Come on, Dr. Wu

Chapter 97: Treat each other with sincerity
  Looking at the wine glasses that were delivered to them, Wu You and Director Wang both widened their eyes.

Is it really true that a new world has been created by drinking wine? In just one sentence, three glasses?
  "Sister Wu, Director Wang, this is called the eagle spreading its wings and displaying its ambitions."

Well, the implication is not bad.

Hearing these words, Wu You and Director Wang nodded again. In fact, in their position, most of them like to seek good luck. Looking at the three glasses of wine in front of them, alas, one drink is also a drink, and three glasses are also drinks. Geely, forget it if you drink. However, they have remembered Wu Xiaofu this time. They have to be careful if they drink with Wu Xiaofu in the future.

"Hey, Sister Wu, Director Wang Hailiang, come on, let me play another song."

Two hours later, it was already past ten o'clock, and Wu Xiaofu helped Duan Hao out of the Peace Hotel.

The driver was already waiting in advance. I have to say that Sister Wu is really a hero among women. She went to the bathroom several times and probably vomited a lot. But even so, everyone was clearly arranged. The driver has been found, and he is so considerate of everything. He really deserves the money he makes.

Duan Hao's home was near the hospital, and Wu Xiaofu helped Duan Hao, who was already confused, back home.

It was Duan Hao's wife who opened the door. It must be said that she is a talented man and a beautiful woman. Duan Hao is talented, but Duan Hao's wife is beautiful. She did not enter the house, handed Duan Hao to his wife, and left directly.

Saturday, another Saturday, yes, it is the time for the program to be broadcast again. This time it is not the interview episode, but the official first episode, which is also at nine o'clock in the evening.

During the day, Wu Xiaofu and the others did not have an outpatient clinic. However, Wu Xiaofu and Duan Hao had agreed that Duan Hao's surgery would be the first one, and Wu Xiaofu would follow suit, followed by the bile duct stones that Wu Xiaofu ordered yesterday.

Wu Xiaofu had just finished explaining to the patient when the phone rang. He didn't dare to delay and hurried into the operating room.

What Duan Hao did today was not an ordinary operation, but a liver resection.

Although liver resection is also a third-level operation, it is much more difficult than gallbladder and appendix surgery. The deputy chief physician began to try it, but if he wanted to do it beautifully, it could be said to be very rare. Duan Hao studied under Yu Shi Auxiliary, in terms of liver resection, from general surgery to emergency department, he can also be ranked in the top five. He can be regarded as an expert in liver resection.

Moreover, the patient this time is probably from a related family.

You know, although the hospital does not have weekends, surgeries must be performed no matter when. However, except for emergency surgeries, routine surgeries are generally not performed on weekends. Elective surgeries such as liver resection are directly arranged on Saturdays. It can only be the kind of relationship that cannot be refused.

Entering the operating room, in addition to Duan Hao, Zhu Yun was also there. Zhu Yun had just finished the night shift and asked Duan Hao to help him. The routine for liver resection should be four people, three people are also fine. This configuration cannot be reduced any more. Now add Wu Xiaofu has exactly three, so he can still open them.

To be honest, Wu Xiaofu was also very excited after knowing that he was about to participate in a liver resection surgery.

Even if it is another soul, there are not many opportunities for liver resection. No one is willing to play with their own lives. Since they have decided to undergo liver resection, they will definitely go to a big hospital, a top tertiary hospital, or the First Affiliated Hospital. The general surgery department is the head of the entire East China Sea, and there are many liver resections performed there.

Not only cases in Donghai City, but also outside Donghai City and several surrounding provinces will gather there.

The other Wu Xiaofu is just the chief physician of an ordinary tertiary hospital. If he wants to perform liver resection, he can only do it himself and try to keep the cases he encounters. He has to be the kind to withhold them based on the situation. After all, the risk is too high. He I'm not sure I can do it either. This is something I'm really familiar with. I only do it three or four times a year, which means I can keep my technology from deteriorating.

It is basically impossible to achieve rapid technological advancement like these doctors from the First Affiliated Hospital.

Now Wu Xiaofu's platform is much higher. After only two weeks of internship, he has been exposed to this level of surgery. Although he is now the second assistant, he has the foundation of another soul. With the training of famous teachers like Duan Hao, he can learn more and learn more. Look, there might not be a chance to get started as soon as possible.

"Wash your hands and get ready to start."

The anesthesiologist had already begun to numb, and Duan Hao was drawing a mark. When he saw Wu Xiaofu coming in, he gave an explanation.

Zhu Yun also nodded and took Wu Xiaofu to wash his hands.

"Have you ever seen a liver resection?"

"I've seen a few cases."

"That's not bad. Director Duan is an expert in this field. Please watch carefully and cooperate well in a while. I have just finished my night shift and you will be the main force."

When Wu Xiaofu heard this, he was of course very grateful. The night shift was just an excuse. After working the night shift in the emergency department, there was no problem in performing a one-day operation. This was clearly a chance for him.

"The patient is sixty-two years old and is a retired leader in the city. This time, he originally asked Director Yu to do the job, but Director Yu had something to do, so he recommended Director Duan. They also knew Director Duan's reputation, so they agreed. Young I was drinking heavily at that time, and my liver cirrhosis turned into liver cancer. Fortunately, it was discovered early and there was no metastasis. It was considered stage two, about 7cm."

Wu Xiaofu knew what he was saying, and it was similar to what he had guessed. However, seeing how relaxed Zhu Yun said it, Wu Xiaofu knew that this operation would not be difficult for Duan Hao.

