Chapter 2317

Dissection of lymph nodes, release of flexor's ligament, amputation of jejunum and free pancreatic head are the most standard practices step by step.

Although the operation process is the same, but the technique is skilled and the time-consuming is very short. Director Xia looked silly.

Director Xia glanced at the time, and 18 minutes passed.

The operation was almost half done.

Finally, boss Zheng's eyes fell on the location of the superior mesenteric vein invaded by the tumor.

"Lao he." Zheng Ren said softly.

Lao he? What spell is this? Subconsciously, director Xia unconsciously thinks that boss Zheng has a kind of magic

But the next moment, the anesthesiologist took out a microscope and put it on boss Zheng's head.

"Is the angle right?" Lao he asked.

"Very good." Zheng Ren turned his head, took a look at the operation area and continued the operation.

Director Xia Hanyan, Lao he is called a person's name, not a spell. What's the matter with yourself? Are you too nervous?

The sympathetic nerve was highly excited, which led to him... Director Xia felt that he had been retarded since boss Zheng stood beside him under the aura.

It's unreasonable. You should be more energetic. He opened his eyes hard and watched boss Zheng open the adventitia of the superior mesenteric vein and peel it off quickly.

He wants to peel off the outer membrane and the tumor at the same time?!

It has been invaded like this. I'm afraid it has reached the muscular layer. Is it useful to peel off an outer membrane?

Although the adventitia of the superior mesenteric vein can not be separated under the microscope, and the difficulty of this operation has broken through the sky, it is nothing compared with director Xia's question.

"Boss, aren't you dizzy with a microscope?" Su Yun asked.

"It's OK for a short time. When I last had conjoined baby surgery, I felt a little dizzy." Zheng Ren said this, but it didn't affect the movement of his hand. "Otherwise, he promised President Chen to have dinner at night."

"Tut Tut, your vertigo is a big problem. Otherwise, I'll see a two-day operation and cut off your frontal lobe."

"Cutting the frontal lobe of the brain will only lead to no emotion." Zheng Rendao.

What a mess... Director Xia felt as if he had missed something, and he began to stroke back.

Wait, what conjoined baby?!

"Boss Zheng, what conjoined baby?"

"A while ago, I went to the women's and children's hospital to have an operation on a conjoined baby with a heart. I didn't dare to take off the microscope for the whole operation. I was a little dizzy." Zheng Ren said casually while doing the operation.

“……”

Heart conjoined baby, he can do this kind of operation! Director Xia doesn't think boss Zheng is lying to himself.

It's meaningless to deceive yourself. After stepping down, you'll know the causes and consequences by calling DIDU.

Who hasn't had a few friends yet.

So, boss Zheng has... Pa Pa Pa, and the hemostatic forceps in director Xia's hand have been knocked twice.

"After cutting, prepare to block the blood vessel." Zheng Ren said lightly, "Lao he."

Just after that, Lao he took off the microscope and put it in the box.

"Heparin, give 3000u." Zheng Rendao.

"OK."

Zheng Ren then lifted up the distal jejunum, performed blumgart anastomosis between the broken end of pancreas and the side wall of jejunum, performed continuous U-shaped suture of full-thickness pancreas and jejunal seromuscular layer, and retained 1 in the pancreatic duct × 2mm support pipe.

Punch holes in the jejunal wall on the corresponding side of the pancreatic duct, perform full-thickness end-to-end anastomosis of the pancreatic duct and jejunum at the 5-0pdsii interval, and continuously suture with the jejunal seromuscular layer after tensioning the spare needle and suture to strengthen the anterior wall of the anastomosis.

After cholangioplasty, the jejunum was anastomosed laterally with the posterior wall of the stomach about 40cm away from the pancreaticointestinal anastomosis with a linear cutting closure device, and the common opening was closed with the closure device.

"Flush."

"Close your stomach."

The cooperation between the operator and the assistant, the instrument nurse and the operator is seamless, and the operation is completed smoothly and naturally.

Director Xia looked at the operation in a daze, and an idea emerged in his heart - it doesn't seem so difficult. He should be able to do it himself.

But after the idea appeared, he woke up.

