Back in 2002 as a doctor
Page 233
"Leave such a good technique unused, if you insist on building an airplane, tell me you guys."
Li Ran shook his head when he heard what the doctor in the CT room said, and said with a strange and serious expression on his face, "Thoracoscopic surgery only requires three such long small incisions, and the secondary damage caused by a large uncovering is too great."
As he spoke, Li Ran made a 2cm incision with his right thumb and index finger.
"It seems that you will do it, why not invite a professor." The doctor in the CT room said bluntly.
He and Li Ran used to live in the same dormitory, they belonged to bad friends, and they spoke more straightforwardly, so they were not worried that Li Ran would get angry.
And this matter is not a secret in the hospital, everyone is more or less complaining that the thoracic surgery department only invites experts to perform operations, and does not know how to operate at all.
It used to be a chest medicine department, but now...it doesn't seem to be much better.
"You don't understand." Li Ran didn't tell the doctors in the CT room that he had a pulmonary echinococcosis operation today, and that a pot of golden pearls can really be described as blown and broken.
Li Ran couldn't guess how difficult the operation was, but he was sure it must be extremely high!
Chest surgery can not be done?Li Ran was the first to not believe it.
But there is no need to say these words, he began to look at the CT images repeatedly, and then compared the position of his body, thinking about how to operate and how Zhou Congwen would operate if he did it himself tomorrow.
For some reason, although the doctors in the CT room repeatedly said that this operation was impossible, Li Ran believed that Zhou Congwen could do it.
……
The night is getting deeper.
It is an ordinary day for most people, but Mr. Huang, Deng Ming and other caring people have been looking forward to the arrival of the next day.
Zhou Congwen fell asleep.
In the dream, he was standing in front of the CT to perform particle implantation surgery. The particles were evenly distributed and the range of internal irradiation was uniform. It can be predicted that the patient's recovery will be very good.
In his dream, he saw that the artificial AI system had been formed, and the surgical particles produced were injected into the patient's blood vessels to complete a treatment.
At that time, cancer was like tuberculosis a hundred years ago. It changed from an incurable disease to a very common disease, and no one talked about the color change of cancer anymore.
The night was deep, the dream was beautiful, and Zhou Congwen slept soundly.
And the night outside, shrouded the earth, I don't know when the sky will turn white.
……
……
Note: Regarding the description of Li Ran's expression, in the words of the seniors, repetition is beauty.The word count will be included in the extra numbers, and it will not be used to charge for the word count. I hope you adults understand.
Chapter 0406 Laugh without saying a word
Because Mr. Huang depends on Zhou Congwen's positioning, today's surgery in the third hospital will be postponed until Mr. Huang and Director Deng complete the operation at the People's Hospital.
Li Qinghua asked the director of the CT room for an empty machine, and turned the door to do positioning before the chest wedge surgery.
The patients are also very cooperative. It is said that today's operation has a surprise. It is the big hand of 912 who came to Jianghai City, and the expert fee is not required.
For patients, this is simply a pie in the sky.It doesn't matter if the operation is done later, it doesn't matter if it is delayed by a day.
Zhou Congwen arrived at the People's Hospital early in the morning, but he didn't do anything, just followed the boss silently.
The two laparoscopic surgeries were not a big deal, Mr. Huang came on stage in person and cooperated with Deng Ming in the surgery.
Not counting the anesthesia time, one operation takes about 15 minutes, and the surgical trauma is almost minimized.
Especially for Director Zhu Junzhu's mother's operation, Mr. Huang performed the peak level of surgery. The straight line cutter and stapler cut around 3cm next to the small pulmonary nodule, so as to minimize the impact on the patient's postoperative state.
The operation was almost finished in the blink of an eye, and Zhu Jun looked a little confused.
The same is not positioned, and the same is that the small pulmonary nodules are not at the edge, and cannot be recognized by the naked eye after thoracoscopy.
But Mr. Huang ended the operation with two clicks, and personally cut the wedge-cut lung lobe to find the small nodules, without making any mistakes.
This method is really amazing, Zhu Jun sighs and is convinced.
No wonder he is the ancestor of thoracic surgery, who shocked the audience with just a small test.
But what Zhu Jun couldn't figure out was that Mr. Huang's surgery was so proficient, why did he need to do preoperative positioning.
