Come on, Dr. Wu

Chapter 179 God’s Vision: Seeing the Small Things but Doing It Without Obstacles
"No, I just asked Professor Ao questions for more than three hours yesterday."

Ah!
Yu Shifu suddenly raised his head and said, "With such fierceness, you are not doing scientific research and already have some ideas, right?"

what!
Lao Yu is so sharp!

Wu Xiaofu didn't expect that Lao Yu would guess that he had scientific research ideas, "Teacher, you have a sharp eye!"

Yu Shifu was even more surprised when he heard this, "Do you really have an idea? Which technique do you have an idea to improve?"

Surgeons, especially Wu Xiaofu at this stage, when it comes to scientific research, their first thoughts are basically about surgery. Just like Yu Shifu, although there are so many scientific research projects, most of them are based on general surgery. Mainly surgical modification.

This is also what surgeons are best at. By improving surgical techniques, surgical results can be better, allowing patients to achieve greater surgical success rates and surgical prognosis.

Just like the Bi-1 and Bi-2 anastomoses after subtotal gastrectomy, the so-called gastroduodenal anastomosis and gastrojejunostomy are the results of improved surgical techniques, and they are still being improved. Almost every once in a while, new ideas emerge, not just for subtotal gastrectomy, but for other surgeries as well.

Basically, it is only after this kind of research and improvement that the success rate of various surgeries is getting higher and higher.

Yu Shifu has many improved surgical procedures in general surgery. Because of these research results, he is often invited to lecture at major conferences, so that doctors in other hospitals can also learn such advanced surgical improvements. Of course, it is not Everyone will adopt it, and everyone will learn from each other's strengths to offset their weaknesses. No one will really think that yours is the best.

It was Wu Xiaofu's first time to undergo gallbladder cancer surgery. Although he didn't think it was difficult, to be sure, he still had to find a master like Yu Shifu to check it.

"Well, I'm used to it."

"Yes, I feel relieved if you have this attitude. In this way, I will arrange two liver transplant operations on Friday. When you come, just like you said, occasional success does not mean that you have fully understood this operation. It still needs to be done more, even for liver transplantation, the difficulty is different for different patients, so I will explain it to you. "

As for this pre-operative planning, this has become Wu Xiaofu's habit. Unless it is an emergency surgery, Wu Xiaofu must record it in this way to ensure that his surgery has the greatest success rate. Even if it is an emergency surgery, Wu Xiaofu will not He can make a summary. There is never a shortcut to success. The reason why he can succeed is not just through another soul.

After hearing Yu Shifu's words, Wu Xiaofu also smiled.

Without being arrogant or impetuous, if other talented doctors could perform liver transplantation at this stage, they would probably have their tails in the sky already.

Otherwise, scientific research will only stagnate.

As he spoke, Yu Shifu's face became more surprised.

As a teacher, he must support Wu Xiaofu.

As he said this, Wu Xiaofu handed the medical records of gallbladder cancer patients to Yu Shifu.

Although surgeons want to perform surgery well, they must do preoperative planning before surgery.

However, after seeing the medical records, he frowned and said, "Gallbladder cancer? Are you sure? I'm afraid I'll have to remove part of the liver, which is quite difficult."

Wu Xiaofu thought for a while. Doctors can naturally get more training in the emergency department in the early stage, but when they reach Wu Xiaofu's level, they are not that helpful. As Yu Shifu said, he can leave the emergency department completely. Confused, but after thinking about it for a moment, Wu Xiaofu still shook his head.

Yu Shifu felt that it was necessary to tell Wu Xiaofu about this matter in advance. How can you do research without spending money? And no matter what the project, there is basically only a lack of money. When there is no wealth, especially when doing this kind of genetic sequence research, it is even more difficult. That being the case, you can apply for project funds, but at this stage of Wu Xiaofu's life, who will approve it for him?

The child's medical record that Wu Xiaofu printed was not the one that was to be archived in the hospital, but Wu Xiaofu was going to keep it. Not only this surgery, Wu Xiaofu also kept all the surgeries that he thought were very meaningful before. These surgeries were basically very simple. It is valuable and will probably be used in whatever research Wu Xiaofu wants to do in the future.

