Chapter 524: Directly take the lead, afraid
"This isn't an away game!"
Zhou Can smiled awkwardly and was about to raise his hand to scratch his head, but then he realized that he was wearing gloves and needed to keep them as sterile as possible, so he put his hand down again.
In fact, it is impossible to scratch your head while wearing a hood.
The status of anesthesiologists is quite high, not to mention that Director Ming Xin is Director Xiang Fei's mentor, so her status is even higher. Zhou Can dare not offend this female boss.
This time, taking the opportunity to save Deputy Director Lu, he had the honor of meeting many bigwigs in the Provincial People's Hospital, which he cherishes very much.
Because those who are willing to lead their teams into this operating room are basically like-minded people who are willing to take huge risks to save patients' lives.
This medical ethics is extremely noble.
Zhou Can is particularly willing to get to know this type of medical staff.
Only by uniting more like-minded doctors and nurses can we truly become bigger and stronger in the future. This is also a kind of accumulation of human resources.
"Whether we are here for the first time or not, the fact that we invited you to participate in the operation shows that we are not treating you as an outsider. During the rescue, we are all crew members on the same boat. In a dangerous moment, everyone has the obligation to show the spirit of ownership."
Director Ming Xin was probably quite frightened, and she grabbed Zhou Can and gave him a good scolding before she stopped.
But she meant no harm.
It was normal for the operating room to be scolded by the senior doctors and the patrol officers. There were even cases where the chief surgeon and the anesthesiologist argued fiercely in the operating room.
Everyone is trying to provide patients with better treatment. Their ideas are different, but the goals are the same.
"That's what you said! Then can I dare to ask Director Gou to give the next surgical task to me?" Zhou Can looked at Director Gou Qiong.
In laparoscopic surgery, Director Gou Qiong is the chief surgeon and has the final say.
"No problem, I'll assist you. If there is any problem, I will stop at any time. If you feel the risk is too high during the operation, be sure to discuss it with me in advance." Director Gou Qiong witnessed Zhou Can's miraculous hemostasis and anastomosis techniques, and his trust in Zhou Can increased significantly.
While delegating power, he did not forget to put a "tight ring" in place to prevent Zhou Can from causing trouble.
Perhaps he still felt it was not safe, so he looked at Director Wu Yongming outside his head.
"Old Wu, please help me keep an eye on it and make sure nothing goes wrong. Otherwise, it will be hard for everyone to explain."
"OK!"
Director Wu Yongming agreed without any hesitation.
The man also stood next to Zhou Can.
With these two guarantees, Director Gou Qiong felt much more at ease.
The operation continues.
Zhou Can operated the endoscope and began to quickly repair the ruptured spleen.
Which organ in the human body is the most vulnerable?
The brain cannot be considered an organ, it is definitely one of the most fragile tissues in the body. The spleen is the most fragile of all organs. Even the human kidney is much stronger than it.
As for the eyes, which are recognized by the public, this organ is considered to be a relatively strong organ in the human body.
It's just because the vitreous body and the eye membrane are very delicate and in most cases are directly exposed on the surface of the body, so they are considered fragile by the public.
The eyes' tolerance and ability to resist impact are actually much stronger than we think.
Repairing the spleen is a great test of the doctor's suturing and ligation skills.
Fortunately, Zhou Can's ligation skills have been upgraded to level six, otherwise it would be much more difficult to repair the spleen.
He was seen manipulating the endoscope arm to clean, suture and tie knots on the patient's spleen. The whole process was as smooth as flowing water. The speed was amazing, causing the people watching to applaud him.
In less than ten minutes, Zhou Can had completed the repair of the spleen.
It looks like a broken piece of porcelain, but after being repaired, it is presented intact to everyone. It is simply impeccable.
Surgical repairs by surgeons are much more difficult than porcelain repairs.
Because even if the porcelain is broken, the hard part is to piece it together, which tests your patience and carefulness. Human organs are living things, and after repair, it is necessary to ensure that they can survive and restore most or even all of their functions.
There are many technical difficulties involved.
"The spleen has been basically repaired. During nursing, we need to take extra care of the patient's spleen for at least a week, and try to let it rest as well as possible. We can't let it stop functioning, but we can't overwork it either."
After Zhou Can completed the spleen repair, he said to the circulating nurse.
This is actually a kind of oral medical advice.
