After an arduous full-abdomen probe......
"It's really at the tail of the pancreatic body." ”Director Liang's tone couldn't discern any emotion.He straightened up and threw the large discolored block of gauze under the instrument table."
Change the gauze."
Then he confidently and firmly said, "There is an opportunity that cannot be found."
And who, the patrol nurse?
You make a mid-sheet and platter me at the left waist. ”The patrol nurse immediately turned to Director Liang's line of sight and did what Director Liang asked.Li Min took two steps back to make way for the nurses to operate.But before the nurse set up the patient's position, Director Liang impatiently greeted Li Min: "Xiao Li, hurry up."
Dutchman. ”"Two small bends."
Li Min immediately dropped the tissue scissors and followed Director Liang to change instruments."
Director Liang, don't use a knife."
Dr.
Wang kindly reminded: "This adhesion is likely to be wrapped in invasive cancerous tissue. ”"You look good.You've surrounded me with this piece. ”Director Liang instructed Dr.
Wang to use large gauze to protect himself.Seeing that Director Liang had accepted his well-intentioned advice, Dr.
Wang insisted on using a sharp knife to peel off the suspicious part that adhered to the tail of the pancreatic body.Dissuasion was fruitless and he was reprimanded, and he decisively chose to shut up.- Anyway, whatever happens is the responsibility of the practitioner.So he watched Director Liang start from the incision of the gastrocolic ligament to explore the body and tail of the pancreas.In the messy adhesion mass, as Director Liang's knife tip slashed layer by layer, the tail of the pancreatic body was finally exposed.A lump that is not too big locally is the size of a small egg.But this - very likely the culprit!......
"You two get rid of these blood vessels first." ”Director Liang instructed the two, then took two steps back, sat on the chair prepared for him by Director Zhou, put his hands in the pockets of his chest, straightened his legs, and stretched his waist comfortably.He had to rest for a while and save up his energy to deal with today's major events: the removal of the pancreatic body and the anastomosis of the pancreatic stump, which is directly related to the quality of life of the patient in the limited survival time in the future.After a big yawn, he said with infinite longing, "If only I could smoke a cigarette now, I would be relieved." ”Li Min and Dr.
Wang on the stage just put on a lot of small curved hemostats.At this time, the two silently cooperated and ligated the bleeding points clamped by these hemostats.One holds the hemostat and the other ties the first knot; Bounce open the hemostat, and the second knot is tied at the moment when the closed hemostat is handed over to the nurse; The wire scissors keep up, press sideways, and cut.The four hands of the two of them worked together very well.Dr.
Wang finally understood why Director Liang was willing to bring Li Min to the stage for surgery.changed himself, and was willing to bring such a young girl who could keep up with the stage.It's a pity that Li Min doesn't like to laugh like the little nurses in the operating room, and she has a little less sense of matching men and women and not getting tired of work.But it's more pleasing to the eye than bearded old men.After Dr.
Wang and Li Min had dealt with the surgical field, Director Liang returned to the operating table again.Chen Wenqiang came in in at this time wearing hand clothes."
Lao Liang, how are you doing here?""
The tail of the pancreatic body is exposed."
Chen Wenqiang was surprised to come over, stood on tiptoe from the stent sheet on the patient's head and looked into the surgical field.He called the operating room in the office, and when he heard that the laparotomy of the trauma surgery was not going well, he hurried over to see what the cause was.But after one glance, he exclaimed, "Oh my God."
What kind of luck are you guys?
Do you want me to come on stage and give you a hand?
”Director Liang smiled: "You come up and be a magician."
I'm just waiting for you to replace me. ”Chen Wenqiang saw that he was in good spirits, so he replied: "You have done half of the work, who is embarrassed to rob it!"
I'm here to cheer you on.You have to do the surgery yourself, and you have to do it all the hard work. ”Director Liang smiled indispensably and asked the nurses to prepare urinary catheters.With such an operation, he didn't want to let go.Just now, it was just because Chen Wenqiang was promoted to dean, so he was so humble.Fortunately, Chen Wenqiang did not have the heart of fame and fortune to grab credit.Chen Wenqiang turned his head to chat with Director Zhou, his eyes glancing at Shuye.He talked about the high school student who was strongly suspected of osteosarcoma that Dr.
