Even Zhou Congwen was still not fully sure of such a difficult operation using existing equipment.

The color of the alarm on the system panel in the upper right corner of the field of vision, the patient's survival thoughts, the difficulty of surgery and the crisis in the nameless place are mixed together, forming an infinitely heavy pressure on Zhou Congwen.

His waist did not arch, but sat straight on the steps, looking at the flames with playful eyes.

Zhou Congwen is not a new young doctor, he is full of enthusiasm and ignores it.

Zhou Congwen has seen too many accidents, such as the girl with advanced kidney cancer who was unwilling to take it, died on the operating table during the operation. The surgeon could not bear the disturbance and finally jumped off the building and died.

For example, the patient with severe coronary artery blockage risked his life to come to the stage, and after coming down, he died after staying in the ccu for 3 days. The patient's family blocked the entire ward with banners, including a doctor who was 8 months pregnant.

For example...

Zhou Congwen has seen too many similar examples. He avoided similar risks in the past, and would never touch them.

But every time you avoid it successfully, you will always leave small bumps in your heart. Even if Zhou Congwen doesn’t look at it or think about it, these small bumps will really exist.

He occasionally wondered what it would be like if he had surgery at that time, but life was not as if it were.

By chance, when Zhou Congwen faced the false again, he himself did not notice that he had a "small" change.

Perhaps it was because he saw the boss again, or maybe after he was reborn, he kicked Wang Chengfa to the outpatient clinic and felt clear-headed, so Zhou Congwen had some changes.

Zhou Congwen did not notice the change. What he saw in the orange-red light of the lighter was how to do the surgery.

There is no handy device, and the volume reduction effect is not as good as that of the "U" character cutting, and the risk of air leakage after surgery is very high.

The patient also has emphysema, and his lungs are rotten like a rag, which will fall apart as soon as he touches it.

It was such a headache. Zhou Congwen thought silently. He didn't release the switch until the lighter was hot and stuffed the lighter into his white pocket.

Fortunately, I didn't delay the day after my rebirth and I kept doing surgical training. Although my level is not the peak level, I can always try it.

Zhou Congwen sat on the steps straight, his legs spread wide, his eyes narrowed, and his mouth was filled with unlit cigarettes, only his fingers were constantly moving.

Time passed by minute by minute, and I don’t know how long it took, the phone rang.

"director."

"Chongwen, the patient started to have anesthesia. Where are you?"

"I'll be here." Zhou Congwen hung up the phone, stood up straight with his waist and strode out of the fire escape and headed straight for the locker room.

...

The atmosphere in the operating room was a bit dull. Although the anesthesiology department still agreed to anesthesia under Li Qinghua's stubbornness, no one liked to do this.

After the blood oxygen saturation clip was clamped, the monitor showed the patient's oxygen concentration - 78%.

The anesthesiologist sighed and was anesthesia. Li Qinghua watched Shen Lang and Li Ran busy.

"Director, I'm here." Zhou Congwen's voice came from behind.

Li Qinghua nodded. He did not say whispers to relieve the awkward atmosphere, but remained silent.

The operating room is most afraid of this atmosphere.

If everyone is talking and laughing and the car is flying, it means the operation is successful.

But if the atmosphere is solemn and depressing before the operation is done, and there will be sighs occasionally, it goes without saying what it means.

Place your position, disinfect, lay sterile sheets, and open the table.

Double-cavity tracheal intubation, intravenous compound anesthesia, and a healthy lateral lying position.

Before the operation begins, do I have a single lung ventilation on the healthy side? The affected side opens the atmosphere. Li Qinghua stood in the position of the surgeon and took a deep look at Zhou Congwen.

Zhou Congwen nodded and signaled that he knew.

Li Qinghua didn't say anything else. First, make a 1.\n5cm incision in the 7th intercostal line of the mid-axillary line? Insert a 10mm0° mirror.

Then he made a 1.0cm incision in the 4th intercostal line of the axillary line and the 5th intercostal line of the axillary line. Then he placed a trocar and grasped forceps to grasp the lung lobes. He explored the lung lobes, clanular pleura, mediastinal pleura and diaphragm in turn.

There are many adhesions in the chest cavity? They are flakes or strips. Li Qinghua is a little free with Zhou Congwen's assistance.

I am not afraid of thoracic surgery, but I am afraid of adhesion.

I don’t even have surgery, so what else can I do?

Moreover, due to the existence of lung bullae, the effect of single-pulmonary ventilation is not good, and the surgery field is limited.

Seeing Li Qinghua and Zhou Congwen wandering a little bit of adhesion between the lungs and the pleura in their chest cavity without surgery, the anesthesiologist sighed deeply again.

Originally, there was only one person who could perform single-catheter intubation in the Third Hospital, but recently, a new director, anesthesiologist Li Wenbo, also felt that this was a technology that must be mastered, so he kept studying and learned to insert single-catheter canal.

He was very proud at the time, but he didn't expect that after learning, he would have to perform anesthesia on patients with respiratory failure!

It's better not to be able to do so.

He looked at the thoracoscopic TV screen with some sorrow. His lungs were huge and occupied a large area of ​​surgery. In addition, he had heavy adhesions and his lungs did not completely deflate, so his vision was extremely poor.

This kind of surgery needs to be done. The thoracic person is really crazy. The anesthesiologist once again complained in his heart.

But he didn't say it, after all, it's a human life. Since chest medicine wants to try it, try it. It can save a life, who doesn't want to do it without paying a huge price?

To the anesthesiologist's expectations, the operation was relatively smooth.

One adhesion tissue after another was clamped and cut. After about 15 minutes, the lungs finally had no adhesion to the pleura, and the surgery field became better.

Li Qinghua investigated and found that most of the target areas of lung bullae are located in the middle lobe section, and all lung lobes are distributed.

"Congwen, I've hit him straight." Li Qinghua seemed to be asking Zhou Congwen, and seemed to be talking to himself, cheering himself up.

"Wait a minute, it's best to cut U-shaped here." Zhou Congwen said.

"U-shaped?" Li Qinghua was stunned for a moment.

"The notch of the U-shaped cut is relatively smooth and has little damage, and the time for air leakage after surgery will be shortened as much as possible."

"..." Li Qinghua, the anesthesiologist, Shen Lang, and others who were standing behind him all knew what Zhou Congwen meant.

However, the straight straight-line cutting stapler needs to be cut, and Zhou Congwen is sure that he is not kidding?

Everyone will tell jokes on the operating table, but this operation is difficult, everyone is under great pressure, and no one is in this mood.

"Congwen, no joke. Should I just dig out the lung bulla first or..."

"Director, wait a moment." Zhou Congwen squinted his eyes and looked at the TV screen. "I'll control the linear cutting stapler. When I'm ready, you can cut the lung bulla."

Li Qinghua was a little puzzled.

It is said that the linear cutting stapler is operated by the operator, but since Zhou Congwen made the request, he did not insist.

In short, it is impossible for Zhou Congwen to cut out the word "U".

Zhou Congwen held his breath and focused his mind, holding a straight-line cutting stapler with both hands reached into his chest from the poke card.
Chapter completed!