Back in 2002 as a doctor

what does this mean?

It means that there are many blood vessels proliferating in the tumor, which means that Huang Lao and Zhou Congwen's action of blunt separation and cutting off the blood vessels is as fast as lightning.

Director Ding had already forgotten that phone call, and what he regretted now was that he should not have been on stage at all, but should have stood behind Mr. Huang to watch the surgery.

What are you doing here by yourself, pulling the hook?Generally, the surgical retractor can still see the operative field, but you can't see anything.

Especially the busyness of the equipment nurses made Director Ding even more curious.

One minute later, Director Ding called one of his doctors to brush his hands and replace him.

Director Ding roughly knows Huang Lao's level is extremely high, but it will definitely not be as high as it is now.

Director Ding is going to see it with his own eyes.

Chapter 1538 Three Heads and Six Arms

Director Ding handed over the gauze and large hooks in his hand to his doctor, and turned around to come behind Mr. Huang.

He pushed a professor leading the group who was blind and didn't make room for him off the footstool, and stood up by himself.

The professor who led the group looked bewildered, looking stupid like a wooden man, and didn't know what happened until he was squeezed down.Director Ding gave him a disgusted look, why is he so ignorant.

However, the moment Director Ding stood on the footstool and his eyes fell on the field of surgery, he, like the professor leading the group, became a piece of wood.

What did I see?

What did I see!

Director Ding is a top public hospital and is now the chief director of cardiothoracic surgery in a tertiary hospital. His level is top in the country.

Top level, this is also Director Ding's own evaluation. He thinks this evaluation is objective and fair.

But seeing Huang Lao and Zhou Congwen undergoing surgery,

just one look,

Director Ding was completely dumbfounded, he stared straight at the surgery area without blinking his eyelids.

The actions of Huang Lao and Zhou Congwen in the operation area seemed to be able to generate electricity, conduct electricity through space, and hit Director Ding. His whole body was numb and all his hair stood on end.

His level is several levels higher than that of the equipment nurse, so the shock he received is far more than that of the equipment nurse.

Mr. Huang's hand was very steady, fast and steady. His hand landed on the adhesion between the tumor and the viscera. With two finger movements, a blood vessel was twisted out.

As soon as the blood vessel appeared, Zhou Congwen put on the pliers thread in his hand, and after a thread knot was tied, the thread scissors held by Mr. Huang fell down. After cutting, Zhou Congwen handed the pliers to the equipment nurse.

The cooperation between the two was so proficient that Director Ding couldn't accept it.

Although the brightest point is the blunt separation of Huang and Lao, using his fingers to "twist" blood vessels one by one, but Director Ding pays attention to the cooperation between the two.

Huang Lao's surgery should be done well, and in Director Ding's perception, Huang Lao's sudden sexual separation level is absolutely unmatched at least in China.

But in the face of the cooperation between the two, even Huang Lao's sudden separation was overshadowed.

The operation seemed to be nothing special, it was the most basic operation, but the cooperation between Huang Lao and Zhou Congwen was natural, without a trace of stagnation.

After watching it for less than 3 seconds, Director Ding felt in a daze that it was not two people performing the operation, but a single person who gave birth to three heads and six arms.

Impossible, this is unscientific!

No matter how powerful the surgeon and assistant are, it is impossible to cooperate to this extent.

Director Ding suddenly remembered a legend in the imperial medical circle - it is said that there was an extremely difficult operation in the United States, and doctors from all over the world gathered together to start consultation and research.

However, when the world's top surgeons and experts came to the stage, they almost killed the patient just once with a high-pressure syringe.

In the end, Mr. Huang took Zhou Congwen there, and the operation was successfully completed.

Afterwards, other doctors used 3D-printed simulators to review the case, and came to the conclusion that the operation did not exist.

This matter has been talked about by many good people, but every time they talk about it, everyone has something to say, and various speculations come one after another.

Now that he has witnessed the cooperation between Huang Lao and Zhou Congwen with his own eyes, Director Ding has a clear heart and understands that the rumors are true—the cooperation between Huang Lao and Zhou Congwen has reached perfection.

