Start with an emergency physician

There is nothing particular about the removal of the pancreatic body and tail, as long as you don't damage the mesentery and capsule.

He Jianyi and others looked at Zhou Yuan's smooth movements with shocked expressions.

On the operating table, any action, a simple word"resection", may contain hundreds of operations and decades of experience.

Don't damage the mesentery and capsule, it's easy to say, but when you really remove it, you will find it difficult to put the scalpel down. The reason why surgical experts are so valuable and their salaries are almost several times that of doctors with the same title is precisely because of this.

Therefore, whether it is a deputy chief physician like He Jianyi, or an instrument nurse or an anesthesiologist, they can't understand how this twenty-something body can have the professionalism, proficiency and dexterity that even experts in their fifties and sixties may not have.

"The removal is complete."

When this sentence was heard, everyone woke up from their dream and stared at Zhou Yuan blankly.

""Start cleaning the blood vessels." Zhou Yuan did not notice the expressions of others.

Cleaning blood vessels and lymphatic vessels is relatively easy. Every doctor has his own habits and different cleaning orders.

As long as they can be completely cleaned, it is a good method.

""Wipe the sweat."

Zhou Yuan had just finished speaking, and the pretty nurse was about to raise her hand, but Sun Meng took a step ahead and gently wiped Zhou Yuan's forehead.

"Cleaning is complete."

These words, spoken after a long time, made everyone present breathe a sigh of relief.

"Total gastrectomy is complete."Zhou Yuan did not relax.

The completion of the resection does not mean the operation is complete.

After the stomach is removed, the digestive tract must be reconstructed. Only in this way can the patient maintain the digestive and absorption functions in the future.

Zhou Yuan chose the esophagus-duodenal interposition of the triple jejunal pouch gastrectomy.

He took a proximal section of about 40 centimeters of jejunum and preserved the blood supply in its mesentery.

Then, the upper opening of the jejunum was sutured and anastomosed with the esophagus, and the lower opening was sutured and anastomosed with the duodenum. The middle intestinal segment was folded into 3 sections, each of which was about 10 centimeters.

""Silk thread No. 1." Zhou Yuan said.

The three folded sections of jejunum must be sutured to fix them. The three jejunal sacs formed can replace the lost stomach cavity to delay the emptying of food, which is beneficial to the absorption of nutrients and the maintenance of body weight.

Because it is three sections, the front and back sections are the same as the original jejunum, both moving in the same direction. The middle section of the intestine forms a natural reverse peristalsis due to the change in position, which makes the food stay longer and can improve the digestion and absorption rate.

"It's done." Zhou Yuan slowly raised the needle holder and left the abdominal cavity with both hands.

Everyone breathed a sigh of relief.

"Check the gauze." Zhou Yuan said.

Ocean:"One, two, three……"

Sun Meng:"One, two, three……"

After the number was correct, the two of them counted the scalpels, intestinal forceps, etc. with the instrument nurse, and found that nothing was missing.

Zhou Yuan checked the previously sutured ends again. Although he was confident that there would be no leakage, this was a necessary step before suturing the abdominal cavity.

"No problem. Prepare to close the abdomen."

Haiyang was distracted and accidentally heard"No problem, prepare to show off." Zhou Yuan flew the needle into the skin. The needle tip was like a dragon's head, and the needle thread was like a dragon's body. The sound of piercing the flesh was like a dragon's roar.

Haiyang closed his eyes in enjoyment:"It's still more fun to watch Brother Zhou Yuan sew.……"

Jiang Xiaoqi was probably the most shocked among those present.

This was her first surgery with Zhou Yuan. Although he had sutured before, it was always intermittent, and many times it was done with just a few stitches. This was the first time Jiang Xiaoqi saw Zhou Yuan suture systematically.

"fu,ck……"Jiang Xiaoqi was excited and spoke English subconsciously.

She stared at Zhou Yuan's hand holding the needle forceps.

The fingers were slender, smooth, and upright...

No! It's mainly about routing. Routing is fast and done in one go!

Before Jiang Xiaoqi could enjoy it, Zhou Yuan had already put down the needle forceps and said with a relaxed tone:"The abdomen is closed."

Zhou Yuan and He Jianyi and others began the final inventory.

After confirming that it was correct, Zhou Yuan glanced at the time and announced:"The operation is completed!" Zhou Yuan took off his mask, revealing a slightly pale face.

An operation consumes a lot of energy and physical strength, especially a major operation like total gastrectomy that requires full concentration throughout the process.

He glanced at He Jianyi and others, who were all waiting for him to walk out of the operating room.

Zhou Yuan smiled, walked in front, and pushed open the door of the operating room.

On the chair outside the operating room, Yang Wei's wife was covering her face with red eyes, obviously crying for a long time.

Hearing the sound, she stood up immediately, but because she sat for too long, her eyes went black and she almost fell to the ground.

Zhou Yuan walked over quickly, helped Yang Wei's wife up, and joked,"Don't just save your husband, and you fall down again."

Yang Wei's wife didn't react at first. Just as she was about to ask about the operation, she was suddenly stunned:"You...you said he was saved? The operation was successful!"

Zhou Yuan nodded and smiled,"The operation was successful!"

Amid Yang Wei's wife's endless thanks, Zhou Yuan and He Jianyi and others left

"I really hope to hear the patient's family's thanks, which means our operation was successful."Haiyang said with a smile.

Several people changed their soaked lead suits and prepared to go back to the office to rest for a while.

But as soon as they walked out of the locker room, they found that the emergency department hall was already in chaos and extremely noisy.

""What happened?" Zhou Yuan and He Jianyi asked at the same time.

This situation didn't seem like a patient had suddenly fainted, but more like a disturbance!

———

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