Back in 2002 as a doctor

The chief director of the 912 Thoracic Surgery Department can only play the role of disinfection... Even if he can't go to the operation, Director Zou has nothing to say.

He stared blankly at the single-lumen ventilation tube, wondering what he was thinking.

"Position." Deng Ming said.

Two professors from the Department of Thoracic Surgery personally put the child into the left decubitus position.

At this time, Liu Wei remembered Zhou Congwen's advice, and quickly supported the single-lumen endotracheal tube, "Slow down, the child's airway is short and easy to come out."

Director Zou "woke up", now is not a good time to ponder why Huang Lao's closed disciple is so strong, he must first complete his task!

He speaks much better than Liu Wei, and has more experience than Liu Wei.

Director Zou watched the position without blinking, and carefully followed Zhou Congwen's method to confirm the position of the endotracheal tube again with B-ultrasound.

Director Zou himself didn't realize that there was a wave of unconvinced thoughts in his heart.

What Zhou Congwen can do, he must also do, and do better!Isn't it just that the B-ultrasound is sure, you can be as stable as an old dog, and I am a hundred times stronger than an old dog!

Soon, Zhou Congwen and Huang Lao walked in after brushing their hands.

Seeing that Director Zou was using B-ultrasound for positioning, Zhou Congwen was a little relieved, and he had to say it was 912.

There are not many anesthesiologists who can use B-ultrasound, and it can even be said to be rare.

But here is 912, and Director Zou is personally involved, and a mere B-ultrasound positioning can't help him.

Deng Ming had finished disinfecting, and retreated silently after laying the first layer of sterile sheets.Zhou Congwen laid the second layer of sterile sheets, Huang Lao stood in the position of the surgeon, and Zhou Congwen assisted.

"Change the position of the 3M blower heating system and put it on the side of the child's leg." Zhou Congwen explained before the operation.

Mr. Huang didn't say much, asked for a knife, made a 5mm incision in the right subscapular corner of the child, and inserted a 5mm Trocar and lens.

Zhou Congwen began to inflate, with a flow rate of 3L/min and a pressure of 4mmHg.

Mr. Huang made 7mm incisions in the right midaxillary line under the armpit and the right posterior axillary line in the 3th intercostal space, respectively, and inserted 3 motorcars.

The location of the thoracoscopic examination was just right, and Mr. Huang did not need to say a word of nonsense. He immediately began to expose and free the azygos vein. The two azygos veins were ligated with No. 1 wire and disconnected in the middle.

The operation was unremarkable, but Deng Ming's eyes looked straight, without blinking, for fear of missing any details.

Whether it is Zhou Congwen's manipulation and position of the mirror, or his boss's free umbilical vein and ligation with No. 1 wire under thoracoscopic surgery, they are all very proficient.

He is also a top performer in the country, and has cooperated with Huang Lao for many years.

But the more it is like this, the more he understands how awesome the surgery that has just been performed is.

With the cooperation of Zhou Congwen and the boss, Deng Ming saw it once during the major uncapping operation of pulmonary echinococcosis.It was that operation, he looked at Zhou Congwen with admiration, and even felt that Zhou Congwen cooperated with the boss better than himself.

But this was just a random thought, and Deng Ming didn't think about it seriously after he came back.

But the operation in front of him clearly told Deng Ming that the tacit cooperation between Zhou Congwen and the boss was beyond his reach, which is why the operating table was so silent, because the surgeon and assistants knew what they had to do without even talking. What, what is the other party going to do.

At the beginning of the operation, Deng Ming watched with tears in his eyes.

This is a dream I have pursued for many years, and I have cooperated with my boss to such an extent, but unfortunately I have never reached this level, but I did not expect to see it in the closed disciples accepted by the boss.

It might just be an illusion, Deng Ming comforted himself in his heart.

But then his boss began to free the distal fistula next to the vagus nerve. Zhou Congwen used long pliers to cooperate. The movements of the two were simple and clear, without any redundancy or mistake.

Deng Ming knew that he would not be able to simplify an extremely complicated operation to the extent he was looking at.

After the freeing, Mr. Huang used No. 4 silk suture to ligate the root of the fistula, and 5-0 absorbable suture to suture the distal end of the ligature.

Seeing this, Deng Ming was startled suddenly.

There is a thought that has been wandering in the bottom of my heart. This thought is so deep and so faint that Deng Ming ignored it.

At this time, he saw that the boss used the No. 4 thread to make the ligation very strong, but he was still worried, and then used 5-0 absorbable thread to sew the far end. When it was not too troublesome, he suddenly thought of this idea.

