Come on, Dr. Wu

Chapter 122 Teacher, I understand (please vote)

The lymphatic membrane dissection work for liver cancer is different.

Liver cancer cells can metastasize through lymph. Therefore, when cleaning the lymph membrane of liver cancer, we must strive to clean it completely without leaving any hidden dangers. After all, even if the operation is successful, if some hidden dangers are left, liver cancer cells will have a chance to make a comeback. , it may make all the previous efforts of this operation in vain, or even make the results worse.

There is precedent for this. Many liver cancer surgeries fail because of incomplete lymph node dissection.

Wu Xiaofu has very high demands on himself, and he does not dare to be careless in this critical surgical process.

"Tweezers, fine cut."

Qian Xiaowen was very smart this time. She placed all the tools needed to remove the liver cancer nearby. In this way, even if Wu Xiaofu asked for them in a different order, she could deliver them to Wu Xiaofu as quickly as possible. Of course, there are times when you are at a loss in your hands, such as the blood vessel blocking band before.

However, until now, the entire operation seemed rushed but not chaotic.

It is appropriate to be urgent. We should try our best to speed up the progress of the operation without affecting the quality. In fact, the postoperative effect is closely related to the length of the operation. The patient is over sixty and is already quite old. He cannot be diagnosed with cancer. He failed to collapse, but he collapsed due to the operation. Moreover, the liver was exposed for too long, which was not good for its recovery.

The main reason is that Wu Xiaofu is very methodical, even when he talks, he reveals a calmness, which makes these assistants feel at ease.

Surgery is actually like fighting. Wu Xiaofu, the surgeon, is the general. As long as the surgeon does not panic and is confident, they will have confidence.

"ten minutes."

The sound of the patrol sounded, it was ten minutes before the porta hepatis blockade.

Wu Xiaofu nodded.

This is another key point of the operation, the control of the nodes. Wu Xiaofu set himself a lymphatic membrane cleaning time of up to one hour.

Loosen the tourniquet, wait for a while, and then continue.

Lymph removal is a delicate job, and the result of liver removal depends on the pathological report. In the public eye, it is not that obvious, but lymph removal is different. This is a very intuitive performance, although it is just a matter of tweezers and scissors. It fits well, but between clipping and cutting, the difference is easily visible.

Some people look rough at first glance, but for others, it is like art, swift and elegant.

"What the hell!"

The onlookers were holding their breath at this time and did not dare to disturb, but when it really reached the climax, everyone could not help but scream out.

The director of the general surgery department shouted out at this time. After attracting everyone's attention, although he was a little embarrassed, he still couldn't help but marvel in his heart. This work of lymphatic dissection for liver cancer was not tailoring work. He was actually doing it between Wu Xiaofu's movements. After seeing Hua'er, compared to Wu Xiaofu's movements, when he thought about his previous surgical experience, he really felt like all the rice he had spent so many years had been in vain.

This has to be practiced. Even a genius cannot master fine work within a few years of practice.

Especially the lymphatic membranes of each system, which seem to be intricate and complicated, are actually orderly in chaos. As long as they have experienced it, they will have their own ideas and thoughts, and they can clean the lymphatic membranes as quickly as possible. If Dong Yi is really If you use scissors and forceps on the right side, it will be painful for the patient.

At this time, the director of general surgery really regretted it.

Yesterday, Mo Xiaofeng, that little chicken thief, took the opportunity to steal the surgery. Wu Xiaofu said it smoothly, which made him unable to get better. Then Duan Hao concluded the coffin, thinking that Wu Xiaofu did it, so it didn't matter whether he did it or not. , and no longer fought with Mo Xiaofeng. It was good now. What a loss. If I had known that Wu Xiaofu was at his level, I would have snatched it back from Mo Xiaofeng.

The layman looks at the excitement and the insider looks at the doorway.

They were all used to doing surgeries. How could they not know the difference between being in the audience and working as an assistant? He dared to say that Mo Xiaofeng's gain from this surgery was definitely several times that of his. They wanted to use Mo Xiaofeng's surgery as an assistant. Xiaofeng's training to become a subject leader does not mean that Mo Xiaofeng will be the subject leader now. He is still the subject leader now.

