Chapter 422 A sudden accident during surgery(1/2)
One operation became two operations, and the third-level operation directly became a ceiling-level operation.
Thoracic duct ligation and sudden right lower lobectomy were performed successively, which made the atmosphere in the operating room very depressing.
It is obviously difficult to perform such a major operation on a newborn. It not only tests the clinical level of the surgeon, but it is still unknown whether the operation will be successful.
At the same time, it also tests whether the children can overcome the postoperative infection and the possible recurrence of cancer in the future.
The possibility of recurrence is almost 100%, but we don’t know how many years it can last, maybe one or two years, or five or six years, or more than ten or twenty years.
But so what if it's 20 years? At that time, this little baby was only in his early 20s, which was his prime youth, which was even more unacceptable.
In addition to the human factors in medical treatment, it also depends on the fate of this little child.
Anyway, according to the current situation, his life is quite miserable, and he is facing withering away before his life has even begun.
In the operating room, every medical staff member was 100% focused, especially the two chief surgeons, Dean Guo and Chen Qi, who both showed their special skills.
Outside the operating room, the family members felt that the sky had fallen. Cancer was very rare in the 1980s, but everyone knew that cancer was an incurable disease. It could be said that everyone talked about cancer.
The Fang family never dreamed that their grandson would first suffer from chylothorax and be on the verge of death, and now, as a bolt from the blue, he would have lung cancer?
Shen Lifen didn’t know how many times she fainted from crying.
The child's grandfather stamped his foot, "Send a telegram to the child's father and ask him to go back to Yuezhong. The family will be broken up and the son will die!"
The child's uncle was worried: "Dad, my brother may not be able to come back, unless it is a round of battle and it happens to be his turn to rest."
"I don't care. You are doing everyone a favor by sending me a telegram, but you also have to take care of your family. Look at his son, then look at his wife. Does he want to be a father and a husband?"
Since ancient times, it has been difficult to have both loyalty and filial piety.
Just when the Fang family held their heads and cried.
In the operating room, Chen Qi successfully ligated both ends of the thoracic duct as quickly as possible, and then stared blankly at the malignant tumor in the lower lobe of his right lung. He thought that he had a golden finger, so the operation could be perfect, so
He is going to try to continue the operation.
Who knew that Dean Guo had been staring at him for a long time, curled his lips and said to Zhu Huoyan:
"Did you see that? This guy was extremely courageous when he was an intern. Now that he is the chief surgeon, he is even more lawless. Looking at him like that, he clearly wants to continue doing lobectomy."
Zhu Huoyan coughed a few times: "Chen Qi, don't be ridiculous, you still can't bear the lobectomy for the time being. Let Dean Guo do it himself."
Director Guo is known as the best surgeon in Vietnam. His surgical experience is much higher than that of Chen Qi, and his surgical skills are unparalleled.
The reason why Chen Qi invited these two great masters was that he was immediately panicked; the second was that he wanted someone to help him share the pressure; and the third and most important reason was that he valued the experience of the two old experts.
Since Dean Guo wants to take the stage in person, he naturally has no objection at all.
So Director Zhu became the assistant, Chen Qi personally served as the second assistant, and the operation continued.
Director Guo knew that there were cameras following him at this time, and the old man understood the importance of this radical surgery for neonatal lung cancer. It might be the first similar operation in China, so he was particularly concerned about it.
While operating, he never forgot to teach Chen Qi his experience.
"Boy, please watch carefully. Although I have never performed lung cancer surgery on children like this, I have done countless surgeries on adults. There are several precautions you need to remember during this lobectomy.
First, just cutting the lung lobe is not enough. You have to clean up the surrounding lymph. Because the direction of lymphatic drainage is from bottom to top, from the periphery to the center, so when cutting the upper lobe of the left lung or right lung
, it is necessary to remove the lymph nodes in the vascular group and the hilus.
For example, the current operation is to remove the lower lobe of the right lung, so the focus should be on cleaning the subcarinal group, as well as the summary area and inferior pulmonary vein lymph nodes, right here, and this part."
As Dean Guo began to indicate which points, the camera lens of the Border Alliance zoomed in.
Chen Qi nodded repeatedly. These are decades of valuable clinical experience and will not be written in textbooks.
How can the level of doctors be improved?
Just reading a book is useless. At critical moments, you have to have a master to guide you, teach you step by step, and impart exclusive experience to you. This is equivalent to the exclusive secret book in martial arts movies.
After studying for a period of time, your level will reach a very high level.
Students and apprentices are different, which is why Chen Qi desperately wants to join Professor Wu Mengchao and become his direct disciple.
Chen Qi learned laparoscopic surgeries in his previous life, but he is slowly supplementing them with traditional surgeries in this life. If he can accurately master both surgeries, he will be invincible in the future.
Difficult surgeries are often accompanied by high risks and many unexpected surprises.
Halfway through the lobectomy, because the lower trunk of the pulmonary artery was too short, Director Guo had to first ligate one section and then clamp it with a vascular clamp to prepare to cut off the lower trunk of the pulmonary artery.
