Back in 2002 as a doctor

And in less than a minute, the riddled superior vena cava eroded by the tumor has been replaced with a brand new polytetrafluoroethylene artificial blood vessel.

Huang Lao and Zhou Congwen's operation was suspended to observe the blood flow in the Teflon artificial blood vessel, especially the bleeding from the anastomosis on both sides.

Something that made Director Ding unbelievable happened again.

There is no bleeding at all on both sides of the anastomotic end!

Usually, Director Ding performs similar operations by himself, even if he uses a [-]x magnification and takes half an hour to suture, when he opens the blood vessels to restore blood flow, he will find that there are many bleeding spots that need to be repaired.

This is the most head-scratching bit, quite troublesome.

Not all the problems can be solved with one stitch, although each suture can be strengthened with 5-0 Prolene suture to tie the place where the bleeding just happened.

However, if the two needle holes of the reinforcing needle are not careful, blood will ooze again. Director Ding even encountered the embarrassing situation that the more the repair, the more bleeding.

however,

The anastomosis completed by Huang Lao and Zhou Congwen in 32 seconds was extremely delicate and meticulous, so that the operation area was clean, and there was no trace of blood under the 5-0 Prolene line and the outer layer of the Teflon artificial blood vessel.

"It's okay." Zhou Congwen said, "Boss, can you take a break?"

"No, let's cut both lungs together." Huang Lao said lightly.

Zhou Congwen didn't continue to tangle with his boss. Two sets of instruments appeared on the operating table at the same time, and the two were working on one lobe of the lung.

Huang Lao and Zhou Congwen faced each other sideways, as if there was a mirror between their backs, and what they did was the other's visual movements.

They couldn't see each other's movements, but their movements still maintained a neat and wonderful rhythm.

Director Ding was dumbfounded.

Director Ding agrees with the fact that the previous operation cooperation belongs to the field of strong men that he will never be able to set foot in in his lifetime.

Everyone has everyone's upper limit, and his own upper limit is so high, what can he do.

He could only sigh with emotion at Huang Lao's strength and Zhou Congwen's toughness.

However, the scene in front of him completely overturned Director Ding's understanding of surgery.

In surgery, there is a vocabulary called surgical style.

Everyone has their own style, based on the operator's own physical, psychological and conscious surgical actions selected.

Although the general steps are exactly the same, the style will never be repeated.

But watching Huang Lao and Zhou Congwen's surgery, Director Ding suddenly realized that their styles are exactly the same!

Chapter 1540 I don't even believe in the power of the ICU

Huang Lao and Zhou Congwen had different surgical procedures. After all, the scope and degree of tumor erosion in the upper lung lobes of the patients were different, so the surgical procedures could not be the same.

However, in Director Ding's view, it's the same.

What he looked at was not the appearance of the operation, but the thinking.

Only people with a high level can see the essence through the phenomenon. Director Ding is such a strong person, he can see the difficulty of the operation.

However, the more he could understand, the more incomprehensible Director Ding was.

In the back-to-back scene of Huang Lao and Zhou Congwen, the mirror became clearer, making Director Ding seem to be looking at a mirror image.

He doesn't even know who is the subject and who is the image.

Even Director Ding didn't seize this once-in-a-lifetime opportunity to learn Huang Lao's surgery. His eyes were distracted, and he wanted to see the two people's surgery at the same time, but he always combined the two visions into one to produce a double image.

His eyes seemed to be dazzled, full of the coordinated and graceful movements of Huang Lao and Zhou Congwen.

Feeling emotional, and then joyful, but until the stitching was completed, I couldn't see anything clearly after the final instructions.

After an unknown amount of time, Mr. Huang cut off the suture and turned around, "You can do the rest."

"Okay, boss." Zhou Congwen said.

Mr. Huang turned and stepped off the stage. Zhou Congwen was the only one on the operating table, washing, checking the bleeding point, electrocautery to stop the bleeding, and doing the final treatment.

Director Ding stood like your clay puppet, and even forgot to move a stool for Mr. Huang.

"Anesthesiologist, please give the stool to the boss." Seeing that the operating room was quiet and no one was moving, Zhou Congwen looked sideways at the anesthesiologist.

