Back in 2002 as a doctor

When connecting the thoracoscope wires, Zhou Congwen stood in the traditional position of the third assistant, and could not even stand in the position of the first assistant, because that would block the surgeon's view of watching TV.

Thoracoscopy, Zhou Congwen looked at the first-generation thoracoscopy equipment in China with nostalgia.

In the following years, I was very proficient in both thoracoscopy and laparoscopy, and I was a little disgusted when I did it.At its peak, thoracoscopic radical resection of esophageal cancer took only one and a half hours including anesthesia. The patient suffered minimal damage and recovered very quickly.

Even the wedge resection of small pulmonary nodules has become an outpatient operation. The patient does not have a chest bottle after the operation, and can go home after 8 hours of observation in the outpatient observation room.

At that time, laparoscopic surgery had reached its peak. At world-level professional conferences, all domestic doctors performed surgery demonstrations, mainly students under Zhou Congwen.

Back in 2002, everything happened again. Zhou Congwen really had the urge to finish the operation by himself.

But he still forcibly endured it.

I am not even the attending doctor now, and I am not qualified to perform such a high-level operation.If it is done, it will indeed surprise Wang Chengfa, but I am afraid that Wang Chengfa will wake up laughing when he sleeps.

This is the most reasonable reason to drive yourself away. Regardless of whether the patient's surgery is completed well or not, leapfrog surgery is a big taboo.

The hospital is a place where rules are respected, otherwise the little doctor will die if he thinks he is righteous once he swells up.Zhou Congwen understood, so he obeyed the rules.

A few minutes later, Wang Chengfa came on stage.He was a little haggard, and he didn't look as lively as usual.

Glancing at the operating table and then at the ECG monitor, Wang Chengfa brushed his hands without saying a word.

Shen Lang's hand lightly patted Zhou Congwen's hand on the sterile sheet. The sterile glove was not stained with blood, and reflected light under the shadowless lamp, which was a bit dazzling.

Zhou Congwen knew what Shen Lang meant, he was telling himself not to be impulsive.He squinted his eyes at Shen Lang, indicating that he knew.

What's so impulsive, Zhou Congwen has already sketched out several possibilities in his mind for why the patient bleeds in the chest cavity.

Go in and have a look, there should be no problem.

After brushing his hands, Wang Chengfa came to the stage, stood opposite the TV, intentionally or unintentionally ignoring Zhou Congwen's existence and started the operation.

Chapter 0071

Wang Chengfa's thoracoscopic level is just that, and he can only do the simplest bullae resection.No bells and whistles, the procedure was quite satisfactory.

He made a 6cm incision in the sixth intercostal space of the patient's midaxillary line, inserted a cannula, and inserted a thoracoscope through the cannula.

After telling the anesthesiologist Liu Wei that one-lung ventilation was performed, the lung on the operated side collapsed, exposing the operative field.

Then, under the guidance of the thoracoscope, a 1.5cm incision was made on the anterior axillary line and the posterior edge of the scapula, and a cannula was inserted, and the endoscopic operating instrument was inserted through the cannula, and the distance between each hole was kept at more than 10cm.

Zhou Congwen looked back at the TV with an extremely awkward posture. There were traces of fresh blood on the surface of the lungs, but Wang Chengfa did not pay attention to it.

It wasn't bleeding from the intercostal artery. Although he only glanced at it, Zhou Congwen had already made his own judgment.

The bleeding from the intercostal artery was extremely violent, which should not be the case from the perspective of the amount of bleeding in the patient and the field of view under the thoracoscope.

Wang Chengfa comprehensively examined the lung surface through thoracoscopic examination.

Pulmonary bullae are often located in the apical segment of the upper lobe and the dorsal segment of the lower lobe, and are easily found.There is also the kind of difficult one, the lungs are densely covered with bullae like rice grains, making it impossible to get started.

But the patient in front of him was in a very simple situation, with two bullae appearing in his field of vision.Because of one-lung ventilation, they didn't hiss and gasp, lying on their lungs weakly.

Wang Chengfa inserted a lung grasper into a cannula, and firmly clamped the bullae.

This step took him a full 10 minutes, and the operation was very unfamiliar.

The operation of thoracoscopic surgery is different from normal manual operation, and it is very awkward for the older generation of surgeons who are used to large surgery.Being able to barely give it a try is already considered a self-motivated old director.

Then Wang Chengfa inserted the endoscopic suturing cutter through another cannula.

"Help it up." Wang Chengfa adjusted the thoracoscopic lens so that it was facing the bullae.

Shen Lang quietly fixed the position Wang Chengfa had found, not daring to move at all, he was afraid that Wang Chengfa's surgery would not go well and he would blame himself for holding the mirror.

Even Shen Lang was a little envious of Zhou Congwen, because Zhou Congwen had nothing to do, and just stood opposite him in a daze.Even Shen Lang noticed that Zhou Congwen looked at the TV in an extremely awkward posture, but finally gave up.

