Chapter 97: Bravely
Looking at the wine glasses that were delivered to them, Wu You and Director Wang both widened their eyes.
Is it true that a new world has been created by drinking wine? In just one sentence, three glasses?
"Sister Wu, Director Wang, this is called the eagle spreading its wings and displaying its ambitions."
Well, the meaning is not bad.
Hearing these words, Wu You and Director Wang nodded again. In fact, in their position, most of them like to seek good luck. Looking at the three glasses of wine in front of them, alas, one drink is also a drink, and three glasses are also drinks. Geely, forget it if you drink. However, they have remembered Wu Xiaofu this time. They have to be careful if they drink with Wu Xiaofu in the future.
"Hey, Sister Wu and Director Wang have a lot of songs. Come on, let me play another song."
Two hours later, it was already past ten o'clock, and Wu Xiaofu helped Duan Hao out. Peace Hotel.
The driver has already been waiting in advance. I have to say that this Sister Wu is really a hero among women. She went to the bathroom several times in the middle and probably vomited a lot. But even so, everyone was arranged It's clear and clear, the driver has been found, so comprehensive, I really deserve the money I make.
Duan Hao’s home is near the hospital, and Wu Xiaofu helped Duan Hao, who was already confused, back home.
It was Duan Hao's wife who opened the door. It has to be said that the man is a talented man and the woman is beautiful. Duan Hao is talented, and Duan Hao's wife is beautiful. She did not enter the house, handed Duan Hao to his wife, and left directly.
Saturday, it’s another Saturday, yes, it’s time for the program to be broadcast again. This time it’s not the interview episode, but the official first episode, which is also at nine o’clock in the evening.
During the day, Wu Xiaofu and the others did not have an outpatient clinic, but Wu Xiaofu and Duan Hao had agreed that Duan Hao’s surgery would be the first one, and Wu Xiaofu would follow suit, and then they would receive the bile duct stones that Wu Xiaofu ordered yesterday.
Here Wu Xiaofu had just finished explaining to the patient, and the phone rang. He didn’t dare to delay and hurried into the operating room.
What Duan Hao did today was not an ordinary surgery, but a liver resection.
Although liver resection is also a third-level operation, it is much more difficult than gallbladder and appendix surgery. The deputy chief physician began to try it, but if he wanted to do it beautifully, it could be said to be very rare. Duan Hao studied under Yu Shi Auxiliary, in terms of liver resection, from general surgery to emergency department, he can also be ranked in the top five. He can be regarded as an expert in liver resection.
Moreover, the patient this time is probably from a related family.
You must know that although the hospital does not have weekends, operations must be performed no matter when. However, except for emergency operations, routine operations are generally not performed on weekends. Elective operations such as liver resection are directly performed. Arranged on Saturday, it can only be the kind of relationship that cannot be refused.
Entering the operating room, in addition to Duan Hao, Zhu Yun was also there. Zhu Yung had just finished the night shift and asked Duan Hao to help him. Normally, four people should be involved in liver resection, and three people are fine. This configuration cannot be used anymore. It has been reduced, and now with Wu Xiaofu, there are exactly three, which can be used.
To be honest, Wu Xiaofu was also very excited after knowing that he was about to participate in a liver resection surgery.
Even if it is another soul, there are not many opportunities for liver resection. No one is willing to play with their own lives. Since they have decided to undergo liver resection, they will definitely go to a big hospital, a top tertiary hospital, or the First Affiliated Hospital. The general surgery department is the head of the entire East China Sea, and there are many liver resections performed there.
Not only the cases in Donghai City, but also outside Donghai City and several surrounding provinces will gather there.
The other Wu Xiaofu is just the chief physician of an ordinary tertiary hospital. If he wants to perform liver resection, he can only do it himself and try to keep the cases he encounters. He has to withhold them based on the situation. After all, It was too risky, and he was not sure about doing it. This thing was really familiar to him, and he could only do it three or four times a year, which meant he could keep his technology from deteriorating.
It is basically impossible to achieve rapid technological advancement like these doctors from the First Affiliated Hospital.
Wu Xiaofu’s platform is much higher now. He has been exposed to this level of surgery for only two weeks of internship. Although he is now the second assistant, he has the foundation of another soul, plus Duan Hao and others Trained by famous teachers, learn more and see more, and you may not miss the opportunity to get started as soon as possible.
"Wash your hands and get ready to start."
The anesthetist had already begun to numb. Duan Hao was drawing marks. When he saw Wu Xiaofu coming in, he gave an explanation.
Zhu Yun also nodded and took Wu Xiaofu to wash his hands.
“Have you ever seen liver resection?”
“Have you seen a few cases.”
"That's not bad. Director Duan is an expert in this field. You will look good and cooperate well in a while. I have just finished the night shift and you will be the main force."
Wu Xiaofu was of course very grateful when he heard this. What's more, it's just an excuse. After working the night shift in the emergency department, it's not a problem to perform a one-day operation. This is obviously giving him a chance.
“The patient is 62 years old and is a retired leader in the city. This time, he originally asked Director Yu to do the job, but Director Yu had something to do, so he recommended Director Duan. They also knew Director Duan’s reputation. I agreed. I drank a lot when I was young, and my liver cirrhosis turned into liver cancer. Fortunately, it was discovered early and there was no metastasis. It is considered to be the second stage, about 7cm."
Wu Xiaofu knew what he said and guessed it. It was almost the same, but seeing how easy Zhu Yun said it was, Wu Xiaofu knew that this operation would not be difficult for Duan Hao.