Zhou Congwen and the boss are very similar. This is something I confirmed when I met Zhou Congwen when I went to Jianghai City for the first time, and saw him walk forward side by side with the boss with his arms behind his back.

But the real resemblance between the two of them is not in the posture, but in various surgical details.

As stable as an old dog... no, as stable as Mount Tai!

The boss is not distrustful of himself, but to avoid the possibility of one in ten thousand mistakes.This is also very obvious in Zhou Congwen's body!

Deng Ming felt a little dazed.

The lights are bright, and the two figures standing under the shadowless lamp have a huge age difference.But in Deng Ming's eyes, the figures of the two overlapped and merged in a daze, and it was impossible to tell which was his boss and which was Zhou Congwen.

Chapter 0494 the third in the world is also very good

Mr. Huang found the proximal blind end of the esophagus under the guidance of the jejunal tube, and the distance between the two ends was 2.1 cm.

He gradually freed and loosened the proximal end of the esophagus until the two ends were reserved for suturing, cut the proximal end and the distal end of the esophagus, and sutured the entire wall of the esophagus at both ends intermittently with 5-0 absorbable sutures.

The operation was extremely complicated, but Mr. Huang didn't say a word, and Zhou Congwen cooperated with the operation steadily, simply and effortlessly.

Deng Ming looked at it with ease and joy. This operation is a work of art, and every detail is worth pondering.

Suddenly, his boss's hand paused slightly, and Deng Ming was startled.

"Boss, wait a moment."

At the same time, Zhou Congwen, who had been silent since the opening of the stage, suddenly spoke.

"Is the body temperature low?" Huang Lao asked.

"Well, the temperature of the 3M blower heating system is 43 degrees Celsius. Tour, pay attention to check, and make sure that the air outlet is not directly aimed at the child."

The operation was suspended at 3'28", and after the child's body temperature returned to 36°C, Zhou Congwen asked the itinerant nurse to maintain the temperature of the adjustable blower at 40°C.

After the body temperature rises to 37°C, in order to avoid overheating, temporarily turn off the blower and continue to observe the body temperature dynamics.

"Boss, it's fine." Zhou Congwen said softly.

Mr. Huang never took his eyes off the TV screen of the thoracoscope. Hearing what Zhou Congwen said, he started the operation again.

The jejunum tube was movable just after suturing, and Huang Lao made a gesture, "Back off the endotracheal tube."

Director Zou immediately retreated the endotracheal tube to the main trachea, and at the same time Zhou Congwen asked for warm saline.

The syringe injected warm saline into the chest cavity and began to inflate the lungs. No air bubbles were seen, confirming that there was no tracheal fistula.

The chest cavity was flushed and no active bleeding was seen.

After the chest operation was over, Deng Ming glanced at the time in a daze—22 minutes.

The surgery... is beyond words.

Deng Ming originally thought that his thoracoscopy was of a very high level, and if it wasn't for his boss, he would be unparalleled in the world.

But seeing the cooperation between Zhou Congwen and the boss today, Deng Ming recognized a reality - not only is his level lower than the boss, but also lower than Zhou Congwen.

Number three in the world... emmm, that's pretty good too.

Mr. Huang withdrew from the thoracoscopic equipment and was about to complete the operation of intestinal atresia with laparoscopy. At this moment, the ECG monitor suddenly called the police.

Turning his head, Mr. Huang glanced at the ECG monitoring screen, and the child's blood oxygen saturation had dropped to 80%.

"Boss, it's okay, I'll take care of it." Zhou Congwen said.

Mr. Huang didn't speak, and changed his position to the child's abdomen.

"Prepare the neonatal resuscitation bag, connect it to the oxygen on the anesthesia pendant, and set the temperature to 43°C to speed up body temperature recovery." Zhou Congwen said quickly but clearly.

The connection between the neonatal resuscitation bag and the anesthesia pendant was requested by Zhou Congwen on the phone before, and it had already been prepared, and the roving nurse no longer hesitated at this time.

The entire improvised team was like a lubricated machine part, and quickly followed Zhou Congwen's doctor's orders.

Zhou Congwen didn't watch the roving nurse's operation, nor changed positions with his boss, but squinted his eyes to watch the ECG monitoring.

"The child's other palm is wrapped around a newly opened blood oxygen saturation probe, which is connected to the transfer module instrument for comparison."

"Attention, don't worry, it's winding, don't damage the child's skin."

