Back in 2002 as a doctor

The thoracic surgeons who were still somewhat reserved before crowded into the meeting room like crazy, scrambling to watch the "last" operation.

And this surgery...

The difficulty is beyond everyone's imagination.

Double-sleeve cut, or a double-sleeve cut with an unsatisfactory position!

The most important thing is that Zhou Congwen will use thoracoscopic surgery and will not switch to thoracotomy for the time being!

Huang Lao's students actually wanted to try a surgery that even Mayo's surgeons could not do.Everyone's eyes were shining like Shen Lang, and the fire was burning, watching the projection.

The projections arranged by the Second Hospital of Medical University are very large, but the venue is bigger, and it is difficult for people standing behind to see the details clearly.

"Sleeve cut, is this a bronchus? If I hadn't seen it with my own eyes, I wouldn't have believed that thoracoscopic surgery could be done so cleanly."

"I think it's better than what Mayo's people did just now. It seems that it's not fast, but if you count the time carefully, it's faster than our director's chest opening and freeing!"

"Do you think that if the level is poor, how could it be possible for Mr. Huang to accept him as a disciple. Think about it, when was the last time Mr. Huang accepted a student, he is the chief director in Cleveland."

The doctors sighed while watching the operation.

Zhou Congwen's surgery was done so well and so smoothly that it made people feel in a trance.

The operation on this screen just now was stuttered, like a network delay.But after changing the operator, it immediately became smoother.

Compared?

Is this still used for comparison?

Totally unnecessary.

Anyone with eyes can see it.

Academician Chu looked heartbroken.

Although he is not a surgeon, he can tell whether the operation is smooth or not, and whether it goes smoothly or not.

Since Zhou Congwen took over, the operation has taken off directly.

In just four to 10 minutes, the bronchial sleeve cut was done, and Zhou Congwen was ready to cut off the pulmonary artery.

"Old Huang, Xiao Zhou's surgical skills are really so high!" Academician Chu said the truth, not a question, but an exclamation.

He also didn't want to offend Huang Lao so thoroughly.

After all, Huang Lao made a special call to himself before, reminding his son that there was a problem with the film of the patient selected for surgery.

The old man is dedicated to the public, and doesn't seem to care about Chu Yuntian's challenge.But precisely because of this, Academician Chu was particularly embarrassed.

"To be honest, I can't see Zhou Congwen's depth." Huang Laoyou said.

"what?"

"The operation he performed from beginning to end just now was very beautiful. This operation..."

As he spoke, Huang Lao pondered.

Academician Chu was startled, and quietly listened to Huang Lao's point of view.

"The surgery was performed exactly the same. Sometimes I even felt a little dazed. I felt as if I was going backwards in time and saw the same surgery."

Almost the same thing, Mr. Huang also said once when Zhou Congwen was undergoing esophageal cancer surgery.

But at this moment, Huang Lao said it again, and the meaning was deeper.

Academician Chu was speechless.

Huang Lao stood on the top of the mountain and saw the scene that he couldn't understand at all, but he could taste a professional seriousness from Huang Lao.

He is not joking, nor is he doing "commercial bragging" to endorse students.

Zhou Congwen's operation was indeed good, but academician Chu had no way of knowing how good it was.

He also didn't know what Huang Lao was talking about when he said that the two operations were exactly the same.

When Zhou Congwen had a radical operation for esophageal cancer, Mr. Huang said something similar, and now he repeats it.

Academician Chu wrote it down secretly, and was going to go home and chat with Chu Yuntian.

The operation on the screen was proceeding step by step. Zhou Congwen had already performed blood vessel occlusion, and while instilling heparin saline, he performed the anastomosis one by one.

Mediastinal side, posterior side, lateral side, front side, every step is done in an orderly manner, even laymen can see clearly.

The voice of discussion in the conference room has disappeared, and the doctors are focused on watching the operation.Seeing Zhou Congwen doing double sleeve cutting seems to be...

It seems that it is not difficult. Some doctors are already eager to try it, and they are going to go back and study the operation video, and then try the operation themselves.

The barriers to the difficulty of surgery that I used to think seem to be the same now, it’s not that difficult!

Many people have such a thought in their minds.

But they also know that things that are not difficult for others to do may not be so difficult for themselves.

However, I have read all the operations, and the standard operation process is like a textbook.

As long as you understand the details, it is always possible to do thoracotomy instead of laparoscopic surgery.People finish it in 2 hours, and you should be able to sit down in 4 or 5 hours.

Until Zhou Congwen completed the arterial anastomosis, the suture was tightened, heparin saline was injected into the anastomotic vessel segment, the distal vascular clamp was loosened, the anastomosis was closed with a knot, and the proximal vascular clamp was loosened after exhausting the air.

Zhou Congwen observed cautiously for at least a minute. There was only a little blood on the gauze, so he seemed relieved.

"Appreciate~~~"

There were sounds of relief almost simultaneously from different corners of the meeting room.

The surgery turned out to be that simple.

With both sleeves under Zhou Congwen's hands, the complexity has been reduced to simplicity, and there is no difficulty.

"Is it really possible to do this? There should be a lot of tension at the location of the anastomosis."

