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The uterus in front of my eyes remains in the front position, and the uterine body is obviously enlarged, such as the size of 3 months pregnant.

There are 2 lobulated fibroids protruding from the back of the cervix. I measured it with a soft ruler. The diameter on the right side is about 10cm, and the diameter on the left side is about 25cm.

Chen Qi was not only not happy, but frowned again:

"Director Lu, judging from the size of the patient's stomach, it seems that the two tumors in the uterus are far from enough."

Chen Qi didn't say that he had already done B-ultrasound and bedside CT in secret, and he clearly saw adhesion foci and enlarged lymph nodes, which would not have happened if it was just a uterine tumor.

Then there must be something wrong.

Yu Yaqin, director of the Department of Obstetrics and Gynecology of the Fourth Hospital, also felt the same way:

"Yes, the tumor in the uterus is not big enough, Chen Qi, push the uterus aside and check the ovaries and other appendages."

"Okay, Director Yu."

Chen Qi smoothly continued to explore, pushed away the huge uterus, his eyes suddenly narrowed:

The lower border of the ovarian cyst on the left was densely adhered to the back wall of the uterus, and there was almost 250ml of light yellow fluid in the abdominal cavity. It can be seen that the size of a room cyst was about 30*30*15cm.

Because Lu Yue was the first aid, his vision was better, and he repeatedly exclaimed:

"My dear, as expected, Lao Yu guessed it. There is a huge tumor in the left ovary. Seeing the degree of adhesion, it may be more or less ominous."

When Yu Yaqin heard that she guessed it right, the old lady felt secretly happy, and said proudly:

"Old Lu, since it is a tumor in the Department of Obstetrics and Gynecology, please let Xian, the chief of surgery, come and help me to do it. This is the first time I have encountered huge uterine tumors and ovarian tumors in decades of practice. This needs to be studied carefully.”

Director Lu gave a dark look, and said unhappily:

"Don't talk about you, I've been a surgeon for so many years, and it's the first time I've encountered it. You want to study it? This is written as a paper, and it will definitely be published in medical journals such as "Surgery" or "Obstetrics and Gynecology". come out."

Women who come out of obstetrics and gynecology often have a strong sense of femininity, Yu Yaqin curled her lips:

"It depends on whose paper is published first. Now you get out of the way and save the patients first."

Dean Gai of the Second Hospital, who was visiting the operation nearby, saw that his own doctor could not compete with the doctors of the Fourth Hospital, so he hurried to help:

"Let me tell you two, this thesis has to be written by the chief surgeon no matter what. The chief surgeon is not in a hurry. What are you assistants in a hurry for?"

Yu Yaqin helped Chen Qi pump the light yellow liquid in his abdominal cavity, and replied:

"Then I don't care. Anyway, my mother has decided to write this paper. Comrade Chen Qi is good. He will be the second author of the paper. How about it? Chen Qi, do you have any opinions on this arrangement?"

Can Chen Qi have any opinions? He is just a newcomer to work, how did this thesis win over a few old fritters?

"Hey, Director Yu can do whatever he says, I have no objection."

"Look at this kid, sensible, who is your date in the future, Lan Lijuan, right? In the fourth courtyard, I will cover you for you, let's see who dares to bully her?"

The old lady is very bad, throwing a bomb at a critical moment is actually telling others that I have a hostage in my hand, and I will help her carry the sedan chair when I am happy, but it can also make her unhappy at work when I am unhappy.

Lu Yue was dumbfounded when he heard that, how could he grab it?

Dean Gai became anxious when he saw it, and said quickly:

"Comrade Chen Qi, don't be afraid. Our Second Hospital is a county-owned hospital. It's a trivial matter to transfer you and your partner to the Second Hospital. Our hospital is much better than the Fourth Hospital."

Zhang Zaiqi, the dean of the Fourth Hospital, couldn't bear it any longer: "Old Gai, you are not authentic, you can't put all the good things in your family's job."

At the scene, Deputy Director Qiu Mingcai interrupted in a deep voice:

"Okay, okay, let's not say a few words. Now the focus is on ensuring the success of the operation. If the operation fails, who will you write your paper to? Who dares to publish it? Comrade Chen Qi, follow your own thinking and don't be disturbed. "

Chen Qi took a deep breath:

"Okay Director Qiu, then Director Yu, Director Lu, and Director Bian, this patient is 51 years old and has no childbearing requirements. I plan to perform a total hysterectomy + bilateral salpingectomy + double ovarian cyst removal. tissue and lymphatic dissection."

All three chief assistants nodded: "Yes, no objection."

An hour later, the huge uterus had been removed, and Chen Qi shouted:

"Jieying, take out the bloody fluid and uterus immediately to make emergency pathology unpredictable, and report the results immediately."

Hysterectomy is simple, but left oophorectomy is more difficult. The lesion can be seen with the naked eye involving the fallopian tube, the left parametrium, the serosal surface of the uterine body, and part of the muscular layer.

Director Lu glanced at it, and was glad that he was not the chief surgeon. It was all stuck together like this, and the operation would have to be enlarged, which was too difficult.

