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145 Two Shots

The operation just now went very smoothly, inheriting Zhou Congwen's usual style when he was an assistant.

But there was something wrong with success, Chen Houkun was a little surprised.

He still has a clear idea of ​​his level and is very clear about what he can do. But the operation just now made him feel unreal, so he rinsed it again after rinsing it.

It took nearly ten minutes to confirm the rinsing, which was not enough. Chen Houkun still felt that there was something omission and felt a little nervous.

It is said that if the surgery is not done well, it is worth it to be uneasy, after all, is it not clear?

But the operation was almost perfect... Chen Houkun was even more nervous. At his own level, it shouldn't be so smooth.

Chen Houkun could only blame Zhou Congwen for all the reasons.

"Xiao Zhou, have you had a thoracoscopic surgery to remove the lung lobe?" Chen Houkun asked nervously while preparing for the next surgery.

"I haven't done it before. Our hospital has equipment, but only spontaneous pneumothorax." Zhou Congwen said smoothly.

"The surgery just went very smoothly..."

"Isn't it good?"

"It's good, it's too fast, I feel uneasy." Chen Houkun and Zhou Congwen became more and more familiar with each other, and told the truth.

"Haha." Zhou Congwen smiled and asked, "Brother Chen, do you know what two-shot technique is?"

“…”

Chen Houkun was stunned for a moment.

Two-shot technique? As the name suggests, a straight-line cutting stapler is commonly known as a gun, which means that the method of using only two stapler.

Is this possible?

Chen Houkun was shocked. Could it be that Xiao Zhou was so aggressive and wanted to shoot down the lung lobes just after two shots?

"I have seen a similar method on a foreign surgical video. This is the advantage of thoracoscopy and has many benefits. The next patient will open it and see if there is no problem with interleaves, you can try two shots." Zhou Congwen said lightly.

"Don't!" Chen Houkun refused without thinking.

"Why?" Zhou Congwen began to clean up the operating table and changed the head frame and handrail according to the position of the next patient.

"What if there is any mistake if there is a two shot?" Chen Houkun's face changed color.

"Another sewing, whether it is bleeding or air leakage, just strengthen the sewing. Brother Chen, think about it, is there a difference between using a cutting stapler to close the bronchial artery and one shot to close the bronchial artery and one shot to close the bronchial artery and vein?"

"Even the trachea is closed together, there is no problem."

"Of course, I mean we don't force it if the conditions are right."

Zhou Congwen explained lightly, and Chen Houkun was frightened when he heard it.

"Is there really two shots?" Chen Houkun asked.

"Seeing the situation on the stage, you have cut thousands of lung lobes, and you must know what to do and what not to do." Zhou Congwen didn't force it.

For Zhou Congwen, this is the most common surgical procedure, but for Chen Houkun, the two-shot technique is indeed a bit ahead of the curve.

Chen Houkun nodded, what Zhou Congwen said was true.

I have experience in thoracoscopy, and thoracoscopy is just a different device, so there should be no problem. Moreover, now thoracic surgery also uses more or less instruments, such as staplers and linear cutting staplers.

It seems that it is really OK. Chen Houkun thought about it carefully and thought about it.

Passing by the next door, Chen Houkun looked through the glass at the operation process inside. Seeing that Pan Cheng was still dealing with Ye Jianli, a sense of pride rose in his heart.

The patient who did it himself was more difficult than that of Pan Cheng's patients, but Pan Cheng's side had not yet been revealed after the operation.

The next patient was taken in, the anesthesiologist was anesthetized, and Chen Houkun pulled Zhou Congwen aside to learn about the so-called two-shot technique.

Two-shot technique is actually very simple, not pharmacology, pathophysiology and other difficult-to-mouth knowledge points.

Is the surgery? Everything is based on local anatomy.

Chen Houkun had thousands of lobectomy surgery, and he understood the little tricks of thoracoscopy at once.

Zhou Congwen also understood what he said, at most there are some small differences in data.

For example, the model of a linear cutting stapler is 60, which is 60 mm. Based on the 60 gun, it is safer to leave the patient's lung roots in front and back, and the approximately diameter of the bronchial artery and vein is more suitable for two-shot technique. He said it clearly.

So that's it!

The layer of window paper in Chen Houkun during thoracoscopy was pointed out by Zhou Congwen, and a dazzling ray of sunlight shone in.

"Director Chen, it's OK!" The anesthesiologist was also very happy. He had just watched Pan Cheng's operation for a while, and he was also worried, for fear of being scolded for Pan Cheng.

Unexpectedly, Chen Houkun performed the surgery quickly and well. One operation only took an hour and a half, so he was a little excited.

"Here you come." Chen Houkun thought about what Zhou Congwen said about the so-called two-shot technique, and went to the stage to sweep his hands.

Standing calmly as the surgeon, Chen Houkun didn't think much about it and started the operation step by step.

When Chen Houkun went in under the mirror, he observed the tissue structure, just as Zhou Congwen said, the patient's interleaves fissure development was moderately higher.

One shot is to remove the remaining fused interlobular fissures and bronchial arteries, and another shot is to remove the bronchial veins and bronchials.

The surgery...it seems to be too simple.

Before Chen Houkun could hesitate, two long forceps had appeared in the field of surgery, grasping the deflated lung lobes and exposing the anatomy.

...

...

As Chen Houkun's operation began, Zhang You's eyes moved from Pan Cheng's operation screen to the other side.

Judging from the previous operation, Chen Houkun's level is higher than Pan Cheng, and the height is not a little bit higher. Perhaps it was a coincidence, perhaps it was a big problem with Chen Houkun's surgery, but he hadn't discovered it yet.

Let’s talk about two units before looking at one. One has no practical meaning. Zhang You stared at Chen Houkun’s surgery.

The free is just right, and the bronchial artery vein and bronchial are quickly separated bluntly.

Not to mention anything else, just this free technique has already amazed Zhang You.

Can Chen Houkun be faster when he opens his chest and looks at Liuyi? It is impossible. It is already good to be able to get close to the speed, and he still has to perform extremely well.

This time, three shots are needed... no, four shots. One shot is required for interleaving, bronchial, and arteriovenous artery and vein. Zhang You have his own assessment.

"Director, the operation is indeed fast, but it's too expensive. If you want to say that Professor Chen's heart is so dark, hehe." Another professor in the group next to Zhang You sneered twice.

A nail cartridge used for cutting staplers costs more than 3,000 yuan, and everyone knows how much gray income it has.

Some people also open their chests and then use ordering warehouses to cut and sew. Everyone despises such people. You can make money, but if it is not necessary, everyone can see whether they are ill-hearted or not.

Only one high-value consumable is an exception for the esophageal stapler.

After using the stapler, the operation speed increased, the operation time was shortened by about 1 hour, and the probability of anastomosis fistula decreased after surgery was indeed a powerful tool.

Chen Houkun just used 9 orders for surgery... In the eyes of others, it is indeed very dark.

Zhang You seemed to have not heard the professor in the group, and his eyes were staring at the screen where the art area was.
Chapter completed!
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