Back in 2002 as a doctor

The patient couldn't have to wait for three hours. Chen Houkun felt a little helpless. He took the linear cutting stapler and handed it to the patient's underdeveloped interlobar fissure along the card.

This is a live broadcast of surgery, and Chen Houkun immediately realized it.There are more than 100 pairs of eyes looking at me in the auditorium, no!They were going to see Pan Cheng undergo surgery.

If he messed up... Chen Houkun's mind was filled with distractions.

"Professor Chen, don't worry if I'm supporting the stage." Zhou Congwen bumped Chen Houkun lightly with his shoulder and said in a low voice.

With you supporting the stage, this sentence made Chen Houkun a little more energetic.He gritted his teeth, and creaked the linear cutting stapler to the end.

The patient's interlobar fissures were indeed poorly developed, and it took Chen Houkun six shots to hit the hilum.

Although the operation was relatively difficult, Zhou Congwen couldn't "cooperate" well.Chen Houkun didn't realize that Zhou Congwen was whipping him like a whip, driving him to continue the operation.

……

……

In the auditorium, Zhang You sat leisurely and watched the operation.

"Director, Professor Pan's level is average, the operation is too slow."

"Hahaha, it's not that his level is average, it's that he has a bad temper. The operating room said that if Professor Pan scolds another nurse, he won't be able to do other operations after this operation." Zhang You explained with a smile.

Just as he was talking, Chen Houkun's figure appeared on another screen.

"Are you going to drive the next one at this time? Chen Houkun's brain is flooded." Zhang You commented with certainty.

Chapter 0145 Super God

"Director, can the surgery be done live on 4 channels today?"

"It's a dream! I saw a ghost when I could finish it. Don't worry, the operation can't be finished." Zhang You said with a smile while watching the excitement, "The director of the anesthesiology department called me just now. He went to find Chen Houkun."

"Call up?"

"The head nurse in the operating room complained, saying that the operation was impossible. Ask Pan Cheng for the operation? Isn't that a joke, and there are still 4 sets, so I really don't have a clue." Zhang You said disdainfully.

"Can't the nurse in the operating room take it?"

"I've scolded and cried three times, hahaha."

Thinking of the embarrassing situation in the operating room, Zhang You laughed.

He then pointed to another screen and said, "Chen Houkun was probably scolded. How good it is for him to stand aside and watch. If he insists on starting the stage first, Pan Cheng can do it so fast by himself? I don't believe it. "

Zhang You felt that Chen Houkun had lost ground under his own pressure, and approached the cliff step by step. Now one foot was hanging in the air, and he was about to fall into the bottomless abyss soon.

However, after 10 minutes, Zhang You's expression gradually became serious.

Another screen of patients waiting for surgery caught his attention. Chen Houkun and Doctor Xiao Zhou from the Third Hospital of Jianghai City didn't even wait after finishing the preoperative preparations, and shot the lung lobes directly!

them……

Zhang You fell into deep thought.

Chen Houkun's surgery was really good, at the same level as his own.

However, Zhang You felt the crisis in the Tetralogy of Fallot operation, and made a fool of Chen Houkun, throwing the "useless" thoracoscopic technique to him.

Can laparoscopy cut lung lobes?Possibly, but Chen Houkun only underwent bullae resection with laparoscopic surgery.

Zhang You knew Chen Houkun very well, and even treated him as his greatest enemy after the fourth surgery, thinking that Chen Houkun would not be able to make any waves in the small pool of thoracoscopy.

But after seeing the live broadcast of the operation, Zhang You was stunned.

The difficulty of patients treated by Chen Houkun is much higher than that of Pan Cheng’s patients. The interlobar fissures are not well developed, and even open-chest surgery is a huge problem in the case of fusion of lung lobes, let alone resection under laparoscopic surgery. .

Then Zhang You saw in the live broadcast that the linear cutting stapler was beating non-stop, and he just followed the direction of the looming interlobar fissure to directly "split" a passage to the vicinity of the hilum.

Is it really possible to do this surgery? !

This is done under open chest and direct vision, but every step must be careful and careful, and a stitch must be made after ligation for double insurance.

