Chapter 262 The King's Ship's Digging a Corner(1/2)
"Doctor Tanglou from the general surgery department."
The intern said softly.
Dr. Wu's hand when closing the abdomen trembled, and he almost overturned. Fortunately, closing the abdomen was not a big operation, and he suddenly felt sad while sewing.
Tanglou, a trainee physician in general surgery, of course knew it, and because he knew it, he became more and more frustrated.
"Tanglou, has it reached this level?"
"Alas,╯﹏╰"
...
...
When Tanglou returned to the nurse's desk in high spirits, he saw Dr. Liu Jinjin again, but this time, he was a little stooped and left the operating area lonely.
"What's wrong with him?"
Tanglou asked with some confusion.
When Yuan Hu saw it was Dr. Tang, his face was full of smiles: "Doctor Tang, you have performed another surgery."
Tang Lou nodded, not feeling tired at all: "I'm here to see if there is anyone who can continue the operation. How is Dr. Liu?"
Yuan Hu shook his head and said with some sympathy: "Dr. Wang Chuan was performing a partial liver resection. He just asked Dr. Liu to be his assistant, but after doing it for a while, Dr. Wang kicked him out. He was criticized for the rough operation.
.I am also contacting the attending physician, but it seems that the fastest time will be ten minutes."
After all, Dr. Wang Chuan came back from the Union Medical College, and his vision and surgical requirements are very high. He never compromises on his professionalism.
While Tanglou was communicating with Yuan Aldehyde, an intern under Dr. Wang Chuan ran over and said very anxiously: "Sister Yuan, how is the contact with the assistant? Dr. Wang said that we need to go there as soon as possible, and Dr. Guo can't make it alone."
"
"Today's surgery volume is very large. As you know, I have tried my best. The fastest doctor, Dr. Huang, will take ten minutes to arrive. You see, Dr. Tang has also just had an operation. There is really no one left."
Yuan Aldehyde shrugged. She had no choice. Dr. Wang Chuan's reputation was so great that he had transferred many patients to other hospitals recently.
Of course, Tanglou also contributed to it. Many patients came here because of the word-of-mouth spread of the patients who were cured in Tanglou.
"How can we do that? The patient's liver is bleeding badly. If no one comes, I'm afraid Dr. Wang and Dr. Guo won't be able to handle it."
Two senior doctors might be able to handle this difficult operation together, but Guo Caier is just a resident doctor. After all, her experience is limited. If she hadn't had a solid foundation and managed to persevere while learning, the outcome might have been
Same as Liu Jinjin.
Yuan Aldehyde looked at Tang Lou, but quickly extinguished his thoughts. After all, the field of liver surgery was completely different, and he had never heard of Dr. Tang's Association before.
In addition, this operation involves massive hemorrhage from the liver section and involves portal blocking technology. Since the liver cannot be continuously ischemic, it needs to be opened intermittently. The time control and opening operation require very high experience of the doctor.
.
It would be impossible to get started without a surgeon who has guided him step by step several times. Dr. Wang himself had to perform resection and suturing operations, and did not have the energy to guide and control the opening time at the same time. This is why Liu Jinjin was fired.
"What to do!"
The intern was so anxious that she almost cried. Dr. Wang was very strict. He gave the order to bring the assistant in within five minutes. Now that the task has not been completed, she did not dare to go back to report, but she could not wait here.
Doesn't help matters.
"Sister Yuan, maybe I can give it a try."
Tanglou originally didn't want to go into this troubled water. After all, this was an operation performed by Wang Chuan's team, and it was not very suitable to partner with him. Moreover, Wang Chuan probably didn't want him to go either.
However, human life is at stake, and there seems to be no more suitable person than him now.
"Dr. Tang, this surgery is different from what you imagined. The portal occlusion technique involved in massive liver cross-section bleeding is to explore the degree of liver cirrhosis and the size, location, boundary of the tumor, and its relationship with surrounding blood vessels during the operation.
The scope of resection must be carefully considered based on the surgeon's experience and habits. It's not that easy."
Yuan Jiu thought for a while but still wanted to make it clear to Tang Lou that at times like this, it was not just a matter of courage. The surgery relied on experience and strength.
"Don't worry, I'm very good at general surgeries, as long as they're not level 4 or 5 surgeries, I'll be able to do it after just one look."
Tang Lou smiled and joked very easily, "Let's go, I'll go to the operating room with you."
