Sleepless Doctor

　　 The skin, subcutaneous tissue, muscle, and pleura are separated suddenly, enter the thoracic cavity, poke the jam, and then the endoscope starts to work.

　　 Zhou Lao slept peacefully and breathed evenly. Ren Haitao looked at Zhou Lao and the ECG monitoring. There was nothing unusual at all.

　　 "Fiber bronchoscope."

After 　　 entered the chest, Wu Mian said to Ren Haitao.

　　 The mirror was ready long ago, but Zhou Lao was lying on the left side, which was a bit uncomfortable. But it is not difficult for Ren Haitao to get in with the bronchoscope in the fastest time. With gentle movements, Ren Haitao did not dare to disturb the elderly's sleep.

　　 While looking down in the mirror, Ren Haitao looked at the state of Zhou Lao.

　　The irritation to the patient under the fiberoptic bronchoscope is still quite large, and many patients call it the upper penalty when they are awake.

　　 But Zhou Lao was sleeping and assisted with anesthesia, and he didn't even feel at all. It's really amazing whether I should sleep or sleep.

"The tracheal carina is 2cm above the carina and 3.5cm long, blocking most of the lumen and bleeding on the surface." Ren Haitao looked at it carefully with a bronchoscope and immediately reported the situation. The patient used the forceps of the bronchoscope to mark Wu Mian at the edge. .

　　 Wu Mian nodded, and started blunt separation with endoscopic pliers.

　　 The pliers are as dexterous as both hands. They bluntly separated and took a glance. They didn't see how quickly, but before Li Zhong, who was holding the mirror, could see, Wu Mian had already started to cut the tumor.

　　 Retain about 1/4 of the circumference of the normal tracheal wall on the opposite side, and the resection length is up to 5cm. Go down to the 0.5cm position on the carina of the trachea, which is just right.

　　 "Artificial blood vessel."

　　While cutting the tumor, Zhou Lao still did not move, staying asleep. Now that anesthesia is no longer a problem, as long as the operation ends quickly, this one will be taken down!

　　 Li Zhong looked a little excited, he couldn't understand the anesthesia, acupuncture anesthesia + compound anesthesia, as long as he is not agitated next week, his attention is mainly on the operation.

　　 Director Li Zhong has done many operations on the trachea. The difficulty is that the tracheal intubation is in the lumen, which has a great impact on the operation.

　　 If you want to completely remove the tumor, you must overcome the negative effects of tracheal intubation and delay the operation for at least 1 hour.

　　 But under the action of acupuncture anesthesia + compound anesthesia, there is no tracheal intubation at all. The only problem is that there is no single-chamber ventilation, the lungs cannot go down, and the surgical field of view is very narrow.

　　 But Mr. Wu used techniques to overcome this. The free trachea was called a slip, the tumor was cut off almost in the blink of an eye, and the local hemostasis was also perfect.

　　 "Mr. Wu, what arc do you want for the steel wire?" Li Zhong asked.

　　 "You don't need to get it, I will do it myself." Wu Mian said, "The diameter of 1.8cm PTFE artificial blood vessel, prepare 4-0 prolene line."

　　 Li Zhong had done many similar operations, artificial blood vessels replaced trachea, sutured with 4-0 prolene thread. However, there is no tracheal cartilage in the artificial blood vessel, and it is easy to collapse, which is a big problem.

　　 Therefore, it is necessary to use steel wire to fix the skeleton outside, and the specific arc depends on the surgeon's intention.

　　 Li Zhong glanced at the time, 22 minutes since the opening of the stage, the operation was done really fast.

　　 Fast is only one aspect, the key is that I didn't notice it at all. Teacher Wu did every step step by step, and looking at it a little bit, it felt very ordinary and there was nothing special about it.

　　 Every step is written in the textbook, there is no ingenuity, and there is no magical pen like a flying fairy from the sky, but just like this, it is the step of anastomosis without knowing it.

　　 The forceps and tweezers of the thoracoscopic surgery stuck in along, and Li Zhong held the mirror attentively. He knew how important his work was.

　　 Laparoscopic surgery usually only has two people, and the assistant’s job is very important. Like ordinary surgery, exposing the surgical field is the surgeon’s greatest need. While supporting the mirror in laparoscopic surgery requires a wealth of experience in surgery, generally novices will be scolded by a dog-blood spray.

　　 My own level is still very high, Li Zhong thought to himself. At least for this operation, Mr. Wu never said a word about himself.

　　 The 4-0 prolene thread perfectly matched the Teflon artificial blood vessel with the trachea. Then Wu Mian stretched out his hand and passed the wire into his hand.

　　 Wu Mian took out the pliers, clamped the steel wire and sent it directly into the chest cavity along the poking card.

　　 "Mr. Wu, radian!" Li Zhongzheng was fully engrossed in exposing the operation field. He was startled when he saw the steel wire go straight in. He thought Wu Mian had forgotten, and quickly reminded him.

　　 did not hear Wu Mian’s answer. Under the camera, two pliers clamped the steel wire, dexterously like two hands, gently breaking out an arc, and then began to fix it.

　　 is still the prolene line of 4-0.

　　 Li Zhong was taken aback.

　　 Others don't know, he has a clear heart.

　　 That's a steel wire! Still only about 3cm of steel wire! If you want to make a suitable arc with your hands, it will take at least 5-10 minutes. Even because the steel wire is too short to be strenuous, the steel wire is often broken and replaced with new ones constantly. And the size should be suitable for the thickness of the card, the arc is too large to be sent in.

　　Although the hardness of steel wire is high and its flexibility is slightly poor, steel wire must be used. Good flexibility cannot serve as a tracheal skeleton.

　　 I haven't seen any special movements of Mr. Wu~www.wuxiaspot.com~ The steel wire is cleverly like a nylon thread, becoming the most suitable arc. Put it on the Teflon artificial blood vessel, tightly fit the seam, there is no need to repeatedly correct the arc to fit the artificial blood vessel.

What the hell!

　　 This is a detail that only experts can see.

　　 Blunt separation, tumor removal, those things are small jobs in Li Zhong's eyes. The most time-wasting part of this operation is here!

　　, but under Teacher Wu, this piece seemed to be completely non-existent, and it was simply completed. And he didn't use both hands, but made them with 30cm long pliers in the chest cavity.

　　 This has to be understood as the material!

　　 For an instant, Li Zhong felt all the goose bumps on his back and almost fell on the ground.

Cattle!

　　 This is a real cow!

　　The higher the technique, the easier it is to perform the operation, because many difficulties are not considered difficult at all, but only part of the operation process.

　　 "Slap~"

　　 There was a muffled noise in his chest, and Li Zhong's hand shook.

　　 "Concentrate your attention and expose your vision. Why did you do a good job before and suddenly stopped moving." Wu Mian said coldly, "It's only past eight o'clock, so you are sleepy?"

　　 "……"

　　 Li Zhong was embarrassed. He patronized and pondered Teacher Wu's methods, but he didn't keep up with his hands and eyes, so he was knocked.

　　 Fortunately, it was a laparoscopic surgery. It is said that Mr. Wu used hemostatic forceps to hit the styloid process of the radius, which was particularly painful, which could not be relieved for a few days.

　　 Minimally invasive surgery has the benefits of minimally invasive surgery. The trauma to the patient is small, and the trauma to the assistant is as small, Li Zhong thought to himself.

　　 I just want to think, but I don't dare to distract myself anymore, watching the operation intently.