Since 1981 Health School

As strong as Zhu Huoyan, when encountering this kind of ceiling-level N1 surgery, he has no idea. He can do it, but the chance of success is pitifully small.

As for the first assistant, Shen Zhemin, he was already confused. He could understand it, but he couldn't do this kind of high-level surgery at all.

Director Zhu frowned tightly, and his stomach hurt more and more, which made him bend down a little unconsciously, sweat covered his head again, and his back was completely wet.

"Old Shen, communicate with the family members again, and say that pancreatic head cancer is confirmed, and the operation is less than one level of success. We suggest directly closing the abdomen."

"Okay, I'll tell you!"

Seeing how uncomfortable Director Zhu was, everyone in the operating room was anxious, but aseptic injuries did not allow physical contact during the operation, so Chen Qi could only instruct the roving nurse to move the stool again for Director Zhu to sit down.

operating room door

"Yes, it has been confirmed that it is pancreatic cancer, and it has already metastasized. What Director Zhu means is that the chance of success in the operation is very small. Whether or not your family members should continue to make up their minds."

The old lady and several female relatives had already cried into a ball.

The eldest son hurriedly asked, "If my dad doesn't have the operation, how long can he live?"

Shen Zhemin said in a bit of embarrassment: "It won't take more than a year, and if it's faster, it will only take a month or two. Your family members must be mentally prepared."

As soon as these words came out, the faces of the children of Deputy County Magistrate Ying changed. They didn't know whether they were scared or worried.

"One or two months? One or two months, by the way, Dr. Shen, if the operation is performed, what is the chance of success?"

"No more than one floor, the possibility is very small, I suggest forget it."

"One level, there is still a chance of chance, second brother, younger sister, mom, we have to work hard, anyway, it will be a month or two if we don't move, there is still a level of hope if we fight hard."

The second son also gritted his teeth and said, "Then let's fight. If Dad knows, he will agree to fight."

The youngest daughter was already crying: "I don't want to be a school leader anymore, I want my father to survive, woo woo woo~~~"

The old man is not here, so the two sons are the ones who make up their minds. Both sons insist on going all out and continuing the operation, so what else is there to say?

After a while, Shen Zhemin, who had questioned his family for the second time, came back, still cursing.

"Fuck, these family members are really cold-blooded, they actually said to continue the operation."

Director Zhu didn't say anything. Doctors only have the right to make suggestions, and family members have the right to choose. Respect for family members comes first.

"Okay, don't think about anything else, let's continue with the operation. In addition, the whole operation process must be recorded in detail. If this operation is successful, it will greatly improve the technical level of our Yuezhong People's Hospital, and it will also leave precious memories. Experience, we always have to improve."

A soldier who does not want to be a general is not a good soldier.

Doctors who shy away from difficult operations will never become top surgeons. Zhu Huoyan naturally has his own ambitions.

As soon as everyone in the operating room heard what the chief surgeon said, they cheered up and did their supporting work well.

At this time, Chen Qi was also simulating the operation process in his mind. If he was the chief surgeon, where should he start?

The operation is continuing. Director Zhu is ready to dissociate the bridging loop jejunum after cutting off the biliary-enteric anastomosis.

When the scalpel was just pointing at the adhesion of the 20 denodenal and pancreatic heads, Director Zhu suddenly stopped the scalpel and fell to the ground.

"Director Zhu~~~"

There was an exclamation all around.

The severe stomach pain radiated to the back, and Zhu Huoyan finally couldn't stand it and fell down.

In fact, his body today is not suitable for the operating table at all, but one is that he has a stronger personality, and the other is that there is a lack of working doctors during the Chinese New Year. This is not even the barefoot doctor Chen Qi who gave gifts.

Now that the chief surgeon has collapsed, it seems impossible to continue the operation, and all the pressure is concentrated on Shen Zhemin.

Shen Zhemin is the deputy director of the first surgery department, a senior surgeon, and the highest-ranking doctor in the operating room.

The problem is that Shen Zhemin was already confused, and then cursed in his heart: "I can't!!!"

Yes, to remove the cancerous head of the pancreas, this is an operation that has reached the ceiling level of difficulty.

For example, in the current operation, the diameter of the cancerous pancreatic head is more than 6cm, which is very large. What is terrible is that the stomach, duodenal artery, proper hepatic artery, and common hepatic artery next to the pancreas are all surrounded by cancerous masses.

None of these arteries are easy to mess with. If you cut off any one, it will lead to massive bleeding. Unstoppable bleeding will lead to the death of the patient on the spot. This is the first difficulty.

It is not only these arteries that are difficult, but also the last operation in Yu County Hospital was not done well, which led to extensive adhesions between abdominal organs and tissues.

For example, the head of the pancreas and the vena cava, the air in the bridging loop, the stomach, and the colon are all adhered together, just like a mass of paste. How difficult is it to separate them? This is the second difficulty.

Do you think this is all right?

There is a third level!

The gastroduodenal artery and the cancer of the head of the pancreas are fused together, and the hepatic portal vein cannot be exposed, which makes it difficult to separate the groove of the head of the pancreas from the portal vein. Then how do you remove the cancerous head of the pancreas?

