Come on, Dr. Wu

Chapter 253 Miracle Worker

Ah!
Operation!

Everyone fell silent and looked at Wu Xiaofu with different expressions.

Wang Buyi's expression was a little complicated. Although he had little contact with Wu Xiaofu and had only met him three times so far, he could feel that Wu Xiaofu was the same type of person as him, the kind of person who truly wanted to save lives and heal the wounded.

He is the kind of person who has strong self-confidence. Since he said he wants to have surgery, he must be at least 90% sure of success.

But precisely because of this, he felt so complicated. To be honest, if he were to perform this operation, he might only have a 30% chance of success, and could not guarantee the occurrence of subsequent sequelae.

If not for this, Wang Buyi would not have taken the initiative to invite Wu Xiaofu.

He read the relevant articles about Wu Xiaofu's liver cancer surgery during pregnancy carefully. Wang Buyi admitted that he could not perform to Wu Xiaofu's level. Local anesthesia, done in ten minutes, basically blind operation, it takes a lot of confidence and skilled operation to reach this level.

When they were drinking, he actually asked Wu Xiaofu for advice, and Wu Xiaofu just said two words: talent.

Wang Buyi didn't believe it. If it wasn't for natural talent, how could he be so talented?

"Doctor Wu, are you really sure that I can keep the baby?"

The patient also reacted at this time and hurried to confirm with Wu Xiaofu. He was afraid that Wu Xiaofu had listened to her husband and wanted to take the child away and perform liver cancer removal surgery on her.

The patient's husband also looked at Wu Xiaofu expectantly at this time.

Wu Xiaofu shook his head and said, "On the premise of saving the baby, we are operating on you. There should be no infiltration in the hepatic duct. However, I have to make it clear to you that since you are already 28 weeks pregnant, anesthetics will definitely not work.

Therefore, I can only use local anesthesia. There may be some pain during the operation, but I will finish the operation as soon as possible. "

In fact, for surgery, if it is local anesthesia, there will definitely be pain, but if the flesh is cut with a blunt knife, it will definitely hurt. But if the flesh is cut with a sharp knife, there will be basically no pain, and most of the pain is after the operation is completed.

Just like the liver cancer surgery I did last year, it was also a local anesthesia surgery, but the patient said the pain was completely tolerable.

Moreover, compared with the pain of pregnancy, perhaps this is nothing. Never underestimate the greatness of a mother.

"It hurts! I'm not afraid of pain, Doctor Wu. As long as I can save the baby, I don't mind any pain."

Hearing this, Wu Xiaofu also nodded.

Of course, there are more matters related to the surgery than just these. Wu Xiaofu did not say any more to the patient and directly invited the patient's husband to the medical office.

Wu Xiaofu initially determined that there was no bile duct infiltration, but he could not say anything for sure. He only said that if bile duct infiltration was found after opening the abdomen, the operation would be terminated.

As long as he stood on the operating table, Wu Xiaofu could see the patient's complete condition at a glance after the abdomen was opened.

There is another situation that needs to be explained to the patient's family.

The patient is an elderly pregnant woman and may suffer miscarriage at any time. Even after 28 weeks, the chance of miscarriage is still high. Therefore, there is still a risk of miscarriage after the operation, during hospitalization, and even after discharge.

This does not even include the problem of chromosomal abnormalities in the fetus, which is the biggest hidden danger.

Therefore, Wu Xiaofu had to talk to the patient's husband alone about some matters related to amniocentesis at a later stage. If there was indeed a chromosomal problem, it could still be saved before the child was born. However, once the child was born, it would be irreversible.

Hearing this, the patient's husband nodded and promised to do the patient's work in the future.

After Wu Xiaofu explained the precautions and risks clearly, he asked Wang Buyi to start making arrangements.

"How sure are you?"

Wang Buyi arranged things and asked Wu Xiaofu.

There is a difference between a doctor asking another doctor if he is sure and a patient asking a doctor if he is sure. When a patient asks a doctor if he is sure, he wants to hear the doctor's 100% answer, he wants to hear the truth from the doctor and get reassurance.

But when a doctor asks a doctor about his confidence, he wants to know what the other person is lacking, so that he can help.

