Chapter 2315 2317 Do It Leisurely (Leader Feng Xiaoxiao Y Plus More 2)

It is the most standard practice to dissect the lymph nodes, release the Treshi ligament, cut off the jejunum, and free the head of the pancreas step by step.

Although the operation process was the same, the technique was skillful and the time-consuming was extremely short. Director Xia was dumbfounded when he watched it.

Director Xia glanced at the time, 18 minutes had passed.

The operation is almost half done.

Finally, Boss Zheng's eyes fell on the position of the superior mesenteric vein invaded by the tumor.

"Old He." Zheng Ren said softly.

Lao He? What kind of spell is this? Subconsciously, Director Xia unknowingly thinks that Boss Zheng has a magical power...

But the next moment, the anesthetist took out a microscope and put it on Boss Zheng's head.

"Is the angle right?" Lao He asked.

"Very good." Zheng Ren turned his head, glanced at the operation area, and continued the operation.

Director Xia was ashamed, Lao He was calling someone by name, not a spell. What's wrong with me, are you too nervous?

The sympathetic nerves were highly excited, causing him... Director Xia felt that ever since Boss Zheng stood beside him, under the halo, he had been demoted.

It's unreasonable, you have to be more spiritual. He tried his best to open his eyes wide, watching Boss Zheng open the adventitia of the superior mesenteric vein and quickly peel it off.

Did he want to peel off the outer membrane and the tumor at the same time? !

It has already invaded like this, maybe it has reached the muscle layer, is it useful to just peel off the outer membrane?

Although the adventitia of the superior mesenteric vein was separated under the microscope without touching the tumor, the difficulty of this operation has surpassed the sky, but it is nothing compared to Director Xia's doubts.

"Boss, don't you feel dizzy wearing a microscope?" Su Yun asked.

"It's okay for a short time. When I had the conjoined twins operation last time, I got a little dizzy." Zheng Ren said this, but it didn't affect the movements of his hands in the slightest. gone."

"Tsk tsk, your dizziness is a big problem. Otherwise, I'll see two days of surgery and cut off the frontal lobe of your brain."

"Cutting the frontal lobe of the brain will only lead to no emotions." Zheng Ren said.

This is all a mess... Director Xia felt as if he had missed something, and he began to stroke back.

Wait, what conjoined twins? !

"Boss Zheng, what conjoined twins?"

"A while ago, I went to the Women's and Children's Hospital for a conjoined twin heart operation. I didn't dare to take off the microscope during the whole operation, and I felt a little dizzy when I came down." Zheng Ren said casually while performing the operation.

"..."

Heart conjoined twins, he can do this kind of surgery! Director Xia didn't think Boss Zheng was lying to him with nonsense.

It's completely meaningless to lie to yourself. After you step down, you can call the imperial capital and you will know the cause and effect.

Who hasn't had a few friends isn't it.

That being said, Boss Zheng already... smacked, and the hemostatic forceps in Director Xia's hand was knocked twice again.

"The cutting is over, I'm going to block the blood vessel." Zheng Ren said lightly, "Old He."

As soon as he finished speaking, he turned his head, Lao He took off the microscope, and put it in the box with great care.

"Heparin, give me 3000u." Zheng Ren said.

"good."

Zheng Ren then lifted the distal end of the jejunum, performed Blumgart anastomosis on the stump of the pancreas and the side wall of the jejunum, performed continuous U-shaped sutures on the full-thickness pancreas and the seromuscular layer of the jejunum, and placed a 1×2 mm support tube in the pancreatic duct.

A hole was made in the jejunum wall on the corresponding side of the pancreatic duct, and the full-thickness end-to-end anastomosis of the pancreatic duct and jejunum was performed intermittently at 5-0 PDSII. The spare needle and thread were tensioned and then sutured continuously with the seromuscular layer of the jejunum to reinforce the anterior wall of the anastomosis.

After cholangioplasty, the jejunum was anastomosed side-to-side with the posterior gastric wall at a place approximately 40 cm away from the pancreaticojejunostomy using a linear cutting closure, and the closure closed the common opening.

"rinse."

"Shut up."

The seamless cooperation between the operator and the assistant, the device nurse and the operator makes the operation smooth and natural.

Director Xia watched the operation in a daze, and an idea came to his mind—it didn't seem that difficult, and he should be able to do it.

It was only after this thought appeared that he woke up.

