Back in 2002 as a doctor

After several tosses, the vital signs of the little patient were no longer stable.

Although it is difficult to ensure that he is still alive under the maintenance of drugs, whether it is Director Ding, the anesthesiologist, or the youngest equipment nurse, they all know that it may be the next cardiac arrest, and the little patient will never be rescued.

His vital signs deteriorated so rapidly that it was difficult to wait until Huang Lao entered the operating room.

……

"Zhou Congwen, you haven't had surgery in this position, have you?" Elder Huang asked while changing clothes as quickly as possible.

Zhou Congwen shook his head. The positions for thoracic surgery are quite special. They are basically lying on the side, and there are some rare positions.

But no matter how you say it, I have never encountered a seated cardiothoracic surgery.

"When it's on stage, I'll be the chief surgeon, and you will be my assistant." Huang Lao said.

"Boss, pay attention to your health." Zhou Congwen had already changed his clothes, grabbed a handful of hats and masks, and handed them to the boss.

Mr. Huang picked out a set, put on a hat, and tied a sterile mask. Zhou Congwen threw back the remaining hat and mask, and strode inside wearing the hat and mask.

The atmosphere in the corridor of the operating room was depressing.

When he came to the operating room, Director Ding finally breathed a sigh of relief when he saw Huang Lao suddenly appear.

"Mr. Huang, why didn't you call?" Director Ding ran to Mr. Huang, glanced at Mr. Huang, and saw Zhou Congwenlai brought by Mr. Huang.

"You know the way, what's the call?" Mr. Huang glanced at the ECG monitoring of the little patient, and then turned his attention to the film inserted in the film reader.

The huge tumor on the film looked bigger than the heart, as if a person had two hearts.

Huang Lao frowned.

This kind of situation is extremely rare, even Huang Lao has never encountered a few similar patients.

"How long has it been?" Elder Huang asked in a deep voice.

"It has been 29 days since the discovery of the small nodule in the upper lobe of the left lung." Director Ding said.

"Zhou Congwen, go wash and disinfect your hands." Mr. Huang said seriously.

Before Zhou Congwen turned around, Huang Lao's cell phone rang in his pocket.

Mr. Huang took out his mobile phone and glanced at it, then put it back in his trousers pocket, and patted Zhou Congwen, "Hurry up."

Zhou Congwen's eyelids began to twitch, and he saw the phone number displayed on the boss's phone just now.

Unexpectedly, the boss chose not to answer the phone.

But Zhou Congwen didn't hesitate. Does the boss need to comment on what he does?

Quickly going to brush his hands, Zhou Congwen tried his best to put the phone number in his mind out of the blue, and concentrated on brushing his hands, thinking about how to do the operation.

Huang Lao stood beside Zhou Congwen and brushed his hands. When the brush was brushing his nails, the phone rang again.

Director Ding accompanied him. Because of the position of the patient, he knew that the position was awkward. Just as he was about to ask himself if he needed to go on stage, he heard Huang Lao's cell phone ringing.

"Xiao Ding, help me answer the phone." Huang Lao sighed and said.

Director Ding hurriedly took out the mobile phone from Mr. Huang's trousers pocket, glanced at the number on it and frowned. The number seemed familiar, but he couldn't remember where the phone was in a hurry.

He didn't have time to think about it, and put it in Huang Lao's ear after connecting.

A hurried voice came from the other side of the phone. Huang Lao finished brushing his hands and said, "I'm doing an emergency operation here, and I'll rush over after it's over."

"I know the way to Shuai's Mansion, so don't take it."

Mr. Huang flatly refused, and then gave Director Ding a wink, and Director Ding subconsciously hung up the phone.

He already remembered where this "deja vu" phone number belonged.

Mr. Huang... unexpectedly...

Director Ding's hands and feet were numb, he couldn't believe why Huang Lao refused the person over there without hesitation, and stayed in the operating room for an operation with no hope of success.

"Old Huang." Director Ding said shyly, "I know the operation will not succeed, why don't you go to the Shuai's mansion first? Don't delay the matter there."

"Who told you that the operation would not be successful." Huang Lao raised his hands in front of his chest, turned and went to the operating room.

After wiping hands, disinfecting, and putting on clothes, Zhou Congwen had already laid down the sterile sheet when Mr. Huang was standing beside the patient.