"Teacher, I just have an idea. If nothing happens, I will take advantage of this period to prepare for the basic theory. If it works, then move on. If it doesn't, forget it. We haven't reached that step yet."

"Actually, with your current level, you can leave the emergency department. Do you have any ideas?"

After hesitating, Yu Shifu still said to Wu Xiaofu, "Xiaofu, I also know that you are talented, but the research on this gene sequence is not something that can be accomplished overnight. Isn't it a little too early to study these now? Moreover, The cost is not a small amount. If there are no phased results, I will not be able to transfer the project funds to you. "

He was afraid that if Wu Xiaofu's brain got hot, he would start to do something drastic. If he just wanted to prepare materials and carry out basic theories, then there would be no problem. As for those who do scientific research, who would not hit a wall? Wait until Wu Xiaofu hits a wall. When facing the south wall, you will naturally retreat when faced with difficulties.

Hearing this, Wu Xiaofu was of course very happy. He really wished that during this period, several liver transplants would come to him every day so that he could become more proficient. Yu Shifu's words could be said to be exactly what he wanted.

Then Yu Shifu turned to the surgical idea designed by Wu Xiaofu.

"That's fine. You still have to focus on your studies now, but it doesn't matter which subject you study."

Yu Shifu said while taking the medical records.

"Well, scientific research results are originally produced through bursts of inspiration and collisions of ideas. It's good for you to have ideas. If you want to ask me anything theoretically later, come over at any time. During this period, I am also relatively Busy, by the way, I haven’t congratulated you yet. I’ve already had a liver transplant. Good guy, when I heard Director Wen talk about this that day, I felt like I was dreaming. "

But he couldn't leave his project alone and let Wu Xiaofu mess around, so the matter had to be discussed in advance, otherwise Wu Xiaofu really opened his mouth in the future, and if he refused again, he was really afraid that Wu Xiaofu would have other thoughts.

After reading Wu Xiaofu's thoughts, Yu Shifu was not so worried. Wu Xiaofu's ideas were very clear, whether it was pre-operative discussions, the choice of surgical techniques, or the possible dangers during the surgery, how to deal with them, and even Wu Xiaofu even gave a detailed description of what complications may occur after surgery, whether these complications can be avoided or reduced during surgery, and how to prevent them after surgery.

"Teacher, let's wait and see. At this stage, I am still mainly studying for a Ph.D. I am already familiar with the emergency department. I can come back often and work hard. But if I go to other departments, I have to adapt again. I am afraid it will delay my study. Well, let’s think about it next year. By the way, teacher, I received a case two days ago and am preparing for surgery tomorrow. Please help me take a look. "

Yu Shifu also smiled.

"Thank you, teacher."

call!
Hearing Wu Xiaofu's words, Yu Shifu also breathed a sigh of relief. It turns out that this is the case. It seems that Wu Xiaofu is still very rational, which makes Yu Shifu feel relieved.

Doctors who can perform liver transplants at this stage are rare, if not impossible. In this aspect alone, Wu Xiaofu is already comparable to some talented doctors from abroad.

On the contrary, in terms of various drug mechanisms and genetic research, surgeons have made less achievements than physicians.

"Teacher, it's not about surgery, but about Lynch syndrome. I want to study the genetic sequence of Lynch syndrome."

Ah!
Yu Shifu was even more horrified when he heard this. He did not expect Wu Xiaofu's ambition to be so big, but this was not what Wu Xiaofu should be thinking about at this stage.

But there are really not many people who can achieve the level of Wu Xiaofu. "Did you always prepare like this before having surgery?"

"Come, look here."

"The teacher's teachings are good. After the last liver transplant with the teacher, I have been thinking about it. Just last time I heard the director gave me a chance, I tried it, but I found that in fact, as long as you know the principle of surgery, If you do it step by step, it may not be as difficult as you think. Of course, occasional success does not mean that I have mastered this operation. I have to continue to study and work hard.”

Thinking of this, Yu Shifu was no longer entangled.

Yu Shifu sighed in his heart. He finally understood why Wu Xiaofu was better than his peers. If every doctor could achieve this level, he would probably not be bad. Success is indeed not a fluke. Thinking of this, for Wu Xiaofu liked it even more.

Ah!
Seeing Wu Xiaofu's humble look, Yu Shifu even sighed.