He didn't feel pity for Zhou Congwen, but a little envious.It would be great if I could also be in a daze, Shen Lang thought.

Under thoracoscopic monitoring, Wang Chengfa removed the bullae at the normal lung tissue 0.5cm away from the base of the bullae.

Click, there was a sound from the cutter and stapler.

Immediately, Wang Chengfa took out the cutter and stapler, and a gray choking bullae was successfully cut off.

Wang Chengfa was a little proud. Although he was ill, it was a happy event to successfully complete the thoracoscopic bullae resection.

"Director Wang, your skills are on the rise." Liu Wei said with a smile, "Among the older generation of doctors in the People's Hospital, you must have mastered new technologies."

Wang Chengfa twitched his lips triumphantly, but still said politely, "What new technology, flashy, can only do bullae resection."

"I see that the general surgery department is going to use this thing to cut the appendix."

"It's better to have surgery." Wang Chengfa gave a comment, "I only need a 3cm incision to cut the appendix, but with a laparoscopic cut, I need to make three holes. Tell me, isn't this taking off your pants and farting? The three holes are 2cm each, The combined incision is longer than the open knife, what the hell."

"Hahaha, I think so too. I don't know which company came up with such a bad idea. It's so expensive and it's not easy to use. I also wonder how much money was given to the general surgery department, and they actually used it on patients without conscience. "

Wang Chengfa's expression changed slightly.

"Director Wang, I didn't mention you." Liu Wei also felt that there was something wrong with his words, and immediately explained, "The chest surgery damage is too large, which is different from appendicitis. The patient is a student, and the difference between 3-day discharge and 14-day discharge is too much gone."

Hearing what Liu Wei said, Wang Chengfa's expression softened.

Even wearing a hat and mask, Wang Chengfa's emotional changes can still be seen between his eyebrows.

"New technology, new technology, it's all nonsense. Can thoracoscopic surgery be done?" Wang Chengfa said contemptuously, "If it wasn't for the promotion of some shitty scientific research, you think I would."

"Haha, Director Wang, you can perform any kind of surgery. I heard that you did drilling and drainage when you were in the People's Hospital."

While chatting, Wang Chengfa cut off another bullae.

Prepare warm saline and pour it into the chest cavity.

"Inflated lungs." Wang Chengfa said in a deep voice.

No air leak was found, and the operation ended smoothly.

Just as Wang Chengfa was about to finish the operation, Zhou Congwen's voice suddenly came, "Director Wang, there is blood in the warm salt water."

Hearing Zhou Congwen's voice, Wang Chengfa felt a shock in his heart, and he was so bored beyond description.

Why is there him everywhere?

There was indeed fresh blood in the warm saline that was used to flush the chest cavity, but Wang Chengfa didn't care. He thought it was muscle bleeding that dripped into the chest cavity along the incision.

What the hell, Wang Chengfa didn't speak, and said in a low voice with a cold face, "Prepare to close."

Shen Lang held the lens in one hand and the suction device in the other. Wang Chengfa handed over the long pliers in his hand. He didn't even want to hand over the equipment in his hand to Zhou Congwen, and he didn't even pay attention to what was given to Zhou Congwen.

"Director Wang, the operation is really good, amazing!" Liu Wei complimented.

Wang Chengfa glanced at his mouth, and suddenly saw the picture on the TV trembling.

Although it was time to close his chest and the pictures on the TV were meaningless, Wang Chengfa absolutely refused to miss any point of ridiculing, sarcasm, or suppressing Zhou Congwen.

"You can't even hold a mirror, what have you learned all these years." Wang Chengfa said contemptuously, "Hurry up and get down, you are not needed."

Zhou Congwen didn't speak, and the equipment nurse immediately lowered her head and began to tap the equipment with the itinerant nurse. This kind of scene felt so embarrassing to an outsider.

Just now when Dr. Zhou put forward his opinion, Wang Chengfa started pointing his nose and scolding.

The same goes for Dr. Xiao Zhou. Don’t you just do your surgery honestly and hold up the mirror? Why are you talking so much?

Most of the doctors and nurses in the operating room knew about thoracic surgery. Although they didn't go into details, everyone could see that Wang Chengfa pushed Zhou Congwen away.

Why does Doctor Xiao Zhou still want to play against the old director? He really doesn't know how much he is.

"Round needle, line four." Wang Chengfa said in a deep voice.

The equipment nurse immediately handed the prepared needle and thread to Shen Lang.

Wang Chengfa held the needle and thread, and looked up at Zhou Congwen before sewing, and saw that he was holding the camera steadily, but the angle of the camera was already crooked to grandma's house.

Just as he was about to speak, Wang Chengfa suddenly saw some strange image out of the corner of his eye, and was stunned.