Wu Xiaofu smiled and shook his head.

"It shouldn't be a big problem. I'll try to finish the operation in ten minutes."

ten minutes!
If someone else said this, Wang Buyi would definitely not believe it, but Wu Xiaofu had a successful case, and when Wu Xiaofu was competing, the liver transplant only took one hour and fifteen minutes. Compared with liver transplantation, liver cancer resection is much easier.

"Okay, I'll set up the stage for you tomorrow."

Wu Xiaofu was naturally eager to have this happen. Having a master on the stage would greatly benefit the operation.

Wu Xiaofu called Fan Xin again. When Fan Xin heard that Wu Xiaofu was going to have liver cancer surgery during pregnancy, she decisively told Wu Xiaofu that she wanted to stay and see the doctor, and then go back together after the surgery.

Wu Xiaofu naturally would not refuse and nodded directly.

It would be lonely to go back alone, so it’s good for us to go together.

The others did not wait for Wu Xiaofu and his companions. The colleagues from the Medical Department extended Wu Xiaofu and Fan Xin's hotel stay for another day and then left with the others. The eighteen people who came were mostly middle-level talents from various departments, and there was almost always more work than people in the hospital.

If they leave for one more day, the workload of other people in the department will increase a lot.

To be honest, Wu Xiaofu was still very happy that Chen Zhendong didn't come. After all, if he was gone, Chen Zhendong would still be able to take on many major operations in the department. Even if Chen Zhendong was a little tired, basically all the work, big or small, would not be delayed.

The next day.

Wu Xiaofu and Fan Xin came to the hospital together. The procedures for performing the surgery in a different place had been quickly processed. With Ji Yutang's help, these were all trivial matters. Ji Yutang even organized a hepatobiliary surgery class to study when he heard that Wu Xiaofu was going to have a liver cancer resection surgery during pregnancy.

So after Wu Xiaofu and his team entered the operating room, the observation room was also crowded with people.

"Have you read the medical records? Local anesthesia, done in ten minutes. Do you really have that confidence?"

Although the operation has not started yet, discussions have already begun in the observation room.

It is indeed a bit mysterious, which is because Wu Xiaofu has a successful case. Otherwise, this would not be a doubt, but a question.

"Doctor Wu has successfully completed an operation within ten minutes, but this patient's condition is obviously more complicated than the one Doctor Wu had previously treated. Ten minutes is a bit difficult."

"We don't have to be so strict about the ten minutes. If we can finish it in ten or twenty minutes, that's already amazing. Although this operation is more complicated, Dr. Wu's skills should have improved a lot in the past few months. I think Dr. Wu will be fine."

"Speaking of which, many people don't dare to treat liver cancer during pregnancy. As long as Dr. Wu dares to do it, it's enough for us to admire him."

……

It is obvious that everyone has high expectations for Wu Xiaofu.

In the workplace, young people are mostly questioned, and this was also the case with Wu Xiaofu in the early days. However, as Wu Xiaofu's resume became more and more extensive, he performed more and more surgeries, and published more and more articles, this time he even won the championship in the national surgery competition.

Wu Xiaofu's strength has obviously been recognized by most doctors.

In this way, if Wu Xiaofu performs any difficult operations in the future, it will at most be considered a challenge, and he will no longer be accused of overestimating his abilities, and no one will be impatient to jump out and say anything.

Isn't it true that a genius like Wang Buyi has become Wu Xiaofu's assistant? In the Department of Hepatobiliary Surgery of the First Affiliated Hospital of the Imperial Capital, there are not many people who can surpass Wang Buyi in terms of technology, let alone Wu Xiaofu.

"Okay, the operation is about to begin, let's watch it carefully."

The operation started on time at nine o'clock.

Wu Xiaofu and Wang Buyi washed their hands and returned to the operating table.

"1%, let's make milliliters."

"it is good."

The most commonly used local anesthetic is lidocaine. A small amount of this local anesthetic will not have much impact on pregnant women, especially when used topically. The chance of the fetus being affected is almost zero.

The concentration of local anesthesia is usually 0.5%-1%. Since we need to perform deep anesthesia here and use it on the liver, 1% is just right. If it is lower, the anesthetic effect will not be ideal, but if it is higher, it will not work either, as it may affect the subsequent recovery of liver function.