No matter how talented Wu Xiaofu is, Yu Shifu will naturally not think about it from this aspect.

No matter how detailed the pre-operative planning was, Wu Xiaofu's level was still here. Compared with Yu Shifu, he was definitely far behind. Yu Shifu only took a few glances to find areas where he could improve. Listen. Wu Xiaofu was also immersed in Yu Shifu's explanation. This is why Wu Xiaofu came to ask Yu Shifu for advice.

It was obviously an operation, but the gains that Wu Xiaofu could get from such preparation were not just the gains that could only be obtained from an operation.

After leaving Yu Shifu's office, Wu Xiaofu even had more ideas about this operation.

Sure enough, Jiang is still very old.

After returning to the emergency department to deal with some matters, Wu Xiaofu went directly back to school.

school library.

Yu Shifu knew that Wu Xiaofu wanted to study the genetic sequence of Lynch syndrome, so he did not object. Instead, he recommended several books to Wu Xiaofu.

After entering the library, Wu Xiaofu knew that this was the greatest wealth of the entire school.

Invisible books that cannot be bought outside can be found here.

After eating, Wu Xiaofu planned to stay here at noon. He planned to read several books recommended by Yu Shifu, which were all about genetics, cancer theory, etc. To be honest, if it weren't for Yu Shifu, Shi Fu said that Wu Xiaofu didn’t even know these books existed.

With the complete fusion of souls, Wu Xiaofu is already ranked number one in the world in terms of reading.

I don’t say that I can’t forget what I read, but after reading it a few times, I can basically remember the outline. I don’t say that I can’t forget ten lines at a glance, but Wu Xiaofu can also ensure understanding while ensuring speed.

The most powerful brain is nothing more than this.

This also makes Wu Xiaofu's reading speed and efficiency extremely high. With such accumulation of basic theories, Wu Xiaofu really doesn't believe that he can't do something that is already half-finished.

There are two classes in the afternoon, one on medical laboratory safety and operating practices, and one on political theory.

In fact, many doctoral courses and master's courses overlap. It's just that the books have changed and you can learn more deeply. Of course, there is one point where neither master's nor undergraduate courses are comparable, and that is the doctoral courses. There is more freedom, and attendance at the classes is all voluntary, and no one is called by name at all. There are obviously much fewer people in these two classes.

However, as long as there is nothing wrong in the hospital, Wu Xiaofu will not skip class.

"Xiao Fu, can you play football?"

Wei Ziming scolded Wu Xiaofu and asked in a low voice. Wu Xiaofu was really scared of this guy. The last time he spoke, Wu Xiaofu suffered a lot and was asked questions. This was a political theory class, and he didn't dare to mess around.

I don’t know how many times Wei Ziming has talked to him in this class. He has discovered that this kid also has some talents. Although he doesn’t listen in class, he doesn’t know whether this kid is gifted and can do two things at once, or I stayed up late at night to light the lamp, but I didn’t fall behind at all on what I was supposed to learn, which means I wasn’t honest in class.

Not only him, but his neighbors are all suffering from it, with typical chatterbox syndrome and ADHD.

Ignoring him, I flipped through the book I borrowed from the library in front of me and read carefully.

He found that he had entered the ocean of knowledge and couldn't extricate himself. Well, his scalp was itchy, as if he was growing a brain again.

But why is this guy Wei Ziming silent?

When I looked up, sure enough, this talkative patient suddenly stopped talking. There must be something strange. The teacher of the political theory class unexpectedly stood in this row. The itchy scalp was not because he wanted to grow a brain, but because he wanted to grow a brain. The teacher is scratching his head. Well, this political theory teacher is the youngest associate professor at Tunghai Medical University. He was rated as an associate professor when he was only twenty-nine.

The Renbel Canto Sweet course is also interesting. Some people may skip other classes, but generally no one skips classes in political theory classes.

Even though he is a little short, the chairs in the classroom are also high. Standing next to him, he doesn't look much taller than Wu Xiaofu. This scene of killing him by touching his head is very sweet.

Needless to say, the teacher must have been dissatisfied with Wei Ziming's constant talk, so he came over directly.

