Director Long had just focused on Yang Ping's treatment of blood vessels and had been assisting in separating and ligating blood vessels. In addition, Yang Ping's operation was too fast. Director Long was very uncomfortable and concentrated on ligating blood vessels, not paying attention to the overall direction of the operation. Thirty
After years of surgical experience, I still didn’t see clearly how the tumor was “incidentally” removed.
The graduate students and fellow doctors who were gathered around the operating table were still surrounding each other and had not dispersed yet. Everyone thought that the operation would take a long time, and the sudden ending made it difficult for everyone to react.
Seeing nothing, the doctor thought something was going on inside, and anxiously asked the doctors inside about the operation.
These blood vessels are either tumor blood vessels or organ blood vessels. To separate them, it is necessary to operate along the organs and tumors. From time to time, the organs and tumors must be lifted to leave room for operation. Therefore, it is completely necessary to separate the tumors while separating the blood vessels.
It's possible, but such intertwined operations require extremely skilled surgical skills.
Director Long had already made a very clear plan in his mind. He asked Yang Ping to help deal with these dangerous blood vessels. Then Director Long would do the ex vivo resection himself. After the tumor was completely removed from the body, he would then perform an autologous transplant. Director Long was already prepared.
It took more than ten hours to complete the operation. I was doing the operation here and waiting for blood from the blood transfusion department. The blood transfusion department could more or less find a way to get some blood.
This plan was also the best and safest for the situation at that time, and Director Long was very confident in this plan.
Now Yang Ping just pulled out a bunch of tumors and threw them into a sterile basin. Director Long and Dr. Liao were really surprised.
After examining the abdominal cavity, Director Long went to the sterile table and personally inspected the tumor in the metal basin. Not only was the tumor cleanly cut out, but also some of the organs that needed to be removed were also on it, including the head of the pancreas, the distal 1/2 of the stomach,
The entire duodenum, lower common bile duct, and 15 cm of jejunum below the ligament of Treitz.
What's happening here?
Director Long was even more confused. He returned to the operating table. The anastomosis of my biliary intestine, pancreatic intestine and gastrointestinal tract had also been completed.
This means cutting and sewing at the same time, cutting a little and sewing a little, and once the cutting is done, all the sewing is completed.
No wonder he moved so fast just now and inserted stitches inside while cutting. Director Long thought it was to sew up the bleeding point or repair the gap left by the separation.
This depends on how strong the planning ability of the surgery is. The resection and reconstruction are performed simultaneously. I have never seen such an operation before, and I have never seen it in the world.
Director Long couldn't laugh or cry. He said that such a major operation was done by the way. This was quite hurtful.
But it doesn't matter. Director Long is feeling uncomfortable now because he was confused just now and didn't see the real steps of the surgery clearly. But with this surgery, no one else can see the steps.
Dr. Liao couldn't understand it for a moment. He reached into the abdominal cavity to check the status of the organs and tumors. He had cut out what should be cut, kept what should be left, and sutured what should be sutured. It seemed that nothing happened. There was nothing he could do.
, Professor Yang did it so simply.
The crowd of people watching were suddenly a little confused. The tumor was completely cut out along with a series of parts of the organs that needed to be removed. Now it is placed on the sterile table. There is no need for ex vivo resection or autologous transplantation. The operation is just a matter of time.
That's it.
The helper originally came on stage to treat a few dangerous blood vessels, but accidentally cut out the tumor. Yang Ping felt a little weird and embarrassed.
I originally wanted to only deal with blood vessels, but I got a little too involved in doing it. I did it exactly according to my own ideas, used too much force, and finished the other person's surgery directly.
The tumor has been completely removed, and various reconstructions have been completed. There is no need for ex vivo resection or autologous transplantation. The operation of more than ten hours was compressed into a few hours to complete.
After a period of confusion, Director Long finally recognized the reality. Yes, the operation had been completed.
In the absence of blood, after the operation was completed, if we look at the time, it only took more than 4 hours in total.
"Flush? Close the abdomen?" Yang Ping asked Director Long for his opinion.
Now that the operation has been completed, it can only be like this. Director Long looked at the abdominal cavity, then at the large number of resections, and said: "Close the abdomen!"
Seeing this situation, Dr. Lu had some idea and began to think about ordering food for Director Long. If it was not easy for him to order food before, the operation plan here would take more than ten hours, maybe it would be done in the middle of the night, and then he would be asked to order it.
For dinner, the time obviously didn't match up. Now that the operation has been completed, there is no time conflict, and things will be easier to handle.
However, Dr. Lu decided to ask Director Long for instructions on where to order the meal, as he was not very good at making the decision.
