I am Dr. Krypton Gold

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“Director, help me.” Yang Tian said to Yang Jinrong.

“Okay.” At this moment, Yang Jinrong acts as an assistant, helping him lift the rectum and sigmoid colon, revealing the ureter.

Yang Tian incises the posterior peritoneum along both sides of the root of the sigmoid colon on his inner side, enters the retroperitoneal space behind the mesentery, and incises the posterior peritoneum downward along both sides of the rectum, and meets about 1cm on the anterior rectal concave peritoneum, paying attention to protecting the inferior abdominal nerve, entering the presacral space on the sacral promontory, sharply separating the presacral space between the pelvic fascial organs (deep rectal fascia) and parietal fascia under direct vision, and pulling the rectum forward as much as possible with a deep S-shaped hook to protect the integrity of the posterior pelvic fascia of the rectum. The sacrorectal fascia is cut downwards, and the separation posterior to the rectum should extend beyond the tip of the coccyx to the level of the levator ani muscle in the pelvic floor.

This series of operations flowed without the slightest drag, as if it had been done thousands of times!

“This operation can definitely be done by an old surgeon who has been more than 30 years old.”

“I see that his series of operations did not make a single mistake, nor did he bleed heavily, only a little bit of blood, and this degree of control is simply incredible.”

“Those thick fats, thick mesangies, thick intestines, thick lymphoid tissue… It was as if it didn’t exist before his eyes. He can guess the patient’s structure accurately at every step! It’s really unbelievable! ”

At this moment, Yang Tian began to sharply separate along both sides of the rectum, cut off the lateral ligaments on both sides, lightly stabbed, picked, cut to the benefit, and the root did not hurt the blood vessels in the rectum on both sides.

“Is this a divine knife! Ten doctors who did this more or less caused blood vessels to bleed and needed blood vessel ligation, and he didn’t hurt his blood vessels at all. ”

Just came to Yang Jinrong to see it, and he was also amazed.

Yang Tian incised the anterior rectum along the peritoneal refold into the Denonvilier fascia and the deep fascia of the rectum, and at the exposing sperma-cord, the spermatic cord was pulled forward on the dorsal side of the spermatic cord, and the deep fascia of the rectum was separated downward to the level of the prostate.

Then the left colonic vascular arch was retained to ligate and break off the blood vessels of each branch of the sigmoid colon, and the intestinal lumen was blocked with two deMarte1 forceps or non-injury intestinal forceps at the middle and lower 1/3 of the sigmoid colon branch. Excisional specimens can be removed from the incision in the yin part. After the specimen is removed, the pelvis is rinsed with an antiseptic solution, and after tight hemostasis, the pelvic peritoneum is closed. An indwelling negative pressure drainage tube is placed in the pelvis to poke out of the left iliac fovea or from the lower end of the incision, or it can be led out through the inside of the tubercle of the yin bone.

Then the proximal sigmoid colon can make a small incision through the upper 1/3 of the left lower abdomen, remove the round skin with a diameter of 2.0cm, and then lead the sigmoid colon through the incision of the abdominis rectus muscle fiber separation, fix the peritoneum and the intestinal wall around the four needles, suture the abdominal incision according to the layer, remove the deMarte1 forceps or non-damage right angle intestinal forceps, and make a full-thickness intermittent suture between the colon end and the skin. The sigmoid colon can also be led out through the upper end of the incision rather than 2 transverse fingers below the umbilicus, and a terminal stoma is performed…

“The operation was successful!”

“Oh my God!”

“It’s the pinnacle. For the first time, I saw an example of rectal cancer surgery on a 300-pound fat person! ”

“I actually watched the whole process, and I was very inspired.”

“The hands of that surgeon are simply magical.”

“It’s too flexible, I’m going to Jiangbei Hospital to learn from him!”

“Hehe, people can only accept you.”

After successfully removing the tumor of rectal cancer, Yang Tian began to wash the abdominal cavity with normal saline, and then sutured.

When stitching, there are no small challenges.

Because the thick mesangium and peritoneum, and that fat are very difficult to suture.

But Yang Tian used the master-level suture technique to show the people in the live broadcast room what is called master-level suture!

They were amazed when they saw it!

This time the operation took 1 hour.

The main thing is that the operation of this 300-pound fat man is too difficult and complicated.

If it were someone else’s surgery, he estimated that it would be done in half an hour. Even faster!

“Yang Tian, you succeeded!” Yang Jinrong was excited after seeing Yang Tian stitch up the wound. At this moment, he completely believed that Yang Tian never said big things.

I also firmly believe that the other party will do surgery after seeing the operation. It’s a peerless demon.

“It finally lived up to expectations.” Yang Tian smiled slightly.

“I think you can be a teacher! You can turn right now. Yang Jinrong said with a smile.

He also had a bold guess that maybe Yang Tian would become an all-round surgeon in the future!

Spanning several different types of surgical fields.

Not only in the field of general surgery, but also in orthopedic surgery, cardiothoracic surgery, neurosurgery…

What they don’t know is that this live broadcast has been watched by tens of thousands of people on the medical forum, and even recorded by people, and it is estimated that this operation will set off a small storm in the field of rectal cancer!

Because this kind of surgery dares to do it, and it is so perfect and impeccable.

When Yang Tian and Yang Jinrong came out of the operating room, Lin Weixiang’s family saw them come out and quickly walked over and asked, “Doctor, what happened to the operation?” ”

It only took an hour to come out, making them a little panicked, is it impossible to go on halfway?

“The operation was successful! However, he will need to be hospitalized for observation for two weeks. Yang Jinrong said.

“Success? Great, really great! Lin Weixiang’s family was all excited.

“Doctor, you guys are amazing. It seems that Jiangbei First Hospital is worthy of being a famous hospital in the country, and I feel that it is not bad with Beijing First Hospital. ”

“It’s just…”

Yang Tian, in particular, was invited to dinner by Lin Weixiang’s family to express his gratitude, but he politely refused.

After saying goodbye to these people, Yang Tian went to the lounge to drink saliva and looked at the progress of the task (1/20).

“It seems that in the next few days, I will need to find more tertiary surgery to do it.” Yang Tian said secretly in his heart.

…………

Many doctors in Modu Cancer Hospital, Beijing First Hospital, and Modu First Hospital also saw Yang Tian’s operation video. When they saw Yang Tian’s divine skill and extremely accurate means of judging the position, they were all stunned!

When did Jiangbei First Hospital produce such a bold and powerful chief surgeon? _

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