As a result, a fire broke out at the city gate and affected Chiyu. Wu Xiaofu, who was fishing and reading other books in class, was caught because he was too involved. Wu Xiaofu found that Wei Ziming was really a nemesis. He swore that he would never sit with Wei Ziming today. plan, but when this guy came over, he immediately stuck to me and couldn't shake him off.

If the occasion wasn't inappropriate, Wu Xiaofu would have wanted to strangle Wei Ziming to death.

"Ah, teacher, there is something I don't understand and I want to ask you."

Under the incomprehensible gazes of everyone, Wu Xiaofu exchanged the books in his hands with those of Wei Ziming. He came here in a hurry. He didn't take the books from these two classes. There was nothing he could do. The teacher was already here, so he couldn't carry other books with him. , this is so inappropriate, not taking books in class, this situation is really bad.

After glancing at the blackboard, Wu Xiaofu turned to page seven.

"Teacher, look, this is it."

Kong Sichen couldn't help but twitch his mouth when he saw Wu Xiaofu's appearance. It was the first time that she had been so thick-skinned after teaching for so long.

When she heard her aunt praise Wu Xiaofu before, she thought that Wu Xiaofu should be the kind of serious man who focused on surgery. Now it seems that, well, she was wrong. Yes, she knew Wu Xiaofu. Her aunt's name was Jiang Shuyun, and Wu Xiaofu should be Called aunt, it can be said that they are somewhat related.

Ever since she was told by Jiang Shuyun, she has considered herself Sister Wu Xiaofu.

Jiang Shuyun also asked her to help take care of Wu Xiaofu, but now it seems that there is no need. This person does not seem to be unreasonable and sophisticated, and he does not look like he will suffer a disadvantage.

"Listen carefully to the lecture," he said to Wu Xiaofu, and Kong Sichen looked at Wei Ziming, "Where is your book?"

what?
Wei Ziming was stunned when he heard this. His book, wasn't his book taken away by Wu Xiaofu?

He looked at Wu Xiaofu and then at Kong Sichen, "What do you mean, can't you see the selectivity?" Do handsome guys have privileges? The teacher also cares about his face!

Wu Xiaofu was also a little confused. The teacher didn't seem very smart and he was so easy to fool. However, this was a good thing. Wu Xiaofu focused directly on the political theory textbook. As for who Wei Ziming was, he didn't know who it was. What was it called? Causal loop.

Wei Ziming looked at Wu Xiaofu, but he had no choice but to take the blame. Who knew that this teacher was really brought here by him?

after class.

Kong Sichen looked at Wu Xiaofu. Wu Xiaofu met Kong Sichen's gaze and sighed in his heart, alas, he didn't get over it after all.

Seeing Kong Sichen waving, Wu Xiaofu followed obediently.

"Jiang Shuyun is my aunt."

Jiang Shuyun!
Such a familiar name, no, isn't this the eldest aunt? Thinking of this, Wu Xiaofu looked at Kong Sichen again with a completely different look.

"Sister, let me tell you, I felt friendly to you the first time I saw you."

Kong Sichen's face trembled. This guy was so thick-skinned. There was no need for her to take care of him. He knew more about people and the world than her, a professor.

"What you and aunt said are really different. However, you all call me sister. If you have anything you can't handle at school, you can come to me. But in the future, you should pay attention to my lectures. In my class, Go ahead and read other books. If you get caught next time, be careful."

As he said that, he stretched out his fists, but that's all. Doctoral students are busy with their business and have many things to do. They just have to attend lectures and so on, so they can volunteer. But Wu Xiaofu is different. He is a younger brother and does not need special care.

If Wu Xiaofu hadn't expected that he would have another backer just now, he would of course have nodded hastily, but then he thought of something and hurriedly spoke.

"Sister, I have something to tell you. I have an operation in the hospital on Friday, and I'm afraid I won't be able to attend political theory classes. I didn't know how to tell you at first, but now I'm fine. With our relationship, don't worry , I will definitely not fall behind in what I should learn.”

Maybe it's because of the young professor. The other classes are basically managed relatively loosely. Only this political theory class, Sister Kong, actually answered questions by name in class. This was very uncomfortable. Wu Xiaofu didn't care at first. After all, There are more than 20 people, just ask one or two, it's impossible for him to be unlucky enough to answer the question.

But it was different now. We all knew each other, and Wu Xiaofu felt the need to say hello in advance.