At this time, the phone in the operating room rang, and the circulating nurse immediately answered the call. It was a call from the blood transfusion department. After hard work, they obtained 6 units of suspended red blood cells and 2,000 ml of plasma. This amount of plasma is almost enough.
.However, if the surgery is carried out according to the original plan, the suspended red blood cells are still not enough, and the blood transfusion department said to continue working hard.
"Director Long, the blood transfusion department has received another 6 units of suspended red blood cells." The circulating nurse reported on the recent progress of the blood transfusion department.
"I know, let's transfuse 4 units first, and keep the remaining 6 units for later observation, so that the blood transfusion department doesn't have to fight anymore. They say the operation has been completed. Thank them." Director Long replied.
At this time, a trainee doctor who was fighting guerrillas in the operating room came in again and saw the atmosphere of relief: "What's the situation? Which step of the operation should be done?"
"Professor Yang has completed the operation and is now waiting to close the abdomen." someone answered.
The training doctor was speechless: "Professor Yang from the Department of Orthopedics?"
This training doctor is a veteran. He often hangs out in various operating rooms and has been scolded by the head nurse several times.
Is it Professor Yang again?
Yesterday at the cardiac surgery department, Director Wen and another expert outside the hospital were left to perform abdominal intubation. Today, Director Long would not be left to perform abdominal intubation. This was simply a butcher in the operating room.
This chapter is not over yet, please click on the next page to continue reading! "That --- Xiao Liao --- let's rinse the abdomen." Director Long finally started to take the next step.
Dr. Liao said: "Director, you can rest, I will just take them to restrain their abdomen. No special instructions?"
Director Long thought for a while: "Professor Yang, there is no special explanation, right?"
"Routine drainage, no special instructions." Yang Ping ordered.
"Director Long, do you have specific instructions on where to order dinner at night?" Dr. Lu took the opportunity to ask, otherwise he would not be able to book a large private room if he made the reservation too late.
Director Long was stunned for a moment: "Dinner? Who is treating you? Are you treating me? What a good thing."
I went. Dr. Lu was so shocked by Director Long's answer that stars appeared in his eyes. He said he was going to treat me to a guest that evening, but he didn't even remember it.
''I have something to do and I can't go there tonight, so you can do whatever you want." Director Long was about to take off his surgical gown.
Dr. Lu immediately followed him and while helping him take off his clothes, he said: "Director, didn't you say you were treating us tonight? Please ask Professor Yang and the orthopedic brothers to let me count the number of people and contact the local department."
After being reminded like this, Director Long immediately remembered and gently hit his forehead with the hand he had just taken off his gloves: "You said this was such a big deal, I almost forgot, okay, okay, okay, who said I'm not free at night, I'm treating you tonight, you
Hurry up and book a place, find a better place nearby, everyone can go when you have time, thank you for your hard work."
"Yesterday I heard that Professor Yang completed the coronary artery bypass grafting in a few minutes at the cardiac surgery department."
"It's still a baby's coronary artery bypass grafting, the youngest coronary artery bypass grafting in the country."
"He can do any surgery."
''What's going on with your operation today?"
"Originally it was very difficult to do without blood. It was expected to take 16 to 17 hours. Professor Yang came on stage to help. Now the operation has been completed in four hours and the abdomen is being closed."
"It's so awesome."
"I heard that he is the director of the surgical institute at Sanbo Hospital. He performs all kinds of surgeries, including very difficult surgeries."
"Director Long is treating us today, will you go?"
''Isn't Director Wen treating us today?"
"That's strange."
Graduate students and training doctors gathered together and whispered.
---
The surgery at the Department of Orthopedics has been stable, and the level of young doctors has really improved by leaps and bounds. This is due to Yang Ping's teaching. Not only Song Yun and Kong Weiquan have made rapid progress, so the doctors have made rapid progress.
Professor Liang has nothing to do in the orthopedic operating room. These young doctors are doing a good job and they don't need to provide guidance themselves.
So he returned to the operating room of the pancreatic surgery department. There was a sign of calling it a day. The removed tumor had been placed in a metal basin. The circulating nurse was contacting the pathology department to send it to the pathology department, while the instrument nurse was delivering saline for irrigation.
district.
Director Long has also taken off his surgical gown, and Dr. Liao and his junior doctors are closing the abdomen.
Professor Liang calculated the time and found that the time was not right. I heard that the operation would last until midnight. Professor Liang was still wondering whether Director Long's treat was serious and why the operation ended now.
What? The patient didn’t hold on after all?
