Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 2: A model of pancreatitis surgery
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No wonder Gao Huajiang's surgical team didn't prepare the endoscope in the operating room.
In such a situation, it is impossible to remove the lesions on the pancreatic body with a small-incision endoscopic technique.
Gao Huajiang was a little curious. Looking at Wu Yuan's calm look, he seemed to have a clear understanding of the lesions on the patient's pancreas.
Gao Huajiang didn't show Wu Yuan the patient's ultrasound, just to test Wu Yuan's performance in pancreatitis-related operations.
For a good surgeon, it is not enough to rely on CT and ultrasound films to analyze and locate the disease, what is more important is the strain and analysis ability during the operation.
From Wu Yuan's operation records, it can be seen that Wu Yuan's analytical ability is very strong, and there are even records of changing the operation plan many times midway.
This shows that Wu Yuan has strong adaptability and judgment.
However, Gao Huajiang needs to see it with his own eyes.
At this time, other people were also watching Wu Yuan's every move.
The students of the Medical University held their breaths, wanting to see if this handsome surgeon was worthy of the reputation of Dongcheng Hospital.
The students in the medical master's training class also naturally regarded Wu Yuan as a competitor.
Wu Yuan's performance today is crucial.
If Wu Yuan performs well, it will be a good start.
From now on, Wu Yuan's status in the training class will be very high.
On the contrary, if Tunyuan does not perform well in the next operation, it will be interesting. In the future, Professor Gao Huajiang may not dare to ask him to teach surgery again.
Whether you will be paid for surgery teaching or not, the key must be credits, and the credits will definitely not be low.
At this time, Wu Yuan said to the equipment nurse: "No. 11 scalpel."
Gao Huajiang glanced at Wu Yuan.
Wu Yuan actually asked for the smallest scalpel.
Ordinary surgeons, especially young surgeons, have a limited level of use of scalpels, and they cannot control such small-sized scalpels.
Zhou Yingying: "What a small scalpel."
Ye Jianwei snorted coldly: "I said Wu Yuan is still the same, does he think it can be used well? Standing opposite is Professor Gao."
Fang Yangyang glanced at Ye Jianwei: "Then you have to be careful, Dr. Wu is very capable."
I saw Wu Yuan holding the scalpel in his hand, quickly locked a position, and began to cut the knife.
Gao Huajiang was quite surprised.
Wu Yuan pinpointed a lesion so quickly, and it was very accurate.
There are three lesions on the pancreas of this patient, one big and two small.
These lesions are not in obvious positions, and the surgeon needs to turn them over to see them.
Wu Yuan didn't move the pancreas just now, but directly reached a side lesion.
Even Gao Huajiang felt a little strange.
Wu Yuan, what kind of fairy eyes are these?
Gao Huajiang didn't even know that Wu Yuan used a cheat, that is, the "key lock" talent.
The three lesions have already been seen.
The one selected by Wu Yuan is a relatively small one, and it is also the most difficult one to deal with.
Wu Yuan's knife was very precise, just placing the incision on the edge of the lesion.
Gao Huajiang's eyes were wide open, as if he was undergoing surgery.
Four words came to his mind—just right.
If Gao Huajiang were to do it, he would also cut it at that position.
It is not easy to make such a judgment, and it is even more difficult to act according to the judgment.
And what Wu Yuan used was the smallest scalpel.
Thinking about it this way, Wu Yuan's proficiency in the use of surgery is beyond imagination.
At this moment, Gao Huajiang already knew Wu Yuan's strength.
Why Wu Yuan's surgery record is 100%.
Beyond the judgment ability of surgeons of the same age, and the precise scalpel technique.
There is both external ability and internal level.
No wonder Shen Feichen looks at Wu Yuan like this.
Of course, when Shen Feichen performed that extremely difficult operation, Wu Yuan also played a huge role.
At that time, Gao Huajiang also saw Wu Yuan's performance.
However, after thinking about it, Gao Huajiang may have already divided up the work and even practiced at a certain intensity during the pre-operative preparation meeting.
So Wu Yuan played well at that time, which can be explained.
The current level shown by Wu Yuan is his real ability.
Because Gao Huajiang didn't show Wu Yuan the film at all, not even the medical records.
Could it be that this is the skill that Wu Yuan honed in the emergency department?
