Step-by-step cleaning of the lymph nodes, unclamping of the flexor ligament, cutting off the jejunum, and freeing the head of the pancreas are all standard procedures.
Although the procedure is the same, the technique is proficient and the time is very short. Director Xia looked dumbfounded when he looked at it.
Director Xia Xia glanced at the time, and 18 minutes passed.
The operation was almost half done.
Finally, Boss Zheng's gaze fell on the location of the superior mesenteric vein invaded by the tumor.
"Old He." Zheng Ren said softly.
Laohe? What spell is this? Subconsciously, Director Xia unknowingly thinks that Boss Zheng has a magic power ...
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, glanced at the operation area, and continued the operation.
Director Xia Xia was ashamed, Lao He was a name, not a spell. What's wrong with myself, is it too nervous?
The sympathetic nerve is highly excited, causing himself ... Director Xia feels that since Boss Zheng stood beside himself, under the halo, he has been demented.
He is really unreasonable. He has to be spiritual. He opened his eyes hard and watched Boss Zheng open the adventitia of the superior mesenteric vein and quickly peeled off.
Is he peeling the tumor while peeling the adventitia? !!
I have already violated this situation. I am afraid that it has reached the muscular layer. Is it just useful to peel off the outer membrane?
Although the adventitia of Shang Ximo's superior vein was separated under a microscope and the tumor could not be encountered, the difficulty of this operation has broken through the sky, but it is not a big deal compared with the doubts of Director Xia.
"Boss, aren't you dizzy wearing a microscope?" Su Yun asked.
"It was okay for a short time. The last time I had the conjoined baby surgery, I got a little dizzy." Zheng Ren said this with his mouth, but it did not affect his movements at all. Now. "
"啧啧, your dizziness is a big problem, otherwise I will see your surgery for two days and cut off your frontal lobe."
"Cutting the frontal lobe of the brain only results in no emotion." Zheng Rendao.
It's all messy ... Director Xia felt like he had missed something, and he started to walk back.
Hey, wait, what kind of conjoined baby? !!
"Boss Zheng, what kind of conjoined baby?"
"I went to the Women and Children's Hospital a while ago for a conjoined baby operation. I didn't dare to take the microscope for the whole operation, and I got a little dizzy." Zheng Ren said casually while performing the operation.
"..."
Heart conjoined baby, he can even do this operation! Director Xia did not think that Boss Zheng lied to himself here.
It's totally pointless to lie to yourself, just call Emperor after stepping down and you will know the cause and effect.
Who hasn't had a few friends yet.
That being said, Boss Zheng has been ... papapa, Director Xia's hemostatic pliers have been knocked twice more.
"The cut is finished, ready to block blood vessels." Zheng Ren said lightly, "Lao He."
As soon as I finished talking, Lao He took off the microscope and put her in the box.
"Heparin, give 3000u." Zheng Ren said.
"it is good."
Zheng Zhengren then lifted the distal end of the jejunum, anastomosed the pancreas with the side wall of the jejunum with Blumgart, and performed continuous U-shaped sutures on the whole layer of the pancreas and the jejunostomy muscle layer. A 1 × 2mm support tube was placed in the pancreatic duct.
打 Punch a hole in the corresponding jejunal wall of the pancreatic duct. 5-0PDSII intermittently perform end-to-end anastomosis of the pancreatic duct jejunum. After the tension of the spare needle is tightened, it is continuously sutured with the jejunal plasma muscular layer to strengthen the anastomotic wall.
After iliac bile duct angioplasty, a linear cutting closure was performed approximately 40 cm away from the anastomotic opening of the pancreas and intestine to perform a side-to-side anastomosis with the posterior wall of the stomach, and the closure closed the common opening.
"Flush."
"Close the belly."
The cooperation between the surgeon and the assistant, the instrument nurse and the surgeon is seamless, and the operation is smoothly and naturally completed.
After seeing the operation, Director Xia Xia came up with an idea in her heart—it didn't seem so difficult, she should be able to do it.
He just woke up after this thought appeared.
I'm not watching the recording and broadcasting of the operation, but working as a second assistant on the operating table! And this operation, I was a surgeon not long ago, the tumor tissue and the mesenteric veins are very adherent, I can't do it!
