Signed In At The Hospital, The First Operation Shocked The Whole Country!
Chapter 79-I'm Sorry
"My suggestion is to do [puncture drainage surgery] first, to extract most of the liquid necrotic tissue without surgery, and then see if there are signs of improvement."
Qin Feng stated his surgery plan,
"If it doesn't work, then do the [laparoscopic pancreatic necrosis removal operation], which can minimize the patient's pain.
What do you think? "
After speaking, Liang Donglai nodded, and Shaoxing, who was 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 Dong came to see and asked Shaoxing, deputy director of digestive surgery.
"Yes, I agree, just do it like this."
Deputy Director Shao nodded and agreed to the plan.
Of course, this is also the most suitable surgical plan he thinks at the moment, and he really can't find a reason to refute it.
After the operation plan was determined, Qin Feng began to prepare.
Because it was a flying knife this time, coupled with Qiao Changping's special status, the procedures were quickly completed.
In the morning, Qin Feng performed a puncture drainage operation on the patient, and most of the liquid and necrotic tissue in the abdominal cavity were drawn out, and the operation was highly completed.
The next step is to see whether the patient can repair it himself, if not, then it has to go to the second step.
After 10 hours, the situation has not improved...
After 24 hours, in the early morning of the next day, 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 re-doed a series of examinations such as abdominal CT.
After the results come out, no!
The current situation of the patient may not be optimistic, and surgery is necessary!
"The patient cannot repair the necrosis by himself, so let's prepare for surgery."
Qin Feng looked at the patient’s family and Qiao Changping, shook his head and said,
"Director Shao, you have worked hard to prepare the operating room."
"good."
Shaoxing nodded, got up and left, and the digestive surgery operating room began to make preparations.
In the ward,
Qin Feng briefly chatted with the patient's man, and clarified the situation with him and his family members.
"That's the situation. Don't worry about the operation. If there is no problem, just sign the letter and leave the rest to me."
"Okay, you are invited by Changping, I believe it!"
The man nodded and signed his name without hesitation.
Ten o'clock in the morning,
The man was pushed into the operating room.
Qin Fengchong Qiao Changping nodded with a smile, turned 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 super-difficult level four operations are all done in hand, let alone a small laparoscopic operation?
After disinfection, put on sterile clothes and enter the operating room.
And Shaoxing stood beside him as his helper and helper.In fact, as the deputy director of digestive surgery, Shaoxing was a little unconvinced with the person Qiao Changping had found.
After all, people are in digestive surgery. Although the old director is gone, he is still the deputy director?
Now the entire digestive surgery is his biggest, and his medical skills are the best.
I originally wanted to get acquainted with Qiao Changping through this operation, but I didn't expect an accident to come.
After the anesthesia is complete, the patient enters an unconscious state.
"The operation begins."
Qin Feng said, immediately find a good location, because this time it is a minimally invasive laparoscopic surgery, so there is no need for a major invasive surgery.
But the position of the poke card is very important for inserting the laparoscope.
Two minutes later, Qin Feng determined the positions of the main hole 1, the main hole 2, and the mirror hole, and began to establish a pneumoperitoneum.
After 5 minutes, the pneumoperitoneum is established, the hole is opened, and then the laparoscope is slowly inserted into the abdominal cavity through the hole, pointing directly to the location of the pancreatic lesion.
At this time, a clear picture appeared on the monitoring screen, with necrotic tissue fluid and free tissues intertwined with bright yellow and dark yellow.
What is it like?
It's like a bunch of loose shit, can't be said to be very similar, can only be said to be exactly the same!
nausea,
Disgusting.
If only the appearance is seen by ordinary people, they can't help but feel nauseous.
But as a doctor, these are nothing more than the necrosis of human organs and tissues due to pathological changes. What scenes have you never seen?
Especially in digestive surgery, this situation is almost common.
So everyone was not particularly surprised, and they all looked calm.
Afterwards, Qin Feng controlled the laparoscope in his hand to slowly dive down, swim away from the colon ligament tissue in the arch of the greater curvature of the stomach, and continue to extend to the lower edge of the pancreas, successfully finding the necrotic tissue.
Open it with a knife, completely exposing the field of vision.
And the picture at this time is even more disgusting!
There are not only various yellows, but also sticky bloodshots, black solids encased, etc., mixing together is simply drunk!
how to say?
If you want to lose weight, just look at it, and you will definitely be able to vomit up after the first mouthful of milk from your mother.
Disgusting to explode!
"This is the first time I have seen such a severe pancreatitis. It's also absolutely extinct inside. It's almost no different from a septic tank."
The deputy director of Shaoxing next to him couldn't help but frowned slightly and said.
"Yes, the severity is beyond our imagination, no wonder there is no effect after the puncture."
Qin Feng nodded when he heard the words, the current situation is somewhat challenging.
certainly,
When several nurses saw this picture, they couldn't help turning their heads too far.
There is a lot of necrotic tissue around the pancreas, and it adheres to other tissues, which brings a lot of trouble to the operation.
The severity is really unacceptable, can this be cured?
Next, 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, cutting off the parts that were not necrotic.
Lift, cut, remove, retract, attract...
