The huge pheochromocytoma adhered to the surrounding tissues. There were a large number of intricate blood vessels on the surface. The abdominal cavity space was also squeezed and restricted! But when this scene appeared in front of him, the atmosphere in the operating room suddenly became extremely solemn. The difficulty of this operation was higher than everyone expected! "Doctor Xu..." "The adhesion is too severe, the kidney must be removed!" The faces of the people changed repeatedly. In this case, it can only be cut and ligated at the place where it flows into the inferior vena cava, which means that the kidney on this side must be removed. "Ready, peel." This sentence seemed to be a shot of cardiotonic.
Then, Xu Qiu's knife fell. Separate adhesions... Cut the lesser omentum and hepatogastric ligament along the lesser curvature of the stomach... The gastric antrum was turned up freely, pulled to the lower left, and the upper pole of the left kidney was peeled off... The liver was pulled upward to reveal the front of the tumor... All three anesthesiologists held their breath. As long as the tumor is touched, the patient is likely to have a hypertensive crisis! However, it was not until the exclamation on the operating table that they suddenly realized that the stripping was about to end. When they came to their senses, they found that their backs were sweating. The three anesthesiologists were about to breathe a sigh of relief. Suddenly, on the operating table, the face of the director of urology changed, and he said in shock: "No, the inferior vena cava is completely adhered!" Everyone looked at it at the same time. The previous moment, Xu Qiu's stripping speed was as fast as thunder. But at this moment, it suddenly stopped and stopped in front of the inferior vena cava. The tip of the knife was only the diameter of a hair away from the blood vessel! "Hu——" Everyone suddenly breathed a sigh of relief. Everyone's expression was full of shock.
How did Xu Qiu do it... Normal people would drop the scalpel by inertia. But he actually stopped dangerously! "Next is trouble..." The director of urology said in shock. In this case, if the stripping is continued, it will definitely cause the inferior vena cava to tear! If such a serious accident happens, the patient's tumor will also be affected, and the situation will be completely out of control at that time... "Scalpel." The same calm voice broke the silence. Xu Qiu changed to a brand new scalpel. The next moment, he turned the inner side of the duodenum, revealing the vena cava and the renal hilum. And then... In the narrow layer between the tumor and the upper kidney, cut off the arterial blood supply... Separate the liver and adrenal glands, cut off the central blood supply... Xu Qiu's movements were precise and gentle. As if pulling silk from a cocoon, he separated and cut off patiently bit by bit. ... In the operating room, no one dared to speak. Four hours passed unknowingly. In the last step, Xu Qiu ligated all the blood supply vessels, and then cut in from the layer between the psoas major muscle and the tumor, completely cutting off the tumor! Bang! The large and heavy tumor fell on the operating tray. This sound also woke up the others, and they looked at the operating area suddenly, with incomparable shock on their faces. "The tear of the inferior vena cava was avoided just like that?" "The kidney was saved!" "During the operation, the tumor was not touched at all, not even indirectly pulled or squeezed. How did they do that?" The three anesthesiologists also stared, unable to believe that the operation was over. Cesarean sections have been close to death several times.
The more dangerous resection lasted for four hours without any accidents! This is unscientific! At the main surgeon's position, Facing countless astonished eyes, Xu Qiu calmly completed the abdominal closure, and then said calmly: "The operation is over." Until they left the operating room, everyone still had their mouths wide open. Is it really done? Is this a pheochromocytoma resection? This thing is like premature ejaculation, Just a slight touch, It will erupt immediately! But this situation is completely wrong, where are the catecholamines that are sprayed out? "Doctor Xu, do you...do you still want to do a pheochromocytoma resection? We have another one in the urology department." The director of the urology department swallowed his saliva and said hesitantly. Xu Qiu said, "Are there any patients who need circumcision?" This system is always not serious. I have assigned myself this kind of task many times. If he has time, he wants to try the effect of master-level circumcision. The director of urology was very excited and said, "Yes, this is too much. We have recently held an event. One for every one, many fathers and sons!" Xu Qiu smiled slightly: "Patients with special needs can contact me." ... After the operation, Xu Qiu returned to the office. The various information of this operation was also summarized. The operation lasted hours, and 2000ml of crystalloid, 2000ml of colloid, 18U of red blood cells, and 1000ml of plasma were infused, totaling 5620ml. The amount of blood loss during the operation was 2100ml, and the amount of urine was 1000ml, totaling 3700ml, etc... Later, Li Qianqian was also transferred to the ICU for continued hemodynamic monitoring. Soon after, the rewards for the operation settlement and task settlement also arrived. Surgery settlement: Pheochromocytoma resection proficiency +2% Task settlement: "Congratulations! Perfect-level lymph node resection!" Lymph node resection is not a major surgery.