Director Yu also began to worry:

"Chen Qi, this is troublesome. There is no need for a pathological section. Nine out of ten it is ovarian cancer, and it has already spread and metastasized. No matter how hard you clean it, it won't be clean. Let's not talk about how difficult the operation is.

Even if you cut it off, the patient's survival rate may be very unsatisfactory without follow-up treatment. Maybe the cancer cells will be shut down and she will live longer with conservative treatment. Isn't that better? "

Chen Qi glanced at the patient who was in a coma under anesthesia, and sighed softly.

"Director Yu, this patient talked to me one night before the operation. She talked about her past life. She was a widow when she was young. If she hadn't had two children, she would have thought of dying. The family was so poor that she couldn't even afford food. No need to eat.

It is difficult to survive without a man in the countryside. She said that she was working in the team day and night to earn work points, and she was just like a man, carrying burdens, digging mountains, and farming. The whole body is sick.

It was not easy for the children to grow up and marry their daughters-in-law. She was able to live a good life, but she suffered from this strange disease. Not only did outsiders not understand, but even the two daughter-in-laws scolded her for being shameless. not to die?

She said that it doesn't matter if she gets sick, and she is not afraid of death, but she is afraid of leaving a bad name for her son and grandson, so that her descendants will not be able to hold their heads up in the village. .

Even if she died on the operating table, she was willing to do so, as long as she cut out the contents of her stomach and showed it to the people in Xiawan, and let them see with their own eyes that she was wronged and did not disobey women's morals. Her whole family died.

So this operation must be done. I want to help her finish it and help her prove that she is wronged. "

As soon as the words came out, everyone in the operating room fell silent. A woman proved her innocence by dissecting her stomach, and wanted to preserve the reputation of her children and grandchildren. How could she not agree to her?

So, at Chen Qi's insistence, the operation continued.

The emergency pathology report also came out, confirming the existence of ovarian cancer, so the scope of surgery was expanded, and the level of surgery was also raised to level 4.

Total hysterectomy + resection of double adnexa + omentum resection + appendectomy + lysis of pelvic adhesions + resection of sigmoid mesenteric surface lesion in the right paracolic groove.

Just by hearing the names of these operations, one can know how difficult this operation is.

Chen Qi didn't flinch, and kept his head down and bent over for the operation, and the time passed by every minute.

Many leaders in the operating room have already quietly left. They are so tired that they can't even hold back their urine after standing for hours.

Only those clinical experts stick to their posts, including three director-level assistants.

Five hours later, when the three huge tumors were completely removed, everyone breathed a sigh of relief.

At the same time, needless to say, the surprise in everyone's heart, let's put it this way, these three tumors couldn't fit in the ordinary stainless steel bowls and plates, and had to take an enamel washbasin to fill it up.

A washbasin full of "sarcomas", this kind of numbing feeling, is worse than the roundworm intestinal obstruction in the horizontal road.

The operation went very smoothly, purely from the point of view of the operation, several chief directors wanted to give Chen Qi full marks.

Because such a major operation, even they may not be able to bear it. It has to be said that it is a miracle that a junior doctor who graduated from a technical secondary school less than a year ago and still works in a township hospital managed it successfully.

Dean Gai of the Second Hospital and Dean Zhang of the Fourth Hospital were also brainstorming, thinking about how to win over this talent to their own hospital.

Chen Qi was still closing the abdomen and suturing it layer by layer. Naturally, other little doctors would take over such things as stitches.

The enamel washbasin with the tumor was placed in the middle of the table, surrounded by three directors, Yu Yaqin, Lu Yue, and Bian Pengfei, the more beautiful it looked.

Dean Yan held a measuring tape in his hand, and he and Chang Xihua hurried over: "Come on, the directors give way, let's measure the size of these three tumors first."

It was a preliminary measurement before, but now it is a precise measurement, which is related to the authority and data reliability of subsequent papers.

"This one is 12cm in diameter, the second one is 20cm in diameter, and the third one is the largest with a diameter of 31.5cm."

As soon as the data came out, there were exclamations one after another in the operating room. No one had ever seen an operation with such a large number of tumors of such a large scale.

Director Lu Yue couldn't help urging: "Old Yan, do you have a scale? Weigh it, hurry up."

"Yes, weight is important."

Dean Yan chuckled, and took out another round scale: "I've already prepared it."

The result is that you don’t know if you don’t weigh it, and you are shocked when you weigh it. It adds up to a full 15KG.

Not surprisingly, this data has already broken the number of huge abdominal tumors in the Vietnam region, even if it is ranked in the whole country, several assistant directors present are already full of papers.

After the operation was over, Director Wang was the most excited. He hurried over with the reporter, and when he saw the three tumors in the enamel washbasin, he laughed until his eyes closed.

"How is it, was the operation successful?"

Dean Yan was the first to jump out and shouted excitedly:

"Report to Director Wang that the operation went well, the tumor in the patient's abdominal cavity has been removed, and the patient is now in a stable condition."