Doctor’s Life Simulator

After sending Lai Meiyun to the ward, Professor Huang gave another order and left the ward accompanied by Tang Qichen and Zhuang Tong.

As for Qin Lang's return to the office, he was not at all tired after the operation, and continued to devote himself to work.

Seeing Li Ming tsk tsk admiration, and envious, handsome and so energetic, tsk tsk tsk.

...

The next day, early in the morning, Qin Lang drove his Audi A8 to the tumor prevention and treatment center of the First Hospital of Zijingang.

When Qin Lang came to Shenxi's office, Professor Shen said to Qin Lang while looking at a case file:

"Qin Lang, there will be a patient with vocal cord cancer who needs to undergo a laryngeal dehiscence tumor resection. I have already discussed with Dr. Yan Zhengqi. He will assist you, and you will be the main surgeon."

"The patient's right vocal cord has a new creature, about 0.5cm in size, located in the middle 1/3 of the right vocal cord..."

Shen Xi briefly explained to Qin Lang the patients who underwent the operation.

Listening to Professor Shen's introduction, Qin Lang did not expect that Professor Shen would really hand over such a complicated patient to himself.

After all, in addition to complete tumor resection, early-stage vocal cord cancer also needs to preserve or reconstruct the function of the larynx as much as possible to improve the patient's quality of life.

Many patients fail to perform laryngeal reconstruction and cannot speak after surgery. In the case of unable to communicate verbally, their psychological trauma far exceeds the physical trauma, and their quality of life naturally declines significantly.

Therefore, the operation that Professor Shen entrusted to Qin Lang not only needed to solve the complete tumor resection, but also needed to take care of the repair and reconstruction of the patient's laryngeal function, which was very difficult in terms of difficulty.

I really didn't expect that Professor Shen was so courageous and dared to hand over such a patient to himself.

Qin Lang was still a little flattered: "Thank you, teacher's trust and cultivation."

Shen Xi nodded slightly: "I still have some things to arrange here. You go to Dr. Yan first and do the pre-operative preparations. In a while, Director Han and I will come to watch and check."

After Qin Lang took the order, he soon found Dr. Yan.

Although Yan Zhengqi agreed to Professor Shen and Director Han's request to assist Qin Lang in the operation, he was still a little worried. After all, this operation was still very difficult.

"Qin Lang, I still have to take special care of you before the operation. If you have any doubts about the next steps after the tracheotomy is completed, or you can't go on, go ahead and don't be brave, I will take over."

Yan Zhengqi took care of him seriously again, and checked the whole procedure of the operation with Qin Lang again:

"After that, our team will perform low tracheotomy. I believe you can do this step very well. After the general anesthesia is completed, remove the tracheal cannula, insert an anesthesia tracheal cannula with a balloon from the tracheal incision and inflate it. , 'U'-shaped incision in the front of the neck, separation of the anterior neck muscle, and split in the middle of the larynx. After that, the tumor is removed at a distance of 0.5 cm from the tumor. Remember to send frozen sections for pathological examination, and only after the safety of the resection boundary can be started Repairing..."

Yan Zhengqi was afraid that Qin Lang would be flustered because of the first surgery, which would lead to problems in the connection of his movements, so before the operation, he carefully helped him to remember it again.

After the two were ready for the operation, they entered the operating room.

The anesthesiologist was obviously very surprised when he saw that Qin Lang was the surgeon. He did not understand and doubt that such a small doctor would perform such a complicated operation.

"Professor Shen and Director Han, their hearts are too big. They really let such a little doctor take the lead."

The anesthesiologist sighed softly, hoping that this little doctor wouldn't go out of his way for a while.

However, with Yan Zhengqi assisting him, he was a little relieved.

When Qin Lang and Yan Zhengqi were about to start, Director Han and Professor Shen also put down what they were doing and rushed to the operating room. They also attached great importance to Qin Lang's operation.

Seeing Director Han and Professor Shen on the sidelines, the anesthesiologist really felt relieved, but I admired Qin Lang a little, so he was able to get such a good opportunity at such a young age.

I hope this little doctor can live up to his expectations and seize this opportunity.

However, this kind of novice is always full of mistakes when it is the first time to perform such a difficult early resection of vocal cord cancer.

