natural doctor

nine forty am

Provincial Affiliated Hospital Second Operating Room

The entire operating room is filled with a dignified and tense atmosphere, which is exactly what Gu Feng likes, because every time he stands in front of the operating table, he always has the excitement of fighting on the battlefield

"Knife Comes"

Following Gu Feng's deep shout, everyone's minds were shocked, and the radical surgery for gastric cancer officially started

After receiving Liu Shiya's scalpel, Gu Feng made a knife between Xiao Dingzhong's abdomen, making an incision around the navel in the middle, about 24 cm long

With one cut, a line of blood appeared on the abdomen, the third assistant at the side quickly picked up a cotton cloth to suck the blood away, while Du Leixin and Bao Xinhui, who were the first and second assistants, hurriedly worked together The skin is incised and then opened layer by layer into the abdomen

After the abdomen is opened, the first line of action is not cutting, but probing

Although many auxiliary examinations have been done before the operation, sometimes the results of the examination are one thing, but what you see with your own eyes is another. This is the same truth as hearing is believing, seeing is believing

Sure enough, after investigation, it was found that the actual situation was worse than previously expected. This is not the middle and late stage of gastric cancer, this is the advanced stage at all.

The mass is in the antrum of the stomach, above the pylorus, about six centimeters in size, has invaded the serosa layer, and is infiltrating and growing into the surrounding deep layers. In addition, the pancreas can be seen with tumor tissue-like spots, which are suspected to be metastatic lesions. Other places, such as liver, gallbladder, spleen, small intestine, colon, mesentery, omentum, pelvis, abdominal wall, no obvious metastases, no ascites

After discussion, Gu Feng decided to undergo radical gastrectomy

Gu Feng didn't dare to hand over this operation to Du Leixin, it's not that he didn't believe in Du Leixin's technique, and he didn't have much confidence in doing this by himself. The tumor cells grow infiltratively. Clean, if there is a little residue, it will be a wild fire, and the spring breeze will regenerate

After receiving the high-frequency electric knife from Liu Shiya, Gu Feng began to cut, separating the gastrocolic ligament along the transverse colon wall, from the hepatic flexure to the splenic flexure, and peeling off the superficial mesocolic layer, as well as peeling off the outer pancreas. envelope

After completing the first step, Gu Feng raised his head, and another nurse hurriedly wiped off the fine beads of sweat on his forehead

After taking a breath, Gu Feng asked, "How long has it been since the surgery?"

Liu Shiya said, "It's almost an hour."

Gu Feng frowned slightly. At the same speed, the operation may take a long time, but can the old man's frail body hold up?Quickly asked again: "How is the patient's vital signs?"

Bao Xinhui replied: "Everything is normal now."

Gu Feng nodded, "Continue"

Du Leixin said: "Teacher, do you want me to come?"

Gu Feng shook his head, picked up the knife and proceeded to the next step, opened the kocher incision, separated the initial segment of the duodenum, ligated the right gastric artery and vein respectively, and divided them; ligated the right gastroepiploic artery and vein respectively, and divided them ;Separate the blood vessels around the pylorus and ligate and disconnect until about 3 feet below the pylorus, avoiding the common bile duct, cut in a straight line at the beginning of the duodenum, perform an anastomosis, and purse-pack the stump of the duodenum with silk thread, Separate the hepatogastric ligament, retract the gastric wall, separate and ligate the short gastric vein, and disconnect; about 70% away from the distal stomach, separate the branches of blood vessels around the stomach, ligate and disconnect...

After completing these steps, Gu Feng raised his head again, and found that more than two hours had passed, and the entire operation had already passed four hours

Gu Feng felt that his neck was a bit stiff, so he turned it lightly a few times. After moving around, he took a deep breath and buried himself in preparation for further cutting and anastomosis. After suturing, the surrounding connective tissue can be separated, that is, the lymph nodes can be dissected

So this step is very critical, nothing can go wrong, Gu Feng cheered up, and was about to bypass the high-frequency electric knife to cut the mesangial tissue below the large blood vessel, only to hear the door in the operating room. The steel door, which could only be opened from the inside out at the beginning of the operation, suddenly heard a loud noise

The earth-shattering sound of "Boom" resounded on the steel door. The steel door was violently bent by someone outside, and the whole room felt like shaking.

This sudden loud noise and shock is undoubtedly a fatal blow to the quiet, busy and tense operating room

The doctors who were devoting themselves to the operation were all startled. Those with a stronger mind only trembled in their hearts, and subconsciously turned their heads to look outside the door, but those with a weaker will trembled uncontrollably.

