Back in 2002 as a doctor

A few seconds later, Zhou Congwen turned the camera in an awkward posture, aiming at the chest wall hematoma caused by bleeding from the ruptured intercostal artery.

"Professor Chen, here."

Professor Chen breathed a sigh of relief when he saw the intercostal artery that was "oozing" blood.

This location was congested and swollen, but the camera was aimed at the bleeding point motionlessly, and the surgical field was very good.

It was right to find Dr. Zhou, even though he did nothing before the operation, but after the operation, Chen Houkun once again experienced that kind of carefree feeling.

Whatever he wants, Zhou Congwen can do it right away, without any communication at all, as if the two of them have cooperated countless times in surgery.

Such an assistant is simply a baby bump, and people can't put it down.

"Knife." Zhou Congwen stretched out his hand, and the equipment nurse handed him the long forceps and knife of the endoscope.

Sending the equipment in along the poking card, Zhou Congwen positioned the knife before the others could react, and handed the knife to Chen Houkun.

Cut the outer membrane of the hematoma, and the long-head suction device immediately sucks away the accumulated blood in the hematoma. At the same time, the angle of the camera is no longer as stable as Mount Tai, but has a slight change.

The gushing blood did not block the surgical field, and the surgical field could clearly see it on the TV.

Director Cui let out a "huh".

He is the director of the anesthesiology department. He has seen a lot of thoracoscopic or laparoscopic surgery, but the surgical field is so good... it is the first time he has seen it.

According to his prediction, the cut hematoma lens will definitely be contaminated, so that the mirror has to be pulled out to wipe it.

There was bleeding inside, and the lens had to be wiped outside, which really made people anxious.But this is impossible. How long the surgery will take depends mainly on this paragraph.

The surgery in front of him is the cleanest laparoscopic surgery Director Cui of the Anesthesiology Department has ever seen.

Under the camera, in the operative field, the broken intercostal artery was still bleeding. The operation did not encounter any difficulties. Chen Houkun started electric heating to stop the bleeding.

When the electric burner started to work, the aspirator moved to the side of the electric burner, and almost all the smoke from the burnt was sucked away by the aspirator.

The field of surgery is still clear and picturesque, showing every detail.Not obscured by the smoke from the electric burn or the bleeding from the intercostal arteries.

Director Cui from the anesthesiology department was a little puzzled. Seeing that the little doctor didn't do anything special, all his actions could only be said to be quite satisfactory, but this turned out to be the best laparoscopic surgery he had ever seen.

The operation should be done, the lens is still brand new, and the vision is clear.

It's really good to support the mirror. No wonder Professor Chen insisted on finding a little doctor from the Third Hospital of Jianghai City to match him.

"Titanium clip." Zhou Congwen said in a deep voice.

"Do you still use titanium clips?" Chen Houkun felt that he was safe to stop the bleeding from the electric burn, so he asked with some doubts.

"The patient has type 2 diabetes. In a similar situation, not only titanium clips should be used, but also sutures," Zhou Congwen said in a low voice.

Chen Houkun glanced at Zhou Congwen.

To describe him as stable as an old dog is simply more appropriate.Even if the old one can't walk anymore, he can't compare with Zhou Congwen. This guy has almost merged with the ground and is as stable as Mount Tai.

Electric burns were not enough to stop the bleeding, so titanium clips were needed; double insurance was not enough, and he still had to use the old habit of normal chest opening to sew it up.

Is it useful?

Although he had doubts in his heart, Chen Houkun still "respected" Zhou Congwen's statement, and placed a titanium clip on both sides of the broken intercostal artery.

"Needle with thread." Zhou Congwen had already entered the state of taking his own doctor for surgery, and he could not tell the difference. He asked the nurse for a special suture needle for endoscopy and gave it to Chen Houkun.

Chen Houkun was a little embarrassed, but still sent the needle and thread in.

Director Cui from the Department of Anesthesiology couldn't help but laugh. He sighed and said, "Dr. Zhou, you are too cautious to do this, there is no need."

"The pathophysiological effects of type 2 diabetes on blood vessels, as well as the hemostatic treatment after rupture, are described in detail in relevant literature." Zhou Congwen said lightly, "The possibility of rebleeding after electrocautery is 3.8%. Titanium clips are used to stop bleeding, and the possibility of rebleeding after surgery is 0.7%.”

Director Cui was dumbfounded.

"Emmm, the patient is very old and can't stand the pain, and it's not troublesome to sew it up. The possibility of bleeding is reduced by five thousandths, and he can sleep peacefully when he goes down." Zhou Congwen said lightly.

0096 10 minutes

The data that Zhou Congwen said was detailed and involved "unpopular" subjects such as pathophysiology, and all the medical staff present were dumbfounded.

