Back in 2002 as a doctor

however

only the guy drinking water knows it's cold or hot.

Under Zhou Congwen's hands, the operation is as simple as drinking water.

Electrocoagulation cuts off the small blood vessels encountered, and most of the cysts are freed.Zhou Congwen carefully lifted one corner of the cyst, carefully separated and treated the heart side of the posterior wall of the cyst, and completely removed the pericardial cyst.

Blunt dissection is very difficult, even if it is a large thoracotomy with manual blunt dissection, the difficulty is quite high, not to mention the use of long instruments for blunt dissection in laparoscopic surgery.

however!

Zhou Congwen did it very steadily. Although the speed was not fast, the blunt dissection seemed not difficult at all, and the entire cyst was quickly peeled off.

free, cut off.

Zhou Congwen cut the pericardial cyst immediately, and the roving nurse hadn't prepared warm saline, and the operation was completed in less than 10 minutes.

Chen Houkun was a little surprised, but when he was surprised, the equipment vibrated.

"Boom~" Zhou Congwen tapped the metal rod outside the lens twice with the hemostatic pliers, "Professor Chen, check twice to see if there is any bleeding."

"Oh oh oh."

Chen Houkun responded slightly flustered.

Zhou Congwen was still as stable as an old dog. There was no bleeding in the area after the pericardium was peeled off in his field of vision, and the blunt dissection was almost perfect. However, he still used electricity to burn it a few times to completely stop the bleeding in the area where the suspected bleeding occurred, leaving no future troubles. .

Director Cui from the anesthesia department stared straight at the nurse, and the itinerant nurse hurried back. Director Cui frowned and said, "Why so slow."

"Uh... Director." The itinerant nurse was taken aback, she moved quickly, why was she so slow?

But she didn't dare to defend herself. The director didn't know who stepped on his tail, so he took it out on himself.It was my fault for not preparing warm salt water in advance, but no one thought that Professor Chen's surgery could be done so quickly, right?

"Prepare warm salt water." Zhou Congwen said lightly, and the itinerant nurse immediately responded, and began to prepare warm salt water with the equipment nurse.

"Xiao Zhou, your operation..."

Chen Houkun no longer knew how to praise Zhou Congwen's operation.

"Professor Chen, come here." Zhou Congwen squinted his eyes and smiled, handed the equipment to Chen Houkun, and took the camera himself.

Numerous questions appeared in Chen Houkun's mind.

But when Professor Chen glanced at the TV screen out of the corner of his eye, he froze for a moment.

It is not known when the surgical field of view has switched to the blood clot accumulated in the patient's chest.

This was Zhou Congwen silently reminding himself that the blood clot should be removed, and then the chest cavity should be flushed, and the operation was over.

Chen Houkun felt a whip lashing his back heavily, and he was being driven forward like a donkey.

Dr. Xiao Zhou was really interesting. Professor Chen smiled and was in a good mood.

"Warm salt water."

While asking for warm saline, he began to clear the clot from the chest cavity.

The blood clot was about 600ml. After cleaning it thoroughly, rinse it with warm salt water and suck it up. Chen Houkun hesitated for a while.

The next step is the last step before closing the chest - checking for active bleeding.

Generally speaking, the operator will take over the lens at this threshold and look at it with his own habits.

But this "special" operation, after taking the camera by himself, will Dr. Zhou be unhappy?

Before he knew it, Professor Chen had begun to consider Zhou Congwen's feelings.

"Professor Chen."

Just when Chen Houkun was hesitating, Zhou Congwen handed over the camera.

Professor Chen smiled, Doctor Xiao Zhou is really caring, this kind of assistant is a gift from God, I...fuck, I am a mud bodhisattva crossing the river, I can't protect myself, so don't delay Doctor Xiao Zhou's future.

Holding the camera, Chen Houkun began to check for active bleeding.

After checking it twice, it was confirmed that there was no bleeding. Chen Houkun was still worried, and handed the camera to Zhou Congwen, "Xiao Zhou, please watch it again."