The moment a nutrient vessel of a tumor was "twisted" out of the connective tissue by Mr. Huang, the forceps line had already fallen on it.

The only problem is that if Director Ding stands on the operating table by himself, he must use two hemostats to clamp the blood vessels, and then burn them off with electricity.

tie?Instrument knot?

That is a habit that only the older generation of practitioners will have.

The older generation of surgeons did not have such "advanced" objects as electric cauterization when they were young, so they are used to knotting with thread.

This is a "low-level" way.

But it was such a method that was played by Huang Lao and Zhou Congwen.

Director Ding stared at Huang Lao and Zhou Congwen's surgery in a daze, and a few seconds later, a thought flashed through his mind like a meteor.

Zhou Congwen is awesome!No wonder Huang Lao likes him so much! !

The operation in front of him was extremely difficult, and there was no need to explain it, so Mr. Huang devoted all his attention to the operation without even saying a word of nonsense.

At times like this, muscle memory is important.

Therefore, perhaps out of safety or muscle memory, Mr. Huang has been using knotting to ligate tumor blood vessels instead of clamping and electrocautery cutting.

But what about Zhou Congwen?From the very beginning, he seemed to realize that Huang Lao would do this, and cooperated with all his strength.

Huang Lao has muscle memory, where did Zhou Congwen's muscle memory come from?

"Prepare the vascular blocking forceps, upper cavity." Zhou Congwen's voice came, "Use it in 5 minutes."

Do you want to cut the superior vena cava?Director Ding watched with tears streaming down his face, and the wind was messy.

If you change yourself, if you change the director of the vascular department, even if you change anyone standing here, you will first establish extracorporeal circulation.

The superior vena cava leads directly to the heart. Once it cannot supply blood for a long time, the patient's circulatory system will suffer a huge blow.

And how long does it take to anastomose the superior vena cava?

Director Ding has done it and seen it for at least half an hour. His understanding of the difficulty of cutting the superior vena cava and replacing the artificial blood vessel lies in whether there will be bleeding from the needle hole after the operation, and how to prevent it if so.

He has never seen anyone dare to refuse extracorporeal circulation and directly replace the superior vena cava!

Zhou Congwen must have said something wrong, Director Ding thought to himself.

But Director Ding didn't question him, he was waiting for Huang Lao to speak.Huang Lao's student said something wrong, so it was Huang Lao who had to reprimand him, and it had nothing to do with him.

However, Mr. Huang devoted himself to the operation without a word of nonsense, and even gave Director Ding a feeling that the old man had been integrated with the operating table and turned into a surgical instrument.

If it weren't for the skillful and calm separation that has been going on, Director Ding would even doubt whether the old man is a real existence.

When Huang Lao was mentioned at a dinner party, everyone admitted that Huang Lao had a high level and was the top existence.Because of this, Mr. Huang is like a reference point in the minds of all cardiothoracic surgeons of sufficient level.

Once upon a time, Director Ding saw Mr. Huang's surgery and thought that his level was very close to that of Mr. Huang's, even if the difference was within a hair's breadth, and he even surpassed the old man in some operations.

But now Director Ding realizes the fact that the operation looks average, that's because there is no need to go all out.

Who would cut an appendix as if they were facing an enemy?

When Huang Lao went all out, Director Ding realized that his level was still far behind.

Standing on tiptoe, I can't see Huang Lao's back.

As for Zhou Congwen, not to mention whether the operation was good or not, Director Ding was ashamed of himself just because of his assistant's technique.

Chapter 1539 Synchronous Operation

I am still far behind, whether it is compared with Huang Lao or Zhou Congwen.

After watching the operation for a while, Director Ding came to such a conclusion.As for the superior vena cava blocking forceps, Director Ding had already forgotten about it.

But it doesn't make any sense to be stronger or weaker now. Director Ding wished that Huang Laotian would descend to earth and cure the child's illness with one breath.

When he thought of his mother who fainted outside the operating room, and his father whose bones had been taken away, Director Ding's heart was as cold as a rock.

