I'm a god of medicine
Chapter 272 The Feeling of a Breakthrough
Chapter 272 The Feeling of a Breakthrough
At 02:30 in the afternoon, Gao Yong, Yang Xilian and Xiangdong stood on the operating table again.
An acquaintance of Dr. Qiu from the gastroenterology department, the gastric cancer patient.
There is not much controversy in the choice of gastric cancer surgery. If it can be cut clean, it must be cut clean. For early stage patients, modified radical surgery can be selected. The resection range of gastric body can be controlled to one-third to one-half, and lymph node dissection only needs to be done. 12 groups of lymph nodes around the stomach are enough.
For patients with mid-stage or mid-late stage, standard radical mastectomy is selected, two-thirds of the gastric body is removed, and 16 groups of lymph nodes around the stomach are removed.
For advanced patients, it is necessary to further expand the scope of surgical resection, complete resection of the gastric body, combined with resection of surrounding tissues, and further expand the scope of lymph node dissection.
Judging from the results of various preoperative examinations, the patient's condition should be considered advanced, but it is not too late, and it can barely rely on the evaluation of the middle and late stages. Therefore, Gao Yong's surgical suggestion is between the standard Between radical and extended radical surgery, part of the gastric body is preserved, but the scope of lymph node dissection is expanded.
Although it was the first time for Yang Xi to perform gastric cancer surgery, he warmed up the operation process in his mind before going on stage. He felt that the difficulty was not too great.
Another layer of consideration is that using the surgical skill card may make Gao Yong unable to keep up with the rhythm under normal performance conditions. If Gao Yong deliberately slows down the rhythm for the sake of Gao Yong's face, what is the difference from not using the skill card? Woolen cloth?
Therefore, Yang Xi finally decided not to open it, but to try it first. If it doesn't work, the skill card can be poked at any time!
Facts have proved that Yang Xi's decision is still correct. Without using skill cards, his cooperation with Gao Yong is just right.
On the stage, Gao Yong, who was a fan of the authorities, only felt that the cooperation with Yang Xi's operation was seamless and extremely refreshing.But at the side, Yin Wei saw it in his eyes, but couldn't help being startled.
Why did this kid's surgery level suddenly drop so much?
At this time, in Yin Wei's memory, it was all in this operating room before the long vacation, the oppressive performance of the first assistant Yang Xi to the chief surgeon, Professor Su.
This is like a stock that is so rotten that it cannot be traded and the price is only two or three yuan. After a month of continuous daily limit, it reached the price of 90 yuan, but today it suddenly hit a lower limit. Although the price is still [-] yuan, But it feels like being cut in half.
Can't accept it!
Is Yang Xi taking care of Gao Yong on purpose?
Yin Wei observed carefully, but shook his head secretly.
In terms of speed, he can take the initiative to descend to take care of Gao Yong, but there is no need to reduce the accuracy of accuracy and strength!
Perhaps it was because the live broadcast in the morning put too much pressure on him, which caused his state to be much worse in the afternoon?
There is this possibility.
Yin Wei in the audience was still thinking wildly, but the cooperation of the three people on the stage became more and more tacit.
Ever since he became the director of the group, it has been difficult for Gao Yong to enjoy such a feeling of surgery. In most cases, he is the one who leads the subordinate doctors to perform the surgery. he.
In this way, for Gao Yong, although every operation can increase his experience and proficiency, he always feels that this improvement is only a quantitative change.
From quantitative change to qualitative change, one needs to accumulate, and the other needs to break through the critical point.
Nearly five years of being the director of the group has made Gao Yong already reach the critical point of qualitative change, but there is just one less opportunity to stimulate him to achieve a breakthrough.But today, under the pressure of catching up with Yang Xi's rhythm in this gastric cancer operation, Gao Yong finally felt the feeling of a breakthrough.
One word: so cool!
Although the second assistant company Xiangdong was just pulling the hook, he also had a feeling of epiphany for no reason. Before that, he either came to the stage with the superior doctor as an assistant, or he was the chief surgeon under the leadership of the superior doctor, but all he completed was Some level 1 and level 2 simple operations, such as today's level 3 operation, he has also participated in several times, and he also used the second assistant retractor. However, the level of the chief surgeon and the first assistant in those operations are quite different, which is completely different from today's operation. .
Today, Yang Xi is the chief surgeon and Gao Yong is the first assistant. Although there is a gap in the level of the two, they are basically at the same level. As the cooperation between the two becomes more proficient, even Xiang Dong's perception becomes clearer.