Chapter 0072 I saw the bleeding point with a random pestle

It was a hallucination, he was too tired, coupled with the hallucinations caused by insufficient blood supply to the heart and too much pressure, Wang Chengfa's first thought appeared in his mind.

But then he turned his neck abruptly, and his eyes fell on the TV screen.

On the top of the pleura, a tear the size of a fingernail was dripping blood.The thoracoscopic lens can see clearly, and the position is so good that it looks like a posing.

A drop of blood dripped, Wang Chengfa still didn't believe it, and kept staring at the screen.

Soon, another drop of arterial blood gathered at the opening, and flowed out after a few seconds.Wang Chengfa saw it clearly, and a layer of white sweat appeared on his back in an instant.

He knew what the problem was.

Just now when Zhou Congwen reminded that there was blood in the warm salt water for washing, Wang Chengfa dismissed it, thinking that he was deliberately provoking his authority.

But now the camera "coincidentally" saw the breach in the top of the pleura, and Wang Chengfa was stunned.

It should be that the patient had a pneumothorax before, and after conservative treatment, there was adhesion between the lung and the pleura, and the apex of the lung and the top of the pleura were stuck together.

During this spontaneous pneumothorax, the gas overflowed and compressed the lungs, which is equivalent to a large force separating the adhesions, causing the pleura at the top of the pleura to be torn.

Although the trauma was not serious, depending on the situation, the capillaries must be leaking blood.

The bleeding is not too much, and if there is a little more, you should be able to find it.If it was less, it might have healed on its own.

What the hell, Zhou Congwen's luck is so good!Wang Chengfa was scolding his mother in his heart.

There is no vision, and even the mirror can't be held up well, but if you put it casually, you can see the bleeding point directly.

The position of the top of the pleura is easy to see if the thoracotomy is performed, but the thoracoscope needs to turn the lens sideways to see so far.I didn't check for a while, but Zhou Congwen happened to see it.

Wang Chengfa felt bitter in his heart, and he almost didn't spit out a mouthful of auntie.

Others also noticed this, Shen Lang was very surprised, but after confirming that Director Wang missed the bleeding point, Zhou Congwen was right, he immediately lowered his head and pretended he didn't see anything.

The itinerant nurse stood behind Wang Chengfa, "Director Wang, is it bleeding?"

Wang Chengfa nodded helplessly.

Blood was oozing brightly, Wang Chengfa really didn't have the guts to pretend to be a horse, and stepped down from the stage with his chest closed.

"Ready to sew." Wang Chengfa said in a deep voice.

If the chest was opened, Wang Chengfa wouldn't care about a big tear.However, the suture of thoracoscopic surgery requires special equipment, and the feeling of suturing is different from that of open chest suture.

Wang Chengfa had a headache, but he had to bite the bullet and do it.

A basic "8" suture took a full 5 minutes.When it was finished, Wang Chengfa felt a little weak.

Damn thoracoscopy, never do anything else.If the chest is wide open, I can see the breach in the top of the pleura as long as I press the lungs with my hands.

However, the operation of thoracoscopy is quite unfamiliar to an old doctor like Wang Chengfa. He does not have enough cases to accumulate experience, and he has passed the peak period of learning new technologies.

So much so that Zhou Congwen missed the opening of the pleural roof, and Zhou Congwen caught it, Wang Chengfa thought again.

Although Zhou Congwen didn't say a word, Wang Chengfa felt countless pairs of eyes staring at him, and the sound of ridicule was faintly heard around him.

Don't do thoracoscopy anymore, to hell with this flashy technology!

It would be nice to have a big knife, if the patient in front of him gets a big knife, nothing will happen.

Faced with the boredom in his heart, Wang Chengfa checked carefully to make sure there were no omissions, and then he began to close his chest.

However, thoracoscopy has its own advantages. The time for closing the chest is very short. After three incisions were sutured in a few minutes, the operation was declared over.

Wang Cheng walked out without looking back. It wasn't until he left that the atmosphere in the operating room relaxed a bit.

"Congwen, how did you find out?" Shen Lang asked in a low voice.

"What did you find? I can't see anything." Zhou Congwen denied it.

"..." Shen Lang vaguely felt that something was wrong, but he still couldn't tell what was wrong.

Zhou Congwen couldn't see the TV screen at all, and he didn't know where the lens of the cavity mirror was facing.It should be a coincidence, but this is too coincidental.

Shen Lang occasionally has the opportunity to be a helper, and he deeply understands the difficulty of holding the mirror.

Suppose Director Wang found a breach in the top of the pleura and asked himself to look for the location with the camera, he might not be able to find it within a few minutes.

This is still looking for when the TV has a field of vision.

Zhou Congwen had no vision at all, and he saw it with just a random swipe of the stick. This is not luck or something.

Alas, Shen Lang is a little worried.

I should have had a chat with Zhou Congwen earlier, there is no point in contradicting the director, it can only make my future path narrower and narrower.