Everything, all the blood rushes out, and the patient dies right before your eyes.

Shen Zhemin was about to cry, he was really about to cry, he regretted it, regretted why he didn't go out to eat and was dragged into a young man? Otherwise, what's the matter with him?

Now the patient is in critical condition, the stomach is pulled apart, the operation is half done, and the surrounding tissue has been cut in half, do you want to do it?

That is a complete overturn.

The other party's family is still a cadre, so easy to mess with? Shen Zhemin must be responsible for all the blame.

Not only will he be blamed, but he will have no way to gain a foothold in surgery in the future.

A deputy director dare not even take over the operation? If you don’t have the responsibility, you can’t run away. Besides, you don’t have the level and skills to be a deputy director? You might as well be a pediatrician.

"Oh my god~~~What evil did I do~~~"

Director Zhu had already been helped out, and Chen Qi was extremely anxious, "Mr. Zhu, Mr. Zhu, what do you feel uncomfortable about?"

Zhu Huoyan waved his hand lightly: "Stomach pain, old illness, sudden severe pain, I don't know if there is a perforation, this operation is too much for you, go to Dean Guo..."

When Shen Zhemin heard it, his eyes lit up: "Yes, hurry up and find Dean Guo, hurry up."

The head nurse ran out as fast as she could, and came in in a panic after a while: "President Guo is not in the hospital, so there is no way to contact him!"

In the era without surgery and BB machines, unless Dean Guo came back by himself, there would be no one to be found. Who knows which leader he went to pay New Year's greetings during the Chinese New Year, and would he tell you?

If Zhu Huoyan had gastric perforation, it would be very dangerous. He had to undergo emergency surgery immediately, so he was helped out by the head nurse.

Shen Zhemin and Chen Qi stared at each other, you look at me, I look at you.

"Director Shen, why don't you continue to be the chief surgeon?"

Shen Zhemin's eyes were dazed and lifeless, and he swallowed in embarrassment: "Xiao Chen, this operation is quite difficult, I, um, cough..."

Chen Qi rolled his eyes, thinking that he is sure to perform this operation, or he can decide on his own, anyway, now Director Guo and Director Zhu are not here, the tiger is not on the mountain, and the monkey is the king.

Besides, Director Zhu is the main surgeon for this operation, if you really want to stop doing half of the operation, it's one thing for the family members to make trouble, and it's not good to hurt your teacher's reputation.

What he knew was that Director Zhu himself had a sudden illness, but what he didn't know thought it was because he pretended to be sick and escaped seeing that the operation couldn't be done.

At this time, the blood was still oozing out of the surgical incision, and after a long time, hemorrhagic shock would cause serious trouble.

Chen Qi didn't say anything, and immediately shouted: "Hemostat!"

Shen Zhemin didn't realize it yet: "Oh, here it is!"

"Give me the tissue forceps, and prepare the No. 7 wire. I need to do the ligation first."

"it is good!"

Everyone in the operating room couldn't react for a while, thinking that Chen Qi was just doing some simple hemostasis and ligation.

But Chen Qi was already excited, just like a test drive. First, he started to warm up the car from a dozen or twenty yards, and then prepared to accelerate. When he ran on the track, could he still stop?

When Chen Qi quickly severed the adhesion between the duodenum, pancreatic head, and vena cava that Director Zhu had just cut in half, and revealed the superior mesenteric vein on the right, Shen Zhemin came to his senses.

The shock in his eyes could not stop, he gritted his teeth and cursed viciously:

"Chen Qi, you are going to die, do you know what you are doing now?"

Chen Qi didn't raise his head: "I know, I'm separating the superior mesenteric vein, Director Zhu wanted to do this just now."

"Who gave you the courage? Chen Qi, this is not appendicitis. Don't mess around. If you make a slight mistake, the patient will die. You can't bear the responsibility at that time!"

In fact, Shen Zhemin still didn't say a word, and he couldn't bear this responsibility, because he was the highest-ranking doctor on the scene, and he was still the first assistant, so this leadership responsibility could not be escaped.

"Director Shen, you see that the superior mesenteric vein has not passed the second and third barriers, which means that starting from here is not feasible."

"If it doesn't work, then we... No, Chen Qi, didn't you understand what I said? Let alone Director Zhu, even Director Guo may not be able to take this operation. Don't mess around, stop now."

Seeing Chen Qi's hand speed getting faster and faster, Shen Zhemin was so frightened that he was about to break out in a cold sweat, and his voice began to tremble.

But at this time, he could only use words to stop him, not daring to touch Chen Qi, because as long as Chen Qi shook his hand a little, any artery would be severed, and the patient would not be able to be rescued in time.

The current situation is that Chen Qi has completely stepped on the accelerator and is driving on the highway at high speed. The passengers next to him have no time to stop him, and they dare not stop him casually. One bad thing is that the car crashes and people die.

The nurses and anesthesiologists nearby looked at Chen Qi as if they were seeing a monster.

Chen Qi didn't take it seriously, and cut off the common bile duct with a scalpel without blinking.

Shen Zhemin was already screaming, his voice was almost broken: "Chen Qi, what are you doing? Why did you cut off the common bile duct?"

Chen Qi became angry: "Shut up, stop the bleeding!"