Cleaning lymph nodes, releasing Treves' ligament, cutting off the jejunum, and freeing the head of the pancreas are all standard procedures.
Although the operation process was the same, the technique was skillful and the time was very short. Director Xia was dumbfounded just looking at it.
Director Xia glanced at the time and saw that 18 minutes had passed.
The surgery is almost halfway done.
Finally, Boss Zheng’s eyes fell on the location of the superior mesenteric vein invaded by the tumor.
"Lao He." Zheng Ren said softly.
Lao He? What kind of spell is this? Subconsciously, Director Xia unknowingly believed that Boss Zheng had a magical power...
But the next moment, the anesthesiologist took out a microscope and put it on Boss Zheng's head.
"Is the angle suitable?" Lao He asked.
"Very good." Zheng Ren turned his head, glanced at the surgical area, and continued the operation.
Director Xia was ashamed, Lao He was calling people by name, not a spell. What's wrong with you? Are you too nervous
The sympathetic nerves were highly excited, causing him... Director Xia felt that ever since Boss Zheng stood beside him, under the halo, he had been dehumanized.
It’s really unreasonable, I need to be more alert. He opened his eyes hard and watched Boss Zheng open the outer membrane of the superior mesenteric vein and quickly peel it off.
Does he want to peel off the tumor while peeling off the outer membrane? !
It has been invaded like this. I am afraid it has reached the muscle layer. Is it useful to just peel off the outer membrane
Although the outer membrane of the superior mesenteric vein is separated under a microscope and the tumor cannot be touched, the difficulty of this operation is sky-high, but it is nothing compared to the doubts in Director Xia's mind.
"Boss, don't you feel dizzy while wearing a microscope?" Su Yun asked.
"It's okay for a short period of time. When I had the conjoined twins surgery last time, I felt a little dizzy." Zheng Ren said this, but it did not affect the movements of his hands at all. "Otherwise, I promise Dean Chen to have dinner at night. ”
"Tsk, tsk, your dizziness is a big problem. Otherwise, I will see you for two days of surgery and cut off the frontal lobe of your brain."
"Cutting the frontal lobe of the brain will only lead to a lack of emotion." Zheng Ren said.
This is all a mess... Director Xia felt as if he had missed something, and he started to go back.
Wait, what conjoined twins? !
"Boss Zheng, what about conjoined twins?"
"I went to the Women's and Children's Hospital a while ago to have a heart surgery on conjoined twins. I didn't dare to take off the microscope during the whole operation. I felt a little dizzy afterward." Zheng Ren said casually while performing the operation.
“…”
He can actually do this kind of surgery for conjoined twins with hearts! Director Xia didn't think Boss Zheng was lying to him with his nonsense.
There is absolutely no point in lying to yourself. After stepping down, you can only know the cause and effect by calling the Imperial Capital.
Who doesn’t have a few friends
In that case, Boss Zheng has... Bang bang bang, the hemostatic forceps in Director Xia's hand were knocked twice more.
"The incision is complete and we are ready to block the blood vessels." Zheng Ren said lightly, "Lao He."
As soon as he finished speaking, Lao He turned his head and took off the microscope and put it carefully into the box.
"Heparin, give me 3000u." Zheng Ren said.
"good."
Zheng Ren then lifted up the distal end of the jejunum, performed a Blumgart anastomosis between the pancreatic stump and the side wall of the jejunum, performed continuous U-shaped sutures on the entire thickness of the pancreas and the jejunal seromuscular layer, and placed a 1×2 mm support tube in the pancreatic duct.
A hole was made in the jejunal wall on the corresponding side of the pancreatic duct, and a full-thickness end-to-end anastomosis of the pancreatic duct and jejunum was performed intermittently for 5-0 PDS II. The spare needle and thread were tightened and then continuously sutured with the jejunal seromuscular layer to reinforce the front wall of the anastomosis.
After bile duct ductoplasty, a straight-cut closure was used to perform a side-to-side anastomosis between the jejunum and the posterior wall of the stomach about 40 cm away from the pancreaticojejunostomy, and the closure was used to close the common opening.
"rinse."
"Close your belly."
The surgeon and assistant, the instrument nurse and the surgeon cooperated seamlessly, and the operation was completed smoothly and naturally.
Director Xia watched the operation blankly, and an idea came to his mind - it didn't seem that difficult, and he should be able to do it.
It was only after this thought appeared that he came to his senses.
