Start From Emergency Doctor

Chapter 58

The resection of the body and tail of the pancreas is nothing special, just don’t damage the mesangium or capsule.

He Jianyi and the others looked at Zhou Yuan’s smooth movements with shocking expressions.

On the operating table, any action, a simple sentence of “resection” may contain hundreds of operations and decades of experience.

Don’t hurt the mesangium or capsule. Put it lightly, you will find it difficult to drop the scalpel when you are actually resected.

It is precisely because of this that surgical specialists are extremely expensive, and their salary is almost several times that of doctors with the same title.

Therefore, no matter it is a deputy chief physician like He Jianyi, or an instrument nurse or an anesthesiologist, they cannot understand how the body of this twenties can have the professionalism, proficiency and skill that a 50 or 60-year-old expert does not necessarily possess. deft.

“The excision is complete.”

When these words sounded, everyone was awake, staring at Zhou Yuan in a daze.

“Start cleaning the blood vessels.” Zhou Yuan didn’t notice other people’s expressions.

It is easier to clean blood vessels and lymphatic vessels. Each doctor has his own habits and different cleaning procedures.

As long as it can be cleaned completely, it is a good way.

“Wiping sweat.”

As soon as Zhou Yuan’s voice fell, the beautiful instrument nurse was about to raise his hand, Sun Meng took the first step and gently wiped Zhou Yuan’s forehead.

“Cleaning is complete.”

These words after a long time made everyone present breathe a sigh of relief.

“The total gastrectomy is complete.” Zhou Yuan did not relax.

The completion of the resection does not mean the completion of the operation.

After the stomach is removed, the digestive tract must be reconstructed. Only in this way can the patient maintain digestion and absorption in the future.

Zhou Yuan chose the method of inserting the esophagus and duodenum between the esophagus and the duodenum in the three-fold jejunum sac.

He took a section of jejunum about forty centimeters at the proximal end to preserve the blood supply in its mesangium.

Then, the upper mouth of the taken jejunum is sutured and anastomosed with the esophagus, and the lower mouth is sutured and anastomosed with the duodenum. The middle intestine segment is folded into 3 segments, each of which is approximately ten centimeters in length.

“No. 1 silk thread.” Zhou Yuan said.

The three folded jejunum must be sutured to fix it. The three jejunum sacs formed can just replace the lost gastric cavity to delay the emptying of food, which is conducive to the absorption of nutrients and the maintenance of body weight.

Since it is three segments, the two segments before and after are the same as the original jejunum. They all move forward. Due to the change of position, the middle segment of the intestine forms a natural reverse peristalsis, which makes the food stay longer and improves digestion and absorption.(Read more @ wuxiax.com)

“It’s done.” Zhou Yuan slowly held the needle holder and left his abdominal cavity with both hands.

Everyone was relieved.

“Check the gauze.” Zhou Yuan said.

Ocean: “One Two Three…”

Sun Meng: “One, two, three…”

After the number was correct, the two and the instrument nurse counted the scalpels, bowel forceps, etc., and there was nothing less.

Zhou Yuan checked the stump that was sutured again. Although he was confident that there would be no leakage, it was a necessary step before suturing the abdominal cavity.

“No problem. Prepare to close the belly.”

When the ocean was distracted, it became “no problem, ready to pretend”.

I saw Zhou Yuan flying the needle into the skin, the needle like a dragon’s head, the needle thread like a dragon’s body, and the sound of piercing the flesh was like a dragon chanting.

The ocean closed his eyes with enjoyment: “It’s still fun to watch Senior Brother Zhou Yuan stitch together…”

Jiang Xiaoqi was probably the most shocked.

It was her first operation with Zhou Yuan. Although he had sutures before, they were all intermittently. Many of them were done in a few stitches. This is the first time Jiang Xiaoqi has seen Zhou Yuan perform sutures systematically.

“Fu, ck…” Jiang Xiaoqi was excited and subconsciously spoke in English.

His gaze was staring at Zhou Yuan’s hand holding the needle pliers.

The fingers are slender, smooth and straight…

Do not! Mainly routing. Align the cables quickly and in one go!

Before Jiang Xiaoqi could enjoy the addiction, Zhou Yuan had already put down the needle holder, with a relaxed tone, and said: “The abdomen is complete.”

Zhou Yuan, He Jianyi and others started the final inventory work.

After confirming that it was correct, Zhou Yuan glanced at the time and announced: “The operation is complete!”

Zhou Yuan took off the mask, revealing a pale face.

An operation consumes a lot of energy and physical strength, especially for total gastrectomy, a major operation that requires full attention throughout the process.

He glanced at He Jianyi and the others, they were all waiting for themselves to get out of the operating room.

Zhou Yuan smiled, walked ahead, and opened the door of the operating room.

On the chair outside the operating room, Yang Wei’s wife was covering her face, her eyes flushed, and she had obviously been crying for a long time.

Hearing the sound, she immediately stood up, but because she had been sitting for too long, her eyes were dark and she almost fell to the ground.

Zhou Yuan quickly walked over, helped Yang Wei’s wife up, and joked: “Don’t just rescue your husband, you fell down again.”

Yang Wei’s wife didn’t respond at first, and just about to ask about the operation, she was suddenly stunned: “You…you said that it was rescued? The operation was successful!”

Zhou Yuan nodded and smiled: “The operation was a success!”

In Yang Wei’s wife’s great gratitude, Zhou Yuan, He Jianyi and others left.

“I really hope to hear the thank you from the patient’s family all the time. This means that our operation has been successful.” Haiyang laughed.

Several people changed their soaked lead clothes and prepared to go back to the office to rest for a while.

But as soon as I walked out of the locker room, I found that the emergency department hall had been messed up and it was very noisy.

“What’s the matter?” Zhou Yuan and He Jianyi asked out loud at the same time.

This situation is not like a patient fainted suddenly, it is more like a disturbance!

———

Ten more is over, rest!

The monthly ticket is still the last distance from the first place, brothers, work harder! .