MTL - Doctor’s Life Simulator-Chapter 267 Director Liao: This little guy has an unlimited future in the future
Qin Lang controlled the operation and performed the resection stably. With the blessing of +1 vision and super surgical field, Qin Lang's operation was fast and precise.
"What a powerful excision technique."
It was also the first time that Liao Yan had seen such a powerful excision technique. Especially during the whole process, Qin Lang skillfully combined the Habib4X coagulation electrode. Through the ablation technique, he perfectly controlled the bleeding point. General cattle.
Under the operation of Qin Gallery, Liao Yan actually felt a beautiful sense of art, strength, technique, and innovative skills, all of which were at the textbook level.
Twenty minutes later, Qin Lang successfully completed the removal of most of the tumor, and at the same time, sutured several blood vessels during the process.
Qin Lang's blood vessel suturing technique once again shocked Director Liao.
He finally understood why so many directors were impressed by Qin Lang. Even among the surgeons in Union Hospital, this surgical technique was rare.
Liao Yan thought of this time, her real job in Hangzhou is this time the Chinese Medical Association Young Surgeon Symposium. Isn't Qin Lang the best candidate for this seminar?
Be sure to let all the participants see Qin Lang's surgical style. Director Liao was so excited that he began to plan a plan to invite Qin Lang to the past.
Due to the serious adhesion between the tumor and the adjacent lung tissue, it was impossible to fully separate the tumor that had invaded the lung parenchyma. Qin Lang knew that his task had been completed. Although in terms of overall difficulty, the work completed by Qin Lang was five stars. The difficulty of the next pulmonary resection is only three and a half.
Of course, Qin Lang also wanted to complete it completely. However, he has not yet mastered the total left pneumonectomy, so he can only hand over the remaining work to Director Liao.
Reluctantly!
"Director Liao, I have completed most of the tumor resection in the first stage, and the remaining left pneumonectomy has not been studied and studied. I still need you to complete it."
Qin Lang said with some regret, and at the same time began to exchange places with Director Liao.
Regarding Qin Lang's words, Director Liao has another opinion. After all, according to his observation, Qin Lang's basic operations are all top-notch, and he can even diagnose and complete the most difficult part of resection for solitary fibroma of the chest. The remaining left pneumonectomy can be done logically.
Well, the reason why this little doctor is hiding his merits and fame now is that he doesn't want to be the chief surgeon of this operation.
Director Liao can be the assistant to the president of Xiehe Medical University, and his mind is naturally exquisite and thorough. He understands that it is Qin Lang who will give himself face. After all, he is the one who will be the chief today, and most of the final work must still be done by him. Just finished.
The next left pneumonectomy, after Qin Lang solved the most difficult part before, the rest was the routine operation, which was no longer difficult at all.
No fighting, no fighting, being able to stand up at critical moments, and know how to protect the face of a superior doctor. No director can refuse such a small doctor.
Especially, after he got the scalpel, he could feel the modesty and studious in Qin Lang's eyes.
He was really watching his surgery process seriously, as if he really didn't understand at all.
Director Liao couldn't help but sigh, he was indeed a student of Shenxi.
It seems that after that, I have to mention to Academician Wu that his nephew is really a good candidate.
After a few thoughts, Director Liao began to enter the total left pneumonectomy. Since the incision had been opened by the chest opener before, the intrathoracic adhesions had also been separated, and the effusion in the chest cavity had been cleaned up. Now What is needed is the identification of the hilar structure and the hilar mediastinal lymph nodes.
With Director Liao's rich experience, he soon got the idea of surgery and began to dissect the inferior pulmonary vein.
"...Qin Lang, help me pull Ye Fei to the front..."
However, to Director Liao's surprise, Qin Lang, who was the first assistant, did not know when he returned to the position of the second assistant, and was replaced by Director Zhou Heng who cooperated with him.
Zhou Heng was a little embarrassed, but he still cooperated earnestly: "Doctor Qin is not familiar with total left pneumonectomy, so I will assist you next."
After Zhou Heng finished speaking, he didn't quite believe it. In fact, he also felt that Qin Lang had completed even the most difficult task of the main knife. How could this simple assistant work not be possible.