Liu had just received, and the internal medicine department transferred a patient diagnosed with lung cancer to Director Li."
If one of these cancer patients is admitted, a group of them will be accepted in a bunch.No one wants to take a holiday on this year's 'Eleventh'. ”Director Zhou sat on his unique rotating leather stool, turned around for half a circle, and then swung back and forth.Hearing this, he said slowly: "You don't want to rest, but the operating room may not be willing." ”Chen Wenqiang said with a smile: "You can finish these before the holiday, and there will be no place in the intensive care unit."
If there is really another one later, we will talk about it after the holiday. ”"It's surgery season when I come back.Be careful not to get tired.I just became the dean, and I still pointed at you to cover me. ”Chen Wenqiang pouted: "There are people in the provincial court who dare to bully me, but I haven't seen anyone who dares to bully you." ”"That's when you didn't watch me get □□.""
What nonsense.Man is the authority of the fighting reactionary technology.Were you authoritative enough then?
Put gold on your face. ”Director Zhou grinned proudly, "Anyway, I'm fighting with the authorities, and I don't have your share." ”"ShhhhI think you're pretty rare.Do you want me to talk to the dean, tomorrow afternoon, I will fight you, and be the new program of 'National Day'?
”"You didn't fight during the 'Cultural Revolution', and expressed your jealousy in a different way.""
You're as rare as you are."
With this pair of old classmates bickering, the operating room is finally less oppressive and dull.Time passed again, I don't know how long.During this period, Chen Wenqiang kept sitting down, standing up, standing up and sitting down.Director Zhou said countless times that he would be asked to brush his hands on stage, but he shook his head and refused.He kept babbling in his mouth: "I'm more worried than I am on stage." ”But Director Zhou persuaded him to brush his hands on stage, and he still said: "What am I going up to do?"
Lao Liang did a good job. ”Director Liang opened his mouth to chase him away, and he quieted down.…… 800 cc of whole blood prepared before the operation was transfused.After washing the abdominal cavity with hot distilled water, the frozen section results also returned: the removed mass contained pancreatic malignant tumor cells.A more detailed pathology classification report will not be available until three days later.Finally, it's time to place the drain.All three of them let out a sigh of relief, each twisting their waists uncomfortably, and tossing their stiff legs back and forth.The hose drain is one centimeter thick in diameter, and Dr.
Liang has cut several holes in a circle and placed near the stump of the pancreas in preparation for possible pancreatic juice leakage.Then, a cigarette tube drainage strip was placed in the spleen fossa, and another incision was made to lead out and be fixed.It's time to close your stomach."
Doctor Wang, you go and give the postoperative doctor's order."
Director Liang spoke."
Isn't this patient for Dr.
Li?"
Dr.
Li should go, why do you still ask yourself to go?
Dr.
Wang was quite puzzled.Chen Wenqiang immediately quit: "What is this patient to Dr.
Li."
Can she manage pancreatic cancer after resection?
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Do you have a little brain?
”Li Min was hurt by Chen Wenqiang's distrust.Why can't I manage pancreatic cancer surgery?
Isn't it anti-infection!
If there is really pancreatic leakage, even if Director Cheng of the Department of General Surgery is to guard it, there will still be pancreatic leakage.Director Liang grinned and added, "Wang, Xiao Li still has breast cancer there."
If the CT scan does not find any metastases, there is no major abnormality in the laboratory, and surgery will have to be done the day after tomorrow. ”Chen Wenqiang listened to Director Liang's statement, and also felt that he was a bit too impulsive to say that Li Min was not qualified to see pancreatic cancer surgery.But that's the truth.But in the end, he still changed his tone and explained: "Wang, Xiao Li has just graduated, and it's okay to see a breast cancer after surgery."
