao Kai a smile.

"..." Xiao Kai had nothing to say.

Does Zhou Congwen not know how to write two characters? !

I persuaded him with good intentions, but he gave himself a soft nail.

Xiao Kai began to have doubts about his vision, Zhou Congwen was really young and energetic, and he didn't wear off all the burrs on his body.

But this operation failed, and there may be too much to lose. When Xiao Kai thought of Director Deng Mingdeng's words in the locker room, he felt sorry for Zhou Congwen.

"Director Deng, then I'll go." Zhou Congwen looked back at Deng Ming.

After speaking, he turned to brush his hands.

Zhou Congwen didn't wait for Shen Lang and Li Ran to complete the shop list, but did it himself.

After getting ready, he glanced at the ECG monitor and began to count his ribs.

Chapter 0556 30-year-old boss

取腋后线第6肋间为进镜孔，腋前线第4肋间、肩甲下角线线第9肋间为器械孔，第7肋间4cm辅助口。

Deng Ming stood behind Zhou Congwen and watched his operation intently.

What made him feel strange was that Zhou Congwen's choice of position surprised him precisely, and it seemed to be carved out of the same mold as the boss's operation.

There are many metaphysical problems in clinical practice, such as coming to the emergency department on duty, such as who is busy and who is not.

But in front of Zhou Congwen's operation is the most metaphysical thing Deng Ming has ever seen.

For other metaphysics, everyone just treats it as a joke.However, although Zhou Congwen has been turned into a student by his boss, he hasn't actually talked to his boss for a day.

But their operation was seamless, even if the boss was not around, Zhou Congwen performed the same operation as the boss.

Just looking at the position of the opening, Deng Ming felt a little dazed, feeling vaguely that the person standing in front of him was his own boss instead of his junior brother.

How weird!

Deng Ming subconsciously held the cup with both hands, but the next second he was empty, he realized that he was in the operating room, and the baby thermos cup was placed in the locker in the locker room.

Zhou Congwen is really the boss's natural student, Deng Ming thought to himself.

Without any explanation, it can only be considered in a mysterious way.

The camera was sent in, and there was a bulge in the patient's esophagus, which was the location of the tumor.

"Electric knife." Zhou Congwen reached out for the knife.

Li Ran supported the mirror, concentrating on it, trying to follow Zhou Congwen's train of thought.

"Start near the recurrent laryngeal nerve." Zhou Congwen briefly explained, and then began to free the lymph nodes.

Deng Ming paid attention.

Zhou Congwen did not dissociate the tumor first, but began to dissociate from the very difficult recurrent laryngeal nerve, and he was not fooled at all, the first thing he did was to dissociate the lymph nodes!

The anatomical structure near the recurrent laryngeal nerve is somewhat complicated. Old doctors who perform thyroid surgery sometimes damage the abnormally deformed recurrent laryngeal nerve, resulting in hoarseness of the patient's voice.

Deng Ming took a deep breath, put his hands behind his back, and unnaturally held a thermos cup in an arc.

Zhou Congwen helped Li Ran adjust the camera once, and the operation area was displayed on the screen.

When Deng Ming saw the anatomical structure near the recurrent laryngeal nerve, he didn't feel Zhou Congwen's proficiency in adjusting the lens, but he suddenly raised his heart.

Anatomical Variations!

It seems that Zhou Congwen's luck was not very good, and he encountered a patient with a variation in anatomical structure.

Non-recurrent laryngeal nerve, also known as non-recurrent laryngeal nerve, is an anatomical variation of the recurrent laryngeal nerve.

During the embryonic period, when the heart descends, the bilateral recurrent laryngeal nerves ascend below the sixth pair of arch arteries and enter the larynx.

The recurrent laryngeal nerve on the right side of the patient is not in normal shape. The nerve directly originates from the cervical segment of the vagus nerve trunk without entering the larynx during the return process of the subclavian artery, that is, the non-recurrent laryngeal nerve is formed.

Just as Deng Ming was about to remind him, he saw that the electric knife in Zhou Congwen's hand was not turned on, and it was directly on the non-returning laryngeal nerve.