Director Liao did the same, and looked at it meaningfully, Qin Lang, who was modest and quiet in the second assistant position.
No wonder he was able to make so many directors value him, this little doctor is very young and has a big picture.
In addition to considering his own face, even Director Zhou's face is also taken care of, knowing that he will leave room for his colleagues.
"This little guy has an unlimited future in the future."
Liao Yan was also very satisfied with Qin Lang's humility. After all, he also felt that this operation started with Zhou Heng and ended with him.
Zhou Heng, as the director of thoracic surgery of the first hospital of the city, is of course very skilled in total left pneumonectomy.
In cooperation with Director Liao, the identification of the pulmonary veins was completed in a short while, and at the same time, he learned from Qin Lang's auxiliary habits, and handed the surgical scissors to Director Liao one step ahead.
Director Liao tacitly cut open the mediastinum and venous sheath overlying it, and dissected it to the bifurcation of the first-level branch of the scalpel on the lung side, and to the pericardial fold on the heart side.
"...blunt-pointed right-angle pliers...7 gauge thick wire..."
Director Zhou cooperated with Director Liao to quickly advance the operation.
Looking at Director Liao's operation, the other directors also admired it. He was indeed the Director of Oncology Surgery of Union Medical College Hospital.
Qin Lang also benefited a lot.
"After the first appearance of the lower pulmonary vein in the pericardial cavity, using an obtuse-angle right-angle forceps to penetrate the vein and bluntly separate the posterior wall of the vein is really a meticulous operation..."
"Use the No. 7 thick thread to complete the safe ligation of the proximal end, and use the No. 4 thread to penetrate the suture and then lift the stump to make another ligation on the proximal side of the first ligature to ensure absolute safety... Director Liao's technique and experience , the truth is breathtaking.”
Obviously, several major directors have learned a lot from this operation. Coupled with Qin Lang's amazing performance before, there is no doubt that this operation video will become a classic teaching video.
After completing the dissection and handling of the superior pulmonary vein, Director Liao and Director Zhou again began to dissect the inferior pulmonary vein, the upper border of the left superior pulmonary vein and the inferior wall of the left pulmonary artery.
Five minutes later, the two directors completed the lateral release of the heart and dealt with the subaortic arch.
Twenty minutes later, dissection of the aortic arch and subcarinal lymph node groups was completed.
Thirty minutes later, the treatment of the left main bronchus was started. On the premise of one-lung ventilation, Director Liao chose the method of cutting and suturing, and Director Zhou cooperated to absorb all the accumulated blood in the surgical field.
Director Liao used a blade to cut the bronchus at the last two cartilage rings of the main bronchus to remove the diseased lung.
The next step is to enter the final suture of the ring-membrane stump. Zhou Heng could do it himself, but he still let it out.
Qin Lang, as the second assistant, played again.
If so, under normal circumstances, the chief swordsman and the first assistant are generally rewarding opportunities for the second assistant~www.novelbuddy.com~ But looking at Qin Lang, Director Zhou blushed a little and was a little grateful.
If it weren't for Qin Lang, how could he have had such a long time to cooperate with Director Liao? After all, the video of this operation would have become a classic video case. It is a huge honor for him to be able to appear on the stage for so long. .
However, Qin Lang was able to give himself such an excellent opportunity. Naturally, Director Zhou would also reciprocate, and hand over the finishing work to him, so that Qin Lang could show more.
Director Liao was also very relieved to see the mutual maintenance between Director Zhou and Qin Lang. The atmosphere between the doctors in the first hospital in this city is really good.
Next, Qin Lang once again showed his perfect sewing skills.
After the stump was disinfected with iodophor, the stump was sutured intermittently with 3-0 absorbable sutures for 4 to 5 stitches. Looking at Qin Lang's technique, several directors agreed with him.
This suture method is simple and reliable, and does not need to open the airway.
Ten minutes later, the entire operation was successfully completed.
[Congratulations to the host for completing the task, assisting Director Liao during the operation, completing the radical resection of the tumor and completing the operation. Mission reward: 1 Traumatic Diaphragmatic Hernia Repair: Entry Level, 2.1 Life Simulation Points]