Kong Sichen only felt hardened, and his fist was about to be swung at Wu Xiaofu the next moment. This guy, after recognizing his sister, the first thing he did was to go through the back door and skip class!

This is so rude.

"Surgery, aunt said you just entered the First Affiliated Hospital. What kind of surgery you can do is to pull a hook at most. At this stage, you are studying for a doctorate. Your main task is to study. After you lay a good foundation, you will There is no chance of surgery, young man, don’t put the cart before the horse.”

After all, Kong Sichen felt that as a teacher, he had to convince people with reason first and persuade this guy who was putting the cart before the horse.

If it really doesn't make sense, it's not too late to use fists. "Sister, I stopped pulling the hook on your brother a long time ago. There will be two liver transplants on Friday. Dean Yu arranged them and I will be the surgeon."

Liver Transplantation! Chief surgeon!

Kong Sichen felt that it was better to give her a beating. Although she did not study medicine, she was teaching at a medical university, so it was enough for her to be influenced by what she heard and saw.

What's more, liver transplantation, even if you don't know anything about medicine, you can still know what a high-level surgery it is. Wu Xiaofu, a small resident doctor, wanted to perform liver transplantation, and it would be amazing to perform a gallbladder and appendix surgery, right? Doesn’t she understand the market? Lie to him.

"Wait, sister, what do you want to do?"

"I think it's necessary for you to understand the strength of talented Sanda players."

Wu Xiaofu quickly took a few steps back, "Sister, I have evidence."

Wu Xiaofu hurriedly showed Kong Sichen the video of the liver transplant surgery that Feng Lingling sent to the group that day. Kong Sichen looked at it suspiciously, and then looked at Wu Xiaofu in shock, "Can you really do a liver transplant?"

"Sister, how about it? This brother is worthy of recognition."

After taking care of Kong Sichen, Wei Ziming was still waiting for Wu Xiaofu on the way back.

"Brother Fu, you actually cheated me!"

"What's wrong with you?"

Wei Ziming was even more resentful, but he was used to it. He was deducted two regular points last time, so he was prepared this time.

"Brother Fu, after the military training, the school is going to hold a football match. Let's form a team. We have to let them know that we doctoral students are not just limited to reading and writing articles. You are so tall, you will definitely have no problem guarding the goal."

Keep the gate!

Wu Xiaofu went up and kicked him, what a look in his eyes, with such strength, he was a goalkeeper! Power forward, Wu Fengxian, okay?

I don’t know what Lao Ban was thinking. Wei Ziming was given a sports committee member by his side, and there was no one left.

Wu Xiaofu even suspected that this kid had obtained credits through the back door.

"Okay, I'll just play forward. I'll leave the goalkeeping to you."

forward!

Wei Ziming looked at Wu Xiaofu and said, "Brother, we are playing football, not basketball. Don't make trouble."

"roll."

Thursday.

The operation for the man with gallbladder cancer has been arranged. Starting at eight o'clock, Wu Xiaofu got up early to exercise and have breakfast, and then went straight to the hospital.

This is Wu Xiaofu's first morning meeting this week.

The morning meeting of the emergency department is much earlier than that of other departments. Other departments basically start the morning meeting at eight o'clock, but the emergency department starts the morning meeting at seven o'clock, a full hour earlier. However, there is nothing we can do about it. There are many things. Before eight o'clock, It is best to complete the shift change, so the time can only be advanced.

"Xiao Fu, do you want laparoscopy for gallbladder cancer?"

After the morning meeting, Duan Hao stopped Wu Xiaofu and asked. Wu Xiaofu had also told him before that he wanted to perform an operation on a patient with second-stage gallbladder cancer. Duan Hao didn't care. With Wu Xiaofu's current level, there must be no problem, but During the morning meeting, when Wu Xiaofu talked about this patient, he knew that Wu Xiaofu actually wanted to undergo laparoscopy.

You must know that these are two concepts.

Surgery for gallbladder cancer only involves the mucosal part. Laparoscopic surgery means cutting out the gallbladder, which is not a big problem. But now this patient also has part of the bile duct and has to remove part of the liver. The difficulty is different. Nowadays, medical science Although laparoscopic cholecystocarcinoma resection is gradually being carried out in the world, it is only in the initial stage. Such resections involving the liver basically require incision.