Wang Buyi prepared the medicine, while Wu Xiaofu and the nurse worked together to lay the sheets.

With scalpel in hand, Wu Xiaofu took the local anesthetic from Wang Buyi and injected it slowly.

Wang Buyi looked at Wu Xiaofu's injection range and felt strange. It was too small.

However, Wang Buyi did not ask too many questions. The surgeon was Wu Xiaofu and the operation time was tight. Asking too many questions would not be good for the operation. He just wrote down the things he didn't understand and asked for advice after the operation.

"Knife."

Taking the scalpel, Wu Xiaofu quickly cut the wound. As long as you cut fast enough, the pain will not catch up with you.

"The opening is so small!"

Everyone was shocked when they saw Wu Xiaofu opening his mouth. The incision was too small. It might be okay to use this incision to remove the gallbladder, but this was to remove the liver. It would be too reckless to use this incision.

Wu Xiaofu's next move shocked them even more. Seeing Wu Xiaofu continue to inject anesthetics and cut deep into the ligaments, they remembered that Wu Xiaofu did not want the electric knife.

This!
Everyone was completely shocked by Wu Xiaofu's surgical method.

They also know that the reason for not using the electric knife is that, in fact, the pain caused by the electric knife during local anesthesia surgery is much more violent and intense than that caused by a scalpel. Most importantly, the touch will make the patient's muscles tense up.

No muscle relaxant was used in this operation. If this situation occurred, the operation would not go smoothly.

However, direct cutting will cause blood to seep out and affect the surgical field of view. One of the great benefits of the invention of the electric knife is that it can cut and coagulate at the same time, which can bring convenience to the operation. Of course, the use of the electric knife may also affect the fetus.

Combining these advantages and disadvantages, it is hard to say whether it is better to use it or not.

But no matter whether it is used or not, the prerequisite is to ensure that the operation can proceed smoothly. Wu Xiaofu is too confident.

Then they understood why Wu Xiaofu was so confident. They found that although it was a scalpel that was cutting, the bleeding from the small blood vessels in the patient's tissues was not as much as during their usual operations.

In other words, Wu Xiaofu can rely on his experience to avoid damage to some capillaries!

"It's amazing!" This kind of surgical technique can be performed by some people, but they are all masters who have immersed themselves in muscle tissue dissection to the extreme. They really can't imagine how Wu Xiaofu can achieve this at such a young age.

However, in this situation, the blurred vision is not as severe as imagined.

"tweezers."

With the knife handle and tweezers, Wu Xiaofu had already reached into the patient's abdominal cavity.

hiss!
Wu Xiaofu was freeing the tissue surrounding the liver. Because the anesthetic effect in this part was too weak, the patient felt pain unconsciously. However, the mother could not bear it. She just took a breath and clenched her teeth without making any sound.

Wu Xiaofu did not let him endure it for long, maybe just a dozen seconds, and then Wu Xiaofu stopped moving. Under the mask, Wu Xiaofu's face showed a smile. The situation was just as Wu Xiaofu had judged before the operation. The patient's portal vein and bile duct were not infiltrated, which made it much easier to deal with.

Moreover, the patient has no lymph node infiltration, so Wu Xiaofu can directly skip this step.

Sometimes, when liver cancer resection surgery is performed and there is uncertainty about whether there is lymph node infiltration, the surrounding lymph nodes must be routinely cleared. However, in Wu Xiaofu's surgical career, this step was obviously not performed.

Because the abdominal cavity is opened, the cancer foci and cancer cells are clearly visible, and there is no need to do too much useless work.

"this!"

It was unknown how many times that the doctors wanted to say something but stopped themselves. In the observation room, they could only see Wu Xiaofu fiddling with the right upper abdomen, but they could not see the situation inside the abdominal cavity at all.

They couldn't see it, and they believed that Wu Xiaofu wouldn't see much either, after all, the opening was too small.

Didn’t you see Wang Buyi was also trying hard to look at it, his brows were twisted together, which meant that Wang Buyi didn’t see more than them.

Blind operation!

At this moment, they had only this one thought, and there was no other explanation.