"It should work. I haven't done it. When I encounter a similar situation in the right lung, I will directly perform a pneumonectomy."

"I always feel unsafe. What should I do if the anastomotic blood vessel can't grow due to excessive tension? The patient can't live for 3 days after surgery."

They are all knowledgeable people, why is the double-sleeved surgery basically only done on the left upper lobe?It is because of the anatomical structure of the human body.

After the anastomosis of blood vessels in the left upper lobe, there was little tension, and the end-to-end anastomotic vessels could grow together.

And the double sleeve cut of the right upper lung...

Just when a "sensible person" raised a question, the image on the screen changed.

Everyone fell into confusion again, the operation was obviously done, what else should Zhou Congwen do?

Chapter 0589 stand up, applaud, pay tribute

Soon, on-screen surgery reveals the answer.

Zhou Congwen began to block the right lower pulmonary vein and anastomose it with the right upper pulmonary vein.

"why is that?"

"Ah? There is no such step in surgery!"

"Won't this kind of anastomosis cause more trauma to the patient? And it seems completely unnecessary."

The silence in the venue instantly turned into an uproar.

The operation process that was not mentioned in "Surgery" appeared in front of the eyes and appeared in the demonstration operation, which surprised everyone.

If it is said that Zhou Congwen's surgery was performed well before, it was based on the good surgery.

Zhou Congwen demonstrated in one esophageal cancer resection, one sleeve resection, and one double sleeve resection, and all related steps and processes were mentioned in "Cardiothoracic Surgery" edited by Huang Lao.

It's just that when Mr. Huang compiled "Cardiothoracic Surgery", there was no thoracoscopic surgery, and surgery was performed under the open chest.

Zhou Congwen did it rigorously and earnestly, like a surgical machine without emotion.

So everyone present can understand it, and they have a feeling that they can do the same when they are on stage.

but!

Is he crazy that this step does not appear in Cardiothoracic Surgery at the moment?

Seeing the surgery... no, the surgery has been successful, and the closed chest drainage can be used to close the chest and step down.

But at this time, Zhou Congwen wanted to be troublesome, so he added another step.

why? !

Could it be that the continuous high-intensity surgery caused excessive consumption of glucose in the body, so that Zhou Congwen fell into a hypoglycemic coma, and he didn't know what to do.

This idea flashed in someone's mind, but it was denied in an instant.

Would such a delicate operation be performed in a hypoglycemic coma?

No, absolutely not!

You can't even do it when you're at your best.

Huang Lao stood up suddenly, turned around slowly, facing all the doctors, raised his crooked hands slightly, and then pressed them down.

"About this step, I will explain to you after the operation is completed."

Huang Lao spoke in a low voice, but like a ballast stone, he suppressed all doubts.

The difficulty of anastomosing veins is much lower than that of arteries. Zhou Congwen finished the operation steadily and began to indwell a closed chest drainage tube.

The double sleeve cut is over!

The double sleeve resection of the right upper lung lobe is announced to be over!

Everyone was a little dazed at the same time.

Huang Lao walked up to the rostrum at this time and picked up the microphone.

"In my many years of clinical work, I have a little summary." Huang Lao said lightly.

"Brush!" The ears of countless people in the audience perked up.

More than 1000 pairs of rabbit ears erected into a forest, quietly listening to Huang Lao's words.

"A small number of patients, especially those who underwent double-sleeve resection of the upper and middle lobes of the right lung and the right pulmonary artery, have a dangerous period of 3-5 days after operation because of the relatively high tension of the anastomosis of the bronchus and pulmonary artery.

Some patients could not survive and died suddenly.

In recent years, I summed up all the previous operations and found that the right lower pulmonary vein can be cut off and anastomosed to the upper pulmonary vein. "

"The advantage of doing this is that..."

Mr. Huang began to talk eloquently from the local anatomy, mixed with decades of experience and lessons from various types of operations.

It was so!

The cardiothoracic surgeons who came to the scene were very grateful.

I came here by myself, and I was fortunate to hear Huang Lao's narration with my own ears, about a surgical procedure that had never appeared before.

Huang Lao is awesome!

Old Huang is mighty!

Huang Lao is domineering!

"Dean Xiao, is this a new technique developed by Huang Lao?"

Xiao Kai frowned, and said coldly, "Shut up, get out if you don't listen."

To his subordinates, Xiao Kai rarely turned his eyebrows coldly, and was always approachable and amiable.

But at this moment, Xiao Kai didn't show any color, and directly scolded in a low voice, telling his doctor to shut up.

But he was unwilling to miss a word with his ears pricked up, listening carefully like an old white rabbit.

This is the first time a new technique has appeared in front of everyone, and it has not yet been written into the textbook.

Moreover, after listening to Mr. Huang's face-to-face talk, one can imagine how precious the opportunity is.

All the sayings don't spread to the six ears, and these words don't exist in front of Mr. Huang.

For all the clinical experience and experience, Mr. Huang can't wait to tell all the doctors present, without any reservation.

The directors here also know that opportunities are precious.

Regardless of whether you understand or not, you should listen carefully. This is a historic moment!