Director Xia Xia was a bit ashamed. Those thoughts that could be done by herself were like big hands transformed into invisible shapes, hitting her face with a pap.
疼 It hurts.
抬 He looked up at the operation time, 38′23 ″.
Where it takes 1 hour, boss Zheng finished the operation in half an hour.
When the last stitch of the quilted leather came out of the skin, the patient began to get restless.
This is already awake.
Director Xia Xia was very envious of Boss Zheng, not only of his level of surgery, but also of such good assistants, equipment nurses and surgical instruments. Now, he is very envious of the anesthesiologist who provided the boss to Zheng.
After the last stitch, the patient awakened. This is the dream of many surgeons.
Director Xia Xia also clearly remembered that if she encountered an anesthesiologist of average level, she obviously had to complete the operation and had to wait half an hour in the operating room just to wait for the patient to be fully awake and then step down.
If you are ... thinking, Director Xia bowed her head dumbly.
Anesthetist? Boss Zheng came with a nurse and an assistant. They even took the equipment box with them.
Is he arrogant? Absolutely not!
A little assistant, DISS performed the whole operation by himself, but which sentence is wrong? Even if I want to refute, I can't do it.
Thinking of this, Director Xia saw Boss Zheng turned around and stepped down. He quickly said, "Boss Zheng, how do you judge that the patient's superior mesenteric vein can strip the tumor?"
哦 "Oh? Didn't you see the pre-operative image?" Zheng Ren was a little strange, glanced sideways at the reader in the operating room, and then said, "There is on the film."
哪里 "Where, where?" Director Xia didn't realize that she had lost grace by doing so, but the surgery was not done, and what kind of grace would be required.
I watched his boss explain the film to Director Xia, and Su Yun pouted his lips. Despite knowing this nuance, it is difficult for a surgeon to see it from the image. But he was a single-minded fault and showed no mercy.
Otherwise, my mood is not good.
"Brother Yun, pancreaticoduodenectomy is really fast." Lao He smiled.
He has surrendered anesthesia and started packing.
"This is not fast, the boss did it leisurely." Su Yun thought of Haicheng's operation.
The anesthesiologist next to the central hospital gave a silent glance at Su Yun, and another glance at the timer.
This is already the fastest pancreaticoduodenectomy I have ever seen. Regardless of the home side, no one has seen surgery done so fast even when the monsters are studying.
It's all done leisurely. If you are anxious, then you ca n’t go to heaven?
"I heard Da Chu Xiao Chu said that Boss Zheng had a surgery in Haicheng's fame. It took 30 minutes to take it down. This time it seems to be similar, 38 minutes.
He said, Zheng Ren has finished the film for Director Xia.
After Director Xia Xia heard Lao He's words, his body froze slightly, and he stood still. Complete pancreaticoduodenectomy in 30 minutes? This is a joke ~ www.novelhall.com ~ And it seems that it is not recent, but what happened when Boss Zheng was in Haicheng.
"Then we are gone, and we will have a chance to see you later," said Zheng Renhe and the concubine director Xia.
He said he was going, but he couldn't. You have to wait for the Xie Yi people to wipe the instruments and take them back for direct disinfection, otherwise the next time they are used will be a big problem.
Director Xia Xia looked at the patient lying on the operating table, looked at the pathological specimens taken by the circuit nurse, and recalled the recent operation.
"Zheng ... Boss, this operation is a live broadcast." Although Director Xia saw Boss Zheng wearing live broadcast glasses, he was sure.
"Um." Zheng Ren nodded.
主任 Director Xia was relieved this time.
After returning home, I can watch the recording and broadcasting of the operation over and over again. From the perspective of Boss Zheng, see how he successfully completed the pancreaticoduodenectomy in 38 minutes.
Director Xia Xia felt that she would never have such "wrong" thoughts that she seemed to be able to do.
I can't do it until I come to power. I have always felt good, it turned out to be just my own feeling.
When it comes to level, I seem to be far behind. It was said that Boss Zheng was a surgeon of general surgery, and later switched to interventional surgery.
What a pity, what a skillful combination of pancreaticoduodenectomy and what to do! Director Xia was sorry for Boss Zheng.
He immediately thought of something.
Boss Zheng intervened and was recommended by the Nobel Prize!
悲伤 Sadness flows into his heart, and he was still wondering why he was stupid.