With the help of a ventilator and a week of medical anti-infective treatment, the baby's condition, less than 2 months old, finally stabilized.

But the surgery could no longer be postponed, because there was still a lot of chylothorax drained every day, exceeding 100ml for seven consecutive days, so Chen Qi had to take the risk and schedule the surgery.

Of course, Chen Qi is still confident about whether the operation will be successful.

"Isn't it just ligating the chest duct?"

While watching the two assistants disinfect, Chen Qi sat nearby and boasted to others: "The old guy from the Second Hospital is too timid. In the future, he will have to visit our Fourth Hospital when he meets Ji County Surgery!"

Hahaha, there was laughter in the operating room.

The neonatal chylothorax surgery attracted the attention of all the surgeons in the fourth hospital. Chen Qi simply prepared to make this surgery a teaching surgery, and even turned on the closed-circuit television to broadcast it live.

This condition is unique in the Central Vietnam region.

After finishing the disinfection, Bianmeng checked with the anesthetist and shouted: "Tou Chen, we are ready for the operation."

Chen Qi suddenly stood up, took his "chess knife" from the sterile tray, inserted a standard posterolateral incision into the chest, and began the operation.

Director Bian of the Department of Surgery is the first assistant, Yan Shifan is the second assistant, and Bianmeng is the third assistant.

As soon as the chest cavity was opened, Director Bian skillfully sucked away the chyle fluid accumulated in the pleural cavity, revealing a clean wound. The first step of the operation went smoothly.

Maybe it’s because the atmosphere in the operating room is more relaxed, and Bianmeng talks a little more:

"Tou Chen, where do you usually find chest tubes?"

Chen Qi did not hesitate to teach his confidants:

"The thoracic duct is usually between the azygos vein and the aorta. Its color is easy to distinguish. It is usually pearly white and translucent, and is about 5 mm thick. After a while, our main operation will be to repair the two ends of the damaged thoracic duct like this.

Once the ligation is done, it’s OK and you’re discharged.”

Director Bian smiled and flattered:

"That is to say, you say it so easily. For such a little baby, you are already going crazy without seeing the anesthesiology department. The dosage of the general anesthesia drug has been studied for several days."

The anesthesiologist nodded desperately.

"Hey, it's good to have this energy. Not only do we need to improve the surgery department, but also the anesthesiology department, internal medicine, and pediatrics. The anesthesiology department must be praised for being so careful and thoughtfully arranged."

Hehehe~~~

The atmosphere in the operating room was relaxed. Outside the operating room, other doctors watching the operation were chatting and looking at the TV screen.

The operation progressed to the second step. At this time, Chen Qi was about to push the lung to one side and expose the mediastinum and aorta at the back to facilitate incision. Suddenly, Chen Qi stopped moving.

Visible to the naked eye, all the sweat flowed out of his face.

Director Bian and Yan Shifan next to Chen Qi glanced at each other and saw the surprise in each other's eyes.

Because I have been operating with Dr. Chen for so many years, this is the first time we have seen him showing a nervous or even frightened expression during the operation.

For a moment, the operating room, which had been chatting and laughing just now, became quiet, and both the nurses and the junior doctors all closed their mouths.

Everyone knows that there was an accident during the operation.

And this accident is probably very fatal.

Director Bian's voice trembled a little: "Tou Chen, what, what's wrong?"

Chen Qi remained silent, changed his left hand to his right, continued to gently touch the child's lungs, then gritted his teeth and turned the inside of the lungs over.

"Hiss~~~~"

Everyone in the operating room gasped as they saw a small, almost black nodule suddenly appearing on the inner side of the pink lung, less than 1cm in diameter, which was particularly dazzling under the shadowless light.

At this time, everyone was sweating at the same time.

Yan Shifan's voice also stuttered: "This, this, this, this looks like a malignant tumor?"

Chen Qi's face was livid, and he said to himself: "The touch is too hard, the boundary is not very clear, it's over, it's over, why is this kid so unlucky."

Chen Qi knew in his heart that he might have encountered something he had not expected before. Who would have thought that this 2-month-old infant would actually have a tumor in his lungs? Is there a direct relationship with chylothorax?

When he thought of this, Chen Qi felt very upset.

He was not upset about his bad luck, but that he was reborn in the 1980s, when there were not so many examination equipment, not even a CT machine, and the preoperative preparations were too inadequate.

Then Chen Qi thought about the expectations on the faces of the child's mother, grandparents, and grandparents before entering the operating room. They trusted him before Chen Qi transferred him to the Fourth Hospital. He never expected the final result to be like this.

