President Yan chatted with Mr. Peng, and a few minutes later, Mr. Gu from the chest department rushed up.

While Lao He was busy performing in real life, he was listening to what they said with his ears. At this time, he was chatting at a big shot, and he was too ignorant to come up and talk about the show.

But he was curious about why Boss Zheng took such a big job. Usually, other doctors are more cautious in dealing with the more important person the surgery. I just heard from Yiren that it seemed that Boss Zheng was persuaded by him.

From the conversation, Lao He could hear that Mr. Gu actually did not agree with the operation very much. He always wanted to speak but stopped. He should have gone to the coach's mansion for consultation the day before yesterday and participated in the diagnosis.

However, Mr. Gu’s opinion is not important, and Lao He has nothing to worry about. He now has a nearly blind admiration for Boss Zheng’s level.

It is certain that Boss Zheng has a high level, the key is stability! No matter what rare surgery, Boss Zheng will take it steadily. Lao He has a "illusion", just like Boss Zheng has undergone such surgery countless times.

Maybe it was an "illusion", Lao He thought to himself. He was just a little curious. After expert consultation, the old man Peng and his wife gave up the operation and prepared to return to their hometown. Ye Luo returned to their hometown. How confident is Boss Zheng to keep them.

Soon, the sound of the flat car sounded and the patient came in.

Lao He helped lift the patient to the operating table and asked softly, "Boss Zheng, do you have any special needs?"

"Look on the left side, lean forward 30°, and enter the chest on the right side." Zheng Ren said in a deep voice. While speaking, he inserted the patient's film into the video reader, and habitually held his arms to watch the film, without any thought of talking to Mr. Peng.

"Okay." Lao He lowered his voice and responded.

"Anaesthetize, I'll go and clean my hands right away." Zheng Ren said.

So anxious? Old He was in a daze.

"The operation must be completed within 45 minutes from anesthesia, and we will try to achieve the lightest surgical blow. The old man is older, as fast as possible." Zheng Ren explained with a smile.

Lao He this time knows why Mr. Gu feels that there is no need to do this surgery, which is determined by the patient's own physical condition.

Including the 45 minutes of anesthesia, even if the laparoscopic surgery is too fast, Boss Zheng really dares to think about it.

Seeing that Boss Zheng went to brush his hands, Lao He glanced at Su Yun. Seeing that Su Yun had installed handrails and other auxiliary equipment, he asked in a low voice, "Brother Yun, am I starting?"

"Start, after you insert the tube, I will start to position myself." Su Yun's voice came to Lao He's ears through the three-layer mask, a little bored. Lao He knew that Brother Yun might be a little nervous today. After all, even if President Yan drove away a group of people, there were still many big boss-level tasks to prepare for observation.

Intubation, anesthesia, and positioning. After 4'22 seconds, Zheng Ren had finished brushing his hands, laying a sterile sheet, and standing in front of the operating table.

Lao He stared at Boss Zheng's movements and started ventilation on his left side at the most appropriate time.

Zheng Ren placed a thoracoscopy on the 7th intercostal hole of the posterior axillary line on the right side, the third intercostal hole of the mid-axillary line, and the two intercostal holes of the 8th intercostal holes of the scapula line were operation holes. After the camera was stuck, Lao He breathed a breath, and the ventilation of one lung was perfect, which did not affect Boss Zheng's operation time.

However, Boss Zheng did not directly attack the mediastinum, but began to use long-headed pliers to nimblely wander, and soon the Qijing vein arch appeared in the field of the art.

A straight-line cutting stapler was slapped in Zheng Ren's hand, and after cutting off the Qiwen arch, it began to float away from the mediastinum. Soon a huge diverticulum appeared on the screen.

At the esophagus horizontally and lifted around the belt, Zheng Ren freed upward along the esophagus, exposing the lower end of the diverticulum.

In the operating room, only the songs of good luck were floating. Others stood behind Zheng Ren, watching the operation that was so skilled at the heart. No one spoke, but occasionally looked up at the electronic clock hanging on the lintel.

12′22″, the diverticulum has been completely exposed.

For laparoscopic surgery of the esophageal tube, this is already a time for all surgeons to be silent.

Normally, all you can do in such a short time is to complete anesthesia and position the medical team that is slightly slower may not even have the surgical sheet ready. But Boss Zheng has seen the esophagus on this side.

Soon, but not enough.

Mr. Gu took a look at the time and his black and white eyebrows frowned under the sterile cap.

The real operation has only begun now. Can Boss Zheng complete it?

He did not disagree with Boss Zheng's surgical plan, but he had some doubts whether the operation could be completed within one hour. Although the oldest patient who had performed surgery was 104 years old, it was a condition that was in line with his physical condition.

Dr. Zheng’s operation seemed a bit unlucky.

Time is not a problem for Zheng Ren. After exposing the diverticulum, he used an electric knife to punch a small hole in the lower end of the diverticulum and then pulled it open after suturing for 2 stitches. The limitation of the laparoscopy did not seem to affect Zheng Ren's technique. The suture was clean and neat, and the coordination with the assistant and instrument nurse was perfect.

After sewing, Su Yun clamped the suture with a plier and kept it for lifting.

A small hole was made on the right wall of the esophagus horizontally at the bottom of the flat diverticulum, and then the two stitches were sutured and then pulled open.

Then Zheng Ren used an endoscopic cutting suture device to enter the esophageal cavity and diverticulum cavity through the esophageal opening and diverticulum opening respectively, and the diverticulum and the esophageal side wall were laterally cut and sutured.

The cutting stapler made a creaking sound, which was clean and neat, but still made everyone's hearts tremble.

Boss Zheng didn't even do a comparison, so he started to do it after getting off the cutting stapler. This is so confident.

The operation time was 23′54″ and the diverticulum was completely opened.

The incision of diverticulum and interesophageal ridge enables the diverticulum to form a common cavity with the compressed upper thoracic esophagus.

This way of relieving esophageal compression is rare, but looking at the anatomy, you can clearly find that the squeezed esophagus has begun to restore the shape of the lumen. Simply put, if the operation is successful, the patient should be able to eat.

The biggest problem with doing this is fistula.

The diverticulum and esophageal incision formed after the cutting and suture are then intermittently sutured.

Mr. Gu's brows became tighter and tighter, and now it is the most critical part of the operation.

No matter how fast or precise the previous surgery was performed, once an esophageal fistula occurred after the operation, it would be an unbearable blow to an 84-year-old man in poor condition.

The anatomy of the esophagus itself and the blood flow are countless times prompted by the surgeon, and the doctor has a high probability of esophageal fistula.

Is it okay to just stitch it intermittently?

It seems not enough. If this is the case, even if jejunal nutrition is performed after the operation, it will be difficult to ensure the healing of the esophageal tube.
Chapter completed!