It’s just that the free tissue around the liver can be operated on blindly, but it’s impossible to remove the liver cancer lesions blindly, right?

Wang Buyi couldn't help himself at this time. It was a bit unreliable to act blindly.

But when the words came to his lips, he swallowed them back.

Because he could see that Wu Xiaofu's movements were very quick, without any hesitation from beginning to end, and he exuded an aura of confidence. Moreover, although it was a blind operation, there was no trace of Wu Xiaofu's blind operation at all, as if he could see it.

Wu Xiaofu didn’t know what Wang Buyi was thinking, otherwise he would definitely say that he could indeed see it, and yes, he was cheating.

Otherwise, Wu Xiaofu would not dare to perform liver cancer removal blindly.

"Come, help me."

Wu Xiaofu said to Fan Xin, and Fan Xin also went on stage. Since he had stayed, Wu Xiaofu couldn't let him miss the opportunity to go on stage. Before the operation, Fan Xin looked pitiful and hesitant. How could he hide it from Wu Xiaofu?

Just let him take the stage. He is not the main surgeon, so the impact will not be big.

Fan Xin hurriedly used his hand to gently support the patient's right lower back, so as to lift up the patient's liver and make the operation easier to perform. Wu Xiaofu adjusted the position to avoid injuring the fetus.

“Start cutting the liver.”

It’s so true!
Then Wu Xiaofu really started cutting the liver. It made everyone's scalp tingle. He was really doing it blindly!

At this time, Fan Xin's admiration for Wu Xiaofu was as endless as the flowing water of a river.

He estimated that he would never see this scene again in his life.

Fan Xin was very glad that he stayed. This operation was destined to be used as a classic in textbooks and classrooms, and he, as an assistant, would also be able to benefit from it.

Wang Buyi pulled the hook, and under his gaze, in two minutes, just two minutes, Wu Xiaofu actually asked for the bag, rummaged around, put the cut liver into the bag, and used the elasticity of the skin to pull the liver out without even expanding the opening.

In the operating room and the observation room, people began to gasp. Is this an operation that a normal doctor can perform? Not only was it a blind operation, but it was also so fast. The liver in front of him was obviously different from normal liver tissue.

It was unhealthy gray and pale, and it was obvious that the blood supply and nutrition could no longer keep up with the pathological liver mass. However, with Wang Buyi's eyesight, he could still see some normal tissues around the lesion.

In other words, it is very likely that Wu Xiaofu not only cut off the lesion, but also removed it perfectly.

"Send for inspection!"

Wu Xiaofu ordered it to be sent for inspection and then started to trim the liver surface.

Because no electric knife was used, some small blood vessels need to be ligated. As for the tiny peripheral blood vessels and capillaries, there is no need to worry too much. The liver has a strong self-healing ability and will heal itself quickly.

No one questioned Wu Xiaofu's decision to repair his liver without waiting for the result.

After all, Wu Xiaofu has been famous for quite some time. The most striking thing about him is that after liver cancer was removed, he never waited for the results. Sometimes, when the pathology came back, Wu Xiaofu had already closed his abdomen.

At the beginning, some people might say something, but later when they saw that Wu Xiaofu never made any mistakes and even performed perfect excisions, no one would say anything.

Yes, facing such a highly skilled and absolutely confident doctor, they have no right to speak.

This is their psychological characteristic.

It's just that this blind operation is not even pathological, which really makes people give a thumbs up. If the return is pathological, and it is perfect, it will really be a god.

Wang Buyi felt a little regretful at this time. When Wu Xiaofu performed the first liver cancer resection during pregnancy, Wang Buyi had actually heard about it. Unfortunately, he did not take it seriously at the time. After all, it was not in his own hospital. If he could have gone to take a look and learn from it, it would have been great.

Perhaps there can be a comparison today.

To be honest, Wu Xiaofu's operation made him a little confused. He had no way of learning it. Even if he was given the courage, he would not dare to perform the operation like this. If something went wrong, he would not be able to bear the consequences.

What's the difference between this and a blind man touching an elephant?

Can it really be explained by experience? Wu Xiaofu said that he could communicate with his five internal organs, and Wang Buyi now dared to believe it.

Rinse completed.