The deputy director of Shaoxing originally thought that he might also be experiencing difficulties, because this level of necrosis is really difficult to deal with.
However, seeing Qin Feng's skillful handling of grasping pliers and separating pliers is as flexible and ingenious as his own hands.
The free movement is also light and smooth.
And when the necrotic part of the organ is separated, the amount of bleeding is very small!
Up to now, when most of the pancreas is peeled off, the bleeding is probably not even 20ml, which is extremely superb.
"This young man does a great job!"
He was shocked, took a deep look at Qin Feng, and said in his heart.
Whether it is from the use of equipment or the grasp of tissue dissociation, it is so precise and fast.
Even some subtle operations are not overlooked, and almost every step is performed perfectly.
"Isn't this director Liang Donglai's friend? Why are the people outside the heart so strong in digestive surgery?"
Shaoxing is really speechless.
As the progress of the operation continued to accelerate, he knew that he seemed to be inferior to 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 in clinical practice abroad in the last century.
However, it was not gradually spread in major hospitals until after the millennium in China. Its biggest advantage is that it can reduce the wound area of patients while completing surgical operations.
In this way, the harm to the patient is minimal, and the recovery is also fast.
Minimally invasive!
However, the real operation of endoscopic surgery is still in the hands of newly recruited young doctors above the level of attending at various hospitals.
However, for top hospitals in first-tier cities such as Beijing, endoscopy technology has basically replaced traditional surgery, and its status has gradually become more important.
Of course, the difficulty of laparoscopic surgery is actually higher than that of ordinary open surgery.
The application of high-tech medicine often places higher demands on doctors!
In front of him, Shaoxing clearly realized one point.
My technique is not as good as him!
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 eye-catching surgical procedures attentively, and couldn't bear to admire every time he saw it.
Sudden,
In the operating room, the lens of the endoscope flickered, and the picture was instantly blurred.
Liang Donglai: "......"
what's the situation?
Shaoxing is not good at holding mirrors!
How can you even make such a low-level mistake?
No wonder 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 lens and restored the picture.
For about 40 minutes, there were no more accidents.
Qin Feng began to suck out the residual tissue fluid in the abdominal cavity with a suction device, rinse and disinfect.
Abdominal surgery is complete!
The next step is the simplest stitching.
At this time, the eyes of Shaoxing beside him were incredibly and shocked!
This speed is too fast!
To be honest, the mistake in the middle just now was actually because Qin Feng moved too fast, and he didn't keep up.
After that, Shaoxing did not dare to relax, and kept focusing on giving sight.
But when he raised his head to look at the time, he was dumbfounded!
40 minutes?
A difficult sap operation, is that done?
It's incredible!
If he is replaced, this operation will take at least 2 hours!
Even if the old director is still there, it is basically impossible to complete without an hour and a half.
But now, the strength Qin Feng demonstrated was beyond his imagination.
Shocked!
Apart from this emotion, he couldn't find any more descriptive words.
The video of this operation can definitely become a classic operation teaching case for their digestive surgery!
The rest is the nurse's business.
Dangling~
Qin Feng and Shaoxing walked out of the operating room, took off their sterile clothes, cleaned and disinfected and left.
At this time, Qiao Changping was already waiting at the door.
"Fortunately, the operation was a success!"
Qin Feng smiled and nodded to several people.
"thanks, thanks!"
When the patient's family heard this, tears in their eyes were immediately happy, and they took the initiative to hold his hands tightly.
"You're welcome, you should, a good recuperation will soon return to normal."
Qin Feng comforted a few words, and then left with everyone to rest first.
Fifteen minutes later, when Qiao Changping came back, he was also relieved and thanked him constantly.
When he returned to Jinling Tumor Hospital, he was about to leave after the last class in the afternoon.
"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.
But Song Renzong's smile was a little more complicated, and he patted him on the shoulder.
"You come here this time, besides needing me to leave the post, I'm afraid there are other purposes."
"Director Song, don't think too much, I'm just here to relieve the long-standing obsession between you and Dean Zhang."
The corner of Qin Feng’s mouth raised a touch of success. During this period of time, he knew that the two had actually spoken many times.
"Deputy Director Song, I'm waiting for you to guide me in Jiangcheng."
......
"Ha ha ha ha!"
When Song Renzong heard his words, his expression was stagnant, and he immediately laughed freely.
Deputy Director Song?
Qin Feng, this is true. He has been the deputy director of the transplantation center of the Jiangcheng First Hospital, but for some reason, he was not unhappy this time, and even felt a little honored!
"Okay! Go back and tell that old fellow Zhang Tong, let him prepare good wine and wait for me!"
Song Renzong nodded vigorously and said loudly,
"When I have time, I must go to see the Jiangcheng transplant center under the leadership of Director Qin. How powerful can it be?"
"I am waiting."
Qin Feng heard the unyielding and fighting spirit in his words, this is to compete with him!
"Okay, I should go now, goodbye!"
After speaking, Qin Feng waved to everyone and turned and walked towards the door.
Outside the door, Qiao Changping's Rolls-Royce was quietly waiting for him.
A complete expression appeared on Qin Feng's face. What happened to his transplant center?
Looking forward to it now!
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