big star doctor

Chapter 93 Total Right Pneumonectomy

After hearing this, Lin Mo said something very naturally.

"Who isn't..."

Before Lin Mo could finish speaking, there was a knock on the door. It was Lu Xiaobei, the nurse's elder sister, Director Chen's queen surgical nurse who pushed the door in. Lin Mo didn't know her very well, probably because the girl was married.

Lin Mo saw her coming in and asked, "Sister Lu, do you want anything from us?"

"Director Chen is going to perform lung resection on a patient with advanced malignant lung tumors, and asks you to be the second assistant."

Lin Mo was interested when he heard it!Although he is only a second assistant, he hasn't been an assistant to Director Chen yet!not to mention

So he said with a little excitement: "Is it going to start soon? Which operating room?"

"Operating Room No. [-], Director Chen and Dr. Cheng are already changing their surgical gowns, you should hurry up!" the nurse said and left.

Huang Weijie glanced at Lin Mo, who pretended to be envious, and said, "It's really nice of you to be a big celebrity in the emergency department. You can perform surgery at any time, which is amazing."

Lin Mo raised his eyebrows and looked at Huang Weijie and said, "How about you go for me?"

Huang Weijie quickly shook his head and waved his hands: "No, no, no, I'm just kidding! I can't bear it, so go quickly! Otherwise, Director Chen will be in a hurry."

Lin Mo shook his head with a smile on his face, opened the door and walked out.

Five minutes later, Lin Mo sterilized, disinfected, brushed his hands, and walked out of the locker room after changing clothes.

As soon as he walked to the place not far from the No. [-] operation, he saw several family members waiting outside the door of the operating room. If he didn't see the doctors and nurses, he probably had already gone in.

Lin Mo had no choice but to quicken his pace.

After entering the operating room, Director Chen was already disinfecting the patient, so he hurried to the position of the second assistant on Dr. Cheng's right.

Director Chen didn't say anything when Lin Mo came late, but said indifferently: "Doctor Xiao Cheng, Xiao Lin, please tell me about the patient's condition."

Cheng Cheng suddenly felt a little stressed!He was a little nervous about the surgery, I hope he can remember everything about the patient!

So he said anxiously:
"Patient's name Li Dacheng"

Sex: Male

Age: 45

Occupation: Programmer

Etiology: caused by computer radiation or smoking
Condition: Mid-late stage malignant tumor of the right lung
Treatment options: total right pneumonectomy

Cheng Cheng finished speaking quickly in one breath, and he was relieved just after he finished speaking!
After hearing this, Lin Mo asked, "Has the patient's malignant tumor metastasized?"

If it is an advanced malignant lung tumor (also known as lung cancer), the treatment is relatively more troublesome than the early stage.

Because cancer cells in lung cancer patients will spread throughout the body, the first way for lung cancer to metastasize is the liver.

The liver is people’s blood-storing organ, and it can be said to be an important organ in the human body.

If lung cancer reaches liver metastasis, the survival time will be greatly reduced.

It depends on the degree of metastasis in our lungs.

Lung metastasis is divided into 3 types: direct spread to lymphatic metastasis, hematogenous metastasis, and then to the liver and possibly to the brain.

Just after Lin Mo finished speaking, Director Chen shouted softly:
"Scalpel."

I saw that she had been disinfected, and the nurse also spread surgical towels on the patient.

Then Director Chen said indifferently: "Xiao Cheng! You have to be more careful in the future, Lin Mo who just came here knows more than you."

"The patient's lung cancer is considered to be in the middle and advanced stages, and no metastasis has been found. Otherwise, I would not be so anxious to have an operation."

Director Chen moved the knife as he spoke.

Dr. Cheng, on the other hand, was a little ashamed!

He has been a resident for two years.

He can't even perform a decent operation.

Looking at Lin Mo...

At this time, Director Chen held the knife in a bow-style, and cut three three- to four-centimeter surgical incisions along the sternum and ribs, in the shape of a three-pointed star, one inch obliquely from the patient's right breast.