So Duan Hao was a little worried. What's more, the cancer situation is complicated. Even if there is a detailed examination before surgery, problems can easily occur. It is possible that only the bile duct is involved during the examination, but when you open it, you will find that there is a problem with the liver. At that time, he would have put himself in a dangerous situation. Wu Xiaofu was young and it was a good thing to be aggressive, but Duan Hao, as his senior brother, had to persuade Wu Xiaofu.

Wu Xiaofu smiled when he heard this, "Don't worry, senior brother, I think laparoscopy is not a big problem."

Seeing that Wu Xiaofu was so confident, Duan Hao hesitated and did not continue to say more. He just said worriedly, "If you are not sure, remember to call me."

"Okay senior brother."

operating room.

Zheng Hua and You Ruiming are already positioning the patient.

"Doctor Wu, it's a bit cold."

The patient's voice came, Wu Xiaofu stepped forward and tightened the quilt on the patient, "Old man, don't be nervous, just take a nap and the operation will be done."

Looking at the anesthesiologist, Wu Xiaofu also nodded.

While under general anesthesia, Wu Xiaofu took Zheng Hua and the others to wash their hands.

At 8:15, the operation officially started.

Connect laparoscope, pneumoperitoneum, and punch.

Zheng Hua held the mirror, while You Ruiming looked at it first. It was necessary to prepare one person. You Ruiming was studying on the one hand. If there was an emergency during the operation, and laparoscopy was changed to laparotomy, two people really couldn't do it.

The mirror entered the abdominal cavity, and Wu Xiaofu began to free the gallbladder and liver, allowing the gallbladder and ligaments to be fully exposed.

The gallbladder was severely swollen, and Wu Xiaofu was also very careful in his movements.

The enlarged gallbladder, whether it is the gallbladder package or the blood vessels connected to the gallbladder, is very fragile. If the gallbladder is accidentally punctured, it will be terrible.

Ordinary gallbladder stones, if the gallbladder is accidentally punctured, forget it. At most, the surgery will be ugly and not a big problem.

But patients with gallbladder cancer are different. If the gallbladder ruptures and bile flows out, diffuse metastasis of the cancer is likely to occur.

That would not only be ugly, it would also be a crime.

Slowly, the gallbladder and liver were freed. But after his vision became completely clear, Wu Xiaofu's face was filled with solemnity.

He admitted that he was indeed inexperienced.

When the patient came to see a doctor, he had symptoms of jaundice in his eyes and skin. This condition is usually caused by bile duct involvement, so Wu Xiaofu had already made preparations for the bile duct to be invaded by cancer, and the preoperative plan also included cutting off part of it. The purpose of the liver is to remove the cancer as much as possible to minimize the chance of recurrence.

But when he was exploring the bile duct, Wu Xiaofu felt that he had underestimated the patient's condition.

Under laparoscopy, the last thing I expected to see actually happened. The patient's tumor not only invaded the patient's bile duct, but what was even worse was that it also invaded the main portal vein, the main inflow tract of the liver's blood supply. , the origin of the right branch of the portal vein, and densely surrounds the right hepatic artery, another main blood vessel supplying blood to the liver.

This situation was not shown in the preoperative examination at all. It was a hidden thunder, and Wu Xiaofu stepped on it with one kick.

Of course, Wu Xiaofu's plan yesterday was not in vain. This situation was also in the plan, but it was the worst emergency situation. In Wu Xiaofu's opinion, the probability of it happening should not be too high. , who expected it to happen, it just appeared. Now Wu Xiaofu has two choices.

One is to remove only the gallbladder without removing the blood vessels involved in the tumor. However, this means giving up radical resection, and the patient's survival period will be very short.

The other is to continue radical surgery, but this operation is much more difficult. Wu Xiaofu is considering whether to switch to laparotomy, because if he continues to undergo radical resection, Wu Xiaofu will have to remove the blood vessels affected by the tumor. And successfully reconstructed the portal vein, the main blood supply vessel of the liver.

This is not an easy task. The difficulty and time of the operation have more than doubled.

It would be too difficult to do it laparoscopically.

According to the plan, if this happens, laparotomy will be performed. With his mind running rapidly, Wu Xiaofu thought about how feasible it would be to insist on laparoscopy.