Wu Xiaofu stretched out his hand, and the nurse had already handed him the No. 2 absorbable suture. The incision Wu Xiaofu made was small, so a few stitches were enough to heal the cortex, and then the suture was changed to start suturing the skin.

Wang Buyi cooperated in cutting the thread.

Only then did everyone remember to check the time: eight minutes!

Everyone couldn't help but rub their eyes. Up to now, it has only been eight minutes!

Can this be done in ten minutes?
Looking at the monitor, except for the pain caused by the release of tissue around the liver, which caused a slight increase in the patient's blood pressure and heart rate, the whole process was almost stable.

Why does this operation look so simple in Wu Xiaofu's hands?

Normally, to perform liver cancer resection, even for an experienced director, it would take at least an hour. Wu Xiaofu's speed was really beyond their comprehension.

Deng Deng Deng!
Footsteps were heard, and it was the nurse who delivered the pathology instruments coming back, and everyone hurried over to look.

"The edges are clear, as Teacher Yao said, it's perfect."

Everyone exclaimed in amazement. They would be able to brag about this operation for the rest of their lives. Even if they didn't do it, they were witnesses. To be honest, if they hadn't seen it with their own eyes, when they told others about it, people who knew a little bit wouldn't believe it and would think it was a dream.

The last case was simpler and Wu Xiaofu still took ten minutes.

This case was more difficult. Wu Xiaofu had obviously made a lot of progress, and the whole process took less than nine minutes.

"Doctor Wu, is the operation finished?"

When the patient saw Wu Xiaofu coming to him, he couldn't help but ask a question. Because of nervousness, the patient's lips were a little pale. The expectation in his eyes made Wu Xiaofu respond with a reassuring smile.

"It's done. The operation went smoothly. You will be able to return to the ward in a while. Be sure to listen to the doctor when you go back."

It’s really done!
The patient was a little bit unbelievable. Although she couldn't see the time, she kept counting in her heart because it was said on the Internet that an operation would take too long and would affect the development of the fetus. Although Wu Xiaofu said it would be over within ten minutes, she didn't believe it at all.

But when I think about how I counted, I’m afraid it was less than ten minutes.

That’s so awesome!
The patient finally smiled and looked at Wu Xiaofu with gratitude on his face, "Thank you, Dr. Wu, thank you, you are the lifesaver of me and my child."

Wu Xiaofu waved his hand, gave some more instructions, and helped the nurse move the patient to another bed. The patient did not need too much time to wake up after local anesthesia, and could be sent back to the ward directly.

There was already applause in the observation room. They were discussing intensely, but they found that they could only say some words of praise for Wu Xiaofu's ability. They didn't have much to talk about their experiences during the operation.

In the operating room, Wang Buyi and Fan Xin both looked horrified.

"Doctor Wu, I'm afraid I'll never be able to learn this operation in my lifetime."

Hearing Wang Buyi's words, Wu Xiaofu also smiled and said, "Practice makes perfect. I'm sure you can do it too."

Wu Xiaofu was not trying to comfort Wang Buyi, but he felt that Wang Buyi could indeed do it. The two liver cancer resections during pregnancy performed by Wu Xiaofu actually had one characteristic, that is, they were carcinoma in situ, without even lymph node metastasis.

In fact, it is not difficult for talented doctors like him and Wang Buyi.

Wu Xiaofu has the advantage of strong mental power, but if Wang Buyi really does it, and makes the incision a little bigger and ensures vision, it can actually be done within 20 minutes. However, without Wu Xiaofu's ability to grasp the overall situation, the damage to the patient may be greater and the danger may be greater.

But as Wu Xiaofu said, if he makes a few more machines, Wang Buyi will be able to master this technology quickly.

"Let's go."

Seeing that Wang Buyi was still in deep thought, Wu Xiaofu directly pulled him away. There was no point in thinking too much. Wu Xiaofu had actually written clearly in his article that such cases were ultimately rare.

If there is metastasis, it cannot be treated and the child can only be abandoned. There are other treatments for early and late pregnancy. After such screening, this may be the only case Wang Buyi has encountered in his life, and he gave it to Wu Xiaofu.

I guess in his later years, Wang Buyi would regret pinching his thigh whenever he thought about it.

(End of this chapter)