With a blood oxygen saturation of 80%, Zhou Congwen remained calm, and even told the details of the skin damage, leaving no possibility of mistakes.

"Director Zou, use the prepared second set of sputum suction device and replace it with a new sputum suction tube to see if there is bleeding blocking the airway."

"Okay!" Director Zou finally understood why he had to prepare two sets of sputum suction devices.

"Move the intubation again."

While Director Zou was busy, he was feeling emotional.

Zhou Congwen didn't know the reason for the drop in blood oxygen saturation, but his doctor's order covered four possibilities.

People know it well, and the door is clear.

Temperature, machine failure, airway blockage, and inappropriate depth of endotracheal intubation were all considered by Zhou Congwen, and he was calm in the face of danger, and every doctor's order was targeted without missing anything.

Liu Wei quickly assisted Director Zou to replace the new sputum suction tube. Director Zou was very satisfied.

Because of Liu Wei's existence, at least 30 seconds of time were saved.

After replacing the sputum suction tube, Director Zou sucked out a small amount of light red bloody fluid from the child's airway, and the blood oxygen saturation value on the ECG monitoring began to increase accordingly.

A crisis is resolved.

Seeing the rise in blood oxygen saturation, Director Zou sighed deeply.

No wonder Zhou Congwen asked for the right to direct the operation before the operation. He is really unruffled in times of crisis and has the air of a general.

All possible complications should be in his consideration.

The operation... seems to be stable!

Although there was still abdominal surgery to be done, such an idea suddenly appeared in Director Zou's mind.

After Zhou Congwen directed the emergency response, he saw that his boss had already laid out the sterile sheets and changed his clothes. He said sheepishly, "Boss, it happened by coincidence. I'm sorry."

"It's okay, continue." Huang Lao said lightly.

Then Mr. Huang made a 1mm incision on the lower left side of the child's navel, and inserted a 5mm Trocar and lens.

Inflate, flow rate 3L/min, pressure 8mmHg.

One 1mm incision was made in the right upper abdomen and the left middle abdomen respectively, and a 3mm Trocar was inserted respectively.

It is normal for general surgery doctors not to know how to perform thoracoscopy, but top thoracic surgeons must know laparoscopy.

Because there is a surgical procedure in the Department of Thoracic Surgery called radical resection of esophagus cancer, which requires a combined thoracoabdominal incision.

Not only the chest surgery is to be performed, but also the abdominal cavity needs to be opened. After the stomach is cut, the stomach is lifted to the chest cavity for anastomosis.

The laparoscopic operation was not difficult for Mr. Huang, and with Zhou Congwen's cooperation, the child's abdominal surgery was performed even more smoothly.

After completing the preliminary work, Mr. Huang began to explore the abdominal cavity of the child.

Exploration showed that the small intestine of the child was obviously dilated, and there was a dead end atresia about 10 cm from the beginning of the jejunum, and the upper intestinal tube was obviously dilated, with a diameter of about 3 cm.

The following small intestine and colon are small, with a diameter of about 0.8 cm, and the intestinal tube is continuous.

Mr. Huang cut the intestinal wall longitudinally up and down at the atresia, found a septum inside, removed it, and stopped the bleeding with an electric hook.

The longitudinal incision of the intestinal wall was performed transverse anastomosis.

Although he was nearly eighty years old, Mr. Huang's hands were very steady. There was no difference between his hands on the operating table and Zhou Congwen's.

If it weren't for the location, it would be impossible to tell whose hand is operating just by looking at the operation area.

The operation went smoothly, and suddenly the alarm sounded again.

Mr. Huang just glanced at the ECG monitoring, and the operation did not stop, and the anastomosis continued.

"Tour, change the angle of the operating table, head high and feet low, slow down, don't worry. The angle... just give it about 10°." Zhou Congwen said lightly.

Chapter 0495

Deng Ming panicked when the child's blood oxygen saturation dropped again, but he didn't expect this setback.

But neither the boss nor Zhou Congwen seemed to take it seriously. When the itinerant nurse adjusted the angle of the operating table, the boss did not stop even for a moment to cleanse the intestines.

Suddenly Deng Ming burst into tears.

The boss and Zhou Congwen suspected that the endoscopic pressure pushed the endotracheal tube to the fistula, resulting in a drop in blood oxygen saturation.

This is a trivial matter, and I should have thought of it immediately... How come I don't feel like a bystander when I stand under the operating table?

Deng Ming stared at the ECG monitoring. When the itinerant nurse changed the angle of the operating table and raised the child's head, the blood oxygen saturation immediately rose.