Wu Xiaofu felt that he was crazy. He continued the laparoscopy, even Duan Hao would not dare to do it, and even Yu Shifu would have to hesitate, but he still dared to hesitate!

"Boss, what should I do?"

Zheng Hua and You Ruiming also saw that something was wrong at this time. This was the rhythm of a small operation turning into a major operation.

"Boss, is this just a tumor caused by a pimple cut?"

Wu Xiaofu rolled his eyes, this guy really knows metaphors.

"Mr. Liu, I'm afraid the operation time will be doubled. You have to be prepared. The portal blood vessels are involved, so I have to take my time."

When Liu Wengui heard this, he also knew that the operation was getting more difficult, "Okay."

"continue."

After thinking about it, Wu Xiaofu said directly. After rehearsing in his mind, Wu Xiaofu discovered that laparoscopy could also be done, and the effect would be better. After all, if it was done through incision, Wu Xiaofu expected that the operation would take six days. More than an hour, the operation time is too long, the damage to the patient is also great, and the prognosis is really uncertain.

"Sister, turn on the video."

Let’s continue. Don’t forget to explain to the nurse on duty that this operation is different from what Wu Xiaofu explained before the operation. It is necessary to keep a video. Moreover, if the operation is completed successfully, it will definitely be a milestone in the history of Wu Xiaofu’s operation. , is of great commemorative significance and must be preserved.

Zheng Hua and You Ruiming are now extremely confident in Wu Xiaofu. If Wu Xiaofu said to continue, they would naturally not have any objections.

However, the patrol nurse did not dare to underestimate this situation. Changes in the patient's tumor condition during the operation needed to be reported. While turning on the video, the patrol nurse also directly called the head nurse.

After the head nurse knew about this situation, she did not dare to neglect her. Although Wu Xiaofu's ability had been proven in one operation after another. After all, he had undergone liver transplantation. It was widely rumored in the operating room that Wu Xiaofu's level was already at the director level, but the nurse's long-term After going through the storm, I am afraid that the situation mentioned by Xuntai is not as simple as liver transplantation.

The head nurse in the operating room was still a little worried and hurriedly called Yu Shifu. Now everyone in the operating room knew that Yu Shifu was Wu Xiaofu's teacher. As the top general surgery expert in the hospital, the first choice of the patrol nurse was naturally Yu Shifu. Fu, if something really happens during the operation, with Shifu in charge, the consequences will not be too serious.

Yu Shifu, who was dealing with something, was shocked when he heard the phone call. His portal blood vessels were also affected!
Yesterday, he and Wu Xiaofu discussed this patient for half an hour. Yu Shifu was naturally impressed. He also knew how difficult it was to continue radical resection of the portal vessels, not to mention that Wu Xiaofu had to continue laparoscopic surgery, which was even more difficult. .

However, after hesitating for a moment, Yu Shifu did not stop Wu Xiaofu directly. Instead, he called Rongqiao and took several directors of the general surgery department and Duan Hao to the surgical observation room.

Wu Xiaofu didn't know this. The operation continued. The first thing to do was to deal with the affected blood vessels in the liver.

Wu Xiaofu began to separate and block the left branch, right branch and main trunk of the portal vein under laparoscopy, and resected the affected part of the portal vein. This process made Wu Xiaofu sweat all over his body. The operating space under laparoscopy was too narrow. This process alone took Wu Xiaofu more than half an hour.

However, what seems difficult to Wu Xiaofu is not so in the eyes of others.

In the surgical observation room, Yu Shifu and others looked at the big screen, and Wu Xiaofu's surgical field of view appeared before their eyes.

"Great!"

Lian Jingwei looked at Wu Xiaofu's operation and couldn't help but praise him. Laparoscopic operation was different from incisional operation. Wu Xiaofu's operation was so smooth that it was a bit beyond their expectations. After thinking about it secretly, they discovered that If they do it, they may not be able to operate it better than Wu Xiaofu.

In their view, the electrosurgical scalpel, forceps, etc. under laparoscopy now do not look like there are operating rods at all, but more like Wu Xiaofu is holding them and pulling them directly.

More than half an hour seemed long to Wu Xiaofu, but after they thought about it, it might have been longer if it were them.