Back in the operating room, Wu Xiaofu skillfully disinfected and spread the drapes.
Now Wu Xiaofu is somewhat famous in the operating room. Although the people who set up the stage this time were not acquaintances before, they didn't make any other embarrassments when they saw Wu Xiaofu's name.
Wu Xiaofu also watched the film in advance. The tumor was located at the end of the left liver lobe.
Wu Xiaofubi looked at Duan Hao's mark and thought about where he would strike if he did it. And what was the difference between Duan Hao and his own thoughts? Stay humble and study hard. It is the ladder of progress. "This patient's tumor is at the end of the left liver lobe, so the operation is performed under the chest and a little to the left of the midline of the abdominal cavity, so that the view will be better."
The surgery is all about One field of view is better, which is also the advantage of surgery.
An expert like Duan Hao will only make one incision to expose all the parts he needs at one time. He will not go to the middle. Only when he feels that the field of view is not enough will he make a second incision. If that happens, The situation may make everyone around me laugh.
When the surgical incision was made, Wu Xiaofu quickly kept up with the rhythm and started electrocoagulation to stop the bleeding.
Zhu Yun has already taken the initiative to stand in the position of second assistant, and the retractor is pulled in place, but he is also always paying attention to the progress of the operation. If Wu Xiaofu can't stand it anymore, he will do it. It seemed to him that this was Wu Xiaofu's first liver resection. If he couldn't keep up with Duan Hao's pace, the operation would be delayed easily.
The liver resection should be done quickly rather than slowly. If Wu Xiaofu can't keep up, he can only be replaced by the second assistant.
Fortunately, Wu Xiaofu seemed to be smart and easy to handle. He even asked questions from time to time without appearing nervous at all. He was worthy of being praised by Yu Shifu as a natural magician.
After the liver is exposed, it is actually easy to distinguish.
The color of a healthy liver is dark red. At the end of the left lobe of the patient's liver, there are gray-white spots and small bulges. This is the manifestation of the disease.
Tumor, as the name suggests, is a swollen tumor. This raised little gray bag is a liver tumor.
The surrounding spots are also caused by liver tumors, which infiltrate the lesions. If no intervention is performed, the tumors will continue to expand along the location of these lesions.
The diameter of the CT scan is 7cm. This small gray bag is not that big. It is not that the CT is wrong, but that the small gray bag is just a raised part, and there are hidden parts under the liver epidermis. Partially, this is also a difficulty in liver resection. If you are stunned, just cut it according to the little gray bag, and the knife will go directly into the tumor.
Then this operation is basically useless.
Experienced doctors will pre-cut before cutting based on imaging examination and experience.
“In liver resection surgery, remember these points, and you can basically get the same results. First, the number of liver segments to be removed depends on the tumor area and the age of the patient. As long as the resection margins are clear, Cut as little as possible.”
Cut as little as possible while ensuring a clear incisal edge.
This sentence is the most difficult one, and it is also the mark of experts who distinguish authenticity from fake ones. The function of the patient's liver is originally limited due to the tumor. The more subsequent operations are performed, the more function can be provided by the liver. There will be less. Can a person live without a liver? What is being cut is not the liver, but life.
If you don’t have enough experience and skills, and you want to be safe, you have to cut as many things as possible.
Those who dare to keep as much as possible are the bold ones who are skilled in art.
“Second, if you can cut it once, don’t cut it a second time.”
People who perform great liver resections will be given the reputation of one-surgery. What does it mean? One cut, and the edge will be clear. , clean and tidy, saving time and effort, one medical examination can directly proceed to the next step. Just such a small difference makes a huge difference in the patient's prognosis.
"Xiao Fu, please add something more."
"Don't burst your gallbladder?"
Wu Xiaofu replied tentatively, which made both Duan Hao and Zhu Yun laugh. I can try to do some simple things. Take care of your liver and gallbladder. The distance between the liver and the gallbladder is too close, so your hands must be steady during the operation. If you really puncture the gallbladder, you will become famous in the world. . ”
Wu Xiaofu quickly shook his head, this is not a good way to become famous.
It’s okay to make a name for yourself, but the patient will be miserable. If you cut out the liver and cut out the gallbladder at the same time, this is not a buy-one-get-one-free deal. People won’t thank you later and won’t let you pay how much. Ten, all good.
Not to mention, it is not uncommon for liver resection to rupture the gallbladder, especially when liver resection is first carried out.
Liver resection is generally performed only in tertiary hospitals.
When I was unskilled in the early days, I sometimes cut out the liver and bile. After all, once the gallbladder is punctured and bile enters the abdominal cavity, it will cause biliary peritonitis, infection, shock or even death. , we can only cut out the gallbladder as soon as possible, and then flush the abdominal cavity to minimize future consequences.
Not only that, a drainage tube must be placed in the abdominal cavity, and postoperative antibiotics are powerful to fight infection.
You can't hide this kind of thing from the patient, what's more, it can't be hidden. Good things are not famous, and bad things spread thousands of miles. How can one keep his mouth shut so tightly, so medical accidents occur, Don't think about evading concealment at the first time. It is only right to obtain the patient's understanding early. Otherwise, it will be found out later and you will not say anything about it if you are sued.
However, if you think about it carefully, if they were cut together, it would really be a coincidence. They were born in the same year, the same month and the same day, so they must not be born in the same year, the same month and the same day.
(End of this chapter)