For someone as strong as Zhu Huoyan, he would not be confident when faced with this ceiling-level N1 surgery. He could do it, but the chance of success is pitifully small.

As for the first assistant, Shen Zhemin is already confused. He can understand it, but he doesn't know how to perform such high-level surgery.

Director Zhu frowned tightly, and his stomach felt more and more painful, which made him bend down slightly unconsciously. Sweat once again covered his head and his back was completely wet.

"Old Shen, after some further consultation with the family members, they said that it is confirmed that the pancreatic head cancer is not successful, and the operation is less than one level successful. We recommend that the abdomen be closed directly."

"Okay, I'll tell you!"

Seeing Director Zhu in such discomfort, everyone in the operating room was anxious, but sterile injuries did not allow physical contact during the operation, so Chen Qi could only instruct the circulating nurse to bring another stool for Director Zhu to sit on.

Door of operating room

"Yes, it has been confirmed that it is pancreatic cancer, and it has metastasized. What Director Zhu means is that the chance of success of the operation is very small. It is your family's decision whether to continue."

The old lady and several female relatives had already cried together.

The eldest son hurriedly asked: "How long can my dad live without surgery?"

Shen Zhemin said with some embarrassment: "It won't take more than a year. If it's faster, it will only take a month or two. Your family members must be mentally prepared."

As soon as these words came out, the expressions of Deputy County Magistrate Ying's children all changed, whether they were scared or worried.

"One or two months? One or two months, by the way, Doctor Shen, if the surgery is performed, what is the chance of success?"

"If it doesn't exceed one level, the possibility is very small. I suggest you forget it."

"On the first level, there is still another level of chance. Second brother, little sister, mom, we have to work hard. Anyway, it will only be a month or two without moving. If we work hard, there is still a level of hope."

The second son also gritted his teeth and said, "Then let's give it a try. If dad knew about it, he would agree to give it a try."

The little daughter was already crying: "I don't want to be a school leader anymore, I want my father to survive, wuwuwu~~~"

The old man is not here, and it is his two sons who make the decision. Both sons advocate giving it a try and continuing the operation, so what else is there to say?

After a while, Shen Zhemin, who had inquired about his family for the second time, came back and cursed.

"Fuck, these family members are so cold-blooded, they actually said to continue the operation."

Director Zhu didn't say anything. Doctors only have the right to make suggestions, and family members have the right to choose. Respecting family members is the first priority.

"Okay, don't think about anything else. Let's continue the operation. In addition, the entire operation process must be recorded in detail. If this operation is successful, it will greatly improve the technical level of our Vietnam-China People's Hospital and leave valuable With experience, we always need to make progress."

A soldier who doesn't want to be a general is not a good soldier.

A conservative doctor who shrinks away from difficult operations will never become a top surgeon. Zhu Huoyan naturally has his own ambitions.

As soon as everyone in the operating room heard what the chief surgeon said, they all cheered up and did their own assisting work.

At this time, Chen Qi was also simulating the surgical process in his mind. If he were the chief surgeon, where should he start? He didn't realize that Director Zhu's body was trembling slightly next to him.

The operation is continuing. After Director Zhu has severed the biliary-enteric anastomosis, he is ready to free the jejunum.

When the scalpel was pointed at the duodenum pancreatic head adhesions, Director Zhu suddenly stopped the scalpel and fell to the ground.

"Director Zhu~~~"

There were exclamations all around.

The severe stomach pain radiated to his back, and Zhu Huoyan finally couldn't bear it and collapsed.

In fact, his body is not suitable for going to the operating table today, but one is that he has a strong personality, and the other is that there is really a lack of doctors on duty during the Chinese New Year. This is not even the case for Chen Qi, the barefoot doctor who gives gifts.

Now that the chief surgeon has collapsed, it seems that it is impossible to continue with the operation, and all the pressure is concentrated on Shen Zhemin.

Shen Zhemin is the deputy director of the First Department of Surgery, a senior surgeon, and the highest-ranking doctor in the operating room. If the main surgeon fails, according to regulations, an assistant will take over.

The problem is that Shen Zhemin was already confused, and then he cursed in his heart: "I don't know how!!!"

Yes, removing the cancerous head of the pancreas is a difficult operation that has reached the ceiling.

For example, in the current operation, the diameter of the cancerous pancreatic head exceeds 6cm, which is very large. What is terrible is that the stomach, duodenal artery, proper hepatic artery, and common hepatic artery next to the pancreas are all surrounded by cancer.
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None of these arteries are easy to deal with. Cutting off any one of them will result in massive bleeding, and the massive bleeding that cannot be stopped will cause the patient to die on the spot. This is the first difficulty.

What is difficult is not only these arteries, but also the last operation performed at the county hospital was not done well, resulting in extensive adhesion between the abdominal organs and tissues.

For example, the head of the pancreas and the vena cava, the air in the bridge loop, the stomach, and the colon are all stuck together, just like a ball of paste. How difficult is it to separate them? This is the second difficulty.

Do you think this is good?

There is also a third level!

The gastroduodenal artery and pancreatic head cancer are fused together, and the hepatic portal vein cannot be exposed, which makes it difficult to separate the pancreatic head groove and the portal vein. Then how can you remove the cancerous pancreatic head?