Pathophysiology is included in the courses of college and junior college, but for students, it is just a course with no sense of existence.

After coming to the clinic, the knowledge of pathophysiology is rarely used.

Now Zhou Congwen said that no one knows how much type 2 diabetes will affect the operation.As for the data in the literature he mentioned, everyone is even more unfamiliar.

Standing behind Chen Houkun, Zhang You took a deep look at Zhou Congwen.

Chen Houkun was silent, without saying a word or a word, and began to sew according to Zhou Congwen's opinion.

"Wen..." Zhou Congwen said a word, then closed his mouth.

"Doctor Zhou, what did you say?" the equipment nurse asked suspiciously.

"I coughed." Zhou Congwen narrowed his eyes to look at the equipment nurse, and rounded up what he just said.

"Is it?"

Zhou Congwen stopped talking, and continued to support the mirror, allowing Professor Chen to sew up smoothly.

If it is hemostasis, it is enough to do this step in the operation, and then let the roving nurse prepare warm saline for washing, and then close the chest.

The patient's vital signs were stable and he could step down alive. Zhou Congwen's task of rescuing the stage was completed.

But when Zhou Congwen just wanted warm salt water, he suddenly realized that if the operation went smoothly and seamlessly, the people in the Second Hospital of Medical University would not give him the chance to remove the heart cyst.

But simple hemostasis, the heart cyst does not move, and the postoperative survival period of the patient is limited.The operation in front of him was just an emergency operation to stop the bleeding.

So Zhou Congwen decided to procrastinate to see if he could have 10 minutes to remove the pericardial cyst.

Everyone in the operating room was focused on Chen Houkun's stitches, and no one noticed Zhou Congwen's sudden change of mind just now.

Chen Houkun's laparoscopic skills are not bad. Although there are some minor problems with the suturing, the problems are not serious, and the completion is smooth.

But after all, it was not an operation under direct vision. It took Chen Houkun less than 10 minutes to finish the stitches.

After the three insurances, Professor Chen took a look at the ECG monitor. Although his blood pressure hadn't risen significantly, it didn't continue to drop, and his mood had stabilized a lot.

Turn off the faucet and keep pouring water in, the patient has a high probability of survival.

"Professor Chen, are you going to close your chest or..." Zhou Congwen asked.

Of course it is to close the chest, why not? !

Chen Houkun was a little surprised, he frowned and looked at Zhou Congwen, "Xiao Zhou, do you think there is anything insecure?"

He asked carefully, with a little respect.

"It will take at least 10 minutes to prepare the warm salt water. Let's take advantage of this time to deal with the pericardial cyst?"

"..." Chen Houkun was stunned.

Take it when you see it, what does it mean to accept it when you see it!

The patient's B-ultrasound and CT showed a pericardial cyst, so he had symptoms such as fever and right pleural effusion.This emergency first aid, traced back to the source, was also caused by a pericardial cyst.

The purpose of the operation is to stop bleeding, and the pericardial cyst should be treated within 10 minutes of preparing warm saline?Is this appropriate?

"Xiao Zhou, can it be done in 10 minutes?" Chen Houkun felt that it was not good to embarrass Zhou Congwen in public, so he pretended not to know how to ask.

"Explore and see, up to 10 minutes. If the warm salt water comes, it doesn't matter. After all, the patient is older, and the shorter the anesthesia time, the better the recovery." Zhou Congwen didn't insist, and kept saying the number of 10 minutes .

Chen Houkun thought for a while, and saw that the surgical field on the TV had shifted to the position of the anterior mediastinal angle, and the huge pericardial cyst could be clearly seen.

He didn't want to get rid of Zhou Congwen's meaning. Subconsciously, Chen Houkun had already treated Zhou Congwen as a doctor of the same level.

"You have a try, but we have agreed that after the warm salt water comes up, we will deal with the pleural hemorrhage." Chen Houkun said.

Zhou Congwen didn't talk nonsense, handed the camera to Chen Houkun, and started to deal with the pericardial cyst himself.

Director Cui and Director Teng Feiteng of the Anesthesiology Department were dumbfounded.

Zhang You's shoulder moved slightly, but he held back.

Originally a good operation, the bleeding has been successfully stopped in a short period of time, so shouldn't it be washed, closed, and stepped down?

Why do you have to deal with pericardial cysts? !

This is not the most important thing, the main thing is the conversation between the two people on stage - the little doctor from Jianghai City said 10 minutes, but Chen Houkun actually gave him 10 minutes.

Moreover, the positions of the operator and the assistant were switched, and Chen Houkun directly became the assistant to hold the mirror.

"Old Chen, don't do it." Teng Fei directly persuaded her, and she suggested in a low voice.