"This is the non-recurrent laryngeal nerve, Shen Lang, tell me how this nerve came about." Zhou Congwen asked.

"..." Deng Ming was startled, Zhou Congwen actually saw it too!

That's right, how could it be possible for a surgeon who can work so well with the boss to be unable to distinguish this anatomical structure?

But why is he not nervous?Instead, he asked his doctor as if he was leading a teacher to ask a very normal question.

Xiao Kai was stunned, he only saw a piece of red whistling, the world was spinning, and he couldn't even distinguish the organizational structure. Zhou Congwen found the rare non-returning laryngeal nerve.

How did he do that!

But the rare non-recurrent laryngeal nerve, can a little doctor understand?Before Xiao Kai had time to despise him, he heard Shen Lang start reciting the textbook.

The people brought by Xiao Kai heard a few words, and their faces became ugly.

Some people really don't know the non-recurrent laryngeal nerve, even doctors in thoracic surgery.

They thought this "sloppy" name was a joke, but when they heard Shen Lang recite it, the disdain in their hearts gradually disappeared.

What a monster.

Zhou Congwen nodded, noncommittal.

Asking Shen Lang did not delay his surgery. The bipolar electric knife and electric scissors probed and dissociated proficiently, dexterously like a small fish walking through the aquatic plants.

Deng Ming looked relaxed and happy, while Xiao Kai looked terrified.

Even with a large chest opening, he would not dare to do dissociation so "presumptuously", but Zhou Congwen's operation was extremely fast. In a few minutes, the lymph nodes of the non-recurrent laryngeal nerve had been cleaned, and the next step began.

Fast is fast, but the operation is quite clean and thorough.

The patient's lymph nodes near the non-recurrent laryngeal nerve were cleaned out, and Xiao Kai's mouth behind the sterile mask was wide open, speechless.

How awesome!

Before the operation, Zhou Congwen said that he was best at radical resection of esophageal cancer, which turned out to be true!

"Frankmann's intracavitary closer." Zhou Congwen said.

The equipment nurse was stunned for a moment, Li Ran held the mirror with one hand, and reached out to the equipment table with the other.

"It's this." Li Ran said solemnly, and handed the Frankman's intracavitary closer to Zhou Congwen.

Zhou Congwen cut off the azygos arch with a Frankman endovascular closure and fixed it on the chest wall, and then began to free the esophagus from top to bottom.

While dissociated, Zhou Congwen cleaned the subcarinal and paraesophageal lymph nodes one by one.

Before he knew it, Zhou Congwen had dissociated from the upper end to the top of the pleura, and the lower end to the esophageal hiatus. The operation was performed neatly.

The breast surgery was about to end, not to mention Xiao Kai and the people he brought, even Deng Ming was dumbfounded.

This speed is so fast that it is about to take off, even the boss can't do it.

Every time Deng Ming heard his boss lament that you are too old, what would happen if you were 30 or [-] years younger, he felt impossible.

The boss's operation is already at the peak level, so many young doctors and professors can't reach it.

Watching Zhou Congwen dissect his esophagus and clean his lymph nodes, Deng Ming didn't realize how fast the time had passed. He was so relaxed and happy, and kept comparing Zhou Congwen with his boss in his mind.

But the chest operation was about to end, and it was time to change the position, and Deng Ming didn't realize it.

This is the young state that the boss said!

Deng Ming shuddered, this is what the boss said about the super god state!

He moved to the left, "Doctor Liu."

"Director Deng, please order." Liu Wei kept observing the people in the operating room. When he saw Deng Ming moving towards him, he had already prepared to chase him, and immediately stood up and said respectfully.

"How long has it been since the stage started?" Deng Ming asked.

"It has been 46 minutes since the end of anesthesia, and 38 minutes since Wen's surgery."

Deng Ming felt a bucket of icy water falling from the sky, pouring himself into a drowned chicken.

This is so fast!

I usually cooperate with my boss to free the esophagus for at least an hour.But Zhou Congwen brought a passerby, did it take only 38 minutes?