When he thought of this, Chen Qi really wanted to give himself a slap in the face.

Everyone in the operating room looked at Chen Qi's face, which turned pale and dark for a while. Everyone did not dare to breathe.

Suddenly Chen Qi seemed to wake up and loudly ordered:

"Shifan, take a slice immediately and send it to the pathology room for testing as quickly as possible."

"Okay!"

"Head nurse, call the People's Hospital immediately and ask Director Guo and Director Zhu Huoyan to come to the Fourth Hospital immediately. Hurry!"

"Okay, I'll go right away."

"Department of Anesthesia, please immediately re-formulate the surgical plan, extend the duration of general anesthesia, and pay close attention to the patient's vital signs."

Director Bian looked down at the suspected malignant tumor, feeling filled with emotion.

"Tou Chen, what should we do now? This thing looks very fierce. This child will not be saved."

Chen Qi's mind was a little confused: "Wait, let's wait until Director Guo, Director Zhu and the others arrive. If our operation goes wrong today, we really don't know how to explain it to the family."

Outside the operating room.

When Chen Qi told his family members about the unexpected situation, Shen Lifen suddenly fainted and fell to the ground, and several relatives rushed to help him.

The child's grandmother immediately sat on the ground and began to mourn, "My child~~~My miserable grandson~~~"

The child's grandfather and grandpa are also calm, but their trembling hands can tell that they are not calm inside.

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"Dean Chen, then, what should we do now?"

Chen Qi felt sad when he saw this:

"Experts from the People's Hospital are on their way now. The baby's chest is still open. We need to re-discuss the surgical plan. Also, don't worry. It has not yet been determined whether this mass is benign or malignant. Maybe things are not that bad.

What?"

The child's grandfather sat down on a wooden chair:

"Yes, yes, it's definitely not that bad. My son is fighting Japanese invaders in the south. Our family has never done anything bad. It shouldn't be the case that good people go unpunished."

The grandma next to her squeezed out the snot and said: "Oh my grandson, if you die, grandma won't live either~~~"

The family members were already in confusion at this time, and Chen Qi was equally distraught. He looked eagerly at the entrance of the hospital. Finally, a jeep drove into the hospital quickly.

Dean Guo and Director Zhu arrived first, got off the car and ran towards the operating room.

Dean Guo has a loud voice. As soon as he saw Chen Qi, he asked: "What's going on? You're so anxious to ask me to come, and I'm still in a meeting."

Director Zhu also asked: "Did there be an accident during the operation?"

While helping the two godfathers change into surgical gowns, Chen Qi hurriedly reported the report:

"I used to take care of a child with chylothorax in the Second Hospital. He was less than 2 months old. His father was a fighting hero. The second hospital couldn't cure it, so I wanted to get him to the Fourth Hospital to do the surgery and help them. As a result,

When I wanted to perform thoracic duct ligation today, I found a tumor in the lower lobe of the child's right lung."

"Tumor? A child only 2 months old?"

Dean Guo and Director Zhu both stopped dressing and looked at Chen Qi in surprise.

"Yes, and according to my visual inspection, it is more likely to be malignant."

Hiss~~~

The two little old men also gasped. It is true that the probability of infants and young children suffering from lung cancer is extremely low, less than one in a million, so low that no one has ever seen it.

Not to mention that Chen Qi, a doctor for two lifetimes, was extremely surprised. Even two old doctors who had been working for decades had never heard of it. This was the first time they heard about it.

But after the surprise, President Guo's interest greatly increased. As a doctor, what he likes most is difficult and complicated syndromes.

"Hurry and disinfect your hands."

Zhu Huoyan nodded, not knowing what he was thinking about.

The three of them quickly entered the operating room. Director Guo did not regard himself as an outsider and immediately stood in the position of the chief surgeon. Director Zhu stood opposite in the position of the first assistant.

Chen Qi, the "master", was suddenly pushed to the side.

"This, this place, look, I feel like this doesn't look like a tuberculosis ball, nor does it look like a lung abscess, nor does it look like a hamartoma or fibroma."

Dean Guo touched it with his hand and then said: "The possibility of malignancy is 90%. Have you done a pathological biopsy?"

"It's done, Nurse Qiu, have the results come out? Go and urge it."

After a while, Niu Meizhen from the pathology room of the laboratory department ran in panting: "Dean, the report is out, it is malignant, squamous cell carcinoma."

A burst of regret suddenly erupted in the operating room, and the doctors outside the operating room hurriedly searched for relevant information and textbooks.

The suspicion was confirmed. Not only was Chen Qi not happy or satisfied, but he was a little confused. He really didn't know how to face his family.
To be continued...