Chapter 88: Help with surgery
"My suggestion is to do [puncture and drainage surgery] first, to extract most of the liquid necrotic tissue without surgery, and then see if there are signs of improvement."
Qin Feng showed his surgical plan.
"If it doesn't work, do [laparoscopic pancreatic necrosis removal surgery] again, which can minimize the pain of the patient."
"What do you guys think?"
After speaking, Liang Donglai nodded, and Shaoxing next to him did not raise any objections.
As for Qiao Changping's family and the patient's family, they did not speak.
"Okay, I think this plan is feasible, Deputy Director Shao, what do you think?"
Liang Dongkan asked Shaoxing, deputy director of digestive surgery.
"Okay, I agree, let's do it this way."
Deputy Director Shao nodded and agreed with the plan.
Of course, this is the most suitable surgical plan for him at present, and he really can't find a reason to refute it.
After the surgical plan was determined, Qin Feng began to prepare.
Because this time it was a flying knife, coupled with Qiao Changping's special status, the formalities were soon over.
In the morning, Qin Feng performed a puncture and drainage operation on the patient, extracting most of the fluid and necrotic tissue in the abdominal cavity, and the operation was highly completed.
The next step is to see whether the patient can repair it himself, if not, it has to go to the second step.
After 10 hours, things didn't get better...
24 hours later, the next morning, the patient's physical signs still did not improve...
"Go to CT."
Qin Feng glanced at the time, he was leaving in the afternoon, and now he must make a decision.
Immediately, the patient underwent a series of abdominal CT examinations again.
After the results come out, no!
The current condition of the patient is probably not very optimistic, and surgery is necessary!
"The patient has been unable to repair the necrosis by himself, so prepare for surgery."
Qin Feng looked at the patient's family and Qiao Changping, shook his head and said,
"Dr. Shao, please prepare the operating room."
"OK."
Shaoxing nodded, got up and left, and the operation room of digestive surgery began to make preparations.
In the ward, Qin Feng had a brief chat with the patient's man and explained the situation to him and his family.
"That's the situation, don't worry about the operation, just sign it if there is no problem, and leave the rest to me."
"Okay, you were invited by Changping, I believe it!"
The man nodded, and without any hesitation, signed his name directly.
At ten in the morning, the man was pushed into the operating room.
Qin Feng nodded to Qiao Changping with a smile, turned around and followed the deputy director of Shaoxing into the operating room to start cleaning and disinfection.
This kind of operation is not difficult for him at all!
Those thrilling and extremely difficult fourth-level operations are all within reach, let alone a small laparoscopic operation?
After disinfection, put on sterile clothing and enter the operating room.
And Shaoxing stood beside him as his first assistant and mirror hand.
In fact, as the deputy director of digestive surgery, Shaoxing was a little unconvinced by the person that Qiao Changping found.
After all, this person is in digestive surgery. Although the old director is gone, his deputy director is still there?
Now the whole digestive surgery is his biggest, and his medical skills are the best.
Originally, I thought that through this operation, I might get to know the big guy Qiao Changping, but I didn't expect the accident to come.
After anesthesia, the patient became unconscious.
"The surgery begins."
Qin Feng said a word, and immediately found a good location, because this time it is a minimally invasive laparoscopic surgery, so there is no need to open a large incision.
But the position of the poke card is important for inserting the laparoscope.
After 2 minutes, Qin Feng determined the positions of main hole 1, main hole 2 and mirror hole, and started to establish pneumoperitoneum.
After 5 minutes, the pneumoperitoneum was established, the hole was opened, and then the laparoscope was slowly inserted into the abdominal cavity through the hole, pointing directly to the position of the pancreatic lesion.
At this time, a clear picture appeared on the monitoring screen, necrotic tissue fluid and free tissue bodies intertwined with bright yellow and dark yellow.
Like what?
It's like a piece of loose shit, it can't be said to be very similar, only the same!
Disgusting, disgusting.
It's just the appearance that if ordinary people see it, they can't help but want to vomit.
But as a doctor, these are just necrosis of human organs and tissues due to lesions. What scenes have you never seen before?
Especially in digestive surgery, this situation is very common.
So everyone was not particularly surprised, and all looked calm.
Afterwards, Qin Feng controlled the laparoscope in his hand to slowly probe down, swam away from the colonic ligament tissue in the vascular arch of the greater curvature of the stomach, and continued to extend to the lower edge of the pancreas, successfully finding the necrotic tissue.
Open it with a knife, and the field of vision is completely exposed.
And this time the picture is even more disgusting!
Not only are there all kinds of yellow, but there are also sticky bloodshots, wrapped black solids, etc., mixed together is simply drunk!
how to say? If you want to lose weight just take a look, you will definitely be able to spit out the first milk from your own mother.
Disgusting to explode!
"It's the first time I've seen such severe pancreatitis. The interior is absolutely amazing, it's almost like a septic tank."
The deputy director of Shaoxing next to him couldn't help frowning slightly and said.
"Yeah, the severity is beyond our imagination, no wonder there is no effect after the puncture."
Qin Feng also nodded when he heard the words, the current situation is a bit challenging.
Of course, when several nurses saw this picture, they couldn't help but turn their heads.
There is a lot of necrotic tissue around the pancreas, and it adheres to other tissues, which brings great trouble to the operation.
The severity is really unacceptable, can this also be cured?
Next, let's watch Qin Feng's performance!
I saw that Qin Feng only stopped for a few seconds, and then he began to free the necrotic tissue in his hands, and cut off the parts that were not necrotic.
Pull, cut, remove, retract, attract...
The deputy director of Shaoxing on the side originally thought that he might also encounter difficulties, because this level of necrosis is really difficult to deal with.
However, seeing Qin Feng's skillful operation of grasping forceps and separating forceps, he was as agile and ingenious as his own hands.