I am not watching the recording of the surgery, but I am the second assistant on the operating table! As for this surgery, I had been the surgeon not long ago. The tumor tissue was heavily adherent to the superior mesenteric vein, and I couldn't perform it at all!
Director Xia felt a little ashamed. Those ideas that he could do by himself seemed to have turned into invisible big hands and slapped him in the face.
It hurts.
He looked up at the surgery time, 38′23″.
Instead of taking an hour, Boss Zheng completed the operation in half an hour.
When the last suture stitch came out of the skin, the patient began to become restless.
This is already waking up.
Director Xia envied Boss Zheng very much, not only for his surgical skills, but also for having such good assistants, nurses and surgical instruments. Now, he is envious of the anesthesiologist who assigned Boss Zheng.
It is the dream of many surgeons for the patient to wake up after the last stitch.
Director Xia still clearly remembers that if he met an average anesthetist, he would have to wait in the operating room for half an hour after the operation, just to wait for the patient to wake up completely and get off the stage.
What if I... thinking about it, Director Xia lowered his head in silence.
anesthetist? Boss Zheng came with the equipment nurse and assistants. They even brought the equipment box with them.
Is it arrogance? Absolutely not!
A little assistant, DISS performs the entire operation by himself, but which sentence is wrong? Even if he wanted to refute, he couldn't.
Thinking of this, Director Xia saw Boss Zheng turn around and step down. He quickly finished, "Boss Zheng, how do you judge that the patient's superior mesenteric vein can peel off the tumor?"
"Oh? Didn't you see the pre-operative images?" Zheng Ren was a little strange. He glanced sideways at the reader in the operating room, and then said, "It's on the film."
"Where, where?" Director Xia didn't realize that what he did was rude, but he didn't even finish the operation, so what else could he do to be rude
Su Yun curled his lips as he watched his boss explain the film to Director Xia. Although aware of this subtlety, it is difficult for a surgeon to see it on imaging. But he was bent on finding faults and attacking them mercilessly.
Otherwise, you will feel unhappy.
"Brother Yun, the combined pancreaticoduodenectomy is really fast." Lao He said with a smile.
He had handed over the anesthesia and started packing his things.
"It's not fast, the boss did it leisurely." Su Yun thought of the operation in Haicheng.
The anesthesiologist at the Central Hospital nearby glanced at Su Yun speechlessly, then at the timer, feeling astonished.
This is already the fastest combined pancreaticoduodenectomy I have ever seen. Not to mention my family, and even when I was studying in Shanghai, I have never seen anyone perform an operation so quickly.
You can do this leisurely, but if you get anxious, why don't you go to heaven
"I heard from Da Chu and Xiao Chu that Boss Zheng performed an operation in the battle to become famous in Haicheng, and it took 30 minutes to remove it. This time it seems to be similar, 38 minutes."
With that said, Zheng Ren had already finished explaining the film to Director Xia.
After Director Xia heard what Lao He said, he staggered slightly and then stood firm. Combined pancreaticoduodenectomy performed in 30 minutes? This is a joke.
And it seems that it is not recent, but happened when Boss Zheng was in Haicheng.
"Then let's go and see you again when we have the opportunity." Zheng Renhe said to Director Xia kindly.
He said he wanted to leave, but actually he couldn't leave at all. You have to wait for Xie Yi to finish wiping the equipment and then take it back and disinfect it directly, otherwise it will be a big problem the next time you use it.
Director Xia looked at the patient lying on the operating table, looked at the pathological specimens taken away by the circulating nurse, and recalled the experience of the operation just now.
"Boss Zheng, this surgery is a live broadcast, right?" Although Director Xia saw that Boss Zheng was wearing live broadcast glasses, he still confirmed.
"Yeah." Zheng Ren nodded.
Director Xia was relieved this time.
After returning home, you can watch the surgery recording over and over again. From Boss Zheng’s perspective, you can see how he successfully completed the combined pancreaticoduodenectomy in 38 minutes.
Director Xia felt that he would never have the "wrong" idea again that he seemed to be able to do it.
Whether it works or not, you won’t know until you get on stage. I always felt good, but it turned out that it was really just my feelings.
When it comes to level, I seem to be far behind. It is said that Boss Zheng was a surgeon with a background in general surgery, but later switched to interventional surgery.
What a pity. If you are so skilled at performing combined pancreaticoduodenectomy, why change your profession? Director Xia felt sorry for Boss Zheng.
Then he thought of something.
Boss Zheng intervened and was recommended for the Nobel Prize!
The sadness in his heart was like a river. He was thinking why just now. Was he stupid