MTL - Doctor’s Life Simulator-Chapter 266 Director Liao, here I come!

The anesthesiologist performed general anesthesia with endotracheal intubation for the patient. Since Director Liao performed the operation himself, the director of the anesthesiology department cooperated.

Even though he had seen a lot of surgeries, he was still a little surprised at this scale, especially the little doctor Qin Lang was among the directors.

However, Qin Lang is still very well-known in the surgical department of the city's first hospital, and the anesthesiologist is also looking forward to Qin Lang's performance in this top-level operation.

Director Liao stood at the position of the main surgeon, and now the patient needs to undergo thoracotomy. Since the patient's forehead is on the left side of the chest, the left side of the chest will be opened.

Director Liao skillfully chose the fifth rib of the patient to enter the chest, and according to his clinical experience, he chose the most suitable posterolateral incision.

Since the patient's tumor is very huge, in order to ensure the smooth removal of the tumor, Director Liao chose to remove the two adjacent ribs together.

Watching Director Liao start the operation, the directors of the First City Hospital beside him admired him a little. He was indeed the top surgical director of Xiehe Hospital. This move was really decisive and neat.

The entire operating room was very tense, and all the doctors worked hard to cooperate with Director Li Liao.

"...scalpel...needle forceps..."

After entering the chest, Director Liao quickly determined the next step according to his experience, which was to start the tumor resection.

However, the tumor is very huge, and the blood supply of this tumor is average, the capsule is intact but the blood supply is relatively rich.

"Director Zhou, you cooperate with me to open the capsule together. We will first remove the tumor in sections, and then deal with the relationship between the capsule and surrounding organs..."

Director Liao looked at the patient's condition with a heavy expression. Since the tumor occupies the entire chest cavity on the left side, the operation is very difficult.

Director Zhou Heng, of course, was nervous, and began to cooperate according to Director Liao's instructions.

However, because the patient's condition is very complicated, the blood supply of the capsule is rich, and the field of vision is very poor. Although Director Liao and Director Zhou have rich experience, they are both old, and they are not as young as young people in terms of concentration and vision. That kind of has an advantage.

In particular, Director Zhou Heng had no experience in dealing with this kind of solitary fibroid. Even with Director Liao's guidance, there were still some mistakes in the operation.

All of a sudden, in the field of vision, the bleeding began.

"not good!"

There was a roar in Zhou Heng's head. Due to the severe adhesion of the tumor to the surrounding tissues during this operation, the field of vision itself was not clear, and the bleeding during separation was normal. If the tumor was removed skillfully, Director Zhou could handle it. Once I was unfamiliar with the operation itself, and I was cooperating with Director Liao, the psychological pressure was already great.

In such a situation, Director Zhou stopped briefly, thinking about how to deal with it.

Moreover, the bleeding site is a bit deep and difficult to detect and control. If this is not handled properly, it will be very unfavorable for the patient's postoperative recovery.

Director Zhuang and Director Zu always pay attention to the trends in their field of vision. When they see this situation, their minds are swollen, and the situation is not optimistic.

When Zhou Heng had an accident, Liao Yan, the chief surgeon, also instantly discovered the problem in the area in charge of Zhou Heng, and frowned slightly.

Now he is also carrying out the crucial separation and excision in his hands, and it is impossible to stop what he is holding to assist Zhou Heng. At this time, the first problem to be solved is to stop the bleeding and restore his vision as soon as possible for subsequent operations.

While Director Zhou was thinking about the plan, the second assistant on the side, Qin Lang, seemed to be prepared, and gave instructions to the equipment nurse beside him:

"...Habib4X coagulation electrode..."

After responding, Qin Lang said to Zhou Heng, "Director Zhou, leave the bleeding control to me."

Qin Lang's tone was calm, calm, and full of strength, and having seen Qin Lang's excellent control techniques for massive hemorrhage of a chest tumor, Zhou Heng immediately felt a sense of relief.

The body instinctively gave way to Qin Lang. Although it seemed a little embarrassed, in the face of the patient's safety, he did not care about face.

After Qin Lang took the Habib4X coagulation electrode, Zhou Heng and Director Liao instantly understood Qin Lang's intention.

Habib4X coagulation electrode is a surgical instrument with hemostatic cutting and radiofrequency ablation functions. It is mainly used in liver resection and has the reputation of cutting liver with or without blood.

The principle of this coagulation electrode is composed of two groups of needle electrodes arranged in a rectangle. By heating the tissue cells to dehydrate and coagulate, the blood vessels below 7mm can be directly sealed.

