Doctor's Life Simulator

Chapter 243 Vocal cord cancer, doctor Qin's rare rookie performance
After sending Lai Meiyun to the ward, Professor Huang gave some instructions, and then accompanied by Tang Qichen and Zhuang Tong, he left the ward.

As for Qin Lang returning to the office, he didn't feel exhausted after the operation, and continued to devote himself to his work.

Li Ming was amazed and envious, he was so handsome and energetic, tsk tsk.

On the second day, early in the morning, Qin Lang drove his Audi A8 to the cancer prevention and treatment center of Zijingang First Hospital.

When Qin Lang came to Shenxi's office, Professor Shen looked at a case file and said to Qin Lang:

"Qin Lang, soon there will be a patient with vocal cord cancer who needs a laryngeal dehiscence tumor resection. I have already agreed with Dr. Yan Zhengqi, and he will assist you, and you will be the chief surgeon."

"The new organism on the right vocal cord of the patient is about 0.5cm in size and located in the middle 1/3 of the right vocal cord."

Shen Xi roughly explained to Qin Lang the conditions of the patients undergoing this operation.

Listening to Professor Shen's introduction, Qin Lang did not expect that Professor Shen would really entrust such a complicated patient to himself.

After all, in addition to the premise of complete resection of early vocal cord cancer, it is necessary to preserve or reconstruct the function of the larynx as much as possible to improve the quality of life of patients.

Many patients failed to carry out laryngeal reconstruction, and could not speak after the operation. In the case of being unable to communicate verbally, the trauma in their hearts far exceeded the trauma in their bodies, and their quality of life naturally declined significantly.

Therefore, the operation Professor Shen entrusted to Qin Lang not only solved the complete resection of the tumor, but also took care of the restoration and reconstruction of the patient's laryngeal function, which was very difficult in terms of difficulty.

I really didn't expect that Professor Shen was so courageous that he dared to entrust such a patient to himself to be the chief surgeon.

Qin Lang was still flattered: "Thank you, teacher for your trust and cultivation."

Shen Xi nodded slightly: "I still have some things to arrange here, you go to Dr. Yan first, and make preparations before the operation. Director Han and I will come to watch and check in a while."

After Qin Lang took the order, he quickly found Dr. Yan.

Although Yan Zhengqi agreed to the request of Professor Shen and Director Han to assist Qin Lang in the operation, he was still a little worried. After all, the difficulty of this operation was still very high.

"Qin Lang, I still have to take special care of you before the operation. If after the tracheotomy is completed, the next steps are in doubt or cannot be carried out, don't be brave when you go, I will take over from the sidelines."

Yan Zhengqi took care of him seriously again, and checked the whole process of the operation with Qin Lang again:
"Afterwards, our team performed a low tracheotomy on the patient. I believe you can complete this step very well. After the general anesthesia is completed, remove the tracheal tube, insert an anesthesia tracheal tube with a balloon through the tracheal incision and inflate it. , Anterior neck 'u'-shaped incision, separation of the anterior cervical band muscle, and a split in the middle of the larynx. Afterwards, the distance from the tumor body is 0.5cm, and the tumor is removed. Remember to send a frozen section for pathological examination to confirm the safety of the resection area before starting Make repairs."

Yan Zhengqi was afraid that Qin Lang's panic would cause problems in the connection of movements due to the first surgery, so before the operation, he carefully helped him memorize it again.

After the two of them were ready for the operation, they entered the operating room.

The anesthesiologist was obviously very surprised to see that Qin Lang was performing the surgery. He was a bit incomprehensible and doubtful that such a young doctor performed such a complicated operation.

"Professor Shen and Director Han are too ambitious. They really put such a young doctor on the cutting table."

The anesthesiologist sighed softly, hoping that the little doctor would not get out of the basket in a while.

However, with Yan Zhengqi assisting, I feel a little more at ease.

When Qin Lang and Yan Zhengqi were about to start, Director Han and Professor Shen also put down what they were doing and rushed to the operating room. They also attached great importance to Qin Lang's operation.

Seeing Director Han and Professor Shen sitting on the sidelines, the anesthetist, was really relieved, but he also admired Qin Lang for being able to get such a good opportunity at such a young age.

I hope this little doctor can live up to his expectations and seize this opportunity.