"There's nothing missing, you've seen everything you need to see, let's close it." Zhou Congwen didn't answer the camera, but said lightly.

The itinerant nurse and the equipment nurse began to count the number of gauze and equipment, and checked that they were correct. The three small incisions were all closed, and the 32f chest tube was disposed of by poking a hole in the seventh right intercostal space.

The water column of the breast bottle fluctuates well, and a small amount of light red liquid is drawn out.

"The operation is over." Chen Houkun saw that the patient's blood pressure had risen to 90 mm Hg, and he completely let go of his hanging heart.

He glanced back at the clock hanging on the lintel. The operation time was 40 minutes.

If it is a thoracotomy, even if the ribs are not removed, the chest cavity has just been opened at this time to suck out the accumulated blood.

There was really no comparison between traditional surgery and laparoscopic surgery. Chen Houkun stared blankly at the time, his heart throbbing.

Chapter 0098

Laparoscopic surgery seems to be more scientific than large thoracotomy, but unfortunately only this "simple" operation can be done.

After Chen Houkun throbbed, he felt a little sad immediately. A laparoscopic operation could not be done with a little more complicated surgery, such as sleeve resection, such as whole lung, such as...

Waiting for the anesthesiologist to wake up, Chen Houkun glanced at the operating room, but did not see Director Zhang.

"Where's Director Zhang?" Chen Houkun asked Tengfei.

"When you were sewing the skin, he left. He probably went out to explain his illness to that person and the dean." Teng Fei replied in a low voice.

Zhang You left "angry", not because of Chen Houkun's contradictory anger, but on purpose.Everyone understands the twists and turns, it's just that there are some things that some people can't do.

Explaining the illness and announcing the good news should be what the surgeon should do, but Zhang You and Director Zhang did it first, and Chen Houkun felt annoyed for a while.

"Professor Chen, I would like to trouble you." Zhou Congwen said standing in front of Chen Houkun wearing a sterile gown.

"Oh?" Chen Houkun brushed off the unhappiness in his heart, "If you have anything to say, just say it."

"Call Wang Chengfa for me after dawn. I'm on duty today. It seems that I can't make it back. At least I'm late." Zhou Congwen said lightly.

be late……

This word is very strange in Chen Houkun's impression.

Surgeons basically schedule their shifts flexibly. Although early morning shifts and ward rounds are necessary, if there is an operation in the middle of the night and you stay up all night, no one will criticize you for having to shift shifts.

This is human nature.

Unexpectedly, the conflict between Dr. Xiao Zhou and Lao Wang was so intense, and Dr. Zhou still kept his style like an old dog, not even giving Wang Cheng an excuse for being late.

Professor Chen's thought flashed, and he nodded, "Come with me to look after some patients. If there is nothing wrong, I will call Lao Wang first and then send you back."

"Okay." Zhou Congwen was not polite, then took off the sterile surgical gown, hid in the corner and waited for the patient to wake up.

After 7 minutes and 22 seconds, the patient became restless and had begun to wake up.

The director of the anesthesia department, Cui, performed meticulously on pulling out the double-lumen tube and suctioning the sputum.Especially the procedure of sucking sputum, he is even more careful.

Zhou Congwen agreed in his heart that suctioning sputum seems to be a trivial matter, but it is related to all aspects of postoperative patients.

Director Cui's level is very high, not bad.

The patient was carried into the cart, Zhou Congwen pushed the cart, Chen Houkun pulled the cart in front, and the anesthetist and Director Teng also helped out of the operating room.

……

……

Zhang You was trembling with anger, not only because of Chen Houkun saying a few words in front of everyone, but he has rich experience in these departmental disputes.

The main reason is that Chen Houkun actually made the little doctor familiar with laparoscopic operation, and even wanted to remove the pericardial cyst.

It's a bit of a guess in my heart, it's good luck to fool the patient and not die on the operating table.

As for the future, how can there be so much leisurely mind.