He wanted to retire after his success, but he didn't want to be forced to abdicate.

Although the others were disturbed by the director of general surgery, no one blamed him. After all, the director of general surgery was just acting as a substitute, and they seemed to want to shout.

This is really a ghost.

How could a young man have such a good job?
  Is this really possible after ten or eight years of practice?
  I won’t go into detail soon. The most important thing is high quality. The quality of Wu Xiaofu’s lymphatic dissection is really too high. This is not the first time that the county hospital has hired people to perform liver cancer resection. There are also many experts of various kinds. Wu Xiaofu may not be The best among these experts, but their performance is definitely top-notch. It doesn't matter if they are Duan Hao, how old is Wu Xiaofu?

If you can do this now, what level will you get in the future?

The dean and the vice dean in charge of surgery looked at each other. Such a talent must be grasped. It is probably impossible to grab him, but in the future, we must establish a good relationship. If Wu Xiaofu can get more flying knives in the future, then Maybe, the county hospital can still perform the first liver transplant surgery!
  What's more, it's not necessarily possible to grab it.

In case the Affiliated Hospital is blind, Wu Xiaofu will not be included in this program. Although they are a low-level hospital, they dare to make promises, provide resources, and give various benefits. Young people are full of blood, and they do not believe that Wu Xiaofu is not moved. .

The work of cleaning the lymph membrane progressed steadily and was soon coming to an end.

Duan Hao knew that he had to set his demands lower, and wait until Wu Xiaofu had trouble with his liver.

However, Duan Hao had a feeling that his surgical gown might really have been in vain for this operation.

After the lymphatic dissection was completed, everyone breathed a sigh of relief. The operation was now in the middle stage.

Next comes the most critical moment, cutting off the diseased liver segment.

"Fix the liver."

Wu Xiaofu signaled, and Mo Xiaofeng quickly helped fix the liver.

The electric knife slowly penetrated the patient's abdominal cavity, and everyone became more focused. Wu Xiaofu's previous performance was at the level of a chef. Whether it was cutting vegetables into sections or cleaning shredded meat, he was top-notch, and it was very impressive. There is a feeling that Wu Xiaofu is very powerful and the dishes he cooks must be delicious.

But whether it tastes good or not depends on the finished product and its quality.

At least you have to smell it!
  Um! The meaty smell comes out.

Wu Xiaofu is now starting to stir-fry. If the liver segments are not cut properly, everything he has done before will be in vain. No one can guarantee whether Wu Xiaofu will fail at this step.

blah blah blah...

The electric knife cut across the liver and cut it vertically. Duan Hao was relieved when he saw Wu Xiaofu's movements.

He was afraid that Wu Xiaofu would be too proud and start cutting off the lesions right away. Then he would really have to chase people away, and he couldn't afford the risk.

Fortunately, Wu Xiaofu still has a good reputation and is not as good as a TV protagonist.

In terms of general surgery, there are really not many people who dare to undergo circumcision, and Duan Hao doesn't dare to do it, because that is risking the patient's life. They cannot adopt this risky method just to preserve as much of the patient's liver as possible. If you cut ten pieces vertically, you can basically guarantee that all nine will not cut into the lesion with one cut, but circumferential incision is different.

Except for those few, with one cut, nine out of ten will be lesions. After all, people are not clairvoyant, can they still see the scope of the lesions?

As for the pre-operative CT scan, if you dare to believe it, you will regret it for the rest of your life.

From top to bottom, from the inside out, evenly and steadily, it is said that young people are prone to quick success, but Duan Hao has known Wu Xiaofu for more than half a month, and he has never seen Wu Xiaofu really act randomly. This impression has always been , turned out to be "stable."

He shook his head, his trust was not given without reason.

Just like cleaning the lymphatic membrane and cutting the liver segments, the resection of liver cancer is also different from the liver hemangioma that Wu Xiaofu had done before.

Benign tumors do not metastasize and grow very slowly and are not likely to recur. Therefore, on the premise of ensuring clear edges, it is necessary to cut as little as possible, and the thinner the cut, the better. After all, the recovery of the liver is also limited, and the more it is preserved, the better. The higher the quality of life of patients after surgery, the longer their life span will be.