Everything, all the blood spurts out, and the patient will die right in front of your eyes.

Shen Zhemin is about to cry, really about to cry. He regrets it. He regrets why he didn't go out to eat and was forced to become a man? Otherwise, what would happen to him?

Now the patient is in critical condition, his stomach is stretched out, the operation is halfway through, and half of the surrounding tissue has been cut away. You say you won’t do it?

That is a complete overturn.

The other party's family is still a cadre, easy to mess with? Then he, Shen Zhemin, must take all the blame.

Not only will I have to take the blame, I will not be able to gain a foothold in surgery in the future.

How dare a deputy director not even take over an operation? He can’t run away without responsibility, and he doesn’t have the level and skills to be a deputy director? It’s better to become a pediatrician.

"Oh my God~~~What evil have I done~~~"

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Director Zhu had been helped out, and Chen Qi was extremely anxious, "Teacher Zhu, Teacher Zhu, where do you feel uncomfortable?"

Zhu Huoyan waved his hand gently: "Stomach pain, old illness, sudden severe pain, I don't know if there is a perforation, you can't bear this surgery, go to Dean Guo quickly..."

When Shen Zhemin heard this, his eyes lit up: "Yes, find Dean Guo quickly."

The head nurse ran out as fast as she could, and then ran in in a panic: "Director Guo is not in the hospital, so there is no way to contact him!"

In an era before surgery and BB machines, unless Dean Guo came back on his own, he would definitely not be able to find anyone. Who knows which leader's house he went to pay New Year greetings to during the New Year, and would he tell you?

If Zhu Huoyan had a gastric perforation, it would be very dangerous. He needed emergency surgery immediately, so he was helped out by the head nurse.

Shen Zhemin and Chen Qi were left staring at each other, you look at me, I look at you.

"Director Shen, how about you continue to perform the surgery?"

Shen Zhemin's eyes were confused and lifeless, and he swallowed awkwardly: "Xiao Chen, this operation is quite difficult. I, um, cough..."

Chen Qi rolled his eyes and thought that he was sure to perform this operation, or else he would have to do it himself. Anyway, Dean Guo and Director Zhu are not here now, the tiger is no longer in the mountain, and the monkey is the king.

Besides, the chief surgeon of this operation is Director Zhu. If he really wants to skip the operation in the middle of the operation, it’s one thing for his family to make trouble, but it’s not good for his teacher’s reputation to be affected.

What they knew was that Director Zhu was seriously ill, but what they didn’t know was that he was pretending to be ill to avoid the operation when he saw that he couldn’t perform the operation.

At this time, blood is still seeping out from the surgical incision. If this time goes on for a long time, it will cause hemorrhagic shock and it will be a big trouble.

Chen Qi didn't say anything and immediately shouted: "Hemostatic forceps!"

Shen Zhemin didn't realize it yet: "Oh, here it is!"

"Give me the tissue forceps and prepare No. 7 wire. I need to perform ligation here first."

"Okay!"

Everyone in the operating room couldn't react for a while, thinking that Chen Qi was just doing some simple hemostasis and ligation.

But Chen Qi was already excited. Just like a test car, he first started to warm up the car for ten or twenty yards, and then prepared to accelerate. When he got to the track, would he still be able to stop?

When Chen Qi quickly severed the adhesions between the duodenum, the pancreatic head and the vena cava that Director Zhu had just cut in half, and revealed the right superior mesenteric vein, Shen Zhemin came to his senses.

His eyes could not stop being shocked, he gritted his teeth and cursed fiercely:

"Chen Qi, you are going to die. Do you know what you are doing now?"

Chen Qi didn't even raise his head: "I know, I'm separating the superior mesenteric vein. Director Zhu wanted to do this just now."

"Who gave you the courage? Chen Qi, this is not appendicitis. Don't fool around. If something goes wrong, the patient will die. You won't be able to shoulder this responsibility!"

In fact, Shen Zhemin didn't say a word. He couldn't shoulder this responsibility, because he was the highest-ranking doctor on site and the first assistant, so he couldn't escape this leadership responsibility.

"Director Shen, you see that the superior mesenteric vein has not passed the second and third levels, which means it is not feasible to start from here."

"If it doesn't work, then we will... No, Chen Qi, don't you understand what I'm saying? Not to mention Director Zhu, even Dean Guo may not be able to do this surgery. Don't be ridiculous and stop it immediately."

Shen Zhemin saw Chen Qi's hand speed getting faster and faster, and was so frightened that he broke into a cold sweat and his voice began to tremble.

But at this time, he could only use words to stop him, and did not dare to touch Chen Qi, because as long as Chen Qi shook his hand a little, which artery was severed, it would be too late to save the patient.

The current situation is that Chen Qi has completely stepped on the accelerator and is driving at a high speed on the highway. The passengers next to him have no time to stop him and do not dare to stop him casually. The bad thing is that the car will crash and people will be killed.

The nurses and anesthesiologists nearby looked at Chen Qi as if they were seeing a monster.

Chen Qi didn't take it seriously, and without blinking, he took the scalpel and cut off the common bile duct.

Shen Zhemin screamed, his voice almost breaking: "Chen Qi, what are you doing? Why did you cut off the common bile duct?"
Chapter completed!