"Oh oh oh." The anesthesiologist had already turned into a sand sculpture, immersed in the "mirror mirror operation" in a daze and unable to extricate himself.He didn't realize it until Zhou Congwen spoke, and immediately moved the stool and ran to Huang Lao.

This surgery was done...

Anesthesiologists have seen surgeries in various departments, top-notch surgeons, and average-level surgeons whose surgeries are full of flaws.

But he has never seen the operation he just saw, not even once.

Even the well-informed anesthetist was dumbfounded.

An operation that was considered impossible by everyone was completed in a very short time. It can even be said that Huang Lao and Zhou Congwen completed the entire operation in only the time it took to establish extracorporeal circulation.

Looking at the surgical position of standing upright at 90 degrees and sitting prone on the left side, the anesthesiologist forcibly pulled his thoughts out of the astonishment, and bent over to lift the stool.

"Old Huang, where do you think the stool should be placed?" the anesthesiologist asked.

Huang Lao shook his head, turned to look at Zhou Congwen, "Zhou Congwen, can you finish it?"

"Yes." Zhou Congwen gave Mr. Huang an affirmative answer.

"Then you do it, I'll take a look over there." Huang Lao said.

"Boss, together?"

"You stay." Huang Lao said lightly, "There is no jugular vein femoral bypass plan, and preventive and therapeutic brain resuscitation and brain function protection must be done after surgery."

When Director Ding heard what Huang Lao said, his heart was completely blank.

Three points for treatment and seven points for nursing care. The so-called nursing care points to many aspects, but it is definitely not acupuncture or changing drips.

Doing a good job of preventive and therapeutic brain resuscitation and brain function protection sounds like a mouthful, but there are so many technical details here that even Director Ding can't tell.

It is really the responsibility of the intensive care doctor in the ICU. Mr. Huang not only takes care of the operation, but also keeps Zhou Congwen behind and asks him to take on this responsibility.

In other words, in Huang Lao's perception, Zhou Congwen's postoperative severity far exceeds the strength of his own hospital's intensive care unit.

"Director Ding."

Zhou Congwen called out.

Director Ding was in a trance and didn't realize what happened. He thought in a daze that Zhou Congwen's high level of surgery should be taken for granted, but why did Mr. Huang believe so much in his level of severe disease?

"Director Ding?" Zhou Congwen's volume increased by 12.5 decibels.

"what?"

"Please give the boss a gift, give the boss a bottle of 5 sugar, watch it carefully, don't let him drink too much." Zhou Congwen babbled.

Director Ding woke up like a dream, he trotted quickly to Huang Lao, kicked open the airtight door, bowed his waist to send Huang Lao away.

"Old Huang, do you think the patient can live?" Director Ding asked in a low voice.

"It should be fine, but preventive and therapeutic brain resuscitation and brain function protection are the key. Let's see the situation after surgery. I will contact Zhou Congwen at any time and we will solve any problems together." Huang Lao said.

"Old Huang... your operation..."

"I can't help it, and I don't want to do it so fast." Huang Lao said lightly, bowing his hands behind his back.

I don't want to do it so fast, this sentence... Director Ding sucked on what Huang Lao said, feeling extremely small.

He knew why Huang Lao didn't want to do it so quickly.

Fast surgery is not only beneficial.

The faster it is, the more likely there will be omissions. Even Huang Lao can't guarantee that the operation process will be perfect in such a short period of time.

So if it wasn't absolutely necessary, Mr. Huang wouldn't choose to use explosive speed to solve the problem in the shortest time.

Director Ding knew what was going on when the patient came to the stage, and he also understood Huang Lao's difficulties.The reason why it is fast has nothing to do with the consultation with the Shuai Mansion, it is only related to the sudden death of small patients anytime and anywhere.

Although a bit risky, the result is good.

"Old Huang, your level is really high." Director Ding said seriously and respectfully.

Huang Lao waved his hand.

It doesn't matter to Mr. Huang whether the level is high or not. Mr. Huang is very pleased to be able to save people's lives.

"After the patient steps down, there will be a quiet period for a period of time, and after some recovery, radiotherapy and chemotherapy will be performed."

"Old Huang, what do you think the effect will be?" Director Ding asked a little nervously.

"It shouldn't be a big problem. I have encountered similar patients." Huang Lao said, "The five-year survival rate was guaranteed more than ten years ago, and it is no problem now."