But Chen Houkun only wanted speed, and the straight line cutting and suturing device cut to the root with ease.

Is it ok?

Is it really okay?

Zhang You didn't know the answer.

But he knows one thing - Chen Houkun's character.If not, Chen Houkun definitely wouldn't do it.

"Director, will Chen Houkun leak air if he does this?"

"I don't know." Zhang You looked solemnly at the live broadcaster Shuye with a serious expression.

Zhang You's waist straightened unconsciously, and he watched the live broadcast intently, as if the patient lying on the operating table was his relative.

Then the two long pliers began to show signs of incoordination, and it seemed a little awkward when freeing the pulmonary artery.

Zhang You was watching the live broadcast of the surgery with a cautious and optimistic attitude, but his eyes had shifted from Pan Cheng's surgical vision to Chen Houkun's surgical vision.

Be cautious, because just now Chen Houkun was quite confident to use the linear cutting stapler until the end, and Zhang You didn't know if it was feasible or not.

Optimistic, because Chen Houkun has begun to feel a little uncoordinated, showing a slightly poor level of surgery.Want to successfully complete the operation?Nothing is that easy.

Zhang You stared at the live broadcast screen intently, and subconsciously clenched his hands into fists.

He was a little nervous. Although he didn't believe that Chen Houkun could successfully complete the thoracoscopic lobectomy, he didn't know why all he thought about was the complicated surgery.

He was able to do such a difficult operation, the fourth method, so is it still a problem to cut a lung lobe?

The slightly jerky dissociation became smooth after the third long pliers came in. The arteries, veins, and trachea were dissociated all the way, and the anatomical structure was as clear as a local anatomy class.

It's completely textbook-style dissociation, and Zhang You is dumbfounded.

I can do this by freeing my hands under direct vision, but the time is much longer than Chen Houkun's thoracoscopic surgery.

How did he do that? !

The level of using a long-handled instrument is even higher than that of direct operation by hand, which is simply impossible!Zhang You's mouth gradually opened wide.

Unknowingly, the blood vessels and trachea have been freed, and the linear cutting stapler is inserted again. Zhang You seems to be able to hear the creaking sound of the switch being tightened inexplicably.

Is this the end?

If I had performed this surgery myself, I might not even have separated the interlobar fissure.

Zhang You is extremely sensitive to time, and even the little monster in his heart is roaring crazily, hoping that the crack between the leaves cut by Chen Houkun will leak.

The bag went in smoothly, caught the severed lung lobe smoothly, and pulled it out along the poke.

Flush with warm saline, and the anesthetist inflates the lungs.

What disappointed Zhang You was that there was no air leakage in the operative field displayed on the TV screen of the thoracoscope when the lungs were inflated, the lungs inflated smoothly, and there was no blood in the warm salt water.

Is that the end of the surgery? !Zhang You was in a daze, and turned his eyes to Pan Cheng's live surgery screen next to him.

After Pan Cheng finished cutting the interlobular fissure with the straight line cutter, he was still suturing the place he felt was unstable, for fear of air leakage.

This is what should be done. Chen Houkun's operation was too aggressive, and Zhang You became more and more confused the more he watched.

He even suspected for a moment that he had misread the screen, that Pan Cheng was doing the operation that had already been done, and that the clumsy one was Chen Houkun.

Is Chen Houkun's surgery level already so high!

Zhang You felt a chill rising from the tailbone to the back of the head.

As if electrified, Zhang You shuddered and directly entered the time of the sage.

Staring blankly at the warm saline sucked away by the suction device on the screen, Chen Houkun seemed to feel that it was not appropriate enough, so he rinsed it again, inflated his lungs again to make sure, and then ended the operation.

Zhang You couldn't understand the operation at all. He had a dazed expression and frowned until the next patient appeared on the screen.

At this time, the discussion in the auditorium was loud, like the waves of the sea.

"Who performed the other operation?"

"Didn't you say that Professor Pan Cheng from the imperial capital is doing live surgery? Why are other surgeons doing it?"

"Could it be that Professor Pan made the second one? No way, I don't think he was the one who performed the operation."