However, the resection of cancer lesions is different. It is easy to metastasize, grows quickly, has a high recurrence rate, and is more harmful. Generally, old doctors who seek stability basically like to cut more. After all, there is nothing wrong with cutting more, and you will live less and live less. , but it is still possible to survive. If the patient is cut less, if it relapses, it is not a matter of living more or less.

Of course, it also depends on the patient’s specific physical condition.

For young patients with good physical condition, if the patient is cut a little more, the impact will not be too big. For the sake of stability, it can be considered to cut a little more. But it won’t work for those who are older or in poor physical condition. Cutting off a little less may reduce or alleviate many of their complications.

The patient in front of me is in his sixties, which is not bad. For patients in their eighties, sometimes they don’t ask for a radical cure. They seek more for a higher quality of life and to extend their lives as much as possible. Therefore, Depending on the appeal, doctors will have different considerations.

The electric knife cuts across the liver, starting from the healthy part of the liver. Wu Xiaofu feels that his spirit seems to have established a connection with the electric knife at this time, and he can clearly feel the clear edges of the healthy part of the liver and the diseased part. .

Could this be the legendary fusion of man and knife?

I understand!
  Wu Xiaofu felt that he really had enlightenment. He followed his feelings and the edges were clear.

The oval liver piece was removed by Wu Xiaofu. His eyes were a little dry, but it was impossible to rub them. When Wu Xiaofu withdrew the knife, Mo Xiaofeng quickly took out the liver piece and put it into a tray.

"Send it for examination."

Wu Xiaofu's voice came out, and the patrol hurried to send it off, but no one noticed that Duan Hao's face was indeed ugly at this time.

Wu Xiaofu was very stable at the beginning, and he was relieved, but what happened next? Why is it becoming more and more risky? From his experience, Wu Xiaofu's electrosurgical knife is almost walking on the edge of the cliff. Generally, the lesions of the liver are cut out in a triangular shape. Although this will bring out a lot of normal liver. It’s cheap, but it’s safe enough.

Fortunately for Wu Xiaofu, it came almost close to the lesion, forming an oval shape.

If it weren't for the fact that Wu Xiaofu was in good condition and his hands were very steady, Duan Hao couldn't help but want to interrupt Wu Xiaofu. Even so, Duan Hao felt very bad. He was worried that the operation was probably because of Wu Xiaofu's He was too unconservative and had to re-operate. He was afraid of affecting the patient's condition, and even more afraid of the repayment results, which affected Wu Xiaofu's self-confidence.

As an old doctor, Duan Hao knows very well the importance of self-confidence for doctors. Many doctors have failed because of one failure, especially genius doctors, who are even less able to accept failure than ordinary doctors.

But there were a lot of people now, and Wu Xiaofu looked confident. Duan Hao couldn't say much and could only wait for the result.

It's just that he has already begun to think about how to deal with it if something goes wrong later.

So tiring!
  Duan Hao has not hired interns for many years. Although he is already qualified to teach a master's degree, this is the first time he has recruited one. The new master's students have not come yet. Duan Hao has not felt tired before with Wu Xiaofu. After all, Wu Xiaofu basically didn't need much teaching. He could do very well by relying solely on self-understanding. In many cases, it made him feel much more relaxed.

This is the advantage of bringing up geniuses. Just like those ancient sects recruiting disciples, they all like those with high bones. This is not without reason. It is too tiring to bring up a person with weak bones. But Duan Hao now discovered that this brings geniuses. It’s also very tiring. Geniuses seem to be able to avoid small troubles, but one big trouble like this is enough to bear.

Thinking of this, Duan Hao wondered whether he should raise the threshold higher when recruiting master's students next year. It would be better if he could not recruit them.

Everyone was waiting anxiously. Seeing Wu Xiaofu's calm and composed appearance, they all now almost realized what it meant to mean that the emperor was not in a hurry but the eunuch was.

Wu Xiaofu was not idle either. He began to check whether the lymph around the liver had been cleaned out, and he also electrocoagulated all the bleeding spots left behind when cleaning the lymph.

Even the smallest bleeding point is not missed, and the abdomen is closed when the pathology is revealed. It is for fear of wasting time. The time now is not used but also wasted.

