The risk may be related to the incomplete healing of the patient's left lung wound, or to the patient's heart problem. We can only hope that the surgeon will act faster.
The anesthetist's signal was received by the surgical team. The pressure was like a huge mountain on the surgeon's head.
"Let's get started." Du Yeqing said in a calm tone, taking the scalpel handed by the nurse with his right hand.
Thoracoscopic surgery routinely requires drilling three holes in the patient's right chest wall, two of which are operating holes and one is an observation hole. The observation hole is used to insert the endoscope. The specific locations of these three holes can be determined by the surgeon according to the patient's needs.
Depending on the condition, you need to choose the regular position or the adjusted position.
Xie Wanying lowered her head slightly and turned to the best viewing angle for surgical observation.
As far as she could see with her eyes, the three holes made by the teacher were in the third intercostal space next to the right sternum, the fourth intercostal space in the right midaxillary line, and the fifth intercostal space in the right front axillary line. The three holes formed a triangular connection.
The line should belong to the regular hole position. Teacher Du’s conservative style is reflected here.
Routine has routine benefits, and practice has proven that routine is the best solution for most cases. Secondly, it reflects the surgeon's extraordinary confidence that routine is sufficient to cope with the case at hand.
The surgeon made the hole and inserted the thoracoscopic endoscope, operating rod and surgical instruments. As the endoscope approached, the outer outline of the heart beating in the chest was displayed on the monitor screen.
Don't use some aesthetic novels to describe the feeling of life when looking at a beating heart, which is touching. In fact, doctors who perform surgeries only feel numb when looking at a beating heart.
Once the heart stops on its own without the doctor's permission, it means that the patient's life is gone. Doctors have no time to lament the impermanence of life. I have to say that the doctor's only realistic feeling is that it is like defusing a bomb.
When operating on a beating heart, every beat of the heart is like the number of beats on the timetable for defusing a bomb, which is frightening. It is best to reduce the beating rate of the heart no matter how fast it is during the operation. Even if the patient's heart beats slowly
Now, the doctor's hands are still walking on thin ice as usual. He can't force the heart to stop and then cut and sew it. He can only cut and stitch it cleanly and try not to disturb the beating of the heart. To use another metaphor here, the doctor's mood
It's probably like plucking a tiger's hair and teeth.
The job of a surgeon has always been to walk a tightrope. The mentality of the surgeon is very important and must be stable, regardless of whether the surgeon or surgeon is the same.
According to the steps of preoperative planning, the surgical instruments were first moved close to the suspicious area shown on the CT scan of the right ventricle. This area seemed to be a bit tricky to operate with the conventional operating hole. The surgeon and the surgical team manipulated the operating lever, and their dexterity was not affected at all.
Influence.
This is a hand job practiced by teachers who have performed many surgeries. Xie Wanying looks serious. This is exactly what Teacher Tan hopes she can achieve.
What is the half-moon-shaped raised thing shown by CT? Now the surgeon needs to see it directly with his eyes to remove the covering on it.
"Bleeding." The voice that suddenly said this was not the chief surgeon, but Dr. Shi Lei, an assistant.
The anesthetist's head immediately reached over to check the operation and see if the amount of bleeding was so large that the patient needed an immediate blood transfusion.
Not needed for the time being. Isuke's voice was calm, and his words were more like reminding other operating members of the immediate progress of the operation.