Back in 2002 as a doctor

Page 486

Zhang You looked carefully for a few times, and there was no trace of the chest bottle on the gear of the flat car or between the patient's legs.

Because of the need to carry the patient, the anesthesiologist will generally clamp the chest bottle with medium-curved pliers after the lung is inflated after the operation. Some are hung next to the flat car, and most are placed between the patient's legs.

Can……

The postoperative patient has no chest bottle at all!

Seeing that Shen Lang was busy, Zhang You immediately asked, "Shen Lang, where is the chest bottle for the patient? Could it be that he didn't take it down?"

"Director Zhang, Congwen said that today's patients don't have a chest bottle."

A thunderbolt hit the heads of Zhang You and Director Miao, and countless tiny silver snakes danced wildly.

"No chest bottle?" Director Miao asked in astonishment.

The surprise and shock that these words brought to Director Miao definitely surpassed the one-stop surgery.

Director Miao can understand one-stop surgery, but it's just that he is not capable enough to do it.

However, patients undergoing thoracic surgery do not use chest bottles, which has overturned Director Miao's perception of thoracic surgery.

"That's right, patients usually don't have gas coming out after the operation, and they are pulled out early the next morning. According to the text, it's too much trouble, so I can't do it anymore." Shen Lang simply explained.

"..."

"..."

Zhang You and Director Miao were dumbfounded, not only their glasses, but even their eyeballs almost fell to the ground.

Isn't Shen Lang joking?

Isn't Zhou Congwen joking?

With Mr. Huang around, how could they be so nonsense!

Countless astonished thoughts emerged.

"Second directors, excuse me." Peng Yiming pushed the flat cart out of the operating room.

Zhou Congwen's medical team was running in an orderly manner like a precision machine. Peng Yiming sent the patient to the anesthesia recovery room, and Shen Lang arranged for the patient to lie down and prepare for the next operation.

While the anesthetist was anesthetizing, Shen Lang had already gone to brush his hands.

Just this rhythm... so fast that it almost flies.Director Miao wondered what Shen Lang was doing so early in the morning, was there nothing else to do?

After watching for nearly a minute, he walked forward slowly while supporting his waist.

At this time, Zhang You stopped talking, and the two of them were full of thoughts.

Came to Sishou, opened the door of the operating room, and heard Huang Lao's voice, "Zhou Congwen, you did it a little too fast, the doctor who located the small nodule in the back couldn't bring the patient."

"!!!"

"!!!"

"Boss, I'm wondering if I should start positioning at 6 o'clock in the morning." Zhou Congwen said.

"It can also be considered. After all, after a period of time, the possibility of pneumothorax in positioning puncture is very small. But you have to be careful, and always presuppose patients who may have problems." Huang Lao said.

"I know the boss."

Before Director Miao and Zhang You entered the operating room, Zhou Congwen had already turned around and left the stage.

Eyes intertwined, Zhou Congwen squinted his eyes, "You two are here."

"Is the second operation done?" Director Miao asked in astonishment.

"Well, it's done."

Regardless of his back injury, Director Miao quickened his pace to see the surgery area.

Chen Houkun, who was standing beside Zhou Congwen, began to sew.

There was only one incision in the patient's chest wall, and the suture was very simple, and the suture was completed when the anesthesiologist inflated the lung.

A 3cm incision, not under the breast bottle!

Director Miao was completely shocked by these things.

"What kind of surgery is this?" Director Miao asked in a daze.

Chapter 0835 riding face small nodules

"Thoracoscopic wedge resection of small pulmonary nodules." Zhou Congwen said.

"..."

Director Miao wants to swear at his mother, but I don't know it's this technique!Who the hell asked you about the surgery, what I want to ask is why there is only one incision, one incision!

The key is that he can't even fit the chest bottle!

But Director Miao just roared a few times deep in his heart, and immediately calmed down.

There was a smile on his face, and the overflow that the sterile mask couldn't cover at all.

"Xiao Zhou, why don't you take off the chest bottle?" Director Miao asked gently.

"No need to do it." Zhou Congwen replied casually, tore off the sterile suit and threw it aside, and came to Huang Lao, "Boss, why don't you take a break? In fact, today's operation is quite boring."

"Work with little technical content must be careful, and you must not make mistakes." Huang Lao immediately began to talk about values.

Zhou Congwen lowered his head, searched around, and moved the anesthesiologist's stool to a corner, "Boss, why don't you help me see the whole process, and what can be improved. I'm thinking about it myself. The perspective is too subjective. not come out."

Huang Lao nodded and sat in the corner.

"Director Miao, is your waist feeling better? How about I give you a massage after the operation today? I learned it from old lady Chen in the imperial capital."

Director Miao was speechless.

The massage techniques of the old lady Chen in the imperial capital are unique, and that is the real family tradition. Many orthopedic surgeons go to her to learn.

Zhou Congwen, a chest doctor, learned a shitty massage!

Is he going to treat pneumothorax with massage? !

Director Miao didn't know why he was so angry today, with countless complaints and slanders in his heart.

In fact, deep down in his heart, he knew the reason.

Zhou Congwen's apostasy is not counted, but Huang Lao, the ancestor of the chest department, even acquiesced in Zhou Congwen's doing so.