It doesn't make sense.
Gao Huajiang has met many surgeons in the emergency department, and has many opportunities to communicate with them.
Surgeons in the emergency department are very knowledgeable and adaptable, but not everyone has the ability to quickly lock the lesion area during the operation.
In fact, there are very few such people, and in Gao Huajiang's view, none of them seem to be as capable as Wu Yuan.
Hmm, kind of interesting.
Gao Huajiang watched Wu Yuan's every move carefully, and found that there was not a single bit of redundant movement.
It was not so intuitive to watch on the monitor screen before, but now Gao Huajiang in the first assistant position can see clearly, which gives him a great visual impact.
As for the students of the medical university, they were even more fascinated.
They are on the monitor screen to see the details.
But it was enough to open their eyes.
"Look, look, this doctor is so bold, he cuts out the diseased tissue so fast, isn't he afraid of cutting healthy tissue?"
"It's really not a random cut, you see, his level is so high, he has been making incisions along the edge of the lesion."
"This level is good. When I was practicing, I couldn't draw a straight line with a scalpel. How did you do it?"
"He is a professional, so there is no comparison."
"No, no, what you said is wrong. I watched a lot of surgery videos, and I feel... this doctor's technique is quite perfect, really outstanding."
The students talked a lot and said everything.
As for the students in the medical master's advanced training class, they should be much more cautious.
Although they are all young, they are all professional surgeons, so their vision is more professional.
Except for Fang Yangyang, they all looked serious and said nothing.
Fang Yangyang glanced at Ye Jianwei and couldn't help smiling.
Seeing that you still look down on Wu Yuan, now you have seen his strength.
A moment later, the first piece of diseased tissue has been cut off.
Moreover, Wu Yuan only used three cuts to complete the excision.
He put the excised diseased tissue on the tray, raised his head and said to Gao Huajiang: "The first piece of lesion tissue has been removed."
Gao Huajiang nodded: "Go on."
Wu Yuan: "OK."
Wu Yuan quickly locked on the second lesion area.
Gao Huajiang was inexplicably surprised.
Why did Wu Yuan find it so accurately?
To be precise, Wu Yuan didn't search for the lesion area at all, but directly selected the area.
It's incredible, how did Wu Yuan do it?
It is impossible for Gao Huajiang, a national medical academician, to do so simply.
The other students in the medical master's training class also looked at each other in blank dismay, cheering up one after another.
Zhou Yingying: "...how did Wu Yuan do it? He almost didn't look for the lesion, how could he find it so accurately?"
Ye Jianwei's complexion was ugly, turning blue and purple for a while.
Incomprehensible, totally incomprehensible.
What kind of eyes does Wu Yuan have?
A light flashed in Ye Jianwei's mind, and he immediately felt at ease.
Ye Jianwei said with a smile: "Perhaps, Professor Gao has already shown the patient's medical records to Wu Yuan."
Everyone nodded.
This is the only explanation.
If you haven't read the medical records, CT and ultrasound films, you can find the lesion area at once, that would be too scary!
Fang Yangyang disagrees.
If Professor Gao Huajiang had prepared Wu Yuan long ago, would Wu Yuan still have that unprepared expression when he was named?
At that time, Fang Yangyang was sitting next to Wu Yuan, but he could see clearly.
Wu Yuan really shook his body, and was a little flustered at that moment.
However, Fang Yangyang has no evidence, so naturally he will not argue.
At this time, Wu Yuan had already cut off the second piece of diseased tissue and put it in the tray.
These diseased tissues still need a pathological test to see if there is any cancer.
Wu Yuan: "The second lesion has been removed."
Gao Huajiang: "Is there any more?"
Wu Yuan nodded: "There are more."
Gao Huajiang: "Then continue."
Next, Wu Yuan immediately locked on the third lesion area.
Yes, no surprise, absolutely accurate.
Gao Huajiang is not surprised this time, because this lesion area is the largest and the best one to deal with.
What does this mean?
It shows that Wu Yuan's operation is very strategic, first difficult and then easier.
After all, surgery is a test of the surgeon's physical strength and energy reserves.
Wu Yuan's strategy can maximize his good condition to deal with the most difficult part of the operation, and the later stage of an operation, due to the great physical and energy consumption, is often the most prone to problems.