Zhang You heard many questions from his peers, and felt very at a loss, as if it was snowing all the time, a vast expanse of whiteness, and felt unspeakably uncomfortable.

"Director, Chen Houkun has taken over the next patient."

"Go and check the chest bottle of the first patient, if there is any air leak, please report to me anytime."

0146 - Two Shots

The operation just now went very smoothly, inheriting Zhou Congwen's usual style when he was an assistant.

But there are good and bad, Chen Houkun is a little surprised.

He still has a good idea of ​​his own level, and he is very clear about what he can do.But the smooth operation just now made him feel unreal, so much so that he washed it a second time after washing it once.

It took nearly 10 minutes to rinse and confirm, which was not enough. Chen Houkun still feels that there is something missing, and he feels a little uneasy.

It should be said that the operation is not done well, and I should feel uneasy, after all, there is no bottom line.

But the operation was almost perfect...Chen Houkun was even more disturbed, it should not have been so smooth at his own level.

Chen Houkun could only attribute all the reasons to Zhou Congwen.

"Xiao Zhou, have you ever had a thoracoscopic lung lobectomy?" Chen Houkun asked anxiously while preparing for the next operation.

"I haven't done it. Our hospital has equipment, but we only do spontaneous pneumothorax." Zhou Congwen said smoothly.

"The surgery just went so smoothly..."

"Is it bad?"

"It's good, but it's too fast, and I don't feel at ease." Chen Houkun and Zhou Congwen became more and more familiar, telling the truth.

"Hehe." Zhou Congwen smiled and asked, "Brother Chen, do you know what the two-shot method is?"

"..."

Chen Houkun was taken aback.

Two shot method?As the name suggests, the linear cutting stapler is commonly known as a gun, which means that only two staplers are used.

Is this possible?

Chen Houkun was taken aback. Could it be possible that Xiao Zhou was so aggressive that he wanted to knock out his lungs with two shots?

"I have seen a similar method in a foreign surgery video. This is the advantage of thoracoscopic surgery. There are many benefits. The next patient will open it and have a look. If there is no problem with the interlobar fissure, you can try the two-shot method." Zhou Congwen said lightly Said.

"Don't!" Chen Houkun refused without thinking.

"Why?" Zhou Congwen began to tidy up the operating table, and changed the direction of the headrest and armrest according to the position of the next patient.

"What if something goes wrong with two shots?" Chen Houkun's face changed color.

"Sew again, whether it is bleeding or air leakage, just strengthen the suturing. Brother Chen, think about it, is there any difference between closing the bronchial artery with a single shot and closing the bronchial artery and vein with a single shot?"

"Even the trachea is closed together, there is no problem."

"Of course, what I mean is that if the conditions are suitable, we don't force it."

Zhou Congwen explained lightly, and Chen Houkun was terrified when he heard it.

"Is there really two shots?" Chen Houkun asked.

"Looking at the situation on the stage, you have cut thousands of lung lobes, you must know what to do and what not to do." Zhou Congwen didn't force it.

For Zhou Congwen, this is the most common surgical technique, but for Chen Houkun, the two-shot method is indeed a bit advanced.

Chen Houkun nodded, what Zhou Congwen said was true.

I have experience in thoracotomy, and thoracoscopy is just a different instrument, so there should be no problem.Moreover, more or less instruments are used in thoracotomy, such as staplers and linear cutting staplers.

It seems to be true, Chen Houkun thought about it carefully, and his mind was a little active.

Passing by the surgery room next door, Chen Houkun glanced at the progress of the operation through the glass, seeing that Pan Cheng was still dealing with fissures, he felt a surge of pride in his heart.

It is more difficult to treat patients by myself than Pan Cheng's patients, but Pan Cheng has not seen the light yet after the operation is completed.

After connecting the next patient, the anesthesiologist anesthetized, and Chen Houkun pulled Zhou Congwen aside to learn more about the so-called two-shot method.

The two-shot method is actually very simple, and it is not a mouthful of knowledge points such as pharmacology and pathophysiology.

Surgery, everything is based on local anatomy.