I understand, this is how the surgery was done.
Although the level of practical operation is far from enough, but the target direction is already very clear, Nalian Xiangdong suddenly felt bright in his heart.
The operation here was carried out like a gentle breeze and a drizzle, making the onlookers feel extremely comfortable, but in the other operating room separated by two operating rooms, there was an unusually dignified atmosphere.
Guo Keyuan's operation for rectal cancer has not yet been completed.
The packing and compression hemostasis started at [-]:[-] in the morning, and now it is [-]:[-], four and a half hours have passed, and the bleeding from the presacral venous plexus has still not stopped.
I have tried all the hemostatic materials I can think of, and given the maximum dose of coagulation-promoting drugs. The acting director Qin Gewei, director Qin Da, also invited him to the operating room, but he didn't give any face to the damn bleeding point. He bleeds as he pleases, and hides himself in a ghostly place where no one can see without saying a word.
How to do?
What else can I do!
Keep pressing...
Procoagulant drugs can no longer be used, and no matter how much it is used, it is not known whether it can stop the bleeding, but it is known that the possibility of various embolic infarctions will arise in the patient. Cerebral infarction, pulmonary embolism or something, that will be interesting to everyone.
It is not realistic to open another operation channel. In that case, we will just wait for the patient to sue the department hospital in the future. Losing money is a trivial matter, but ruining the reputation is a major matter. Director Qin, how many days has he been in office?Can you stand such an embarrassment?
Yin Wei had known for a long time that Guo Keyuan's operation had gone wrong. During the lunch break, he couldn't stand it anymore and ran over to meddle in it. Now, he saw that Yang Xi Gao Yong's operation was going well. The patient's anesthesia state was very stable, so he handed over the work to his students.
why go?
Watch the fun!
You can say that Yin Wei is immoral, but you have no right to interfere with Yin Wei's freedom to watch the show, right?
To say that this product is immoral is really not wronging him.
Slipping into the operating room where the moth was out of place, Yin Wei sighed quietly, and made a suggestion that made the surgeons on the scene feel painful at the same time: "Why don't you let Yang Xi come to see it later? That kid's operation It's almost finished, half an hour at most, and it will be free."
Guo Keyuan's face suddenly darkened.
Qin Gewei, on the other hand, turned his head to the side.
(End of this chapter)
At 02:30 in the afternoon, Gao Yong, Yang Xilian and Xiangdong stood on the operating table again.
An acquaintance of Dr. Qiu from the gastroenterology department, the gastric cancer patient.
There is not much controversy in the choice of gastric cancer surgery. If it can be cut clean, it must be cut clean. For early stage patients, modified radical surgery can be selected. The resection range of gastric body can be controlled to one-third to one-half, and lymph node dissection only needs to be done. 12 groups of lymph nodes around the stomach are enough.
For patients with mid-stage or mid-late stage, standard radical mastectomy is selected, two-thirds of the gastric body is removed, and 16 groups of lymph nodes around the stomach are removed.
For advanced patients, it is necessary to further expand the scope of surgical resection, complete resection of the gastric body, combined with resection of surrounding tissues, and further expand the scope of lymph node dissection.
Judging from the results of various preoperative examinations, the patient's condition should be considered advanced, but it is not too late, and it can barely rely on the evaluation of the middle and late stages. Therefore, Gao Yong's surgical suggestion is between the standard Between radical and extended radical surgery, part of the gastric body is preserved, but the scope of lymph node dissection is expanded.
Although it was the first time for Yang Xi to perform gastric cancer surgery, he warmed up the operation process in his mind before going on stage. He felt that the difficulty was not too great.
Another layer of consideration is that using the surgical skill card may make Gao Yong unable to keep up with the rhythm under normal performance conditions. If Gao Yong deliberately slows down the rhythm for the sake of Gao Yong's face, what is the difference from not using the skill card? Woolen cloth?
Therefore, Yang Xi finally decided not to open it, but to try it first. If it doesn't work, the skill card can be poked at any time!
Facts have proved that Yang Xi's decision is still correct. Without using skill cards, his cooperation with Gao Yong is just right.
On the stage, Gao Yong, who was a fan of the authorities, only felt that the cooperation with Yang Xi's operation was seamless and extremely refreshing.But at the side, Yin Wei saw it in his eyes, but couldn't help being startled.
Why did this kid's surgery level suddenly drop so much?
At this time, in Yin Wei's memory, it was all in this operating room before the long vacation, the oppressive performance of the first assistant Yang Xi to the chief surgeon, Professor Su.