But two of the three burn patients had to scab again, which was enough for her to be busy.You'll have to look at this. ”In Chen Wenqiang's foolish eyes, Dr.
Wang understood that this pancreatic cancer could not be pushed.He silently got off the operating table, took off his gloves and gave himself a head for a moment: Don't blame Chen Wenqiang for treating himself as a fool, why did he forget that Li Min had just graduated?
Let Li Min take care of this pancreatic cancer operation, wouldn't it be the directors of the department, no one should want to sleep peacefully!
While washing his hands, he recalled the various meticulous and proper treatment measures during the operation, and prayed in his heart that there would be no pancreatic fistula, no complications, and no accidents.was able to be discharged from the hospital smoothly, and when the Chinese New Year came, he went to burn a bundle of high incense.Li Min endured the discomfort in her back, gritted her teeth and took a good shower in the operating room.It is much more convenient to have a small changing closet, you can put a change of underwear, wear your own slippers, and even shampoo and shower gel, Li Min has put backups.After taking a shower, Li Min went to the deputy director of the anesthesiology department."
Sister Liu, can you help me see how my back is doing."
Deputy Director Liu, who is a senior sister, is quite willing to take care of the little junior sister.She quickly rubbed Li Min's back with iodine."
I heard that your department just had a pancreatic cancer in the emergency department?""
Hmm.Admitted with an acute abdomen.caudal part of the pancreas.I have also had gallbladder removal before, and the adhesions in it are very strong. ”"Stand until your legs are shaking, right?""
It's a little bit.""
If you can change the subject, let's change it.Otherwise, when you are old, you will be in trouble if you can't stand still. ”Director Liu packed up his things."
It's better to avoid sweating these days, and I can get a little less water.""
Good.I listen to my sister. ”"Don't take it personally.It turned out that the female director of the Department of Surgery who retired was about to retire was very difficult.I heard that she worked shifts in the ward, couldn't finish a page of a book for half a day, her hair fell out one by one, and she couldn't go to the outpatient clinic for the long day shift.Alas, she couldn't keep up with the operation at all after that. ”"Senior sister, I wanted to go to the obstetrics and gynecology department when I applied for medical university.I'd like to change departments too. ”Li Min was depressed and felt even more tired.Director Liu patted her on the shoulder to comfort her."
Wait for the opportunity.If you have a good hand in surgery, it is easy to transfer to a gynecologist.The biggest operation in gynecology is a piece of cake in the eyes of general surgery. ”Li Min returned to the eleventh floor with a bag of dirty clothes, opened the office door, and saw that the smoke in the office was thick enough to call the police.She immediately went to the window and pushed the half-hidden window open.Convection forms between doors and windows, and the smoke dissipates quickly.Which of these people doesn't know that smoking causes cancer."
Ahem."
When Chen Wenqiang saw Li Min coming back, he coughed twice to cover up his obvious increase in smoking addiction in the past few days."
Xiao Li, you go and get the CT report of breast cancer back.Ask the laboratory again, and her tests have not come out. ”Men talk about things, the role that smoking together can play, no matter how old the woman is, even men who don't smoke don't understand the mystery of this."
Okay."
Li Min locked the things in his hand into the cabinet and immediately turned around and went out.Li Min went to the nurse's office first and looked through the test sheet sent back today.Record the results of the tests that the breast cancer patient did not send back.Looking at the time, I first called the CT room and asked that the CT report of the breast cancer patient was written by Director Hu himself, and immediately asked, "Can I go over and get it now?"
We, Dean Chen, want it. ”......
"Okay, I'll go now." ”Li Min got the report card and was happy for the patient while reading it.Very good, very good: no metastases were found in other organs.When I go to the lab again, the people on the day shift are ready to take over.The newcomer who was assigned with Li Min asked: "What kind of relationship does this patient still use you to come up and pick it up?"
”"It doesn't matter.It's tomorrow morning that we will discuss arranging her surgery. ”Li Min got all the checklists, saw that there was nothing to hinder the operation schedule, and answered the truth with a smile.() The distance is a bit far