"Xiaocao, just do as Brother Yun taught you," Zheng Ren said softly as he stood in front of the patient. "We'll begin the surgery in ten seconds."
Quan Xiaocao nodded. She knew what Boss Zheng meant. She took a deep breath and closed her eyes.
Her eyelashes were very long. After she closed her eyes, her eyelashes moved up and down slightly. No one knew what she was thinking about.
Instead, he checked the relevant equipment that Feng Xuhui had prepared.
After performing a few surgeries in the System's operating theater, Zheng Ren was very familiar with this kind of "simple" surgery that only required a change of mindset.
A few seconds later, Quan Xiaocao opened her eyes. The shyness in her eyes dissipated like smoke and was replaced with calmness. It could even be said that he was cold and emotionless.
The gastroscope was inserted into the patient's oropharynx. Quan Xiaocao's hands were very steady and didn't tremble at all. She stared at the screen in front of her without blinking.
Just as Zheng Ren had said, the esophageal jejunal anastomosis was 38 cm away from the incisors.
The most fortunate thing was that there was no scar stenosis in the anastomosis. Just like the scar tissue on the epidermis, if there was a high and narrow scar, the difficulty of the surgery would at least double.
Quan Xiaocao steadily controlled the endoscope to pass through the anastomosis. She could clearly see that there was a fistula on the left front wall of the anastomosis. There were remnants of an anastomosis nail at the edge of the fistula, which was about 0.8 cm in diameter.
Zheng Ren reached out to take the endoscopic tube and exposed the surgical field to Quan Xiaocao, just like how the first assistant in a normal surgery would do.
Quan Xiaocao skillfully clamped the mucous membrane at both ends of the fistula. The moment she lifted it, the aspirator in Zheng Ren's hand had already arrived.
As an assistant, Boss Zheng's cooperation was exquisite and flawless.
With the strength of the forceps and the suction force of the aspirator, Quan Xiaocao pulled the tissue around the fistula into the transparent cap and rotated the handle to release the OTSC clamp.
Her movements were very slow and every time she rotated the handle, she was very serious. From her movements, Zheng Ren could tell that she was feeling the power transmitted from the handle.
This was the introduction to touch. Had she already started? Under the surgical mask, the corners of Zheng Ren's mouth curved, but no one could see it.
The tissue was clamped with an OTSC anastomosis clip to completely cover the 0.8 cm fistula. The entire surgery process was a little slow, but there were no flaws. Zheng Ren knew that Quan Xiaocao had understood what he had just said and immediately applied it to the surgery.
He had no idea what she had been doing during this period.
However, Zheng Ren knew that being able to understand it so thoroughly in such a short time did not mean that Quan Xiaocao was as talented as Su Yun. She must have been studying hard day and night. With the accumulation of time, he would find time to give her some pointers and break through the bottleneck. Then, the breakthrough in her skills would be a matter of course.
Quan Xiaocao was still expressionless. She did not have the habit of talking during surgery. Everything was very similar to Zheng Ren. She then changed to an ESD transparent cap and entered the scope again. She saw that the OTSC clamp was closed properly.
The main step of the operation was over.
Zheng Ren waved his hand and smiled. "Not bad!"
"Fang Lin, look at Xiao Cao, then look at yourself!" Su Yun said in disdain, "Can't you be more serious?"
"Hey." Fang Lin witnessed the entire process of sealing the fistula with the OTSC anastomosis clip. He did not pay attention to Su Yun's words. Instead, he was slightly at a loss.
He had a deep understanding of anastomotic fistula after esophageal cancer surgery ever since he was a postgraduate student.
He was not the only one. Every thoracic surgeon had done research on anastomotic fistula and feared it like a tiger.
Once the fistula was formed after surgery, there was less than a 50% chance that the patient would survive. The remaining 50% possibility was that the patient would spend a month or even longer in pain.
Sometimes, the entire ward and corridor would be filled with the stench of decay. As soon as they smelled the stench, they knew that there was a patient with an esophageal fistula in the ward. They even had to speak softly to avoid provoking the unlucky doctor.
Even after continuous irrigation to ensure that the location of the fistula was clean, the success rate of the second-stage surgery was appallingly low.
Due to the low success rate, almost all doctors were reluctant to perform the second-stage surgery. Most of them adopted conservative observation and let the fistula repair itself.
However, this problem that had plagued the thoracic surgery department for decades was solved just like that?
Fang Lin was in disbelief.
"Let's go," Su Yun said as he patted Fang Lin's shoulder.
"Brother Yun …" Fang Lin felt that his throat was a little hoarse. He tried to smile. "I'll wear a lead apron and take a look inside."
"It's time for the angiogram. It'll be clearer outside." Su Yun pulled Fang Lin out of the operating room.
Everyone else followed him out. Only Feng Xuhui, who was holding some medical supplies and wearing a lead apron, stood in a corner of the operating room. He seemed to be one with the operating room.
The airtight lead door closed. Su Yun squeezed the technician to the side and skillfully operated the operating table.
"Xiaocao, what do you think the chances of success are?" Su Yun asked.
Quan Xiaocao had been replaced by Lin Yuan. The next operating room was to be operated by Boss Zheng himself and the next stent.
After leaving the operating room, Quan Xiaocao's self-hypnosis disappeared and she became a timid junior doctor again.
"Brother … Brother Yun, I think …"
"Xiaocao, just say what you want to say. The surgery was so good, what else can't you say?" Su Yun said, "With your current level, you can directly open an outpatient clinic and accept patients with anastomotic fistula after esophageal cancer surgery."
"…"
When Quan Xiaocao heard Su Yun say this, she felt even more embarrassed.
When Professor Lu heard Su Yun's words, he was slightly stunned. This emotion was the same as Fang Lin's.
Accepting patients with esophageal cancer who had undergone surgery all over the country …
Making money was one thing, saving lives was another. Who wouldn't call him a teacher when they met to clean up the mess of all the thoracic surgeons?
Fame, benefits, and status!
This was simply a goddamn pie falling from the sky! Professor Lu knew that even if he worked in the 912 for the rest of his life, he would never be able to reach this level.
As for Quan Xiaocao, who had not even graduated from her doctorate, she was a coward. How could she already be like this?
Professor Lu did not have any doubts. He knew that if the angiogram showed that no contrast medium had run from the esophagus to the mediastinum, it meant that the surgery that Quan Xiaocao had just performed was a success.
Even Su Yun's words were a little conservative. This was the rhythm of becoming the top expert in the country in one step.
He had worked hard for many years, but he had not reached this step … Professor Lu was a little at a loss. He knew that the medical treatment was becoming more and more detailed. Quan Xiaocao had seized a detailed classification and taken the lead.
I can do it too! A ball of fire rose in Professor Lu's heart.
The screen on the operating table began to move. Professor Lu abandoned the distracting thoughts in his heart and began to seriously look at the angiogram done by Boss Zheng.
Whether it was successful or not, it still needed to be confirmed by the angiogram.
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