big star doctor

Chapter 111 Resection of Left Upper Lobe Sleeve Tumor
After 10 minutes, Lin Mo came from the dressing room, sterilized, disinfected, brushed his hands, and changed into a surgical gown.

As soon as he came out, he went straight to the No. [-] operating room. A family member of a young patient was already waiting anxiously at the door of the operating room. The nurse waiting outside the operating room opened the door for Lin Mo.

As soon as Lin Mo came in, he saw that Director Chen was already doing pre-operative disinfection work. Cheng Cheng and Peigui doctor Liu Dabao were also there.

As soon as Lin Mo entered, Director Chen had just completed the disinfection. Then she raised her head and looked at Lin Mo and said: "Xiao Lin is here? This operation is a bit difficult today! Xiao Cheng, please tell me about the patient's condition."

Cheng Cheng wiped the sweat from his forehead and said:
"Patient name Chen Daming"

Sex: Male

Age: 63

Occupation: retired old employee

Cause: Environmental pollution
Condition: The tumor in the left upper lobe blocks the trachea. The good and evil are temporarily uncertain, and there is no sign of metastasis, but the location is very bad, and it grows at the opening of the trachea on the upper left side.

Treatment plan: sleeve resection of the left upper lobe.

After hearing this, Lin Mo frowned and said, "This operation is really difficult! It requires cutting the trachea, removing the cancerous part, and finally suturing the trachea."

After hearing this, Director Chen glanced at Lin Mo with a satisfied expression, and then she said: "Lin Mo, come here and I will stand opposite me. Xiao Cheng, come here and I will take the photo. Today is another test. Come on, everyone." !”

Lin Mo just stood up.

Director Chen's calm voice sounded, and she said with a serious expression:
"Scalpel"

Reaching out to take the scalpel that the nurse had patted, Director Chen didn't hesitate, and put the knife on the line that had been drawn and sterilized.

Three knives, three-pointed star surgery mouth, the surgery mouth is not big, about three to four centimeters in diameter.

Director Chen just stopped the knife.

Lin Mo quickly got on the retractor and pulled the hook.

Waiting for Lin Mo to expand the surgical opening,
Cheng Cheng pushed through the single-port thoracoscope,
start installation.

After everything is ready.

Director Chen's cold voice sounded.

"Scissors, tweezers."

She took the scissors and tweezers from the nurse, stared at the display screen of the single-port thoracoscope, and began to clean the lymph around the left upper lung and left bronchi.

By the time Director Chen carefully scanned the lymph nodes, the location of the lung cancer on the upper left side was clearly displayed on the screen.

"Electric knife, Lin Mo put on the tweezers."

Lin Mo gently clamped the patient's left bronchus with tweezers

……

Director Chen raised the knife and lowered the left bronchus incision
……

The next step is to cut the tumor. Director Chen took a deep breath and said:
"Wipe sweat, tweezers."

Then she had an incision, and the cancerous part of the lung was suppurated and bloody. It was definitely not as beautiful as described in other novels, it was more disgusting.

Cancer is never kind. Since it is a benign tumor, it just does not spread quickly.

Director Chen began to operate the knife carefully along the cancerous and abnormally red and swollen area.

She didn't want to accidentally smash the tumor directly.

She slowly drew a circle around the upper left lung cancer area, and then began to cut deeply.

It didn't take long for the whole tumor to be cut out.

Director Chen replaced the knife with a medical spoon, and when the cancerous tissue was taken out, Director Chen heaved a sigh of relief:
"Send it for inspection, wipe your sweat."

Then she raised her head and smiled at Lin Mo, "Why are you nervous?"

Lin Mo resentfully said: "It's okay, Director Chen is really amazing."

Director Chen smiled happily.

……

It won't take long for the test results to come out.

Clear margins, pathological Lin cancer.

The trigger may be inflammation.

After hearing this, Director Chen laughed and said: "This situation is very clear and optimistic. As long as the postoperative recovery is good, the patient may live another ten years!"

"Lin Mo, you don't know how desperate the young man outside the door was when he just learned the results of his father's test! It makes me feel bad when I see it."

Lin Mo smiled thoughtfully and said: "This is a filial young man, and his luck is usually not too bad."

Director Chen said with a smile on his face: "Okay, let's sew it up quickly! This suture is also a headache!"

The reason why it is called sleeve resection is because the resection area is round and concave, like a sleeve.

The difficulty of sewing can also be imagined.

Director Chen said lightly:
"Needle holder, No. 2 round-tipped curved suture needle, No. 2 absorbable suture."

Director Chen took the needle holder from the nurse's sister and clipped the suture needle.

She started the fine stitching, the first was the left upper lung incision, and then the bronchi.

During this process, Director Chen wiped off his sweat a total of three times. A high degree of concentration during the operation is a must for any doctor.

It's not bad to sweat profusely, but it's common for some people to pass out halfway through it!

The stitching process was very slow and took more than 40 minutes.

After suturing the trachea, Director Chen's steps back were a little unsteady, Lin Mo looked at it and said: "Director, are you okay! Or leave the rest to me! You are lucky."

Director Chen said with a weary smile: "It's worth being tired, I'll leave the rest to you, and I'll watch."

The remaining work is nothing more than counting the instruments, washing the cavity, keeping the tube, and suturing the chest wall operation (closing the chest).

Lin Mo may not be able to do the whole operation because he is not experienced enough, but he is still competent for the finishing work.

He took over the command of this operation from Director Chen, and his commander-in-chief demeanor was natural.

But he still kept his spirits up and was scolded for his negligence.

So he said lightly:
"Nurse, count the gauze and equipment."

"There is no shortage of gauze, and the number of equipment."

Lin Mo said seriously with no expression on his face:
"Then flush the chest and give me the drainage tube."

After washing, Cheng Cheng began to remove the equipment.

Lin Mo fixed the drainage tube along the operation port.

Start sewing.

Why just follow the chest drainage tube!
Because after thoracotomy, the air pressure in the patient's chest is not stable, it is easy to form a pneumothorax, and there will also be a small amount of bleeding, which does not lead to infection, and the tube is reserved for two situations.

Simple interrupted suture method, suture the inner wall membrane.

The "8" suture method is used to sew muscle and fat.

Butt seams are legal and non-absorbable seams are seamed to the skin.

This is all routine.

After Lin Mo sutures and bandages, this fourth-level operation will be completed.

Director Chen said while writing the medical records: "Lin Mo, you are becoming more and more skilled in this technique. It is estimated that it will not be long before you can perform your own lung resection surgery independently. Come on! I will do it if there is a suitable opportunity. You are the master."

Lin Mo touched his head in embarrassment and said, "I'd better learn more from Teacher Chen, I'm afraid I'll get into trouble if I'm too aggressive!"

Director Chen smiled and said: "The opportunity is given to you, it depends on whether you can catch it yourself, don't worry about me making your back."

Lin Mo scratched his head and said, "Then trouble Teacher Chen."

Director Chen smiled even more happily when he heard this and said, "Okay, I like your energy and not being afraid of getting into trouble."

At this time, she also finished writing the medical record.

Then she continued: "Okay, let's go out first!"

(End of this chapter)