With Mr. Huang's words, Director Ding let out a sigh of relief.

Huang Lao came to the locker room, had no time to smoke, take a break, changed his clothes and left the attached courtyard.

Director Ding returned to the operating room full of worries, and Zhou Congwen had already stepped down.

The little patient is no longer in the weird position of standing upright at 90 degrees and sitting prone on the left side. He is lying flat on the operating table, his chest rises and falls with the ventilator, and his vital signs are stable.

Seeing the vast difference between the patient's condition and that before the operation, Director Ding was quite relieved.

It is already a miracle to be able to step down, but what needs to be considered now is whether the patient can wake up after the operation.

"Professor Zhou, it's hard work." Director Ding didn't mind Zhou Congwen's age, he greeted Zhou Congwen as if he was talking to Huang Lao.

"It's okay." Zhou Congwen said lightly, "Notify the ICU to prepare ventilator, ice cap..."

Zhou Congwen mentioned sixteen pieces of equipment in one breath.

Director Ding knew some things, but he never used them.

He tried to remember and contacted the ICU immediately.

Chapter 1541 Huang Lao's Condition Doesn't Look Good

Zhou Congwen sent the patient to the ICU. At this time, Huang Lao had already got into a black Audi and went straight to the handsome mansion.

In the car, Mr. Huang closed his eyes, looking senile, and the scene of being in high spirits on the operating table just now was gone.

It seemed as if all the energy in Huang Lao's body had been sucked away, leaving only a shell, a shell buried up to his neck.

When they came to Shuai's mansion, a director and a middle-aged man in a Chinese tunic suit stood at the door to welcome Mr. Huang.

"Mr. Huang, I'm looking forward to your coming." Seeing Mr. Huang get off the car, the doctor rushed forward to meet him.

"Oh~~~" Huang Lao didn't even raise his eyelids completely, as if he had grown old to the core, and he didn't have any extra energy, and even the end of his speech was extremely long, with a smell of historical dust.

The middle-aged man frowned and looked at Huang Lao with distrust in his eyes.

"Mr. Huang." The director sighed, "This consultation has nothing to do with the Department of Thoracic Surgery, and I didn't intend to bother you, but this is not something difficult..."

"Tell me about the situation." Huang Lao said softly.

At this time, Huang Lao was like an ordinary old man, old and weak, with his hands behind his back, and he walked tremblingly into the commander's mansion.

The doctor and Mr. Huang reported the patient's condition.

An 88-year-old patient was admitted to the hospital with sudden palpitations and episodic confusion.

入院后测血压225/114mmHg；肌酐77.1μmol/L，血糖2.5mmol/L，胰岛素19.26μIU/mL，C-肽3.98ng/mL。

The starvation test was negative.

Because the blood sugar deviates from the normal value, he was given antihypertensive, diet and other symptomatic treatment, and then relapsed intermittently. The blood sugar fluctuation ranged from 2.1 to 2.7 mmol/L during the attack.

At that time, the health care team consulted and considered hypoglycemia caused by endogenous hyperinsulinemia.

No improvement after symptomatic treatment. The Ga-exendin-4 PET/CT performed this morning showed an abnormally increased radioactive uptake nodule at the junction of the body and tail of the pancreas, with a size of about 1.1cm×1.3cm, consistent with glucagon-like peptide The -1 receptor was overexpressed, and diffuse radioactive uptake was seen in the rest of the pancreas, suggesting an insulinoma.

The diagnosis is relatively clear, because it is not a disease of cardiothoracic surgery, so Huang Lao was not invited to attend the consultation.

But at this point, the doctors in the health care team didn't know how to proceed.

The diagnosis is clear, there is no doubt, the difficulty lies in the treatment.

If he was dozens of years younger, the doctors in the health care team would definitely decide to operate without hesitation.It doesn't matter if it's laparotomy or laparoscopy.

However, the patient is old, 88 years old, and his basic physical condition is relatively poor. The risk of surgery is quite high, and no one dares to take this risk.

However, under conservative treatment, the patient's blood sugar could not be controlled at all, fluctuating from time to time.Maybe one day in the middle of the night, when the patient's blood sugar drops below 1 mmol per liter, sudden death will occur silently.

After a series of consultations, the participating experts were helpless, so they had to ask Mr. Huang to take a look.