I am Dr. Krypton Gold

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Total gastrectomy is a four-stage surgery that is not low.

At present, Yang Tian has not learned this surgical skill.

He has not seen anyone perform this operation, so he does not plan to take the initiative to ask Yang Jinrong this time.

After discussing with the patient, I plan to start this operation as soon as possible.

Apparently the patient and his family accompanied him.

After all, his disease is strange.

The money is also enough.

Since there is now medical reimbursement, after this operation is completed, at least about 60% can be reimbursed.

It also relieves a lot of burden.

“Yang Tian, you haven’t seen a total gastrectomy yet, so take the time to watch it this afternoon. By the way, by the way, Zhu Youcai and a few other doctors who came to study came to watch together. Yang Jinrong said.

“Good.”

Next, Yang Jinrong arranged for the patient to undergo a deep examination of the stomach, as well as other necessary examinations for surgery. Then I sorted it out again, and it was indeed possible to do surgery.

What the emergency room is all about is speed.

If you change to another department, it is estimated that it will take two or three days to perform surgery.

When Yang Tian walked out of the consultation room, Liang Ying came over: “Yang Tian, are you free tonight?” ”

“Yes, what’s wrong?”

“My birthday is today, so I want to celebrate tonight, you must come.” Liang Ying said with a grin.

“Your birthday today? Happy birthday to you, okay, as a roommate for your birthday, I will definitely come, haha…” Yang Tian readily agreed.

In fact, he didn’t expect that today was Liang Ying’s birthday!

Of course, he didn’t know Liang Ying’s.

“Haha… When the time comes, I want you to give me a ride.” ”

“Okay, I’m your car.”

“Cluck…”

In the afternoon, the patient’s total gastrectomy began.

Inside the operating room.

Yang Tian, Yang Jinrong, Zhu Youcai and several others. There is also a nurse, anesthesiologist Liu Qiang.

“Incision: The middle incision of the upper abdomen, up to 2~3cm above the xiphoid process, down around the umbilicus to 2~3cm below the umbilicus, excision of the xiphoid process to facilitate the exposure of the esophagus.” Yang Jinrong explained to everyone while holding a scalpel for incision.

“The incision is now open, and we are beginning to explore the intra-abdominal cavity centered on the invasion of the primary lesion of gastric cancer. First, explore for liver metastases, peritoneal and omental metastases. Then gently expand the transverse colon to explore the invasion range of gastric cancer, and if the cancer has invaded the serosa, cover it with gauze to prevent cancer cells from falling off and escaping during surgery. Then turn the transverse colon upward to observe whether there is cancer invasion in the deep abdominal cavity, explore the duodenal jejunal curvature, explore the para-aortic lymph nodes of the abdomen, and explore the Douglas fossa for metastatic nodules. Put it back into the transverse colon, pull the hook to open the left edge of the incision, put the left hand into the spleen and support the spleen forward and inside with the palm of the hand, and pad two large gauze pads behind the spleen, so that the spleen, pancreatic tail and stomach are close to the middle of the abdomen…”

Zhu Youcai and several others watched intently.

Yang Tian was not interested in watching it, after all, he could completely purchase this medical skill in the system at that time.

There is no need to learn if there is a plugin, it is impossible!

The procedure took about three hours to finish.

When I came out of the operating room, it was already past five o’clock.

It’s almost time to leave work.

After changing his surgical clothes, Yang Tian walked out of the emergency room and smoked a cigarette.

At this point now, there are no more patients.

It’s also a little time to take a good rest.

After smoking, Yang Tian walked in and said to Liang Ying, “When do we leave?” ”

“Well, my birthday is 9 o’clock tonight, Blue Dot KTV.Eh, some of my friends need to work a little overtime, so they don’t eat.” But I can treat you to dinner, eat and go over. Liang Ying explained.

“Okay~” Yang Tian nodded. _

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