I don't know what is good or bad!Zhang You scolded Chen Houkun countless times in his heart, and hurried out of the operating room.

The one who didn't ask to see the operation was accompanied by Dean Bao outside. Seeing Zhang You rushing out, Dean Bao's heart trembled, and he asked in a low voice, "Director Zhang, what's wrong?"

"Chen Houkun is too much!" Zhang You reprimanded in a low voice that could be heard from the opposite person.

"..." Dean Bao had a headache.

"The operation was not a big one, and he insisted on trying to remove the pericardial cyst. If the delay on the operating table is too long, I am worried that the old man's body will not be able to handle the anesthesia." Zhang You said with pretended concern.

"Isn't Chen Houkun messing around!"

"Yeah, it's nonsense! I told him that he didn't listen. He said that it was announced by the hospital that all laparoscopic operations would be under his control. I have no right to make any comments."

Secretary Yin walked over calmly, and asked in a more polite tone, "President Bao, Director Zhang, I have never studied medicine, so please forgive me if I have some wrong opinions."

"Secretary Yin, you are too polite. If you have any questions, just ask." Dean Bao didn't smile, but said worriedly.

"If the pericardial cyst can be removed by the way, won't the old man need to be hospitalized frequently in the future?"

"Yes, but the problem now is not here, but the removal of pericardial cyst is a major operation." Seeing Dean Bao glance at himself, Zhang You knew that the dean needed to give the most professional explanation.

"Yes." Secretary Yin nodded.

"It's rather abstract to say this. Let me just say that if the old man is 20 years younger and I perform thoracotomy, it will take at least an hour to remove the pericardial cyst."

"The current situation is not suitable for surgical treatment. It is enough to stop the bleeding. Next, we can observe the recovery of the old man and make a decision slowly."

"But Professor Chen made a temporary decision during the operation... Sigh."

As he spoke, Zhang You stamped his feet, complaining, aggrieved, unwilling, and angry.

"How long do you estimate it will take for TV...TV thoracoscopic surgery to strip the pericardium?" Secretary Yin asked.

"At least two hours, and I doubt that Chen Houkun will be able to do it at all." Zhang You said with certainty.

Working under one roof for more than 20 or [-] years, everyone knows what kind of level they are.

The time given by Zhang You was very rational, and he did not deliberately blackmail Chen Houkun.

The highest state of lying is nine truths and one falsehood.

Secretary Yin frowned, thought for nearly a minute, and said in a deep voice, "I will report to the leader and listen to what the leader means."

Seeing Secretary Yin and that whispering report, Dean Bao sighed deeply.

He took out his mobile phone and called Director Cui.

"Director Cui, what did Director Chen do in surgery? If it's too much..."

"Dean." Director Cui lowered his voice, but did not continue speaking.

Dean Bao understood that Director Cui should turn around and leave the operating room, and find a secluded place to report the situation inside to himself.

"Professor Chen has cut out the pericardial cyst."

"..." Dean Bao was stunned for a moment, "Cut it off? It's only been a few minutes, what are you kidding!"

"No kidding, it's really cut off."

Zhang You's face was as white as a piece of white paper, without a trace of blood.

cut it?

impossible!

Absolutely impossible! !

"Really?" Dean Bao confirmed again.

"It is already being flushed, and I will go out immediately. The patient's vital signs are stable, and I don't think there is anything wrong, and there is no need to bring a ventilator down after the operation."

"Okay." Dean Bao hung up the phone, bowed his body and rushed over to announce the good news with a smile on his face.

Director Cui seemed to be dreaming when he said this.

Within 10 minutes of heating the warm saline, the pericardial cyst was cut off, how is this possible!

If he hadn't seen it with his own eyes, he would never have believed it.

……

……

In less than 10 minutes, the door of the operating room opened and the patient was pushed out.

The dean accompanied the provincial one standing outside the operating room, that one was smiling, but there was indescribable fatigue in the wrinkles at the corners of his eyes.