At this critical moment, not to mention trembling, even a little distraction, it will lead to an irreversible disaster

Gu Feng's nerves are very thick, even if the sky falls and lightning strikes him, it is impossible to affect his operation, so when there is a loud noise at the door, his knife stopped in time and stopped. Just a few millimeters above that major artery

Unfortunately, Wei Songliang, who was standing opposite and acting as Gu Feng's third assistant, was not as calm as him. When the huge earthquake sounded, the camera in his hand swiped forward uncontrollably, and it stood there on a major artery, and pushed it onto Gu Feng's scalpel

How sharp the scalpel is, and how tense the muscle wall of the aorta is, when the two meet, the aorta is punctured immediately

The pressure on the aorta was so huge that blood spurted out from the aorta all of a sudden, flying up to a height of about [-] to [-] centimeters.

Gu Feng, who was bending over and lowering his head, felt a sudden redness in front of his eyes, and his head and face were sprayed with blood, his entire upper body was red

When everyone saw this, they were all dumbfounded. Some looked towards the door, while others stared blankly at Gu Feng.

However, to make matters worse, the moment the door was bent and knocked open, a man in black swooped in from the outside with a long knife in his hand.

The doctors and nurses in the operating room panicked again, and some of them were already screaming

Just at this time, a girl as beautiful as a demon suddenly appeared out of nowhere

Yes, everyone was not dazzled, the girl did seem to appear in mid-air, her figure flashed, and in an instant she was behind the man in black, the catkin suddenly stretched out, grabbed the man's back collar, and slammed slam the door

The body of the man in black who was rushing forward was suddenly thrown out like a fallen leaf caught in a strong wind

Immediately afterwards, the girl's ghostly figure rushed out.

The figures of the two were just a flash in the pan, and disappeared in front of everyone in an instant, but the hissing and fighting sounds from the corridor outside the door still reminded everyone that all this was not an illusion

No one can figure out what is going on, but on the operating table, the old man's blood is still gushing, and his vital signs drop sharply

Gu Feng reacted immediately, and shouted angrily: "What are you doing here, hemostat?"

Liu Shiya quickly recovered from her panic, and handed the hemostat to Gu Feng's hand

However, at this time, the abdominal cavity was already filled with gushing blood, and the broken artery sank below, and its location could not be found at all.

This sudden situation made everyone flustered and didn't know what to do

But if this situation lasts for a few more seconds, the life of the old man may be reimbursed in advance

At such a critical juncture, Gu Feng, who is the chief surgeon, made a quick decision, and he didn't have time to call Du Leixin and the others sucked the blood away with a negative pressure straw, exposing the surgical field, and then stretched their bare hands into the abdominal cavity, relying on the feeling in their hands to grope in the blood , Kung fu does not take a lot of effort, Gu Feng's luck is not bad, he quickly found the broken blood vessel, and immediately extended the hemostat

Although the doctors were in a state of confusion, after seeing Gu Feng's calm performance, they all came to their senses and quickly cooperated with him in the rescue work

The old man's vital signs were still declining rapidly, his heartbeat was rapid, and his blood pressure dropped sharply, reaching an extremely dangerous value in an instant

Rescue work is thrilling and dangerous, because Gu Feng and the others move a little slower, so there is no need for any surgery in the future, just deal with the funeral affairs

Fortunately, Gu Feng had already made sufficient preparations before the operation. As soon as he discovered the massive arterial bleeding, he immediately gave the doctor's order to give the patient blood transfusion, replenish the blood volume, and speed up the fluid rehydration.

At the same time, his hands didn't stop, he quickly sutured and repaired the blood vessel, and after that, he started various emergency measures

Under Gu Feng's calm command and everyone's concerted efforts to rescue, the old man finally turned the corner and his vital signs stabilized.

Seeing that the old man was finally rescued, everyone breathed a sigh of relief, but they were all covered in cold sweat, because if Gu Feng hadn't stopped the bleeding in time, everything would be over now

Everyone recalled the situation just now with lingering fear in their hearts, and finally they couldn't help but look outside the door, because no one understood what was going on outside, why someone broke into such an important place as the operating room, and finally, their eyes couldn't help seeing Wei On Songliang, because it was his loss of control just now, it almost caused a catastrophe

Wei Songliang was so embarrassed, he blushed and said, "Gu, Doctor Gu, I'm sorry."

Gu Feng shook his head, "I can't blame you, I was scared just now."

Bao Xinhui said: "What the hell is going on? Why did someone rush in?"

Liu Shiya also said in a panic: "Yeah, you're still holding a knife, it's too scary."

Gu Feng raised his hand, stopped everyone's discussion, and pointed to the itinerant nurse who was standing aside, his face was pale with fright, and his lips were still trembling, "Notify the hospital's security department and ask them to send someone to guard immediately."

The frightened little nurse nodded quickly, "Oh, oh"

Gu Feng waved his hand and said in a deep voice, "The operation continues."