Yu Shifu was a little worried at first. The operating space under laparoscopy was too small. Wu Xiaofu had only done laparoscopic surgery for a long time, and his proficiency was definitely not enough. He was afraid that he would not be able to grasp it. But looking at Wu Xiaofu's operation, Yu Shifu was worried. I feel relieved a lot. This kid must have practiced a lot in private. His proficiency in this operation is even better than him.

Duan Hao was relieved at this time. He was a little worried before the operation. No, the feared thing still happened. Fortunately, Wu Xiaofu seemed to be in surprisingly good condition today.

However, watching Wu Xiaofu's operation, Duan Hao couldn't help but think of what Wu Xiaofu said to him last time he went to Linhai County to fly knives: Senior brother, my man and knife are one.

Man and knife unite!

In Duan Hao's opinion, Wu Xiaofu's current operation is really a bit like a man and a knife. He dares to say that it is world-class. That's it. He doesn't even dare to say that he can compare with what Wu Xiaofu can do. good.

However, the difficulty of this operation is not just the operation. This is just the beginning. There are many difficulties that Wu Xiaofu will have to go through later.

Next, Wu Xiaofu still needs to successfully complete laparoscopic portal vein reconstruction in the narrow space of the hepatic portal.

Wu Xiaofu didn't know that he was being watched. Now he was really in the state. Yes, if he knew Duan Hao's thoughts, Wu Xiaofu would definitely tell him that the real sword was integrated into one. No, it might be even more powerful than that. Wu Xiaofu I feel that my spirit has left the level of surgery and has entered the level of God's vision.

Seeing the subtleties of knowledge and acting without hindrance.

It was obviously a difficult operation, but under Wu Xiaofu's hands, they were eliminated one by one and steadily advanced.

What’s more troublesome about the involvement of portal blood vessels is that while the tumor invades the bile duct and portal vein, it also densely surrounds the right hepatic artery at 360 degrees. What Wu Xiaofu needs to do now is to separate the right hepatic artery. There are two possibilities now. One is that the patient's right hepatic artery is only surrounded and not invaded, and the other is that it has been invaded.

If it's the former, that's great. Wu Xiaofu can just maintain the preoperative liver resection. But if the right hepatic artery is invaded, Wu Xiaofu may have to expand the liver resection, which will cause further damage to the patient. The postoperative survival rate will be greatly affected.

The right hepatic artery is carefully dissected and separated through laparoscopy. This operation, even if it is released alone, is top-notch. That is the right hepatic artery, especially the right hepatic artery may have been invaded by cancer, increasing its fragility. If the right hepatic artery is accidentally broken, blood will fill the field of vision and spread throughout the abdominal cavity in an instant.

This operation was turned into a rescue operation, so during the peeling, Yu Shifu and the others also held their breath and became nervous. If Wu Xiaofu hadn't performed it smoothly now, they wouldn't have much confidence that they could compete with Wu Xiaofu. To do better, they all wanted to rush in and do it for Wu Xiaofu.

Wu Xiaofu used the technique of opening the outer sheath of the hepatic artery, which Wu Xiaofu learned from watching surgery videos. This was his first time to practice it.

Yu Shifu and the others knew about this situation. None of Wu Xiaofu's operations had ever required the use of this trick, so it was definitely the first time for Wu Xiaofu to use it. Seeing Wu Xiaofu's slightly faster operation speed, they all tolerated it. Keep making noises.

"Slow down, slow down, those are blood vessels."

"This kid thinks he's taking off his clothes. The faster he takes off his clothes, the more he enjoys it."

They found that Wu Xiaofu was really a newborn calf and was not afraid of tigers. It was the right hepatic artery. How dare you? You can't be too careful, but Wu Xiaofu came so quickly.

Wu Xiaofu didn't know that they were calling for slowness. At this time, he was doing it more and more smoothly. Not only did he not have any thoughts of being slow, he was also making steady progress.

Because he found that under his hands and eyes, the blood vessels that would be punctured if he was not careful had no possibility of being punctured under his operation. It might be exaggerated to be as fine as nanometers, but as long as Now there is no earthquake or anyone pushing him, and he can perfectly separate the right hepatic artery.

And as the operation progressed, Wu Xiaofu found that his understanding of the operation had also improved to a higher level.

(End of this chapter)