In principle, it is really a wonderful solution for the current situation. However, even with Liao Yan's knowledge, it is rare to hear that some people use this technique in the resection of chest tumors.

Without a few people thinking, Qin Lang had already extended the electrode to the bleeding point.

With vision +1 and super field of vision, Qin Lang surpassed Director Zhou by too much. The search for the bleeding point was very easy. Under the ablation, the bleeding point was sealed in a few seconds.

"...scalpel...hemostatic gauze..."

After Qin Lang completed the ablation and sealing, he took advantage of the situation to grab Director Zhou's work and began to wash away the blood stains. After the vision was restored, he started to separate directly.

"This kid is amazing."

Seeing that Qin Lang treated the bleeding point with the ingenious Habib4X coagulation electrode, several directors were a little impressed and startled.

"Qin Lang's surgical talent and feeling are also very good, especially for dealing with such emergencies, he can always think of the most convenient and ingenious way."

Zhuang Tong had seen too many surgeries in Qin Lang, and the operation this time left a deep impression on him once again.

Zhou Heng was even more grateful. This Qin Lang really helped him a lot. Otherwise, if there was an irreparable mistake in such an operation with Director Liao, it would have a huge impact on his reputation and reputation.

However, for Qin Lang to take over his follow-up work, Zhou Heng could not refuse, even a little relaxed and happy.

Thinking of Zhang Anyi, who could only assist Zhang Anyi with his eyes from a distance, Zhou Heng sighed again, if only he had a student like Qin Lang.

Liao Yan, the chief swordsman, also felt Qin Lang's delicate handling, and turned the situation around at once. Now he is more skillfully cooperating with him, and he is stable, even more comfortable than Director Zhou's assistant.

Director Liao looked slightly sideways.

The two people soon completed the initial separation and exposure.

"Qin Lang, you did a good job. You've worked hard."

Liao Yan took the time to praise, and then signaled to temporarily stop the operation. After he carefully evaluated, Director Liao made a decision:

"Directors, after thoracotomy, with the cooperation of Dr. Qin and I, it was found during the operation that the patient's tumor had involved the lumen of the trachea, and the boundary with the surrounding tissue was unclear. The complete surgical resection was too difficult and risky. It is very high, and it is very likely to cause major intraoperative bleeding. I recommend endoscopic dividend resection."

The so-called palliative excision can only treat the symptoms, not a complete cure. It also means that the possibility of postoperative recurrence is very high. Of course, Director Liao knows that this will not achieve the best treatment results, but under comprehensive judgment, It is already the least risky solution.

Even he cannot complete the radical resection when the boundaries of this tissue are unclear and the field of vision is not clear.

Regarding Director Liao's judgment, Zhou Heng, Zu Liang, and Zhuang Tong naturally have no objection, but they are slightly regretful.

After all, this is not the best solution. If this kind of malignant tumor is not removed cleanly, the probability of subsequent recurrence is very high.

"Director Liao, the best treatment for patients is radical surgical resection. Although it is very difficult, I am confident. Let me try!"

After simulating the results of the world, Qin Lang is of course full of confidence:

"Director Liao, my eyesight is much better than that of ordinary people, and I believe that I can maintain the strength and stability of my hand for this fine operation."

At such a moment, Qin Lang, of course, will not hide his clumsiness, but he will try to convince Director Liao.

Hearing Qin Lang's self-recommendation, Director Liao was also a little surprised. On such occasions, doctors who can cooperate with the chief surgeon to complete the task are already very difficult~www.novelbuddy.com~ What's more, they can bear the pressure and have the courage to take responsibility. 's spirit.

Liao Yan was really moved by Qin Lang's responsibility and confidence.

Moreover, before, Qin Lang's excellent operation and his response to the bleeding point won him the respect of Director Liao.

What a young man this is!

Even in Union Hospital, where geniuses gather, Director Liao rarely sees such outstanding juniors.

Director Zhou, Director Zhuang, and Director Zu are very familiar with the scene of Qin Lang turning the tide at a critical moment, and they are also very gratified, even proud.

After all, this is the time when the top surgical oncology chiefs at Union Medical College have all given up.

What an excellent lad!

"Director Liao, let Qin Lang try, we believe he can."

Liao Yan was a little moved when she saw so many chief directors believed in Qin Lang, and nodded:

"Qin Lang, then let's continue, you come to lead the knife, and I will assist you."

While the two of them were talking, they began to switch roles. Qin Lang took over the task of the main knife and started the difficult excision!

Seeing that Director Liao personally served as an assistant to Qin Lang, several directors on the side were envious for some reason.