I am a kryptonian doctor

Total gastrectomy is a fourth-level surgery, which is not easy.

At present, Yang Tian has not learned this surgical skill yet.

He had never seen anyone undergo this surgery, so he did not plan to ask Yang Jinrong for help this time.

After discussing it with the patient, we decided to do it as soon as possible and planned to start the operation this afternoon.

Apparently this patient was accompanied by his family members.

After all, his disease is quite strange.

I also brought enough money.

Since there is now medical reimbursement, after this operation is completed, at least 60% can be reimbursed.

It can be regarded as reducing a lot of burden.

"Yang Tian, you haven't seen a total gastrectomy surgery yet. Please take the time to watch it this afternoon. By the way, Zhu Youcai and several other doctors who came for further training came to watch. Yang Jinrong said

"good."

Next, Yang Jinrong arranged for the patient to undergo an in-depth examination of the stomach and some other necessary examinations for the operation. Then he sorted it out and found that the operation can indeed be performed.

What is the emphasis on the emergency room? It's about speed.

If it were in another department, it would have taken two or three days to perform the surgery.

When Yang Tian walked out of the consulting room, Liang Ying came over:"Yang Tian, are you free tonight?"

"Yes, what's wrong?"

"It's my birthday today, so I want to celebrate tonight, and you must come."Liang Ying said with a smile.

"Is it your birthday today? Happy birthday to you, okay, as your roommate celebrates your birthday, I will definitely come, haha……"Yang Tian readily agreed.

In fact, he didn't expect that today was Liang Ying's birthday!

Of course, he didn’t know Liang Ying’s

"Haha... I'll ask you to give me a lift then."

"Okay, I'm your exclusive car"

"Giggles……"

In the afternoon, the patient's total gastrectomy surgery began.

Operating room.

Yang Tian, Yang Jinrong, Zhu Youcai and several others. There are also nurses and anesthetists Liu Qiang

"Incision: Make an incision in the middle of the upper abdomen, extending up to 2~3cm above the xiphoid process. Go downward around the umbilicus to 2~3cm below the umbilicus. The xiphoid process is resected to facilitate exposure of the esophagus. Yang Jinrong explained to everyone while holding a scalpel and making incisions.

"The incision is now opened, and intra-abdominal exploration is started focusing on the infiltration status of the primary gastric cancer site.

First explore whether there are liver metastases, peritoneal and omental metastases.

Then gently expand the transverse colon to explore the infiltration range of gastric cancer.

If the cancer has invaded the serosa, cover it with gauze to prevent the cancer cells from falling off and escaping during the operation.

Then turn the transverse colon upward to observe whether there is cancer infiltration in the deep abdominal cavity, explore the duodenojejunal flexure, explore the para-aortic lymph nodes, and explore the Douglas fossa for metastatic nodules.

Put the transverse colon back, use the retractor to open the left edge of the incision, extend your left hand into the spleen and use the palm of your hand to hold the spleen forward and inward.

Place two large gauze pads behind the spleen to bring the spleen, pancreatic tail and stomach closer to the middle of the abdomen.

……"

Zhu Youcai and the others watched intently.

Yang Tian was not interested in seeing it, after all, he could purchase this medical skill in the system by then.

If there are plug-ins, you don’t have to learn them, that’s impossible!

The operation took about three hours to complete.

When I came out of the operating room, it was already past five o'clock.

It's almost time to get off work.

After changing into surgical clothes, Yang Tian walked out of the emergency room and smoked a cigarette.

At this point, there are no patients left.

It’s also time to take a good rest.

After smoking, Yang Tian walked in and said to Liang Ying:"When should we set off?"

"Well, my birthday is at 9 o'clock tonight, Blue Dot KTV. Well, some of my friends need to work a little overtime, so I won't have dinner. But I can treat you to dinner, and then come over after dinner."Liang Ying explained

"Okay~" Yang Tian nodded._Fei

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