However, this kind of novice is always full of mistakes and omissions when performing such a difficult early resection of vocal cord cancer for the first time.

The operation began soon. This time, Qin Lang still started with the tracheotomy. I have to say that at this step, Qin Lang's movements were completely textbook-level. The silver light of the scalpel flashed, and the trachea was completed in three strokes, five cuts and two cuts. cut open.

After a while, the skin, subcutaneous tissue, platysma and anterior cervical band muscle were separated, revealing the thyroid cartilage, cricothyroid membrane, cricoid cartilage and trachea.

Yan Zhengqi and the two directors had to admire Qin Lang's tracheotomy.

Yan Zhengqi looked at Qin Lang's smooth operation, but also looked forward to Qin Lang's next tumor resection.

Han Hu and Shen Xi also watched without blinking.

After Qin Lang completed the incision of the trachea and cricothyroid membrane, he began to completely remove the most critical tumor.

Then, on the operating table, the whole situation changed drastically, like a sports car suddenly turned into a tractor, with jerky movements and rough operation.

After all, Qin Lang is only an entry-level laryngeal dehiscence tumor resection, and he is proficient in tracheotomy at the beginning, but after entering a new field, various defects of the entry-level are exposed.

There is awareness of the entire operation process, but in terms of specific operations, it is really just a beginner.

Looking at Qin Lang, cutting one knife at a time, it was obvious that he knew very little about this vocal cord cancer, and he couldn't cut it completely after all, and he was a bit clumsy at judging the tumor's boundaries.

Seeing Qin Lang's clumsy performance, Yan Zhengqi, Han Hu, and Shen Xi were all dumbfounded.

"This is really the first time I've seen Qin Lang, such a novice side."

Han Hu and Shen Xi seem to have discovered a new world, so they look like little doctors.

Especially Han Hu, who wanted to laugh a little, this Qin Lang finally had a little taste of normal people.

Yan Zhengqi on the side was also a little dazed, who would have thought that such a perfect trachea and cricothyroidotomy would be followed by such a poor tumor resection.

However, this allowed Yan Zhengqi to slightly stabilize his mentality of being hit by Qin Lang before.

"Is this reasonable? This is a bit like just learning a technique."

Yan Zhengqi looked at Qin Lang's operation. Although the technique was average, the overall completion was within an acceptable range, at least there were no major omissions.

On the operating table, Qin Lang also blushed a little. In fact, these few steps of his own operations were really a bit overwhelming.

"You just wait, after I have completed five laryngeal dehiscence tumor resections and received the reward of pleural tumor resection, I want you to see my true strength!"

Qin Lang waited for this progress task to be completed, and immediately prepared to start the simulation, adding the skill of laryngeal dehiscence tumor resection to the perfect level.

"30 years in Hedong, 30 years in Hexi."

Qin Lang continued to concentrate, and started the next operation stumblingly.

It took twice as long as Yan Zhengqi's routine tumor resection, and Qin Lang completed this step.

At the same time, according to Yan Zhengqi's preoperative instructions, it is impossible to determine whether the tumor resection is complete with the naked eye, and must rely on the pathology report, which is a key link related to the survival of the body.

Seeing Qin Lang's clumsy operation, Shen Xi and Han Hu were also a little surprised. To be honest, they really couldn't connect with Qin Lang who was in high spirits before.

Shen Xi blinked her beautiful eyes, thoughtful.

Han Hu seemed to see Yan Zhengqi who had just started to learn this operation back then. Of course, Yan Zhengqi was even worse than Qin Lang.

The next step is to repair the defect site of tumor resection.

At this point, Yan Zhengqi is ready to take over as soon as possible. After all, this step of flap repair is more difficult. The selection, removal, and transplantation of flaps all test the experience and skills of the surgeon.

However, to Dr. Yan's surprise, at the stage of skin flap transplantation, Qin Lang seemed to have regained his energy.

"Well, is he doing it again?"

With the perfect level of skin flap transplantation, Qin Lang is of course able to do it again.

Moreover, this time he chose a brand new transplant solution.

Seeing Qin Lang's gesture, Yan Zhengqi was stunned.

"Qin Lang, I didn't tell you to use a pedicled skin flap in front of the neck to repair it. What are you doing? Hey, can you still do this?"

(End of this chapter)