I am not watching the recording of the operation, but as the second assistant on the operating table! As for this operation, I was the operator not long ago, and the tumor tissue was heavily adhered to the superior mesenteric vein, so I couldn't do it at all!

Director Xia was a little ashamed. Those thoughts that he could do by himself seemed to be transformed into invisible big hands, slapping his face.

It hurts.

He looked up at the operating time, 38′23″.

It didn't take an hour, but Boss Zheng finished the operation in half an hour.

When the last stitch of suture came out of the skin, the patient began to feel agitated.

This is already awakened.

Director Xia is very envious of Boss Zheng, not only for his surgical skills, but also for having such a good assistant, nurse and surgical instruments. Now, he is very envious of the anesthetist who assigned the stage to Boss Zheng.

It is the dream of many surgeons to wake up the patient after the last stitch.

Director Xia still clearly remembered that if he met an average anesthesiologist, he would have to wait in the operating room for half an hour after the operation, just to wait for the patient to fully wake up before stepping down.

If I... Thinking about it, Director Xia bowed his head dumbly.

anesthetist? Boss Zheng came with equipment, nurses and assistants. Even, people even bring the equipment box with them.

Is it arrogant? Absolutely not!

A small assistant, DISS performs the whole operation by himself, but which sentence is wrong? Even if I wanted to refute it, I couldn't do it.

Thinking of this, Director Xia saw that Boss Zheng turned around and stepped down, he quickly finished, "Boss Zheng, how did you judge that the patient's superior mesenteric vein can peel off the tumor?"

"Oh? Didn't you see the preoperative images?" Zheng Ren was a little strange, and glanced sideways at the film reader in the operating room, and then said, "There are films."

"Where, where?" Director Xia didn't realize that he was out of style by doing this, but the operation was not completed, so what else is there to do.

Seeing his boss explaining the film to Director Xia, Su Yun curled his lips. Although aware of such subtleties, it is difficult for a surgeon to see it from the image. But he was all about picking faults and hitting them mercilessly.

Otherwise, the mood is not going well.

"Brother Yun, the combined pancreaticoduodenectomy is really fast." Lao He said with a smile.

He had surrendered the anesthesia and started packing.

"It's not fast, the boss did it leisurely." Su Yun remembered the operation in Haicheng.

The anesthesiologist at the nearby central hospital glanced at Su Yun speechlessly, then at the timer, feeling astonished.

This is already the fastest combined pancreaticoduodenectomy I have ever seen. Not to mention my side, even when I was studying in Shanghai, I have never seen anyone perform surgery so quickly.

This is all done leisurely, if you get anxious, you can't go to heaven?

"I heard from Da Chu and Xiao Chu that Boss Zheng had an operation in Haicheng's battle of fame, and it took 30 minutes to take it down. This time it seems to be about the same, 38 minutes."

With that said, Zheng Ren had finished explaining the film to Director Xia.

Director Xia staggered slightly when he heard Lao He's words, and then stood firm. Combined pancreaticoduodenectomy in 30 minutes? This is a joke.

And it seems that it's not recent, but something happened when Boss Zheng was in Haicheng.

"Then let's go, see you later." Zheng Renhe said to Director Xia kindly.

He said he wanted to leave, but he couldn't at all. We have to wait for Xie Yi to wipe the equipment and take it back to disinfect it directly, otherwise it will be a big problem the next time we use it.

Director Xia looked at the patient lying on the operating table, looked at the pathological specimens taken away by the itinerant nurse, and recalled the operation just now.

"Boss Zheng, this operation is going to be broadcast live." Although Director Xia saw that Boss Zheng was wearing live broadcast glasses, he still confirmed it.

"Yes." Zheng Ren nodded.

Director Xia felt relieved this time.

After returning home, I can watch the operation recording over and over again, and see from the perspective of Boss Zheng how he successfully completed the combined pancreaticoduodenectomy in 38 minutes.

Director Xia felt that he would no longer have such "wrong" thoughts that he seemed to be able to do it.

Whether it’s okay or not, you’ll know when you’re on stage. I have always felt good, and it turns out that it is really just my own feeling.

When it comes to level, I seem to be far behind. It is said that Boss Zheng is a surgeon with a background in general surgery, and later switched to interventional surgery.

What a pity, he is so proficient in combined pancreaticoduodenectomy, why change his career! Director Xia felt sorry for Boss Zheng.

Then he thought of something.

Boss Zheng intervened and was recommended by the Nobel Prize!

The sadness in his heart flowed like a river, and he was still wondering why just now, was he stupid?