2834 A Swift surgery
Hospital director Yan chatted with elder Peng. A few minutes later, elder Gu from the thoracic Department rushed over.
Old he was busy with the non-physical performance while listening to what they were saying. At this time, the conversation was between the big shots. It would be too uninteresting for an anesthetist like him to try to persuade them.
However, he was curious as to why Boss Zheng had taken on such a big job. Usually, other doctors would be more cautious when it came to the surgery of important people. From what Yiren had said just now, it seemed like boss Zheng had persuaded them to come.
From the conversation, old he could hear that old Gu actually did not agree with the surgery. He wanted to say something but stopped every time. He should have gone to the general’s mansion for a consultation the day before yesterday and participated in the diagnosis.
However, old Gu’s opinion was not important. Old he had nothing to worry about. He now had almost blind admiration for boss Zheng’s level.
Boss Zheng’s skill level was high, but the key was stability! No matter what kind of rare surgery it was, boss Zheng could handle it with ease. Old he had an “illusion” that boss Zheng had done this kind of surgery countless times.
‘Maybe it’s an illusion,’ old he thought. He was just a little curious. After the expert consultation, the Peng couple had given up on the operation and were ready to return to their hometown. How much confidence did boss Zheng have to make them stay?
Very soon, the Gurney was opened, and the patient was sent in.
Old he helped the patient to the operating table and asked softly,”boss Zheng, do you have any special needs?”
“Left side, lean forward 30°, right side, chest.” Zheng Ren said in a deep voice. As he spoke, he inserted the patient’s X-ray into the scan reader and habitually looked at the scan with his arms crossed. He did not have the slightest intention to talk to elder Peng.
“Alright,” Old he replied in a low voice.
“Administer anesthesia. I’ll go wash my hands immediately.” Zheng Ren said.
Why was he in such a hurry? Old he was in a daze for a moment.
“The surgery has to be completed within forty-five minutes, starting from anesthesia. Try to minimize the impact of the surgery. I’m old, so I’ll be as fast as I can. ” Zheng Ren explained with a smile.
Old he finally understood why old Gu felt that the surgery was unnecessary. It was because of the patient’s physical condition.
Including the 45 minutes of anesthesia, it would be too fast even if it was a laparoscopy surgery. Boss Zheng was really daring.
Seeing boss Zheng go to wash his hands, old he looked at Su Yun. Seeing that Su Yun had already installed the handheld stand and other auxiliary equipment, he asked softly,”big brother Yun, shall I start?”
“Let’s start. After you insert the tube, I’ll start the body position.” Su Yun’s voice passed through three layers of face masks and reached old he’s ears. It was a little muffled. Old he knew that Brother Yun might be a little nervous today. After all, even though director Yan had driven away a group of people, there were still many Big Boss-level tasks left to prepare for the viewing platform.
Intubation, anesthesia, body positioning. After 4 ‘ 22 seconds, Zheng Ren had finished brushing his hands, placed a sterile sheet, and stood in front of the operating table.
Old he stared at boss Zheng’s movements closely and started left single lung ventilation at the most appropriate time.
Zheng Ren placed a thoracoscopy at the 7th rib on the right posterior armpit line. The two holes on the mid-armpit line, 3rd rib, and 8th rib on the scapula line were operation holes. After the camera zoomed in, old he heaved a sigh of relief. Single lung ventilation was perfect, and it did not affect boss Zheng’s surgery time.
However, boss Zheng did not start with the diaphragm directly. Instead, he began to deftly separate the diaphragm with the long-headed forceps. Soon, the adioxus vein bow appeared in the surgical field.
A straight line cutting and suturing device was placed in Zheng Ren’s hand. After cutting off the Artillus bow, the device began to move around the diaphragm, and soon, a large resting room appeared on the screen.
At the level of the protrusion, it left the esophagus and was lifted by a band. Zheng Ren moved upward along the esophagus, exposing the lower end of the lounge.
The only sound in the operating theater was the song of good luck. The others stood behind Zheng Ren and looked at the operation that he was so familiar with. No one spoke, and they only occasionally looked up at the electronic clock hanging on the door.
12 ‘ 22 “, the living room was completely exposed.
This was already a period of time that would make all the surgeons speechless when it came to esophageal laparoscopy.
Normally, the only things that could be done in such a short period of time were the anesthesia and the body position. The medical team, who were slightly slower, might not even have laid out the surgery form. But boss Zheng could already see the esophagus.
It was fast, but not enough.
Old Gu took a look at the time, and his black and white eyebrows under his sterile hat furrowed.
The real surgery had only started now. Could boss Zheng finish it?
It wasn’t that he didn’t agree with boss Zheng’s surgery plan, but he had some doubts about whether the surgery could be completed within an hour. Even though the oldest patient he had been the chief surgeon for was 104 years old, that was only when the patient’s physical condition met the requirements.
Doctor Zheng’s surgery this time seemed a little rash.
Time was not a problem for Zheng Ren. After exposing the living room, he used an electric knife to make a small hole in the lower part of the living room and entered the living room. He then performed two stitches and pulled the needle open. The limitations of the laparoscope did not seem to affect Zheng Ren’s technique. The suture was clean and neat, and the cooperation between him, the assistant, and the scrub nurse was perfect.
After the suture was done, Su Yun used a pair of forceps to hold the thread in place for pulling.
He made another small hole in the right wall of the esophagus at the level of the bottom of the resting room, and he also made two stitches before pulling the needle open.
After that, Zheng Ren used an endoscope cutting and suturing tool to enter the esophageal cavity and the resting chamber through the opening in the esophagus and the resting chamber, respectively. He then cut and sutured the resting chamber and the side wall of the esophagus.
The cutting and sewing tool let out a squeaking sound. Although it was clean and efficient, it still made everyone’s heart tremble.
Boss Zheng did not even make a comparison. After cutting and sewing, he immediately took action. He was way too confident.
The operation time was 23 ‘ 54 “, and the lounge was completely opened.
After cutting open the resting room and the esophagus, the resting room and the upper thoracic esophagus formed a common cavity.
This method of relieving the pressure on the esophagus was rare, but looking at the anatomical structure, one could clearly see that the compressed esophagus had begun to return to the shape of a tube. Simply put, if the surgery was successful, the patient should be able to eat.
The biggest problem with this was the fistiness.
After that, interrupted sutures were performed on the dullroom and esophageal incision that had been made after the incision and suture.
Old Gu’s brows furrowed even more. This was the most important part of the surgery.
No matter how fast or how meticulous the surgery was, once an esophageal fistbites appeared after the surgery, it would be an unbearable blow to an Eighty-four-year-old man who was in a very bad state.
And the anatomical structure of the esophagus itself and the blood circulation had hinted countless times that the probability of an esophageal fistulation occurring for surgeons and surgeons was very high.
‘Can I just perform an appositional suturing technique?
If that was the case, even if he received colon nutrition after the surgery, it would be difficult to guarantee the recovery of the esophagus.
Boss Zheng’s suturing was very delicate, and it took a lot of time. When old Gu looked at the electronic clock again, thirty-three minutes had passed since the surgery.