Back in the operating room, Wu Xiaofu skillfully disinfected and spread the drapes.

Now Wu Xiaofu is somewhat famous in the operating room. Although the people who set up the stage this time were not acquaintances before, they didn't make any other embarrassments when they saw Wu Xiaofu's name.

Wu Xiaofu also watched the film in advance. The tumor was located at the end of the left liver lobe.

Wu Xiaofubi looked at Duan Hao's mark and thought about where he would strike if he did it, and what was the difference between Duan Hao and his own thoughts? Staying humble and studying hard is the ladder of progress. "This patient's tumor is at the end of the left liver lobe, so the surgery is done under the chest and a little to the left of the midline of the abdominal cavity, so that the view will be better."

When doing surgery, what you want is a better field of vision, which is also the advantage of surgery.

An expert like Duan Hao will only make one incision to expose all the parts he needs at one time. He will not go to the middle. Only when he feels that the field of view is not enough will he make a second incision. If that happens, The situation may make everyone around me laugh.

After the surgical incision was made, Wu Xiaofu quickly kept up with the rhythm and started electrocoagulation to stop the bleeding.

Zhu Yun had already taken the initiative to stand in the position of second assistant, pulling the retractor in place, but he was also always paying attention to the progress of the operation. If Wu Xiaofu couldn't bear it anymore, he would do it. In his opinion, Wu Xiaofu was It was his first liver resection, and if he couldn't keep up with Duan Hao's pace, it would easily delay the operation.

The liver resection should be done quickly rather than slowly. If Wu Xiaofu can't keep up, he can only be replaced as the second assistant.

Fortunately, Wu Xiaofu seemed to be smart and easy to handle. He even asked questions from time to time without appearing nervous at all. He was worthy of being praised by Yu Shifu as a natural magician.

After the liver is exposed, it is actually easy to distinguish.

The color of a healthy liver is dark red. At the left end of the liver lobe of the patient's liver, there are gray-white spots and small bulges. This is the manifestation of the disease.

Tumor, as the name suggests, is a swollen tumor. This raised little gray bag is a liver tumor.

The surrounding spots are also due to liver tumors, which infiltrate the lesions. If no intervention is performed, the tumors will continue to expand along the location of these lesions.

The diameter of the CT scan is 7cm. This small gray bag is not that big. It is not that the CT is wrong, but that the small gray bag is just a raised part, and there is a hidden part under the liver epidermis. This is also a liver resection. One of the difficulties is that if you are stunned, you really have to cut it according to the little gray bag, and the knife will go directly into the tumor.

Then this operation is basically useless.

Experienced doctors will make pre-cuts based on imaging examinations and experience.

"When it comes to liver resection surgery, remember these points and you can basically get the same results. First, the number of liver segments to be removed depends on the tumor area and the age of the patient. To ensure clear resection margins, try to remove as little as possible."

Cut as little as possible while ensuring clear incision edges.

This sentence is the most difficult, and it is also the mark of experts who distinguish the genuine from the fake. The function of the patient's liver is originally limited due to the tumor. The more subsequent operations are performed, the fewer parts can provide functions. People Can you live without a liver? What is being cut is not the liver, but life.

If you don’t have enough experience and skills, and you want to be safe, you have to cut as many things as possible.

Those who dare to keep as much as possible are the bold ones who are skilled in art.

"Second, if you can cut it once, don't cut it a second time."

Those who perform great liver resections will be given the reputation of one-shot surgery. What do you mean? With one cut, the edges are clear and clean, saving time and effort. One medical examination can directly proceed to the next step. With such a small difference, for the patient's The prognosis, that's worlds apart.

"Xiao Fu, please add something more."

"Don't burst your gallbladder?"

Wu Xiaofu tentatively replied, which made both Duan Hao and Zhu Yun laugh, "Yes, with your understanding, if you play with me a few more times, you will be able to try to make some simple things by yourself. You should be consistent with your liver and gallbladder." The distance is too close, so you must have a steady hand when performing the operation. If you really puncture your gallbladder, you will become famous in the world."

Wu Xiaofu hurriedly shook his head, it was okay not to use this way of becoming famous.

It's okay to make a name for yourself, but the patient will be miserable. If you cut out the liver and cut out the gallbladder at the same time, this is not a buy-one-get-one-free deal. People won't thank you later and won't let you pay dozens of dollars. This is all kindness. of.

Not to mention, it is not uncommon for the gallbladder to be ruptured during liver resection, especially when liver resection is first carried out.

Liver resection is generally performed only in tertiary hospitals.

In the early days when I was unskilled, I sometimes cut out the liver and bile. After all, once the gallbladder is punctured and bile enters the abdominal cavity, it will cause biliary peritonitis, infection, shock or even death, which will follow. You can only remove the gallbladder as soon as possible. It was cut, and then the abdominal cavity was washed to minimize the consequences.

Not only that, a drainage tube must be placed in the abdominal cavity, and postoperative antibiotics are powerful to fight infection.

You can't hide this kind of thing from the patient. What's more, it can't be hidden. Good things are not famous, and bad things are spread thousands of miles. How can one keep his mouth shut so tightly? So when a medical accident occurs, don't think about it as soon as possible. It is right to avoid concealment and obtain the patient's understanding early. Otherwise, if it is really known later, you will not say anything about it.

However, if you think about it carefully, if they were cut together, it would really be a coincidence. They were born in the same year, the same month and the same day, and they must not be born in the same year, the same month and the same day.

(End of this chapter)