Doesn't this mean that the leader of the martial arts league spread the unique cheats to the whole Jianghu, and also tried to let everyone learn it?
Does it make sense?
Zhu Jun didn't understand, so he was even more confused.
"Director Zhu, let's go to the Third Hospital, do you want to take a look?"
After the operation, Deng Ming asked Zhu Jun.
Zhu Jun hesitated for a moment, the love and hatred during this period welled up in his heart, especially Zhou Congwen was always by Huang Lao's side, and he didn't want to look at him more.
"The old man has just had an operation, so you are busy here." Seeing that Zhu Jun was silent, Deng Ming moved a ladder for him to come down.
"Director Deng, after the surgery in the Third Hospital is over, I'll pick you up and Mr. Huang for dinner." Zhu Jun came down the ladder.
"No need, the boss and I should go after the operation." Deng Ming said with a smile, "Let's talk about it when you have a chance to go to the imperial capital."
Zhu Jun hesitated slightly, but Mr. Huang had already changed his clothes, turned around and left with his hands behind his back.Zhou Congwen followed Huang Lao, whispering something.
Regarding Zhou Congwen, Zhu Jun's views have changed. He no longer regards Zhou Congwen as a little doctor, but he also tries not to regard him as his opponent.
With the relationship between Zhou Congwen and Huang Lao, Zhu Jun was afraid that he would be crushed into powder.
Although Mr. Huang is in the imperial capital and out of his reach, Zhu Jun knows that it is better for him to avoid trouble.
"Boss, are you going to have the surgery?" Zhou Congwen asked.
"No, I'll just see a few patients." Mr. Huang walked away with his hands on his back, completely ignoring Zhu Jun's enthusiasm, "Are you sure?"
"I've told you the principle, why do you still feel worried?"
"For new things, there must be a lot of unexpected places."
"The most important thing is CT positioning. It should not be too far away. If it is too far away, the positioning anchor may fall into the lung after wedge cutting. If this is the case... Hahaha, what do you think?" Zhou Congwen did not say the result, but this result They all know.
"According to the thickness of the trocar positioned by the puncture, there can only be a small amount of pneumothorax, which is nothing. And the surgery is about to happen, so this can be ignored." Huang Lao Youyou said, "How about the connection between the front and back?"
Zhou Congwen knew that the boss asked whether the connection between puncture positioning and surgery should be long, which is also a detail.
The boss really took everything into consideration.
"No problem." Zhou Congwen replied seriously without being bored.
"Xiao Zhou, you don't have many patients here, why are you thinking about this thing?" Huang Lao suddenly changed the subject.
Zhou Congwen smiled, thinking that this is not something that you have been obsessed with in your last life.
When it came out a few years earlier, the wedge resection surgery for small pulmonary nodules could be fully rolled out a few years earlier. You said I was thinking about what this thing is for.
But Zhou Congwen didn't say these words, just laughed without saying a word.
When they came to the Third Hospital, the patient had already been sent to CT in advance. Huang Lao and Deng Ming went straight to the CT room after changing their clothes.
"Boss, I'll be the first one." Zhou Congwen insisted.
Li Ran's roommate, the doctor in the CT room deliberately stayed away after the night shift. He was curious to see what the thoracic surgery department was doing.
From the perspective of the doctors in the CT room, it is impossible to locate the puncture within 5mm of the small nodules.
Zhou Congwen asked the patient to lie down, and chatted a few words while helping him to position himself, to calm the patient's emotions.
After the CT scan was completed, Zhou Congwen took a look and found the location by himself.
Li Ran looked at it without blinking. This patient was the one he simulated yesterday. He wanted to see how many needles Zhou Congwen needed to complete the operation.
According to estimates, Li Ran felt that it would take at least 3 needles to find the position.
The doctor in the CT room stood at the back, seeing that Zhou Congwen looked for images by himself, and he was a little disdainful.
From the perspective of the doctors in the CT room, these are heresies. The thoracic surgery department must do its own surgery properly, and it must be positioned before the operation. Isn't this taking off your pants and farting?
Mr. Huang didn't sit down, but looked at Zhou Congwen with his hands behind his back. When he found a seat, Mr. Huang went in with Zhou Congwen.
"Boss, are you coming for the next patient?" Zhou Congwen asked with a smile while wearing sterile gloves.
"Yeah." Huang Lao nodded.