No matter how well the surgery is done, it will be useless if the care and nutrition levels are not up to par.
After performing so many surgeries in the emergency department and checking the recovery of hospitalized surgical patients, Zhou Can found that postoperative care and nutrition are extremely important.
Some incorrect care, or nutritional deficiencies and irrationality, can increase the risk of postoperative complications in patients.
The postoperative healing period will also be significantly prolonged.
"Teacher Lian, please record what Doctor Zhou said and make sure it is carried out." Director Gou Qiong noticed that the circulating nurse did not seem to take Zhou Can seriously, so he quickly said something.
In terms of postoperative care and nutritional support, Tuya Hospital is a leader among short ones and is at the cutting-edge level in the province.
It is estimated that only the Provincial Children's Hospital can compete with Tuya Hospital in this regard.
In fact, every provincial-level tertiary hospital has its own strengths and weaknesses.
For example, Tuya’s nursing is very strong because when it was first established, it was called Women’s Hospital, which mainly provided medical treatment and postpartum care for wives of officials, daughters of dignitaries, and wives.
Since then, its nursing technology has been passed down from generation to generation, continuously developed and grown, and attracted enough such patients, which led to today's nursing level through continuous accumulation.
Tuya's internal medicine department is well-known in China because of an outstanding Chinese medicine doctor who founded the internal medicine department in Tuya after returning from overseas. It started with respiratory medicine and has gradually developed to include all the internal medicine sub-departments.
Even now, Tuya's respiratory medicine department is still one of the best.
Moreover, Tuya's internal medicine department has another special feature: most of the chief-level physicians like to study Chinese medicine and also like to combine Chinese and Western medicine in diagnosis and treatment.
This is equivalent to a kind of inheritance.
Any large hospital that can thrive for a long time relies on the inheritance, accumulation and eventual development of technology from generation to generation.
If a hospital only has a heritage in one or two medical fields, it will appear very weak and easily fail in the competition.
For example, Xinxiang Maternity and Child Health Hospital is an old hospital with a history of more than 70 years.
It has only inherited the aspects of obstetrics and gynecology, and other pediatrics, gynecology, etc., have not been developed. Finally, due to an accident, it almost went bankrupt.
On the other hand, the cardiothoracic surgery department of Tuya Hospital is also a ace department. When Director Hu Kan passed away, the department was in a terrible state.
At one point, it almost fell from a first-rate department to a third-rate department.
However, Tuya Hospital was not particularly affected.
Because in addition to cardiothoracic surgery, Tuya Hospital is supported by many other strong departments.
This is the true foundation of an old and strong hospital.
It is definitely not something that the Third Hospital can achieve by hiring a Japanese expert at a high price and buying a full set of imported equipment. Even Xinxiang Hospital, although it is developing rapidly now, seems to be very powerful.
In fact, it's just puffiness.
Without decades or even hundreds of years of accumulation, there is no foundation, just like a tree without deep roots.
There is a serious risk of collapse.
"OK."
When the circulating nurse heard Director Gou Qiong's words, she quickly and honestly took notes so that they could be implemented after the operation.
Zhou Can naturally wouldn't mind a nurse's cold treatment.
Respect is earned through strength.
Some circulating nurses think they are experienced and knowledgeable, having seen countless doctors perform surgeries. They are tired of seeing all kinds of high-tech surgeries and difficult major surgeries.
He didn't take the strength that Zhou Can had just displayed seriously.
I can only say that she is too superficial.
Zhou Can might not be considered top-notch, but his repair of the spleen was definitely not bad.
There may be some doctors of this level in the whole country, but they should be rare in the province.
Because endoscopic surgery is inherently more difficult than traditional surgery.
After Zhou Can repaired the spleen, Deputy Director Lu's physical signs improved significantly.
"The rate at which blood pressure drops has almost stagnated. If it can be stabilized, the operation time can be extended a lot. The patient's heart rate is also slowly falling, which are all good signs."
The spleen is a small organ, but it affects the entire body.
In the final analysis, it was mainly because the blood vessels of the spleen were broken, which caused a lot of bleeding in the body, which directly posed a serious threat to the patient's life.
Director Mingxin's words were like a shot in the arm for Director Gouqiong and others.
Everyone was very excited to see that the patient's condition was improving.
This is also the first small achievement after the operation began.