The free movement is also light-lifting and flowing.
And when the necrotic organs are separated, the amount of bleeding is very small!
Until now, when most of the surrounding pancreas was peeled off, there was probably not even 20ml of bleeding, which was superb.
"This young man is doing a great job!"
He was shocked, took a deep look at Qin Feng, and thought to himself.
Whether it is from the use of instruments or the grasp of tissue dissociation, it is so precise and fast.
Even some subtle operations are not missed, and almost every step is carried out perfectly.
"Isn't this Director Liang Donglai's friend? Why are people outside the heart so strong in digestive surgery?"
Shaoxing was really speechless.
As the progress of the operation continued to accelerate, he knew that he did not seem to be as good as the young man in front of him.
This speed is at least two or three times his speed!
You know, although laparoscopic surgery has been used clinically in foreign countries in the last century.
However, it was not gradually popularized in major hospitals in China until after the millennium. Its biggest advantage is that it can reduce the wound area of patients and complete the operation at the same time.
In this way, the damage to the patient is minimal and the recovery is fast.
Minimally invasive!
However, the real operation of endoscopic surgery is still in the hands of newly recruited young doctors above the attending level in various hospitals.
However, in top hospitals in first-tier cities such as the capital, endoscopic technology has basically replaced traditional surgery, and its status has gradually become more important.
Of course, in fact, the difficulty of endoscopic surgery is higher than that of ordinary open surgery.
The application in the field of high-tech medicine often puts forward higher requirements for doctors!
In front of him, Shaoxing clearly realized one point.
My technique is not as good as his!
At this time, in the monitoring room outside the operating room, Liang Donglai and Qiao Changping also accompanied their family members to watch the operation.
Liang Donglai watched Qin Feng's pleasing surgical operation attentively, and couldn't help but admire every time he saw it.
Suddenly, in the operating room, the lens of the endoscope shook, and the picture instantly blurred.
Liang Donglai: "..."
What's the situation?
Shaoxing's mirror-holding hand is not that good!
How can even such a low-level mistake be made?
It's no wonder that Qiao Changping would ask Qin Feng to take the lead. It turns out that the gap is really not a little bit!
But soon, Qin Feng paused, and Shaoxing quickly cleaned the camera and restored the picture.
For about 40 minutes, there were no more accidents.
Qin Feng began to use an aspirator to suck out the residual tissue fluid in the abdominal cavity, rinse and disinfect.
Abdominal surgery done!
Next comes the easiest stitching.
At this time, Shaoxing next to him was full of disbelief and shock!
This speed is too fast!
To be honest, the mistake in the middle just now was actually because Qin Feng strayed too fast, and he didn't keep up.
After that, Shaoxing didn't dare to relax, and kept focusing on giving vision.
But when he raised his head to look at the time, he was stunned!
40 minutes?
A difficult operation, just completed?
Incredible!
If it was him, the operation would take at least 2 hours!
Even if the old director is still there, it is basically impossible to complete it without an hour and a half.
But now, Qin Feng's strength has exceeded his imagination.
Shocked!
Apart from this emotion, he couldn't find any other words to describe it.
And the video of this operation can definitely become a classic operation teaching case of their digestive surgery!
The rest is up to the nurse.
Dang bang~
Qin Feng and Shaoxing walked out of the operating room, took off the sterile clothing, cleaned and disinfected and left.
At this time, Qiao Changping and others were already waiting at the door.
"Fortunately, the operation was a success!"
Qin Feng smiled and nodded to several people.
"Thank you!"
Hearing this, the patient's family immediately burst into tears with joy, and took the initiative to clench his hands tightly.
"You're welcome, it should be, take a good rest and you'll be back to normal soon."
Qin Feng comforted a few words, and then left with everyone to rest first.
Fifteen minutes later, when Qiao Changping came back, he was relieved and thanked him constantly.
When he returned to Jinling Cancer Hospital and finished his last class in the afternoon, he was about to leave.
"Director Song, thank you for your care this month, I'm going back."
Qin Feng carried his backpack and looked at Song Renzong with a smile.
However, Song Renzong's smile was a little more complicated, and he patted his shoulder.
"You are here this time, apart from needing me to take a temporary post, I'm afraid you have other purposes."
"Director Song, don't think too much, I'm just here to relieve the years of obsession between you and Director Zhang."
Qin Feng's mouth twitched successfully. During this time, he knew that the two had actually spoken many times.
"Deputy Director Song, I am waiting for your guidance in Jiangcheng."
...
"Ha ha ha ha!"
When Song Renzong heard his words, his expression froze, and then he laughed happily.
Deputy Director Song?
Qin Feng is true, then he is the deputy director of the transplant center of Jiangcheng First Hospital, but for some reason, this time he is not unhappy at all, and even feels a little honored!
"Okay! Go back and tell that old guy Zhang Tong, let him prepare good wine and wait for me!"
Song Renzong nodded vigorously and said aloud,
"When I'm free, I'll definitely go and see how powerful the Jiangcheng Transplant Center is under the leadership of Director Qin?"
"I am waiting."
Qin Feng heard the unyielding and fighting spirit in his words, he wanted to compete with him!
"Okay, it's time for me to go, bye!"
After finishing speaking, Qin Feng waved to the crowd and turned to the door.
Outside the door, Qiao Changping's Rolls-Royce was quietly waiting for him.
A happy expression appeared on Qin Feng's face, what happened to his transplant center?
Looking forward to it now!
What worries him even more is the first leukemia stem cell transplant that he is about to do.
At this time, Fang Wenwen was still waiting for him in the pain of chemotherapy.
Wait for him to help!
"Come on, the airport."
After getting in the car, Qiao Changping said to the driver, and the car drove straight to the airport.
...
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