What are they going to do, ready to subvert their world outlook, outlook on life, and values ​​again and again? !

It is irresponsible what to do if the patient has an accident if the chest bottle is not inserted after the operation.

"no need."

"Then I'll go to work, just come to me if you need it." Zhou Congwen smiled and passed Director Miao.

This is... for the next operation? !

Director Miao immediately followed Zhou Congwen to the third hand.

Shen Lang was sterilizing, Zhou Congwen walked in and watched the film while wearing a sterile cap.

"Shen Lang, what do you think we'll do for nodule localization next time at 6 o'clock in the morning?" Zhou Congwen asked while listening to the rustling sound of hair rubbing against the sterile cap.

"It's good, otherwise I have to greet the director of the CT room and occupy a machine alone." Shen Lang said, "Once or twice is fine, too much is not good."

"That's settled then."

"The next operation will also be done with small nodules?"

"Not necessarily, we can collect patients with small nodules at one time and make a batch. Otherwise, there are lung cancer and esophageal tubes on one side, and small nodules on the other. It always feels a bit unsmooth to do."

Director Miao looked at the patient lying on his side, and a line was drawn with Meilan on the chest wall, which he knew was a preoperative mark.

I am really cautious, twelve operations a day have not forgotten the preoperative positioning.

"The left chest wall, the patient is Wang Zhonghe, male, 48 years old." Zhou Congwen checked for the last time.

"Correct."

Shen Lang and Liu Wei said at the same time.

"I'm going to brush my hands."

Director Miao tried his best to walk to a quiet corner, and silently watched Shen Lang laying out the sterile sheets.

He is very familiar with these steps, but he doesn't know how Zhou Congwen completed the operation with an incision less than 3cm.

But the answer will be revealed soon.

Zhou returned from brushing his hands, disinfected and dressed.

The itinerant nurse was in charge of the two operating rooms. Zhang You helped tie the straps at the back, squatted behind Zhou Congwen, grabbed the corner of the clothes and pulled the sterile gown to make the clothes smoother and more comfortable.

After doing this action, Zhang You was stunned for a while.

This kind of movement is usually done by others for me, how could I subconsciously squat down to help Zhou Congwen pull the hem of his clothes today!

Zhang You was at a loss in his heart, and was in a mess in the wind.

I am the director!The little monster in Zhang You's heart roared.

But the action just now has explained Zhang Youxin's true thoughts - it doesn't matter who is the director, Zhang You has already "served" Zhou Congwen as a superior doctor.

Director Miao moved forward slowly when Zhou moved from Wenzhan to the operator's position.

Zhou Congwen was taller, 1.8 meters seven. Director Miao stooped slightly to find a position, and watched her operation carefully along the gap.

The incision was in the fifth intercostal space, with a 3cm surgical incision. After the incision, he was electrocuted to stop the bleeding, separated layer by layer, and then... the lens, forceps, and all equipment were inserted through one hole.

Director Miao stared blankly at Zhou Congwen performing the operation, feeling a little empty in his heart for no reason.

It's not impossible to do so.

Because they all go in a 3cm poke card, the range of movement of the equipment is bound to be limited.

In order to successfully remove the small nodules, the surgeon needs to locate them accurately.

The TV screen turned on, and a small thread stub appeared in the field of vision, almost like riding on the face to see the small nodule next to the thread stump.

It was so accurate to find this position... Director Miao was speechless.

To what extent do you need to be familiar with the local anatomy and the position of the deflated lung during one-lung ventilation before you can come in and see small nodules? !

It's like the appendix pops out obediently after an appendectomy is performed.

But unlike appendectomy, one depends on fate, and the other is the incision chosen by the operator Zhou Congwen himself.

This step alone made Director Miao amazed.

The linear cutting stapler goes in, clicks twice, and the wedge resection is completed.Put the resection into the belt and pull it out, and start to rinse with warm salt water and inflate the lungs.After checking that there was no leak, Zhou Congwen turned around and stepped down.

A total of...less than 10 minutes of operation time, I am afraid that the anesthesia of the patient in the next operating room is not over yet.

Director Miao's eyes were fixed, and he fell into a state of bewilderment, extremely messy.

Single hole laparoscopy!

This thing is definitely more than one-stop surgery... Thinking of the meaning, Director Miao was stunned.

Is it more practical?That's because I'm not good enough to do one-stop coronary artery bypass surgery.

Thinking of the patients who walked out of the intensive care unit on the first day after the operation, Director Miao knew that this was the meaning.

"Professor Zhou, can the single-port laparoscopic surgery cut the lung lobes?" Director Miao asked.

"Yes." Zhou Congwen replied affirmatively.

"!!!"

"!!!"

Neither Zhang You nor Director Miao expected Zhou Congwen to give such an accurate answer.

Zhou Congwen smiled slightly. In his last life, in 2010, Dr. Diago Gangzales Rivas from Spain took the lead in performing single-port laparoscopic resection of lung lobes.

But now, after everyone is familiar with the operation, they can carry out it by themselves after a while.

"The operation was done a little too quickly. Didn't Dean Xiao send the patient up yet?" Zhou Congwen said to himself.

Chapter 0836 The Hanged Ghost