If pathology were not the only evidence, Wu Xiaofu would have wanted to deal with his liver.

He was confident that he would be right this time.

Duan Hao was a little angry when he saw that Wu Xiaofu could deal with small bleeding spots so calmly. It was really good. He was afraid that it would damage Wu Xiaofu's self-confidence. But how much self-confidence does this have? This is the first time to treat liver cancer lesions. Once it is removed, I can be so calm and relaxed.

Thinking about the first time I had my liver cut, my dear, it shouldn't be any easier than when I got the results of the college entrance examination, or even when I took the second subject.

Looking further, it was even more outrageous. Wu Xiaofu actually started to perform manual ligation to stop the bleeding.

Everyone looked at Wu Xiaofu with admiration. Brother, do you know what kind of surgery you had? Do you know what kind of reputation you will get if you succeed in everything this time? , becoming famous as a young man, becoming a blockbuster, it is all within easy reach, and you are not nervous at all.

Whether they are pretending to be calm or really not nervous, they can still tell that they are all old foxes. Their eyes may not be good, but their minds are definitely good.

Boom boom boom!
  Footsteps appeared, yes, they were running back.

In the operating room, unless there is a patient who needs rescuing, and it takes time to start looking for medicines and people, nurses will run, and other tests require nurses to run.

Everyone's eyes converged on the door of the operating room, and even Wu Xiaofu stopped what he was doing.

"How about it?"

The dean couldn't help but ask.

The nurse was about to say something, but when asked this question, she choked for a moment, took a breath, and then quickly said, "The edges are clear."

"it is good!"

Everyone couldn't help but look at Duan Hao. What's going on? He's so unstable. If it wasn't hard to explain, the dean at this time would want to educate Duan Hao. He's so unstable. Can you learn from your junior brother? Look at you. Junior brother, when he heard the result, his eyebrows widened, he was simply too calm.

Even if he has good talent, he still has such a good character. The dean really likes her more and more.

"it is good!"

The deputy dean suddenly shouted. The dean was thinking about something and was startled.

You're such a scumbag. The dean took a step forward and looked at Wu Xiaofu, "Xiaofu, I've seen a lot of geniuses, but you, I can only borrow a sentence from my grandson who is obsessed with reading novels. It's a rare encounter in a thousand years." What a genius."

Everyone laughed, and Wu Xiaofu also smiled.

"The dean is so complimentary."

Wu Xiaofu was not slow in his movements. When the patrol officer said that the edges were clear, he started to treat the liver surface. Mo Xiaofeng was immersed in joy at this time.

"Are you sick again?"

ah! Um!
  Mo Xiaofeng was stunned when he heard this. What were these words? Seeing Wu Xiaofu calmly starting to deal with his anger, Mo Xiaofeng was also shocked. Does this person have no emotions? However, he also realized that he was out of rhythm again, well, he was getting sick again.

Get up to speed quickly.

Seeing Wu Xiaofu handling the blood vessels on the liver section, Mo Xiaofeng and the others were even more amazed.

Blood vessel suturing is actually a test of ability. Wu Xiaofu's surgery was truly amazing to them.

At this time, Wu Xiaofu didn't even notice Duan Hao's complex expression. If it weren't for the mask, others would have suspected that Duan Hao had changed his face. He was feeling happy and worried at times, maybe he was also acting in a TV series.

indeed.

At this time, Duan Hao did have mixed feelings, and the edges were clear! Wu Xiaofu actually became it!
  Being able to succeed, he, as a senior brother, is naturally very happy. He also knows that after today, after the dean, doctors, and nurses of the county hospital exaggerate, how much Wu Xiaofu's reputation will reach in the medical community, I am afraid it will be no less than before. Wang Buyi, but he was very afraid that Wu Xiaofu was a coincidence.

If it was done by chance, what if Wu Xiaofu becomes more confident next time, cuts thinner, and something goes wrong?
  Until the end of the operation, Duan Hao wanted to slap himself. He was so useless. Duan Hao actually had such a motherly moment.

The operation is over.

Duan Hao still decided to have a good talk with Wu Xiaofu.

"Xiao Fu."

"Teacher, I understand."

(End of this chapter)