He already had itchy hands, if he didn't want to see Zhou Congwen's operation and avoid some emergencies that he didn't expect, this patient Huang Lao would have wanted to do the puncture.
Although Mr. Huang has a high level of technology and rich clinical experience, he has always been cautious.
"Breathe normally, I will get a needle, and it won't hurt very much." Zhou Congwen comforted the patient.
"Doctor, don't you take anesthesia?" the patient asked.
"No, this needle is a little thinner than the needle used to give you an IV in the department. Don't worry." Zhou Congwen said lightly, "I sterilized it and it's a bit cold. Don't be afraid."
With that said, Zhou Congwen began to disinfect the patients in the positioning area.
Mr. Huang squinted his eyes to see the positioning area Zhou Congwen was looking for, imitating in his mind where he should be and at what angle to insert the needle.
Soon, Zhou Congwen inserted the positioning needle without any special technique, just like a nurse inserting an IV.
Returning to the operation room with Mr. Huang, the CT scan shows that the needle tip is only 4.5mm away from the small pulmonary nodules!
The doctor in the CT room was stunned for a moment, what Li Ran said was true!One puncture will do it.
Then Zhou Congwen opened the positioning four-claw anchor and pulled out the positioning pin.
"Boss, you can scan it again if you are not proficient." Zhou Congwen said with a smile.
Chapter 0407 Artifacts
Deng Ming sighed.
Zhou Congwen looks young, but he is very careful in doing things.
He was very stable and confident in the puncture, but he did not forget that many people could not do it to his level, so he took the trouble to "explain" one more sentence.
The doctor in the CT room watched the patient stand up from the CT bed through the leaded glass. It was the same as when he walked in, and he was even more surprised.
He thought that the positioning puncture was because the thoracic surgeon sweated out of his forehead in a hurry, and the patient's lungs would be pierced after repeated punctures, and the pneumothorax became more and more serious. In the end, even if it could be done, it was very difficult.
But in reality, the puncture is to do a CT scan, and then the scan is confirmed. The whole process took 10... no, it only took 5 or 6 minutes and it was over.
Can this work?
The doctor in the CT room was a little puzzled.
"Li Ran, is this over?" The doctor in the CT room asked in a low voice.
Li Ran was in a daze, thinking about something, staring at the screen in the operating room, as if he didn't hear the doctor's question in the CT room.
"Hello!" The doctor in the CT room bumped him with his shoulder, "Li Ran, is this the end?"
"Huh? Well, that's the end." Li Ran was in a daze again, staring at the screen blankly.
Zhou Congwen did it too fast, it was done in a few minutes, let alone the ideal 3 stitches in his imagination, in fact he only used 1 stitch to solve the big problem of positioning.
"What was it like during the operation?" The doctor in the CT room asked in a low voice.
"I don't know either." Li Ran spread his hands.
"I don't have anything to do today. I want to follow along. Will you take me in?" asked the doctor in the CT room.
"Go." Li Ran replied immediately when he saw the patient walk out of the CT room.
Go and have a look, they are all doctors in my family, so what's the big deal.
Besides, today is the weekend, and Sister Li, who is in charge of the clothes, does not go to work. The isolation suit and keys are all in the drawer.
The patient was also very surprised. What he thought was completely different from what happened in reality. He didn't feel any abnormality at all, so he walked to the operating room.
In the imagination of the patient, the positioning of the puncture must take a long time. It is said that this is a new technology.I was a little bored at first, and didn't want to be a guinea pig.
But it seemed to be nothing, the patient was a little puzzled as he walked, it was obviously a very simple operation, Dr. Li said it was so serious when he explained it to himself yesterday, he almost scared himself to death.
The doctor will scare people, and the patient will draw a conclusion.
In the operating room, the patient lies down and anesthetized directly; the doctor changes clothes, brushes his hands and goes on stage.
Although Li Ran brushed his hands, it was just to make a list.After all, Professor Chen and Director Deng can't be allowed to make up the list with their hands, and the preoperative small work has to be done by the bed doctor.
Today, there are too many people who can perform surgery in the Thoracic Surgery Department of the Third Hospital. Even Professor Chen from the Second Hospital of Medical University can't be in the line. Naturally, Li Ran won't go on stage and turn his back to the screen.
Rather than that, it is better to see clearly under the operating table.
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