Chapter 819 Is thoracoscopic surgery contraindicated?
Knowing that Wu Hai was going to have an operation in the afternoon, Mr. Qin led his disciples to watch the operation.
Before Wu Hai entered the operating room, Jiang Bai pulled Wu Hai and said with a smile, "There are so many spectators, don't panic?"
Wu Hai smiled and said, "It's okay. I have my junior brother to back me up, so I'm very confident."
Wu Hai ranks among the top three in terms of technology among several fellow apprentices.
First, he has rich experience. He performs a thousand surgeries a year and has performed tens of thousands of surgeries for decades. He has reached a very high level.
Secondly, he is at the peak of his age. Like Jiang Bai, he has very high skills and performs more surgeries than Wu Hai, but he is close to sixty and has passed his prime. It may be better for him to perform a high-quality demonstration surgery.
OK. But if he is asked to perform three or four surgeries in a row, the quality will definitely be unstable.
Third, Wu Hai has been working in a chest hospital and specializes in lung tumor diseases, so this is his strength. Each surgeon has his own label, such as He Jun's label is organ transplantation and Zhao Yuan's label
It's aortic dissection. It's not that other surgeries can't be done, it's just that it's a little behind my core research field.
Therefore, everyone is looking forward to his surgery.
Of course, this is also an opportunity for Jiang Bai, Ling Zhen, Xiao Hua, and other classmates to get to know their junior brother Zhao Yuan.
Except for He Jun and Wu Hai, others have no intuitive understanding of Zhao Yuan's strength.
Especially those doctors who are not direct descendants and have been mentored by Mr. Qin, they all want to see how powerful the closed disciples that Mr. Qin is proud of are.
The observation area of the Thoracic and Cardiac Surgery Department was full of people.
Li Xian and Gao Qian have no place, let alone other doctors.
"I didn't expect that so many people would come to observe the surgery today. If I had known, I would have come earlier to grab a seat."
"Robbing? You are overthinking. Did you see the three trained doctors on the right? They had arrived a long time ago, but they were driven away by Jiang Tu."
"Oh, I didn't expect that an operation would attract so many people's attention."
"Wu Yuan is a top expert in lung tumors, and Director Zhao serves as the first assistant, so this surgery is very valuable."
Zhao Yuan and Wu Hai did not realize that many people came to observe the operation.
They had worked together several times in Yanjing before and were familiar with each other, but their identities and roles had changed.
Zhao Yuan serves as the first assistant, while Wu Hai serves as the chief surgeon, and diseases are Wu Hai's area of expertise.
Jiang Bai stood beside Mr. Qin, staring at Lao Wu and Lao Liu.
Although Mr. Qin has many students, these six are the only ones who have officially accepted him as disciples.
As a senior brother and the leader of the second generation of the Qin faction, Jiang Bai had full expectations for these two people.
Although there are good people in the third generation, they are only at the level of provincial experts at best. Within five to ten years, they will have to rely on Wu Hai and Zhao Yuan to serve as the technical front of Qin Sect.
Jiang Bai has watched Zhao Yuan's surgery video and has a certain understanding of him.
But perhaps because he didn't see enough, Jiang Bai felt that there was a gap between Zhao Yuan and Wu Hai.
Xiao Hua and Ling Zhen communicated side by side.
"I saw Lao Wu's surgery two years ago. I don't know if he has improved in the past two years." Xiao Hua said with a serious expression, "His basic skills are pretty good, but his handling of details is rather old-fashioned."
Ling Zhen smiled and said, "My junior brother, don't be so harsh. No matter how good Lao Wu's level is, I am more curious about the younger brother's level. I wonder what kind of wonderful performance he has in lung tumor surgery."
Xiao Hua knew Ling Zhen's character. He always laughed when he saw everyone, and he was even harsher than himself at heart.
Ling Zhen is two years younger than Xiao Hua, but he became a disciple of Mr. Qin earlier than him.
Their seniority is determined according to the time of entry.
The operation begins.
Zhao Yuan stood as the first assistant and cooperated with Wu Hai to strike.
Wu Hai's separation was quite beautiful. Not only was there very little bleeding, but in the blink of an eye, the endoscope was moved to the predetermined position.
With the cavity, the field of view becomes clear, and the tumor is soon exposed in the field of view.
If an expert takes action, they will immediately notice the difference.
Precision and dexterity come second. The key is to be skillful and confident in every movement.
The accumulation of tens of thousands of operations and the feeling brought by each operation are unforgettable.
The thoracoscopic observation hole is located in the eighth intercostal space in the mid-axillary line.
The 2cm auxiliary hole is located in the seventh intercostal space in the anterior axillary line.
Two 3cm incisions are located in the third and sixth intercostal spaces in the anterior axillary line.
When the field of view was fully exposed, the expressions of Wu Hai and Zhao Yuan changed at the same time.
What surgeons fear most is the discrepancy between preoperative examination and intraoperative exploration.
Although the precision and accuracy of assistive devices have improved greatly today, there are still differences in preoperative examinations.
"What happened? Dean Wu seemed to hesitate."
"As expected, the tumor not only invaded the opening of the bronchus, but also invaded the parallel pulmonary artery next to it!"
"What should I do now? I can only do a total left lung resection?"
"Total removal of the left lung would cause too much damage to the patient."
Qin Lao glanced at Jiang Bai, "What do you think Lao Wu will do next?"
Jiang Bai pondered for a few seconds, "I should choose to have both sleeves removed!"
Mr. Qin said calmly, "I didn't expect that today's surgery would be able to see the technique that made Lao Wu famous."
Jiang Bai looked forward to it, "This is a hell-level difficulty!"
When the lesion is located at the opening of the lobar bronchus, simple resection of the corresponding lobe will cause residue. Therefore, complete resection requires resection of the corresponding lobar bronchus and a connected segment of the main bronchus, which is called a sleeve resection.
After sleeve resection of the lung lobe, the remaining lung bronchi are re-sutured to the main bronchi, thus preserving the normal lung lobes and avoiding the consequences of pneumonectomy.
This type of surgery is also called bronchial sleeve resection, or "single sleeve".
When a more complex situation occurs, and the diseased tissue not only invades the opening of the bronchus, but also invades the parallel pulmonary artery, then a technique similar to bronchectomy must be used for the pulmonary artery.
The invaded blood vessel segments are removed and re-sutured to reconstruct the blood vessels.
This is the "double sleeve" surgery.
Ten years ago, thoracoscopy was even considered a contraindication.
Although there are many teams that can perform this surgery, there are very few cases.
Only highly skilled surgeons have the courage to practice this technique.
The main pulmonary artery is one of the largest blood vessels in the body, with half of the blood flow in the body passing through it. A slight mistake in the operation can cause massive bleeding or even uncontrollable consequences.
The risks can be imagined!
Wu Hai did not see panic in Zhao Yuan's eyes, and even vaguely saw excitement.
Wu Hai's heart is bright!
This kid became excited after seeing a difficult surgery!
Although Wu Hai had similar success stories, he was not completely sure.
He took a deep breath, with a look of tenacity in his eyes.
The difference between ordinary people and masters is that ordinary people will retreat and give up, while masters will encounter stronger ones!