This is like a stock that is so rotten that it cannot be traded and the price is only two or three yuan. After a month of continuous daily limit, it reached the price of 90 yuan, but today it suddenly hit a lower limit. Although the price is still [-] yuan, But it feels like being cut in half.
Can't accept it!
Is Yang Xi taking care of Gao Yong on purpose?
Yin Wei observed carefully, but shook his head secretly.
In terms of speed, he can take the initiative to descend to take care of Gao Yong, but there is no need to reduce the accuracy of accuracy and strength!
Perhaps it was because the live broadcast in the morning put too much pressure on him, which caused his state to be much worse in the afternoon?
There is this possibility.
Yin Wei in the audience was still thinking wildly, but the cooperation of the three people on the stage became more and more tacit.
Ever since he became the director of the group, it has been difficult for Gao Yong to enjoy such a feeling of surgery. In most cases, he is the one who leads the subordinate doctors to perform the surgery. he.
In this way, for Gao Yong, although every operation can increase his experience and proficiency, he always feels that this improvement is only a quantitative change.
From quantitative change to qualitative change, one needs to accumulate, and the other needs to break through the critical point.
Nearly five years of being the director of the group has made Gao Yong already reach the critical point of qualitative change, but there is just one less opportunity to stimulate him to achieve a breakthrough.But today, under the pressure of catching up with Yang Xi's rhythm in this gastric cancer operation, Gao Yong finally felt the feeling of a breakthrough.
One word: so cool!
Although the second assistant company Xiangdong was just pulling the hook, he also had a feeling of epiphany for no reason. Before that, he either came to the stage with the superior doctor as an assistant, or he was the chief surgeon under the leadership of the superior doctor, but all he completed was Some level 1 and level 2 simple operations, such as today's level 3 operation, he has also participated in several times, and he also used the second assistant retractor. However, the level of the chief surgeon and the first assistant in those operations are quite different, which is completely different from today's operation. .
Today, Yang Xi is the chief surgeon and Gao Yong is the first assistant. Although there is a gap in the level of the two, they are basically at the same level. As the cooperation between the two becomes more proficient, even Xiang Dong's perception becomes clearer.
I understand, this is how the surgery was done.
Although the level of practical operation is far from enough, but the target direction is already very clear, Nalian Xiangdong suddenly felt bright in his heart.
The operation here was carried out like a gentle breeze and a drizzle, making the onlookers feel extremely comfortable, but in the other operating room separated by two operating rooms, there was an unusually dignified atmosphere.
Guo Keyuan's operation for rectal cancer has not yet been completed.
The packing and compression hemostasis started at [-]:[-] in the morning, and now it is [-]:[-], four and a half hours have passed, and the bleeding from the presacral venous plexus has still not stopped.
I have tried all the hemostatic materials I can think of, and given the maximum dose of coagulation-promoting drugs. The acting director Qin Gewei, director Qin Da, also invited him to the operating room, but he didn't give any face to the damn bleeding point. He bleeds as he pleases, and hides himself in a ghostly place where no one can see without saying a word.
How to do?
What else can I do!
Keep pressing...
Procoagulant drugs can no longer be used, and no matter how much it is used, it is not known whether it can stop the bleeding, but it is known that the possibility of various embolic infarctions will arise in the patient. Cerebral infarction, pulmonary embolism or something, that will be interesting to everyone.
It is not realistic to open another operation channel. In that case, we will just wait for the patient to sue the department hospital in the future. Losing money is a trivial matter, but ruining the reputation is a major matter. Director Qin, how many days has he been in office?Can you stand such an embarrassment?
Yin Wei had known for a long time that Guo Keyuan's operation had gone wrong. During the lunch break, he couldn't stand it anymore and ran over to meddle in it. Now, he saw that Yang Xi Gao Yong's operation was going well. The patient's anesthesia state was very stable, so he handed over the work to his students.
why go?
Watch the fun!
You can say that Yin Wei is immoral, but you have no right to interfere with Yin Wei's freedom to watch the show, right?
To say that this product is immoral is really not wronging him.
Slipping into the operating room where the moth was out of place, Yin Wei sighed quietly, and made a suggestion that made the surgeons on the scene feel painful at the same time: "Why don't you let Yang Xi come to see it later? That kid's operation It's almost finished, half an hour at most, and it will be free."
Guo Keyuan's face suddenly darkened.
Qin Gewei, on the other hand, turned his head to the side.
(End of this chapter)
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