Leaving the easy part for later in the operation is the wisest thing a wise surgeon can do.
Once again, Wu Yuan showed his outstanding and incomparable scalpel technique, completely removing the lesion area without hurting any healthy organs and tissues.
When Wu Yuan put the diseased tissue into the tray, he couldn't help but breathe a sigh of relief.
Wu Yuan: "The third lesion area has been resected."
Gao Huajiang: "Thanks for your hard work, do you think there will still be lesions?"
Wu Yuan did not respond immediately, but used the "key lock" talent again to check the patient's abdominal cavity.
Suddenly, Wu Yuan discovered something and said, "Professor Gao, there is another lesion."
Gao Huajiang was stunned: "There is more?"
Gao Huajiang personally performed supersonic and CT examinations on the patient. There should only be three lesions, and there shouldn't be a fourth.
Wu Yuan did find a lesion.
Wu Yuan: "Professor Gao, over here."
Speaking, Wu Yuan opened the right side of the pancreas, and there was indeed a diseased tissue at the edge.
Gao Huajiang was stunned.
It's just that the lesion is small and the color is lighter.
If you don't look carefully, it's hard to notice,
Let's not talk about ultrasonic waves, even if Wu Yuan used the god-defying skill of key lock, it's not so easy to see.
Don't underestimate such lesions.
This means that the small piece of organ tissue in front has become inflamed.
Leave it alone, and the scope will soon expand and become serious.
In such a situation, of course, conservative treatment can be carried out, but the prerequisite is that it has been discovered.
Currently in the state of opening the stomach, of course it is necessary to completely cut the team, which can cure the symptoms and the root cause.
Otherwise, it will become a great hidden danger.
Gao Huajiang: "Okay, let's perform the excision operation."
Wu Yuan nodded: "I used a scalpel to prepare for the excision."
At this time, the nine students in the medical master's training class were all shocked. How could such a small area be discovered?
Zhou Yingying: "That kind of situation can't be seen with ultrasound and CT."
Ye Jianwei glanced at Zhou Yingying, and was a little at a loss.
In this case, his conclusion just now is untenable.
At least this small lesion is too light in color, it is impossible for Wu Yuan to see it clearly through medical records and films.
It's really crazy.
How can Wu Yuan see things so accurately? How did this work out?
It makes no sense!
I don't blame Ye Jianwei, Zhou Yingying and others for making a fuss.
They have all had pancreatectomies and know how difficult it is to pinpoint a lesion on the body of the pancreas.
Even if the approximate location of the lesion is known through ultrasound and CT scans, it takes a while to find the exact lesion area.
Fortunately, Wu Yuan was able to find the lesions neatly, and even the most easily overlooked diseased tissues were found.
This is really unbelievable.
Fang Yangyang couldn't care less about laughing at Ye Jianwei now, and clasped his hands tightly, feeling that he admired Wu Yuan more and more.
We must know that Fang Yangyang chose the path of surgeon, and Wu Yuan had a great influence.
Fang Yangyang feels that Wu Yuan has improved compared to when he was in the Affiliated Hospital of Yanjiang University, and the improvement has been obvious.
Fang Yangyang couldn't help thinking, maybe Wu Yuan is the real genius, even more genius than Zhao Tongguang, a genius surgeon from the Second Municipal Hospital.
While speaking, Wu Yuan had already cut off that small piece of diseased tissue.
The students of the medical university couldn't help but exclaim.
"Wow, what a thin layer of organ tissue!"
"How did he do it? It feels like he's cutting sashimi!"
"Stupid ~IndoMTL.com~ What do you know, this is much thinner than sashimi!"
"I've never seen this happen in surgery videos."
Wu Yuan is indeed sliced very thinly.
Because the inflammation of this diseased tissue is not serious, it is only a superficial layer.
In order to reduce the harm to the patient, Wu Yuan chose a thin cutting method.
This made Gao Huajiang amazed.
It wasn't because Wu Yuan's technique surpassed him, but because Wu Yuan's judgment was so accurate that he almost didn't cut off any healthy tissue.
Yes, Wu Yuan performed the operation perfectly from the beginning to the end, and no healthy organs were cut.
When Wu Yuan closed his mouth and completed the last step of suturing, the students of the medical university couldn't help applauding.