No one has ever encountered the position of standing upright at 90 degrees and sitting prone on the left side. Mr. Huang glanced at the sterile sheet laid by Zhou Congwen, said nothing, but nodded in satisfaction.

"Old Huang..." Director Ding felt guilty when he remembered the phone call.

What is Mr. Huang doing?

If he had known about this call, Director Ding would not have summoned Mr. Huang for consultation or surgery.

Which side is light and which side is heavy, Director Ding is very clear in his heart.

"Why didn't you brush your hands?" Elder Huang said a little unhappy, "Hurry up, I will open the chest on this side, and you have to lift the tumor to reduce the patient's cardiopulmonary load."

"Old Huang, why don't you go to the Shuai Mansion for a consultation first." Director Ding was about to cry, he tried his best to calm his emotions, and suggested again in a low voice, "After all..."

"Disinfection." Mr. Huang completely ignored Director Ding's words. He stood on the left side of the patient and reached out for something to be disinfected.

The anesthetist and nurses were stunned. It turned out that Mr. Huang's cell phone rang because there was a consultation.

Hearing Director Ding's point, Mr. Huang refused to go to Shuai's mansion immediately for consultation, and stayed to operate on this little patient.

Thinking of those nouns, everyone looked at Mr. Huang with surprise, not knowing what the old man was thinking.

Is this choice difficult?I'm afraid that [-]% of people make the same choice.

But Mr. Huang chose to stay and operate on a little strange patient.

"Disinfection! Hurry up!" Huang Lao said in a deep voice, looking sharply at the equipment nurse beside him.

"Oh, oh." The equipment nurse hurriedly handed the forceps, iodophor gauze and dry gauze to Huang Lao.

Disinfected and wiped clean, Mr. Huang cut it down, and the 25cm surgical incision suddenly appeared on the chest wall of the young patient.

Although the posture is awkward, it seems that it has no effect on Huang Lao's technique at all, and he is extremely proficient

Zhou Congwen stood behind the side of the patient, pressed the incision with gauze, and started electrocautery to stop the bleeding.

Surgery, start.

Chapter 1537 You shouldn't be pulling the hook

Although the patient's position was particularly awkward, neither Zhou Congwen nor Huang Lao's hand speed was delayed.

After the incision, the muscles were separated layer by layer, and the chest cavity was opened immediately. Zhou Congwen asked for an automatic chest opener to open the ribs.

No ribs!

Director Ding brushed his hands and came back, his eyelids twitched when he saw Huang Lao's movements.

No ribs?

It’s fine if it’s a normal side-lying operation. It’s normal not to go to the ribs. Five or six years ago, the rib thoracotomy was not done.But the patient is sitting for thoracic surgery, can it work without removing the ribs?

But he didn't say much, but stood obediently beside Zhou Congwen.

Director Ding couldn't see Shuye at all due to the weird posture, he was a little dazed thinking about the call Mr. Huang had just answered.

Mr. Huang refused with confidence, without the slightest hesitation, and could even be said to be a little flat.

As for what, is it worthwhile, Director Ding was very puzzled.

Even if the patient belongs to Director Ding, he still has the same thoughts in his heart.

"The jugular vein femoral bypass scheme is not suitable, boss." Zhou Congwen's voice interrupted Director Ding's thinking.

"Well, just replace the superior vena cava directly." Huang Lao said, "Ask the Department of Vascular Surgery for a 18-gauge polytetrafluoroethylene artificial blood vessel."

The itinerant nurse had already entered the state, she responded immediately, and ran out to find the materials Mr. Huang needed.

"Director Ding, take some gauze." Zhou Congwen handed two pieces of gauze to Director Ding.

"This is……"

Director Ding couldn't see the situation in the operation area, so he asked in a low voice.

"Pull the tumor so as not to compress the heart and cause respiratory and circulatory arrest." Zhou Congwen simply explained.

Director Ding was standing on the back of the patient, stretching out his hand to pull the gauze. He was doing coolies like an intern in the orthopedics department for anti-thigh.

"Director Ding, help me pull the hook." Zhou Congwen handed the large hook to Director Ding again.

At this time, Zhou Congwen has no time to care about Director Ding's mood.