Could it be that I misread it.

"Rinse with warm saline, ready to change positions."

The next second, Zhou Congwen's voice came, reminding Deng Ming that the chest operation was really over.

Chapter 0557 ranking down again

After flushing with warm salt water, Liu Wei began to inflate his lungs, and there was no air leakage. Zhou Congwen placed closed chest drainage and changed his position from the jackknife position to the supine position.

The neck and abdomen were all disinfected, and Shen Lang did it meticulously, unlike the gossip boy who usually does not do his job properly.

Deng Ming moved away from the camera position, stood in the corner and silently watched Shen Lang who changed positions in a daze.

"Director Deng, what should we do next?" Xiao Kai asked.

After watching Zhou Congwen's operation, he felt that he could no longer do it.A sense of powerless frustration lingers around, and Xiao Kai has doubts about his own life.

This surgery was done...

Faster than opening a chest!

If he hadn't witnessed the whole process of the operation and the fact that the top professor of the Imperial Capital performed a laparoscopic radical resection of esophageal cancer in nine hours in the first half of this year, he would definitely think that the operation was like this.

More than ten years of surgical experience flashed across his mind. Compared with Zhou Congwen's surgery, Xiao Kai doubted his life.

"Cut the stomach and then stitch the neck together, didn't you do that?" Deng Ming was even more surprised, looking at Xiao Kai like a monster.

"We did the same." Xiao Kai stammered.

Accidentally, Director Deng Mingdeng saw a joke.

In fact, it's not that Xiao Kai didn't know, but he accidentally asked the wrong question in the illusion of doubting life.

Zhou Congwen's operation was done too quickly, although it would not be described as too late, but compared with thoracoscopic surgery, all previous thoracotomy operations have become rubbish.

Zhou Congwen stood quietly in the corner, waiting for Shen Lang to spread a layer of sterile drapes, and then he spread the second layer of sterile drapes.

Standing on the ventral side of the patient, Zhou Congwen first determined the position of the abdominal poke.

1 cm above the umbilicus is the mirror entrance hole, and 8 cm away from the mirror entrance hole is 2 instrument holes and 2 auxiliary holes outside the instrument hole.

The same bipolar electric knife, electric scissors probe, dissociation.

The stomach was freed from the left auxiliary hole, the left gastric vessel and the left gastroepiploic vessel were cut off, and the right gastroepiploic vessel was preserved.

After the stomach is dissociated satisfactorily, the stomach and esophagus are cut along the gastric cardia, and the left stomach and the lymph nodes around the cardia are cleaned.

The gastrectomy, which originally took at least an hour to an hour and a half, was shortened to 22 minutes by Zhou Congwen.

Deng Ming's eyes were piercing, and he stared at the screen without blinking.

All the gentleness and elegance of the past are gone, and now he is like a wounded hungry wolf, with light in his eyes.Greedily watching the operation process, trying to find the gap between himself and Zhou Congwen.

At this time, Deng Ming's hands were shaking constantly, as if he was operating it himself, and the baby's thermos had long since disappeared.

The main body of the operation is now over, and the rest is the neck anastomosis.

Judging from Zhou Congwen's method before, Deng Ming felt that the operation must be successful, and it was not a success in the ordinary sense.

With the cooperation of myself and my boss, the fastest laparoscopic esophagectomy took three and a half hours.

And Zhou Congwen brought a passerby, and directly shortened the operation time to two hours!

The time was shortened, but Zhou Congwen didn't fool around at all. The steps that should be done were done carefully and carefully, and the lymph nodes were cleaned quite thoroughly without any flaws. Deng Ming was overwhelmed.

Thinking of his doubts before the operation, Deng Ming admired the boss's vision even more.

The boss' eyes seemed to have penetrated time and space, confirming that Zhou Congwen's operation was successfully completed.Not only can it be successfully completed, but it will also shock everyone.

Cattle!

What a fucking cow! !

Deng Ming thought to himself.

I don't know if it's the boss's vision or Zhou Congwen's operation.