Take it when you see it, isn't it fragrant?

What to do if other problems arise!

Although Teng Fei also knew that the root of everything was the pericardial cyst, if he didn't deal with it, the patient's condition would not be very good even after he stepped down.

But now the top priority is to stop the bleeding. The original purpose has been achieved, so why take more risks.

"Director Chen." Director Zhang You said in a deep voice, "Hurry up and step down."

"Director Zhang, prepare warm salt water. The chest cavity hasn't been flushed yet, so I can't come down for the time being." Chen Houkun didn't even look at Zhang You, and held the mirror steadily, giving Zhou Congwen the best technique.

Originally, Chen Houkun hesitated, but when Zhang You spoke, he immediately became resolute.

Isn't it just 10 minutes? Anyway, the operation went smoothly, and warm salt water is still being prepared.Without delaying the operation, what can I do if I give this "junk time" to Xiao Zhou to practice thoracoscopy? !

Have yourself watching, not afraid of accidents.Zhang You, who are you, pointing behind your back, if you have the ability to do it yourself, remember Lao Tzu when you take the blame, and put on airs of the big director when you are fine.

"You are so self-willed. You have successfully stopped the bleeding, and you still need to remove the pericardial cyst! Do you know how long it takes to cut the pericardial cyst? Even if it is a large chest opening, it will take at least 20 minutes! 20 minutes!!" Zhang You said sharply .

All the unhappiness in Chen Houkun's heart turned up, but he still didn't look at Zhang You, but stared at the TV screen of the thoracoscope, and said coldly, "Director Zhang, now I am a surgeon, if you are good, you can go on stage No need to look for me in the middle of the night."

"..."

"The hospital informed you a few days ago that you are here. All laparoscopic operations are under my control. Please respect the hospital's decision."

Chen Houkun said coldly.

Director Cui and Teng Fei from the anesthesia department looked at each other. They knew the conflict between Zhang You and Chen Houkun, but they didn't expect that such an honest person like Chen Houkun would jump up and bite someone.

"you……"

"What about me? This is a laparoscopic surgery. According to the regulations of the hospital, I have the final say." Professor Chen refused to give up an inch.

Zhang You glared at Chen Houkun viciously, stomped his feet and turned to leave.

Chapter 0097 Respect

"Xiao Zhou, look carefully, the warm salt water is there, you just need to familiarize yourself with the operation." Chen Houkun said softly.

He's not stupid, he hates Zhang You, he hates Zhang You, so he definitely can't let Zhou Congwen mess around.It's okay to get familiar with the operation, but if it's really done, Chen Houkun will definitely not allow it.

Zhou Congwen didn't seem to notice the quarrel between Zhang You and Chen Houkun at all, and had been concentrating on the surgery.

The size of the pericardial cyst is about 9cm×6cm×5cm, and the capsule is intact.

Lifting the cyst, the huge cyst is exposed in front of the face.

Although there was only 10 minutes, Zhou Congwen was still not in a hurry, but steadily punctured the cyst with a fine needle to draw out the light yellow liquid, confirming that the pericardial cyst was not connected to the pericardial cavity.

Chen Houkun watched Zhou Congwen perform the examination, and a strange feeling rose in his heart out of thin air.

According to Wang Chengfa, Zhou Congwen had never undergone surgery.Just now Chen Houkun handed over the position of the magician, in fact, the bigger meaning is to let Zhou Congwen back out of difficulties and stop talking nonsense.

But he didn't expect Zhou Congwen to take the equipment directly and start operating it.

Every step of his operation is rigorous, and Chen Houkun has a weird idea when he sees his operation process - it must be honed through thousands of operations to have this kind of technique.

Didn't Wang Chengfa say that Xiao Zhou has never touched a knife?

Why is Xiao Zhou so proficient in laparoscopic surgery, which is more difficult than a large thoracotomy? !

When Chen Houkun was puzzled, Zhou Congwen performed the operation smoothly, judging from his technique, there was no difficulty.

Lifting the cyst capsule in the right front of the cyst, Zhou Congwen began to bluntly dissect the cyst between the mediastinal pleura and the cyst.

Chen Houkun wanted to stop Zhou Congwen from continuing, but his thoughts flashed, and a question appeared in his mind-if it was him, would he be so proficient in operation?

the answer is negative.

Doctor Xiao Zhou didn't know where he learned the surgery, how could he look stronger than himself.How about... give it a try?

Now it is only a temporary solution, and Chen Houkun knows this.If possible, who doesn't want to cure the root cause.

Chen Houkun swallowed back the words to stop him, held the mirror carefully, and was mentally prepared that if Zhou Congwen mishandled something, he would terminate the operation at any time.