In the operation area, a huge tumor appeared. The largest diameter is about 35cm, the color is black and red, and it looks like a heart that is no longer beating.

The tumor originally oppressed important organs such as the heart and the superior vena cava, but now it has been pulled away by two pieces of gauze, and the heart beats better.

The crisis of sudden respiratory arrest was temporarily lifted, but Zhou Congwen became more serious after seeing the situation inside clearly.

The tumor eroded the anterior segment of the upper lobes of both lungs, not just the left upper lobe, but even the right upper lobe was involved.

As for the superior vena cava...it was almost eroded by the tumor, if it was a few days later, the young patient might not have the chance to be on stage at all.

The tumor grew too fast, and there was no CT scan for more than 2 days, and the tumor grew into a large size. It is indeed a tumor of SZ origin!

Zhou Congwen cooperated with the boss's movements attentively. This operation is extremely difficult. Even Zhou Congwen is not fully sure that he can take it down, even if the person performing the operation is his own boss.

Moreover, the boss did not choose the neck vein femoral vein bypass scheme, but chose to directly replace the superior vena cava eroded by the tumor.

The disadvantage of this is that the operation is more difficult and risky, but the advantage is also obvious-the threat can be removed at a faster speed.

The position of the equipment nurse is the best except for Huang Lao and Zhou Congwen, with a clear vision and can see what they are doing.

When she saw the situation on this side, she froze for a moment.

The equipment nurse in the operating room has never seen any illness, but she has never seen the condition of the little patient in front of her.

The difficulty is visible to the naked eye, and the difficulty is outrageous.

"Director Ding, didn't you say that only the left upper lobe has a problem?" The equipment nurse glanced at Director Ding and asked, "How do I see that the right upper lobe is also eroded by tumor?"

"Is there something wrong with the right lung?"

Director Ding was holding the gauze strip with his right hand and the large hook with his left hand, and asked in surprise.

"Surgery... can't be done."

"Boom~" Zhou Congwen knocked on the instrument table with the long pliers in his hand, "Kuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu

Koukou is the abbreviation of pliers. The equipment nurse was taken aback, and immediately slapped the pliers in Zhou Congwen's hand.

In the next second, the equipment nurse stared straight at the operation area, and gradually widened her eyes, as if she had seen a ghost.

Zhou Congwen and Huang Lao both accelerated at the same time, one with a hemostat in one hand and the other with tweezers, and began to free the tumor.

Their movements are so skillful that the well-informed equipment nurses have an illusion that they cannot believe their eyes.

Is this an operation?

Who's surgery is done so fast!

Zhou Congwen stretched out his hand, but it was empty. A second later, he frowned and looked at the equipment nurse, with a hint of fierceness and reproach in his eyes.

"Boom~" Huang Lao tapped Zhou Congwen's tweezers with the hemostatic pliers in his hand, "This is not our 912, and it's normal that we don't cooperate well."

As he said that, Huang Lao looked at the equipment nurse, "Clamp with wire, No. 4, wire scissors."

"Oh oh oh."

The instrument nurse's hair stood on end when Zhou Congwen saw it, as if Zhou Congwen was not performing an operation, and the big tweezers in his hand were about to pierce his neck in the next second.

The wire scissors fell into Zhou Congwen's hand, and the little nurse handed over the No. 4 wire with hemostatic forceps.

In fact, although her work is a little bit more, it is not complicated. Every time Zhou Congwen takes the pliers back, he only needs to clamp a No. 4 wire and send it over.

But the equipment nurse soon realized that she had made a wrong judgment again. Although she only needed to clamp the thread and send it back, her speed of clamping the thread was almost the same as that of the operator and assistants for blunt dissection, finding blood vessels, tying knots, and cutting the thread.

The equipment nurse is also experienced. I can't say how tacit understanding is, but she is very skilled in what to do.

For such a large operation, it would definitely not send a clumsy novice nurse to come up.

However, even if she only made one movement at full speed, it would be difficult to keep up with Zhou Congwen's movements.

The operation was done...it was so fast, the equipment nurse felt dizzy and fast.

Director Ding stood on the back of the patient, and soon discovered something was wrong.

The equipment nurse's movements were tense and mechanical, like a skilled worker on an assembly line, basically without stopping.