The only bright spot is that its level has reached the perfect level! As Xu Qiu mastered the essence of this minor surgery, the distribution of lymph nodes in the body, indications, key points for resection, various surgical approaches, etc., were all engraved in his subconscious. "It is indeed perfect." Below perfection, one can only be considered a craftsman. Only when perfection is achieved can one be called a craftsman! ... Just as Xu Qiu received the reward. In the hepatobiliary and pancreatic operating room. Gao Pei'an was on the stage, performing a liver cancer resection. In the previous six hours, he completed laparotomy, exploration, freeing the liver, locating the tumor, blocking the liver portal, etc. Everything went smoothly in the early stage. Until the end of the operation, he suddenly felt a hard nodule at the liver portal. It was a lymph node. He didn't take it seriously at first, so he removed the tumor first. After the tumor was completely removed, he started to deal with the lymph nodes. But at this time, he realized the seriousness of the problem. This lymph node is surrounded by a bunch of important ducts. Just what can be distinguished by the naked eye are the hepatic artery, portal vein, and left and right hepatic ducts. Part of the enlarged pancreatic tissue also extends here. It is very difficult to remove! However, if it is not removed, the chance of recurrence is very high, and this operation is equivalent to doing it in vain! "Be prepared." Gao Pei'an shouted. In this hospital, he is already the first person to remove liver cancer. Other doctors can call their superiors, but Gao Pei'an can only take on all the difficult steps alone. Swish-- At this moment, a blood vessel ruptured and blood spurted out. The pancreas also had a hole.
Gao Pei'an was not in a hurry and quickly tied it. At the same time, he began to suture the pancreas with Chen's anastomosis. But ten minutes later, there was more and more blood, and Chen's anastomosis, which was usually successful, suddenly failed! "It's over!" Gao Pei'an's face changed. The doctors around him were also pale. At this time, Gao Pei'an suddenly remembered something and shouted to the circulating nurse: "Quick, go call Xu Qiu from the emergency department!" ... At this time! Outside the operating room. Director Zhang was waiting anxiously outside. There were two young men next to him, their faces pale, obviously they had just donated blood. "Okay, you two go back, thank you for helping me change a few bags of blood this time." Director Zhang waved his hand impatiently. The two young men hurriedly stood up and said attentively: "Then I'll trouble Director Zhang to take care of them in the future." After the two left, Director Zhang gritted his teeth, his eyes a little gloomy. If it weren't for that bastard named Xu Qiu, he wouldn't have fallen to the point of mutual blood exchange! Bang—— At this moment, the door of the operating channel was pushed open. A nurse ran out in a hurry. Director Zhang quickly stopped her: "What's the matter, where is my mother?" "Still in surgery." "Then why did you come out?" Director Zhang stared at the nurse with oppression and questioning eyes. The nurse was anxious and said, "Something went wrong. We need to ask a doctor for help now!" Zhang Ju's face changed: "Ask a doctor? Isn't Gao Pei'an the top expert in liver cancer resection? Who else should we ask?" "Dr. Xu Qiu!" "Xu Qiu? Are you kidding me?" The nurse said angrily, "Don't block me. The operation is a matter of life and death. If something goes wrong, you will be responsible?" Zhang Ju gave way. He looked at the operating room, then at the jogging nurse, and finally caught up with the nurse.
How could it be possible... Xu Qiu? Why would that little doctor be my mother's savior! At this moment, Zhang Ju's heart was filled with turmoil. He remembered that he had spoken rudely to Xu Qiu, and now...he had to rely on him to save his life! He was very scared. If he were a doctor... If someone dared to shout at him, and then asked him to save someone, he would definitely refuse! He even wanted to watch the other person die! Ding Dong—— Just then, the elevator stopped and someone came up. The nurse glanced at him and ignored him, continuing to call the emergency department: "Quick, is Dr. Xu Qiu here? Tell him to get ready. He's going to go on stage for emergency treatment. I'll pick him up!" Zhang Ju raised his head when he heard this, but when he caught a glimpse of the person who just got on the elevator, a look of astonishment appeared on his face. "Why are you here?!"