Professor Liang subconsciously thought about it. Yang Ping only had orthopedic surgery authority in Xiehe Union Medical College. However, regarding the doctor's authority, judging from the practice certificate, the surgeon's scope of practice is surgery, which is quite broad. Strictly speaking, legally speaking,
There is no problem. Whether there is a problem with the qualifications depends on whether the Union Medical College accepts it. There is no problem with this either.
Something quickly flashed through Professor Liang's mind. When he looked at the doctor in the operating room, he saw that the expression was not serious or dull, but rather chatting and laughing. He turned to the side of the patient's head to look at the anesthesia monitor. Everything was normal and stable.
Is the operation completed?
It's not that exaggerated, isn't it? This was a pancreatic surgery, it was a very large and difficult operation, and it wasn't an orthopedic surgery. It was done so quickly.
Did you give up on the surgery midway?
"Director Long, what's going on? Are you planning to call it a day?" Professor Liang asked.
Director Long said with a smile: "Professor Yang has finished the operation and is finishing up. Let's have dinner together in the evening. You must be there."
Professor Liang is an academician. There are more than 20 academicians at Union Medical College, but there are only two academicians at Union Medical College Hospital, so Professor Liang is definitely a highly respected person in Union Medical College Hospital.
Since it was Yang Ping who was invited, there was no reason for Professor Liang not to go. Not only did he go, but he also wanted to have a good chat.
This operation has been full of twists and turns, and now that it is over, everyone is still a little uncomfortable. Yang Ping has been doing surgery in the orthopedics department in the past. People in other departments have only heard of his name, but are not really familiar with him. Now the doctor of pancreatic surgery
Everyone knows Yang Ping.
However, this understanding is limited to the operating room, and it is probably still unfamiliar outside the operating room.
This is not surprising. Many doctors and operating room nurses who have worked together for many years are very familiar with each other. However, they may not recognize each other after leaving the operating room because they usually wear masks and hats when dealing with each other, with only one pair of eyes exposed. What everyone remembers is this.
What it looks like at work.
---
Director Wen of the Department of Cardiac Surgery took advantage of his noon break and went to the orthopedic operating room to visit. After looking for a long time, he didn't see Yang Ping, so he asked Song Yun: "Xiao Song, where are you, Professor Yang? I'm treating you to dinner tonight, are you all free?"
?”
"available!"
Song Yun estimated the time for the operation and it wouldn't be too late today.
"Okay, I'm treating you tonight. All those in your department who are free can come. I'll arrange for someone to send you the location later. Where's Professor Yang? I'll go talk to him."
Director Wen has never seen Yang Ping. The purpose of his treat is to thank Yang Ping for his help yesterday.
"Song Yun!"
At this time, Dr. Lu from the pancreatic surgery department ran in.
"We, Director Long, are treating us tonight. Please tell us how many people are coming from your department." Dr. Lu and Song Yun are familiar with each other, so they spoke very casually.
Song Yun looked up at Director Wen and then at Dr. Lu: "Why are you all treating us to dinner tonight? Are you together?"
Director Wen was confused by Dr. Lu. He grabbed Dr. Lu and asked, "What's going on with you? We are inviting Professor Yang and the brothers to have dinner together tonight. What are you doing to get in the way?"
Dr. Lu didn't understand why both families were treating guests, and Director Long didn't mention the treat beforehand.
"Our Director Long said that he is treating us tonight. He said it was a social event between the Orthopedics Independent Ward and the Pancreatic Surgery Department. Are you?" Dr. Lu did not dare to make any mistakes to Director Wen and spoke respectfully.
"What kind of tricks does this old dragon do? I'll go find him." Director Wen said, striding to the operating room of the pancreatic surgery department.
"Old dragon!"
A voice sounded, it was Director Wen of the Department of Cardiac Surgery.
''I heard that you are treating me to a treat tonight, and I am also treating you to a treat tonight. Why did you suddenly steal my good things?"
There is no need to talk about the relationship between Director Wen and Director Long. In fact, most surgeons are generous, so the relationship between surgical directors is generally very good, like brothers.
"I've already agreed to take advantage of you," Director Long retorted.
"I've reserved all the private rooms."
"I've made a decision too."
"Where do you want to book a place? Why don't you turn it down and we can buy it together? A 50-50 split?"
"Do you want to get involved with the treat? No way."
"Then what should I do? Can you do it tomorrow for me today?"
"How about me today and you tomorrow?"
Director Long and Director Wen argued for a long time, and finally decided with the coordination of Professor Liang that Director Wen would treat tonight, and Director Long would treat again tomorrow night, because Director Wen had already reserved a private room first, and Director Long had just started
