Back in 2002 as a doctor
Page 87
Weighing back and forth, there should be no problem.
The window paper pierced by Zhou Congwen got bigger and bigger, and the bright sunshine of another world shone in.The temperature in the operating room seemed to have increased several degrees, and Chen Houkun felt hot all over.
"Professor Chen, open it!" the anesthesiologist reminded with great interest.
He just took the time to take a look at the surgery room next door. Pan Cheng's operation is still at the level of separating the bronchial arteries and veins.
In comparison, Professor Chen Houkun Chen's operation was like Professor Didu's handiwork, fast and steady, and the three operations had come to an end in the blink of an eye.
It is the greatest good news that there is no need to match stage with Pan Cheng. The anesthesiologist greeted Chen Houkun with a smile, with excitement and admiration in his tone.
Chen Houkun took a last look at the patient's video data, then turned to brush his hands.
Disinfect, lay out sterile sheets, and put on clothes on stage.
Standing in the position of the surgeon, Chen Houkun had already completely forgotten about the live broadcast of the operation. His heart was beating "bang bang bang bang", and all he thought in his mind was that if it could be over with just one shot If you fight, it has a strong guiding significance for future work.
What is the specific guiding significance? I can't finish what I want to say in a day and a night.
But that's all for the future, what needs to be done now is to win this operation.As for the one-shot method or the two-shot method, it depends on the situation during the operation.
Stretching out his hand, a scalpel was patted on Chen Houkun's palm.
"Wait a minute." Zhou Congwen picked up the sterilized lamp handle and installed it, and then began to adjust the irradiation position of the shadowless lamp.
With Zhou Congwen present, even the lighting is much milder, the location is just right, and the view is the best.
After a single cut, sterile gauze has been pressed on the wound.
Then the electric burn appeared, and after a few clicks, when the equipment nurse slapped the curved forceps in Chen Houkun's hand, hemostasis at the skin edge was over.
Blunt dissection, one-lung ventilation, poking the incision, and stabbing the camera into the chest cavity.
Chen Houkun hardly breathed all the way, he took a breath, looking forward to the moment when he saw the patient's fissure.
There are many preconditions required to end a battle with one shot, and patients are almost all suitable.
The only possible problem is that the patient's interlobar fissures are not well developed. If that is the case, it will take one or two more shots.
Chen Houkun was also quite aggressive. After Zhou Congwen said "casually", he took it as a real thing, and wanted to try to see if the 60 gun could cover all the organizational structure in one bite, and there should be a reserved space before and after.
God is beautiful, the patient's interlobular fissures are very well developed, and it is rare to go directly to the root, so there is no need to waste a single shot.
"It's done!" Chen Houkun couldn't help shouting softly when he saw the interlobar fissures by grabbing the lungs with long pliers.
The anesthetist was puzzled, and asked in a daze, "Professor Chen, what happened?"
"It's okay." Zhou Congwen smiled, "The operation may be finished soon, warm salt water is ready."
The anesthetist was startled, and looked back at the clock hanging on the door lintel.Less than 7 minutes have passed since the skin opening, and the operation is about to be completed? !
However, Zhou Congwen did not continue to educate the anesthesiologist. He used long forceps to cooperate with Chen Houkun's movements, and simply freed the bronchial arteries, veins and bronchi.
The patient is thin, with little fat, and the rate of separation is quite fast.
Looking at the simple and clean anatomical structure, the voice in Chen Houkun's heart became louder and louder.
One shot, it works!
This is not because Zhou Congwen said it, and Chen Houkun followed it blindly.He has cut more than 1000 lung lobes, and he knows what to pay attention to and what to be careful about.
"gun!"
After the separation, Chen Houkun stretched out his hand.
The instrument nurse handed over the linear cutter and stapler.
The gun stuck in along the poke, Zhou Congwen assisted with long pliers, and gently stuffed the patient's bronchial artery, vein, and bronchus into the muzzle of the gun.
The reserved part before and after is enough, and there will be no possibility of being unable to contain a shot, and there is no possibility of cutting or suturing a part of the tissue in the end.
Chen Houkun held his breath and concentrated, and pulled the trigger in his hand, and the creaking feeling came along the linear cutting stapler.
one shot,
Into the soul!
After the beating, the plastic bag appeared next to the lung tissue. Zhou Congwen put the severed lung lobe into the plastic bag and pulled it out.
"Warm salt water."
Chen Houkun was already used to the assistant's operations. Instead of praising Zhou Congwen in surprise, he reached out and asked the nurse for warm salt water.
"What?!" The equipment nurse was stunned for a moment. The itinerant nurse had just sat down and wanted to catch her breath, but she jumped up in shock when she heard that Chen Houkun would ask for warm salt water within 20 minutes of opening the stage.
Zhou Congwen asked for warm salt water just now, but she ignored it, thinking that it was the little doctor from the outer hospital talking nonsense.Unexpectedly, Chen Houkun would start asking for salt water very soon. Was the operation done so quickly? !
"Warm salt water." Chen Houkun said firmly, "The operation is over."
"..." The equipment nurse was dumbfounded.
"..." The itinerant nurse was dumbfounded.
"..." The anesthesiologist was also dumbfounded.
Chen Houkun didn't even look at them, his eyes were fixed on the TV screen.The long pliers in Zhou Congwen's hand fully exposed the incision. With one shot, everything that should be stopped was stopped. There was no bleeding or air leakage.
perfect!
……
……
In the auditorium, there was no sound.Everyone stared straight at the second live broadcast, unable to utter a word.
Zhang You's clenched fists trembled slightly.
Chapter 0149 Generation Difference
what just happened?