At this moment, Cheng Cheng was still in a daze.

Lin Mo hurried forward to give Director Chen the hook, grab the job!

Cheng Cheng was a little annoyed when he woke up, but he could only think about it, who told him to be distracted!

But Director Chen's next words made him want to die!

Director Chen said indifferently: "Doctor Cheng, you and Xiao Lin change places."

Director Chen thought to himself.

"I originally called Lin Molai just to let him see and open his eyes. I didn't expect Cheng Cheng to be a little out of shape."

This lung resection operation is very troublesome and complicated, and one must be careful, because if one is not careful, the lesion may be left behind, and distraction is not a good idea.

After hearing this, Cheng Cheng felt annoyed at himself, but he could only change positions obediently.

After Lin Mo changed his position, he pulled the hook to open the patient's sternal ribs on both sides of the operation port.

The diseased right lung of the patient can be seen with the naked eye, its surface is covered with black plaques, and the lung is also somewhat enlarged.

If ordinary people saw it, they would probably be disgusted and vomit.

After reading it carefully, Director Chen said: "Xiao Lin is okay! Does it feel disgusting? Don't spit out the overnight meal, ha ha."

Lin Mo wore a mask and goggles, smiled and said, "It's okay, no problem."

"Then get a thoracoscopy!"

After Lin Mo and the nurse worked together to install the thoracoscope and adjust the position.

Director Chen said calmly:
"Cheng Cheng, you hold the mirror, hemostat, and tweezers."

At this time, Director Chen was holding tweezers in his right hand and a hemostat in his left hand.

After 5 minutes the occlusion of the superior vena cava was completed
Director Chen said profusely with sweat:
"Suction, wipe sweat, hemostat."

The nurse helped Director Chen wipe off his sweat,

She started working on the inferior vena cava again,
Only when the vein is blocked can the blood be sprayed when the lung is cut.

Soon the inferior vena cava was also blocked.

Next, cut.

That is to sweep away the lymph around the lungs,
Now it is to cut the lungs.

However, this process must be careful and meticulous.

Otherwise, it will cause massive bleeding or lesions.

More than 10 minutes later, Director Chen held tweezers in his left hand and long scissors in his right hand to clean up the excess lymph around the patient's entire right lung.

Ten minutes later, the patient's diseased right lung was completely cut out.

It was Lin Mo who pulled it out with a big clamp.

Lin Mo's perception was pitch black.

The entire right lung is almost blackened, it's hard not to get sick!

When Lin Mo put the blackened lungs on the nurse's tray, Director Chen said profusely:
"Sweat Wipe, Needle Holder, No. 2 Round Tip Curved Suture Needle, No. 2 Absorbable Suture."

A nurse wiped the sweat, and the other passed things in an orderly manner.

After wiping the sweat with the help of the nurse, Director Chen added the needle with the needle in his right hand and tweezers in his left, and began to suture the severed peribronchial blood vessels.

Director Chen uses,

Continuous horizontal mattress eversion suture.

The blood vessel suturing was completed in more than 20 minutes.

Director Chen didn't stop but said:
"Absorbable sutures, forceps."

Lin Mo knew that this was to ligate the bronchi.

After the ligation was completed, Director Chen was sweating profusely and panting heavily: "Chest drainage tube, rinse, Lin Mo will close the chest."

After washing the patient's chest, it was time for Lin Mo to play.

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.

The surgical port is bandaged.

This two-hour total right pneumonectomy was completed.

Director Chen felt very happy after this operation, and Lin Mo can always cooperate with her, that's what she thought in her heart.

"It seems that I will take Lin Mo with me in the future."

But Cheng Cheng's heart was a little gloomy!
What he thought was:
"After this operation, Director Chen didn't lose his temper. This Lin Mo really has something in his stomach!"

　I don't want to code words anymore, I really want to play with pesticides!pain!Hurry up and give some rewards or something, and some encouragement.

　　
　
(End of this chapter)