Zhou Can did not say anything, but concentrated on operating the endoscope to examine the part of the pancreas that he thought was injured.
When he used the endoscope to examine the pancreas, he found some fluid accumulation there, which indicated that there was bleeding, but the amount of bleeding was probably not large and would stop automatically soon.
"Director Gou, help me move the pancreas upwards a little. I suspect the bleeding source is on the lower left side. You have to be careful and try not to enlarge the wound."
He instructed Director Gou Qiong.
Because turning the pancreatic tissue upwards can easily cause the wound that has already stopped bleeding to tear and bleed again.
Given the condition of Deputy Director Lu's blood vessels, it would be easy for the blood vessels to be torn even if there were no wounds, let alone if there were already any.
Director Gou Qiong is very skilled in endoscopic surgery and he carefully lifted the pancreas upwards.
"Oh my god, what is that?"
“It looks like a tumor!”
"This kind of odd-shaped tumor has unclear boundaries, so it's best to do an intraoperative pathology."
Everyone stared at the display screen, and just after Director Gou lifted up the pancreas, many people let out a slight exclamation.
His eyes were also wide open.
No one expected that there was a tumor behind the patient's pancreas. And it looked very unfriendly.
Just like human appearance, kind-hearted people tend to have kind eyes and a friendly look, while those with dark and vicious hearts tend to have scary looks.
Even if you don't have much social experience, when you see some people, you feel scared and subconsciously want to stay away from them. This means that the person is probably not a good person.
A person's temperament and image are closely connected to his inner world.
Men who like reading will become elegant and women will become intellectual.
People who have evil intentions often have cloudy and evil eyes, and almost no temperament.
Zhou Can stared at the screen carefully, then adjusted the angle of the endoscope and continued to observe.
"I didn't expect it to be a pancreatic tumor, and it doesn't look like a good one. Director Gou, can you take a sample for intraoperative pathology? And then decide on the next surgical plan?"
This is the benefit of having a friend help you with your surgery.
Will think about the patients without any worries.
Pancreatic cancer is known as the king of cancers and is one of the most terrible cancers. Its prognosis is extremely poor, and the three-year survival rate is shockingly low.
The best way to treat this disease is early detection and early surgical removal.
As long as the tumor diameter does not exceed 2cm, it is basically still in the early stage. At this time, as long as it is removed cleanly, there is still a great hope for cure.
After a careful examination, Zhou Can, based on his experience, felt that Deputy Director Lu's condition should be in the early stages.
No obvious spread was detected with the naked eye.
The nearby lymph and blood vessels were not significantly affected.
These are all good things.
"Let's quickly communicate with the family members and get them to sign before taking samples for biopsy!"
Director Gou Qiong agreed reluctantly.
The surgery at this moment is mainly aimed at saving the patient's life, and treating the pancreatic tumor is basically not included in the original surgical plan.
Considering that the size of the tumor is not small and the pancreas is now injured, if the tumor is not removed immediately, the tumor may grow wildly and spread rapidly after being stimulated.
By then, Deputy Director Lu will still not be able to escape death.
At most, the survival period will be longer.
While communicating with the family members, Zhou Can was not idle, but continued to investigate.
Finally, it was found that there was a ruptured bleeding in the pancreas, which was closely related to the tumor. Everything else was fine.
In addition, he examined the left kidney.
The injury is relatively minor and it is entirely possible for it to heal on its own, but you should be alert to the possibility of nephritis.
Soon, news came from outside that the family agreed to the surgery and had signed.
What else is there to say?
Zhou Can directly separated the entire tumor from the surrounding tissue and then cut it off.
The separation from the blood vessels amazed every chief physician who watched it.
They asked themselves, no one could separate the tumor as perfectly as Zhou Can did.
"I didn't expect that Dr. Zhou is not only first-rate in anastomosis and ligation, but also amazing in separation of lesion tissues!"
“Thank you so much!”
Zhou Can grunted and cleaned the surgical wound, sutured it, and stopped the bleeding. He also repeatedly checked the surrounding lymphatic tissues that might spread the disease, and only ended the operation after confirming that there was no problem.
At this point, the laparoscopic surgery is basically completed.
The pathological results of the operation came out very quickly, and the possibility of malignant tumor was over 90%. Seeing this result, I believe many people were worried for the patient.