Seeing the tenement building that was not much older than him, the intern looked at Yuan Hu with some embarrassment. He didn't believe it in his heart. He could learn it after just one look. This was too much to brag about.
At first, Liu Jinjin was very energetic and went to the operating table. As soon as the operation was performed, Wang Chuan immediately stopped him, cursed the nozzle, and left the operating room in despair.
"Dr. Tang, Dr. Wang is very fierce. If you can't do it, I think it's better not to show off."
After all, the intern couldn't hold it back and said to Tanglou, his tone was still very sincere.
After all, the fear of being dominated by Wang Chuan would scare these interns awake even in their dreams.
"My relationship with Dr. Wang may be more complicated than you think. Don't worry, I have my own sense of discretion."
Tanglou's tone also became serious. After so many surgeries and surgeons, Tanglou was very stern and imposing.
"oh."
The intern immediately succumbed to Tang Lou's aura.
Soon, Tanglou finished his preparations and entered the operating room. During the preparation process, he naturally exchanged krypton gold for a three-star partial liver resection.
"Dr. Wang, Dr. Guo."
Tanglou said hello first.
Hearing the familiar yet annoying voice, Guo Caier immediately looked at the handsome figure walking in. For some reason, he thought of the beautiful spring scene in the Academician Building.
Guo Cai'er's face turned red.
Wang Chuan was not distracted. He was performing a wedge resection of the liver. He felt Guo Caier's distraction and immediately said: "Xiao Guo! Concentrate!"
Guo Cai'er was shy and impatient and immediately kept moving his hands and raised the right side of the patient's liver lobe tumor 30°.
"Remember, the incision is generally made diagonally 1-2 fingers below the right costal margin, and can be extended to the left if necessary."
As the chief surgeon, Wang Chuan has a very strong aura and is indeed very professional, especially in this field where he specializes.
In a way, Wang Chuan is indeed a rare all-rounder, and he has basically no shortcomings in general surgery.
"I remember, Dr. Wang."
Feeling Wang Chuan's rigorous concentration, Guo Caier immediately nodded in agreement and no longer paid attention to Tanglou.
Wang Chuan quickly completed the incision, and unknowingly, he also began to try Tanglou's style, which was airtight: "Enter the abdomen to explore the abdominal organs and tumor conditions, and selectively free the liver ligaments according to the location of the tumor.
The principle is to fully expose the tumor."
Guo Cairr immediately started laparoscopic exploration. It must be said that under Wang Chuan’s guidance, Guo Cairr’s basic skills were indeed solid, surpassing the level of ordinary attending physicians.
While Guo Cai'er was exploring, Wang Chuan followed her operation and began to correct and teach tips: "Cai'er, remember that for this kind of surgery in the future, the liver tumor is located at the edge of the right lobe of the liver, and the injection thickness is 2-9cm from the edge of the tumor.
The threads were interlocked and sutured to stop the bleeding."
"Ah, I can't."
Guo Cai'er panicked for a while. Interlocking sutures to stop bleeding required very high sutures, and she had no confidence at all.
Wang Chuan looked at the tenement building on the side and said calmly: "Have you seen enough? Why don't you come over and stitch it up!"
Wang Chuan admired Tang Lou's sewing skills from the bottom of his heart, so the moment Tang Lou came in, he felt at ease.
"Thick suture thread...needle-holding forceps...microscope..."
Tanglou was not polite and gave instructions to the equipment nurse in a very tacit understanding.
At the same time, Wang Chuan left a position for Tanglou to help.
"Would it be possible to block the porta hepatis?"
"no problem."
"Electrosurgery to incise the liver capsule and superficial tissue?"
"Can."
"Blood clamp to separate liver tissue?"
"certainly!"
...
Although the two were incompatible outside the operating table, at this moment, they cooperated perfectly.
With the strong support from Tanglou, Guo Caier suddenly found that all he needed to do was hold the mirror up.
Seeing that although Wang Chuan and Tang Lou were working together for the first time, they looked like an old married couple. For some reason, Guo Caier felt sour in his heart, but at the same time he was so happy.
Dr. Wang has not had such a pleasant surgery for a long time.
"Ligate the pipe stump!"
"Finish."
"Sew up the bleeding points and bile leakage ducts on the liver section!"
"Done."
"The wound liver sutures and thick silk threads are sutured together"
To be continued...