Is Chen Houkun crazy?He engulfed the bronchial arteries, veins, and bronchi with one shot, and then pulled the trigger, destroying the entire lung lobe with just one shot!
This is impossible!This is dreaming!
In Zhang You's eyes, Chen Houkun's operation was already like a flying fairy from outside the sky, and he couldn't understand it at all.If it wasn't because he saw the live broadcast of the operation with his own eyes, no matter who said it, Zhang You would not believe it.
Zhang You was shouting in his heart, but his mind was blank.
Chen Houkun can understand the specific principle, and Zhang You can understand it even more.
But in practice, Zhang You felt that he would not be able to perform this kind of operation even if he gave himself a hundred courage.
Is it difficult to shoot in three shots?
This is a demonstration operation, and the equipment does not cost money. Wouldn't it be better to shoot a few more shots to stabilize it?Why is surgery done in such a "risky" way.
Or did Chen Houkun regard himself as the protagonist of this demonstration operation?
Countless questions popped up in Zhang You's blank mind, one after another, without end.
The others were also startled by Chen Houkun's operation so that their glasses fell off the floor, they lost their voices, and stared blankly at the finishing process of the operation on the screen.
On the screen, the surgeon flushed the chest cavity with only one shot, and the anesthesiologist inflated his lungs.
No leaks, no bleeding, flawless.
The warm saline was sucked away by the suction device, and the operator rinsed it again as if obsessive-compulsive.
It was confirmed that the lungs were inflated again, there was no bleeding or air leakage, and then the surgeon began to close the chest.
How long has the operation been done?
Not counting the time for disinfection and laying sheets, it seems that it took less than 30 minutes.
This speed frightened more than 100 professional doctors in thoracic surgery. How could it be possible to cut the lung lobe in 30 minutes!
Not scientific at all.
If he hadn't witnessed it with his own eyes, no matter who told him that, he would scoff and never believe it.
Due to the emergence of electric burns, the speed of thoracotomy has been greatly improved.Even so, it is relatively fast to enter the chest in 30 minutes.
The fastest speed should be 15-20 minutes, which can be achieved only if the patient is relatively thin and the surgeon is of a particularly high level.
But this is only the first step in the operation.
However, thoracoscopic lung lobectomy was completed in less than 30 minutes...
what is this?
Is it bad?Or Zentraedi technology?
Thoracoscopy has long been known to many people, but most people only use thoracoscopy to cut bullae and treat spontaneous pneumothorax.
In the eyes of thoracic surgeons, thoracoscopy is a flashy technology, under the banner of minimally invasive, in fact?
Ha ha.
But this one... No, these three surgeries opened a window in the corner for everyone.
Not only did the windows open, even the wall was kicked down, and the roar was deafening.
The thoracoscopic surgery in everyone's mind is the kind that Pan Cheng is still doing next to him, and it is definitely not the kind done by Professor Chen Houkun and Chen from the Second Hospital of Medical University.
From cutting the immature interlobular fissure with a gun all the way and knocking out the lung lobes; to cutting the lung lobes with two guns;
Today's operation looks like a ghost!
This is unscientific. Medicine is evidence-based science. Is there any evidence in the past that thoracoscopic surgery can do this?
No, not at all.
Hell, it takes half an hour to cut the lung lobe, and the operation is so clean that some people even suspect that there is no need to remove the chest bottle.
The tide of discussion in the entire auditorium disappeared completely. Everyone was shocked by Chen Houkun's operation, and their mouths were dry.
Time seemed to freeze, but only the time in the auditorium was frozen, and the surgery on the screen continued.
The operator carefully flushed the chest twice, "wasting" some time, then closed the chest, and the operation was over.
The live broadcast equipment faithfully recorded all the surgical procedures, until the patient woke up and the vital signs on the ECG monitoring were stable, and the live broadcast surgery was declared over.
At the end of the moment, there was a voice in the auditorium, it was applause.Immediately there were more and more applause, louder and louder, as if the waves were crashing on the shore.
More than 100 thoracic surgeons applauded desperately.
For surgery?
No, no matter how beautiful the surgery is, the doctors are more restrained, unlike the groupies, they don't express their emotions so clearly.
The doctors who can come to participate in the society, except for a few who come to fish, are all doctors who are interested in thoracoscopic surgery and have been wondering whether minimally invasive surgery can go further.
And this time they learned, they saw a ray of light and... the collapse of the wall.
According to the consensus of the academic circle, thoracoscopic surgery is only minimally invasive, but the operation time is long and the patient's cost is high. The specific operation method depends on the specific situation.
but!
Today's last three operations showed a perfect situation - minimally invasive, short operation time, and low cost.
In particular, the trauma to the patient is small, and the operation time is unbelievably short, which is the most touching.
Even if the last patient is just a special case, it doesn't matter, it is absolutely impossible to do the thoracotomy so quickly in such a special case!
The applause was thunderous, and the stormy waves beat the shore, echoing in the auditorium.
"Director Zhang, Director Zhang." A young director from the neighboring province came over. He came to Zhang You with a look of admiration, and bowed without saying a word.
Zhang You didn't expect him to do this, and was stunned for a while.
"Before I came here, I heard people from Olida say that you have set up a thoracoscopic treatment group here. I thought it was unnecessary. I didn't expect that your surgical level has reached such a high level!"
Gan!
Zhang You was taken aback.
Are you complimenting yourself or scolding yourself?
"I misunderstood, the level is not enough. Under your leadership, the level of thoracoscopic surgery has been pushed forward by 5 years, no, five years is not enough, at least 10 years!"
Gan mata! !
In Zhang You's heart, sadness flowed like a river.
How the hell did I know that Chen Houkun's level had reached this level? !
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