It's time for extracorporeal circulation, even though Zhou Congwen said before that no extracorporeal circulation was needed, but Director Ding was thinking silently, thinking about the time of the operation.

But Mr. Huang remained silent until Zhou Congwen said in a deep voice, "Prepare the vascular blocking forceps and the 18-gauge Teflon artificial blood vessel."

The moment the instrument nurse handed the things to Zhou Congwen, Director Ding froze.

they

actually

Really

No need for extracorporeal circulation!

How is it possible to replace the superior vena cava without extracorporeal circulation? !

Even if Huang Lao anastomoses blood vessels, it is impossible to complete it within 2 minutes.

In 2 minutes, one end can't be finished, let alone the upper and lower ends must match.

But what if it exceeds 2 minutes?

The patient's heart was severely damaged, causing serious complications, so that he couldn't even get off the operating table.

Director Ding stared at the little patient standing upright at 90 degrees and sitting prone on the left side in the surgical position, feeling unreal in his heart.

Surgical positions that have never been encountered before, surgical methods that have never been imagined,

An octogenarian, a green young man,

Their figures seemed to overlap, turning into one person.

Director Ding did not question Zhou Congwen's words, because Huang Lao, one of the surgeons, did not speak and acquiesced to Zhou Congwen's operation sequence.

"5-0 Prolene thread, needle thread, two sets." Zhou Congwen said.

A needle holder, curved needle, 5-0 Prolene line, and vascular blocking forceps were handed to Mr. Huang, and another set of equipment was placed at Zhou Congwen's hand.

Director Ding watched all this silently, unable to hide the surprise in his eyes.

Immediately, he saw a scene that he would never forget in his life.

Mr. Huang held the needle holder in one hand, hooked the 5-0 Prolene line with his fingers, and picked up the blood vessel blocking forceps with the other hand.

At the same time, Zhou Congwen's movements were exactly the same as Huang Lao's, like a set of programs running simultaneously.

Director Ding's heart was shocked just by this uniform movement.

A sense of solemnity and solemnity arises spontaneously, like the chill of an iron horse and glacier rushing towards his face.

"click~"

At the same time, Director Ding's ears heard the sound of a blood vessel blocking forceps closing.

But what his eyes saw was Huang Lao and Zhou Congwen each holding a pair of vascular blocking forceps to block the upper and lower ends of the superior vena cava.

Their movements were so unified that only one voice came out.

Immediately, the two men each cut off one end of the superior vena cava, and the polytetrafluoroethylene artificial blood vessel replaced the position of the superior vena cava that had been eroded by the tumor to the point of rupture at any time.

Huang Lao and Zhou Congwen "changed" the hemostat in their hands, just like Zhou Congwen "changed" a lighter every time he smoked.

The needle holder clamps the round needle, and the 5-0 Prolene thread passes through the vessel wall.

The upper and lower ends were operated at the same time. Director Ding stared straight at him, but he felt that he was old and his eyes were blurred, so that he saw the mirror image operation.

The patient's awkward position, difficult vascular anastomosis, replacement without extracorporeal circulation, and strict time limit.

These are the backgrounds, the tingling backgrounds.

And the old man and the green young man didn't seem to be aware of this at all, they only had surgery in their eyes.

The 5-0 Prolene line continued to pass through the blood vessel wall without any pause. Even the people who watched the operation felt that the operation was not difficult at all, as simple as eating and drinking water.

Director Dante is well aware of the extreme difficulty of vascular anastomosis.

When doing the anastomosis by yourself, you have to wear a tenfold mirror to complete it smoothly, and you must be calm and not anxious.

Even if everything goes well, the success rate is not high. Many times after the anastomosis, there will be bleeding from the eye of the needle.

However, Huang Lao and Zhou Congwen performed the operation with naked eyes, and the operation was smoother and smoother than wearing a ten-fold mirror.

Thirty-two seconds later, there was another sound, and the two vascular blocking forceps opened simultaneously.

Blood supply is restored to both ends of the just blocked superior vena cava.