I'm not watching the video of the operation, but being a second assistant on the operating table! And this operation, not long ago, I was the operator. The tumor tissue adhered to the superior mesenteric vein very heavily, and I couldn't do it at all!

Director Xia was a little ashamed. Those ideas that he could do by himself were like invisible hands, slapping on his face.

It hurts.

He looked up at the operation time, 38'23 ".

Where to use an hour, half an hour, boss Zheng finished the operation.

When the last needle of skin sewing came out of the skin, the patient began to be restless.

This is already awake.

Director Xia envies boss Zheng very much, not only his surgical level, but also his good assistants, instrument nurses and surgical instruments. Now, he envies the anesthesiologist who matches boss Zheng.

How many surgeons dream of waking up after the last stitch.

Director Xia clearly remembers that if he meets an anesthesiologist of average level, he will have to wait in the operating room for half an hour after the operation, just to wait for the patient to wake up completely and then step down.

If you... Think about it, director Xia bowed his head in silence.

anesthesiologist? Boss Zheng came with an instrument nurse and an assistant. Even, they carry the instrument box with them.

Is it arrogance? Absolutely not!

A little assistant, diss, had the whole operation, but what was wrong? Even if you want to refute, you can't do it.

Thinking of this, director Xia saw that boss Zheng turned to step down. He quickly said, "boss Zheng, how do you judge that the patient's superior mesenteric vein can peel off the tumor?"

"Oh? Didn't you see the preoperative image?" Zheng Ren was a little strange. He glanced at the film reader in the operating room and then said, "there's something on the film."

"Where, where?" Director Xia didn't realize that it was demeaning to do so, but he didn't do the operation. What else should he do.

Watching his boss explain the film to director Xia, Su Yun glanced. Although he knows such nuances, it is difficult for a surgeon to see them from the image. But he was single-minded to find fault, and relentlessly hit.

Or you'll be upset.

"Brother Yun, pancreaticoduodenectomy is really fast." Lao he said with a smile.

He had given up the anesthesia and began to pack up.

"It's not fast. The boss did it leisurely." Su Yun thought of the operation in Haicheng.

The anesthesiologist of the central hospital next to him took a silent look at Su Yun and another look at the timer. He was stunned.

This is the fastest pancreaticoduodenectomy I've ever seen. I didn't see anyone doing surgery so fast, not to mention home, even when I was studying in magic.

It's all done leisurely. If you're in a hurry, you can't go to heaven?

"I heard from big Chu and small Chu that boss Zheng had an operation in the battle to become famous in Haicheng. It took 30 minutes to take it down. It seems that it's almost the same this time, 38 minutes."

With that, Zheng Ren has finished talking about the film to director Xia.

When director Xia heard Lao he's words, he staggered slightly and then stood firm. 30 minutes to finish pancreaticoduodenectomy? This is a joke.

And it seems that it's not recent, but boss Zheng's time in Haicheng.

"Then let's go and see you again when we have a chance." Zheng Renhe spoke kindly to director Xia.

He said he wanted to go, but he couldn't go at all. We have to wait for Xie Yi to wipe the equipment and take it back for direct disinfection, otherwise it will be a big problem when we use it next time.

Director Xia looked at the patients lying on the operating table, looked at the pathological specimens taken by the itinerant nurses, and recalled the course of the operation just now.

"Zheng... Boss, this operation is live." Although director Xia saw that boss Zheng was wearing live glasses, he still made sure.

"Yes." Zheng Ren nodded.

Director Xia is relieved this time.

After returning home, you can watch the operation video again and again. From the perspective of boss Zheng, you can see how he successfully completed the combined pancreaticoduodenectomy in 38 minutes.

Director Xia felt that he would never have the "wrong" idea that he seemed to be able to do it.

OK, I'll know when I come on stage. I always feel good. It turns out that it's really just my own feeling.

Speaking of level, I seem to be very poor. It is said that boss Zheng was a surgeon from general surgery, and later changed to interventional surgery.

It's a pity that the combined pancreaticoduodenectomy is so skilled. Why do you change your profession! Director Xia felt sorry for boss Zheng.

Then he thought of something.

Boss Zheng got involved and was recommended by the Nobel prize!

He was sad and turned into a river. He was just wondering why he was stupid.