Start with the emergency physician

The resection of the tail of the pancreatic body is not particular, do not harm the mesangium, the membrane can be.

He Jianyi and the others looked at Zhou Yuan’s smooth movements, and their expressions were extremely shocked.

On the operating table, any action, a simple “excision”, may contain hundreds of surgeries, decades of experience.

Do not harm the mesangium, the membrane, to put it lightly, when the actual excision will find that the scalpel is difficult to fall.

The reason why surgical specialists are particularly expensive, and their salary is almost several times that of doctors with the same title, is precisely because of this.

Therefore, whether it is a deputy chief physician like He Jianyi, or an instrument nurse or anesthesiologist, they cannot understand how this body in his twenties can have the professionalism, proficiency and malice that experts in their fifties and sixties do not necessarily have.

“The excision is complete.”

When these words sounded, everyone woke up like a dream, staring at Zhou Yuan stunnedly.

“Start cleaning the blood vessels.” Zhou Yuan did not notice the expressions of the others.

It is easier to clean blood vessels, lymphatic vessels, etc., and each doctor has his own habits and has different cleaning sequences.

As long as it can be completely cleaned, it is a good idea.

“Wipe your sweat.”

As soon as Zhou Yuan’s words fell, the beautiful little nurse was just about to raise her hand, and Sun Meng took a step ahead and gently wiped Zhou Yuan’s forehead.

“Cleaning complete.”

This sentence after a long time made everyone present breathe a sigh of relief.

“Total gastrectomy completed.” Zhou Yuan did not relax.

The completion of the resection does not mean that the surgery is complete.

After the removal of the stomach, the digestive tube reconstruction must also be performed, so that the patient can maintain digestion and absorption function in the future.

Zhou Yuan chose the esophagus and duodenal interstitial triassal triassal method in triassic gastric surrogate.

He took a section of jejunum about forty centimeters proximal to preserve the blood supply within its mesangium.

Next, the upper mouth of the jejunum is sutured with the esophagus, the lower mouth is sutured with the duodenum, and the middle intestinal segment is folded into 3 segments, each of which is maintained approximately 10 centimeters.

“Silk thread No. 1.” Zhou Yuandao.

Three folded jejunums must be sutured to fix them, forming three jejunal sacs, which can replace the lost stomach cavity and delay food emptying, which is conducive to nutrient absorption and weight maintenance.

Because it is three segments, the front and back two segments are the same as the original jejunum, both are circher peristalsis, and the middle intestinal segment forms a natural reverse peristalsis due to the change of position, so that the food stays longer, which can improve digestion and absorption rate.

“It’s done.” Zhou Yuan slowly raised the needle forceps and left his abdominal cavity with both hands.

Everyone was relieved.

“Check the gauze.” Zhou Yuandao.

Ocean: “One, two, three…”

Sun Meng: “One, two, three…”

After the number was correct, the two and the instrument nurse counted scalpels, intestinal forceps, etc., all of which were not missing.

Zhou Yuan checked the broken end of the previous suture again, and although he was confident that he would not leak, it was a necessary step before suturing the abdominal cavity.

“No problem. Prepare to close the abdomen. ”

As soon as the ocean wandered, he accidentally heard “no problem, prepare to pretend”.

I saw Zhou Yuanfei’s needle into the skin, the needle was like a dragon’s head, the needle and thread were like a dragon’s body, and the sound of piercing the flesh seemed to be a dragon’s groan.

Haiyang closed his eyes in enjoyment: “It’s better to watch Senior Brother Zhou Yuan stitch it up…”

I am afraid that Jiang Xiaoqi was the most shocked by those present.

She is the first time to operate with Zhou Yuan, although he has also sutured before, but they are all intermittent, many of them are actually completed with a few stitches, this is the first time Jiang Xiaoqi has seen Zhou Yuan systematically sutured.

“Fu, CK…” Jiang Xiaoqi was excited, and subconsciously spoke English.

His gaze was staring at Zhou Yuan’s hand holding needle tongs.

Those fingers are slender, smooth, straight…

No! The main thing is the traces. Routing is fast and in one go!

Before Jiang Xiaoqi could enjoy it, Zhou Yuan had already put down the needle clamps, and said with a relaxed tone, “The closing is complete.” ”

Zhou Yuan, He Jianyi and others began the final inventory.

After confirming that it was correct, Zhou Yuan glanced at the time and announced, “The operation is complete!” ”

Zhou Yuan took off his mask, revealing a slightly pale face.

A surgery is extremely draining on energy and physical strength, especially total gastrectomy, a major operation that requires full attention throughout the process.

Glancing at He Jianyi and the others, they were all waiting for them to walk out of the operating room.

Zhou Yuan smiled, walked ahead, and pushed open the door of the operating room.

On the chair outside the operating room, Yang Wei’s wife was covering her face, her eyes were red, obviously crying for a long time.

Hearing the sound, she immediately stood up, but because she sat for too long, her eyes were dark, and she almost fell to the ground.

Zhou Yuan quickly walked over, helped Yang Wei’s wife up, and joked: “Don’t just save your husband, you fell again.” ”

Yang Wei’s wife didn’t react at first, and was just about to ask about the operation, but suddenly froze: “You… You said rescued? The operation was successful! ”

Zhou Yuan nodded and said with a smile: “The operation was successful!” ”

In the thousands of thanks from Yang Wei’s wife, Zhou Yuan, He Jianyi and others left.

“I wish I could have heard thank you from the patient’s family all the time, as it means that our surgery was successful.” Ocean laughed.

Several people changed out of their soaked lead clothes and prepared to go back to the office to rest for a while.

But as soon as I walked out of the locker room, I found that the emergency department hall was already a mess and noisy.

“What happened?” Zhou Yuan and He Jianyi asked at the same time.

This situation does not look like some patient suddenly faints, more like making trouble!

———

Ten more end, rest!

Monthly pass, there is still the last distance from the first place, brothers work hard!