The operation started very soon. This time, Qin Lang still started with the tracheotomy. I have to say, this step, Qin Lang's movements were completely textbook-level, the scalpel flashed with silver light, and the trachea was completed with three strokes and five divisions. cut.

After a while, the skin, subcutaneous tissue, platysma and anterior zona muscles were separated, revealing the thyroid cartilage, cricothyroid membrane, cricoid cartilage, and trachea.

Yan Zhengqi and the two directors had to admire Qin Lang's tracheotomy.

Yan Zhengqi looked at Qin Lang's smooth operation, but he was looking forward to Qin Lang's next tumor removal.

Han Hu and Shen Xi also watched without blinking.

After Qin Lang completed the incision of the trachea and cricothyroid membrane, he began the complete resection of the most critical tumor.

Then, on the operating table, the whole situation turned upside down, like a sports car suddenly turning into a tractor, with jerky movements and rude handling.

After all, Qin Lang is only an entry-level laryngeal dehiscence tumor resection, and he is proficient in tracheotomy, but after entering a new field, he has exposed various entry-level defects.

There is awareness of the entire operation process, but in terms of specific operations, it is really just the beginning.

Looking at Qin Lang, one knife, one knife, the excision was carried out. Obviously, he knew very little about this kind of vocal cord cancer, and he couldn't completely remove it, and his judgment of the tumor boundary was also a bit clumsy.

Seeing Qin Lang's poor performance, Yan Zhengqi, Han Hu, and Shen Xi were all dumbfounded.

"This is really the first time I have seen Qin Lang, such a novice."

Han Hu and Shen Xi seemed to have discovered a new continent, so they looked like little doctors.

Especially Han Hu, who wanted to laugh a little, this Qin Lang finally had a little bit of a normal person's taste.

Yan Zhengqi on the side was also in a daze. Who would have thought that such a perfect trachea and cricothyroidotomy would be connected to such a lame tumor resection.

However, this allowed Yan Zhengqi to slightly stabilize the mentality he had previously been attacked by Qin Lang.

"Is this reasonable? It's just like I'm just starting to learn a spell."

Yan Zhengqi looked at Qin Lang's operation. Although the technology was average, the overall completion was still within an acceptable range, at least there were no major omissions.

On the operating table, Qin Lang also blushed a little. In fact, he really couldn't handle these few steps.

"You guys just wait, after I have completed five laryngeal dehiscence tumor resections and received the reward of pleural tumor resection, you must see my true strength!"

Qin Lang and others completed this progress task, and immediately prepared to start the simulation, adding the laryngeal dehiscence tumor resection skills to the perfect level.

"Thirty years Hedong, thirty years Hexi."

Qin Lang continued to concentrate and stumbled to start the next operation.

It took Yan Zhengqi twice as long to remove the tumor as usual for Qin Lang to complete this step.

At the same time, according to Yan Zhengqi's preoperative explanation, the frozen section was sent for pathological examination. It is impossible to determine whether the tumor resection is complete with the naked eye, and must rely on the pathological report, which is a key link related to the survival of the body.

Seeing Qin Lang's clumsy operation~www.readwn.com~, Shen Xi and Han Hu were also a little surprised. To be honest, they couldn't connect with Qin Lang, who was so energetic before.

Shen Xi blinked his eyes, thoughtful.

Han Hu seemed to see Yan Zhengqi, who had just started to learn this operation. Of course, Yan Zhengqi was even worse than Qin Lang.

The next step is to repair the defect site of tumor resection.

At this point, Yan Zhengqi is ready to take over as soon as possible. After all, the flap repair in this step is more difficult, and the selection of flaps, freeing, and transplantation all test the experience and skills of the main surgeon.

However, what surprised Dr. Yan was that at the stage of flap transplantation, Qin Lang seemed to have regained his energy.

"Well, is he okay again?"

Under the perfect skin flap transplantation, Qin Lang is of course able to do it again.

Moreover, this time he chose a completely new transplant plan.

Seeing Qin Lang's starting style, Yan Zhengqi on the side was stunned.

"Qin Lang, I didn't tell you to use an anterior neck pedicle skin flap for repair. What are you doing... Hey, how can you do this?"

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