As a result, at this moment, the vascular clamp and the ligation thread suddenly slipped at the same time. Now it was better, and a circular incision suddenly appeared on the pulmonary artery trunk.
This is an artery, a major artery, and a large amount of blood gushes out all of a sudden. Dean Guo was so frightened that he broke into a cold sweat.
If the bleeding cannot be stopped immediately, within a few seconds, the baby will not be able to see the sun tomorrow, and the operation will be declared a failure.
Chen Qi was young after all, so he immediately yelled: "Oh, blood, blood, blood vessel clamps, how many do you want, Director Guo? Where to clamp them?"
Dean Guo was unhappy: "What's the ghost's name? They are all deans, can you be calmer?"
As the old man spoke, while Chen Qi was stunned, he directly inserted the little finger of his right hand into the gap in the pulmonary trunk, and continued to penetrate deeper into the vascular cavity until the finger completely blocked the gap.
At this time, the anesthesiologist was already shouting: "Dean Guo, the blood pressure suddenly rose and then dropped rapidly."
Blood pressure is the most important indicator to measure vital signs. A rapid drop in blood pressure means too much blood is lost. The bad thing about this is death from hemorrhagic shock or multiple organ failure.
For a moment, the air in the operating room seemed to freeze, and everyone's backs began to get wet.
Just when everyone was at a loss, they heard Dean Guo yell:
"Damn it, why are you still standing there? Hurry up and transfuse blood quickly. Lao Zhu, I have stopped the bleeding. Use your fingers to pinch the edge of the bleeding site. Chen Qi, put on the blood vessel clamp. Yes, clamp it quickly. Okay, now
Stitch immediately to stop the bleeding."
Director Zhu Huoyan was okay. Although he didn't say a word, his hands didn't shake during the whole process and he completely followed Dean Guo's instructions to stop the bleeding.
Chen Qi's hands were obviously trembling, and he was confused when he was concerned. He wanted to cure the baby so much that he felt too much pressure.
Less than 5 minutes later, the anesthesiologist shouted: "The blood pressure has stabilized."
Nurse Qiu also reported: "Three intravenous channels have been opened, and the heart rate and respiratory rate are now normal."
Dean Guo saw that the bleeding had stopped and the blood vessels were tied, so he took out his fingers. Despite his calm appearance and his loud voice like a bell when he cursed, it was obvious that his two legs were
I'm shaking a little.
"Lao Zhu, come on, you do the surgery, I'll take a break, damn, you scared me to death."
Chen Qi chuckled: "Comrade Lao Guo, you were scolding us just now. I dare you to be afraid, haha."
Nurse Qiu brought a stool, and Dean Guo sat on it, with his hands raised flatly in front of his chest, but of course he still spoke unforgivingly.
"Haha, no one is afraid of you. You are a living person. You are still such a small child. Each operation you perform is more bizarre than the last. I will die by your hands sooner or later. If it doesn't work, you have to treat me to dinner."
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Chen Qi also has a feeling of surviving a disaster:
"No problem, no problem. Let's order whatever we want at Yunlin Hotel tonight."
"Take out your Moutai. I'm going to have a drink tonight. If you don't drink, I'll have to pay for my throwing knife. Damn it, it's unreasonable. You little brat, a throwing knife costs 50,000 US dollars. I'll do it."
After a lifetime of surgeries, I only got one meal."
Haha, everyone in the operating room laughed.
In fact, this was a deliberate joke by Dean Guo and Chen Qi. In fact, to put it bluntly, it was just to relax everyone's mood.
What happened just now was so exciting. If it were an ordinary doctor, the baby would definitely die today.
If everyone's nerves continue to be tense, subsequent surgeries will not be possible.
A good surgeon must be able to call 666 for his assistants at the appropriate time. In this regard, Chen Qi does not have the team leadership temperament of Dean Guo.
Fortunately, Director Guo was ruthless and decisive at the critical moment, otherwise today's surgery would have been completely overturned.
This is the gap between old doctors and junior doctors. Perhaps young doctors can catch up with their surgical skills, but their emergency response capabilities and key judgments are something that even junior doctors cannot catch up with.
The two surgeries merged into one, and five hours later, the lights outside the operating room were turned off.
When Shen Lifen and his family members saw the operating room door open, they hurriedly gathered around.
"Doctor, how is my grandson doing?"
"Doctor, was my son's surgery successful?"
"Doctor, doctor..."
Chen Qi took off his mask, but his usual relaxed and smiling face was gone:
"Don't worry, everyone, listen to me. I have already had chylothorax surgery and the problem has been solved. The main problem now is still the tumor in the lungs. The pathology room has confirmed that it is cancer, and it is squamous cell carcinoma.
”
When Chen Qi said this, the family members burst into tears again.
"Don't cry, don't cry. I told you that the great luck among misfortunes is that the tumor is still in situ and has not metastasized to distant places. So just now, Director Guo and Director Zhu of the Department of Surgery of the People's Hospital personally performed a surgery on the baby's right lung.
Lobectomy removed this malignant tumor."
Shen Lifen's eyes lit up when he heard this, and the mourning family members next to him also stopped crying.
"Dean Chen, you mean that the lung cancer has been removed? Is my son okay?"
To be continued...