Chapter 151: The quick knife technique shows its power, and Dr. Zou captures the soldiers
If the situation changes during the operation and the surgical plan needs to be temporarily changed, or there is a better plan, it is very necessary to communicate with the family.
Because the cost and risk of surgery will increase, the consent of the family must be obtained before the operation can be carried out.
This time, Director Wen did not send Tang Li to communicate, but came forward to communicate the matter personally.
When it comes to important changes to the surgical plan, only the surgeon is most clear about the surgical plan.
The conversation was over quickly.
The girl's family was shocked when they heard that it was a malignant tumor. Without much consideration, they agreed to Director Wen's plan to completely remove the tumor.
In fact, most family members would agree.
The word cancer has long been deeply rooted in people's minds.
In many people's minds, cancer is no different from the death penalty.
The doctor now proposes to do his best to eliminate the remaining tumor, and the family members are naturally very willing to do so.
The next operation will be carried out according to the plan proposed by Zhou Can.
First, establish a second vascular access by bypassing the vessel.
This process is relatively easy.
An artificial blood vessel was used instead.
A bypass is performed directly from a branch artery in the neck to supply blood to the area supplied by the central brain artery that is about to be severed.
With this blood supply guarantee, even if an accident occurs when the separated tumor remains, we can deal with it calmly.
Director Wen calmly began to try again to separate the remaining tumor remnant.
Every stroke of the knife looks like a craftsman carving it meticulously.
Sweat continued to ooze out from Director Wen's forehead.
People watching the operation may not think anything of it, but the psychological pressure on Dr. Wen, who was operating the operation, must be beyond imagination. I believe every surgeon has experienced the feeling of dancing on a sharp knife.
When separating the final center part, Director Wen cut slower and slower and his movements became more and more cautious.
The sweat on the forehead was oozing out faster and faster.
The nurse on duty kept wiping his sweat, with a hint of nervousness .
She knew that since Director Wen was sweating so heavily, the operation must have reached the most critical part.
And Director Wen may not be sure.
Accidents can happen at any time.
"No, the last piece is too tightly bonded and it's too difficult to separate. I'm not sure I can do it anymore."
Director Wen sighed dejectedly.
In the center of the tumor, can the adhesion be loose?
I guess it's almost rooted.
"I'm afraid we can only separate this section of blood vessel, cut it off, and then use a vein to fill in the gap."
Director Wen has extensive experience in surgery, so he knows whether the operation will work or not .
"Can't we just use artificial blood vessels? Why go through all the trouble of getting veins from other parts?" A resident doctor expressed his 'brilliant opinion'.
"That's a good question. I'll take this opportunity to explain it to you. The lifespan of an artificial blood vessel is only 10-20 years. The patient is only in her twenties, and the blood vessel to be repaired is an extremely important central artery in the brain. Now her disease has been cured with an artificial blood vessel, but one day ten years later, the blood vessel suddenly bursts. What should I do then?"
Director Wen questioned the resident who asked the question.
Compared with Zhou Can, this resident's considerations were obviously too one-sided.
"Remember, when you treat patients, you should not only consider the present, but also the future. You should truly consider the issue from the perspective of the patient's interests. Only in this way can you become a truly good doctor."
After Director Wen finished speaking, he looked at Zhou Can.
"Dr. Zhou Can did a great job on this point."
Zhou Can doesn't want to attract hatred.
He quickly said modestly, "I just happened to have some knowledge in this area, but it's not as good as you said." After being humble and polite, he asked Director Wen with a glimmer of hope.
"This blood vessel is going to be cut off anyway, can I try to separate the tumor remnant?"
Zhou Can has been practicing with the quick sword for some time.
I have achieved some success so far.
His separation skills have reached the level of a master's degree, which is basically enough to separate ordinary tumors or body tissues that are stuck together.
In order to separate the tumor remnant, he wanted to use his quick knife skills and separation technique to make an attempt.
It certainly won't work on animals.
The best opportunity to exercise is to use it directly on patients.
Director Wen hesitated and did not agree.
Zhou Can also knew that it was extremely difficult to get this high-risk surgical training opportunity.
Then he quickly added, "I assure you that even if I make a mistake, I will only rupture this blood vessel and will not hurt other tissues. This training opportunity is extremely important to me, so please help me this time."
Zhou Can has also helped Director Wen a lot in the past two days.
With a certain foundation of trust, it is not too excessive to ask for such surgery.
"Okay! You seem to be quite steady in your work, so you must be extra careful. Also, when you do the excision, I need to put gauze around it for protection."
The mouth that eats the food is soft, the hand that takes the food is stingy.
Director Wen finally couldn't resist the temptation and had to agree.
Perhaps Zhou Can's extremely eager and ambitious look touched him.
It is a common practice to place gauze around the wound to protect other tissues.
"Thank you! Thank you!"
Zhou Can fought for this hard-earned training opportunity.
I am truly grateful to Director Wen.
If Dr. Xu were the surgeon today, he might not be given this opportunity to practice.
Therefore, the benefits you get from working with different senior doctors will be different.
The key is how you fight for it.
Zhou Can did not use an electric knife, but a traditional scalpel.
The advantage of 'cold weapons' is that they are more flexible and can separate extremely thin tissue layers when separating such tightly adhered tissues.
Just like an electric saw, when it cuts a piece of wood, about 0.5cm of thickness will be directly sawed into powder. If you use a sharp knife to split the wood directly from the middle, the wood will hardly lose any length.
There is another reason.
He used a traditional scalpel when practicing with a knife.
This is also the request made by Dr. Xu.
At this moment, I am definitely more accustomed to using a traditional scalpel.
Holding the knife handle, he took a deep breath, and with his other hand, he held the tweezers and lifted up the part where the tumor tissue had been successfully separated, exposing the bonding area underneath.
His eyes were fixed on the part that needed to be separated.
The whole person slowly became like a demon. In his eyes and heart, there were only the remaining tumor tissue and blood vessel walls that needed to be separated. Everything in the outside world was gone.
brush!
Without any hesitation, he slashed with the knife.
Chi!
The sound of a knife cutting flesh.
Director Wen did not expect Zhou Can to draw his knife so swiftly. He was so frightened that he couldn't help but clench his hands and his heart almost jumped out of his throat.
He had already begun to regret agreeing to let Zhou Can take action.
The risk is so high, why did you agree to it?
But before he could call for a stop, Zhou Can had already stopped the operation.
With just one cut, the operation was over.
"Is this all?"
Director Wen's eyes widened in shock.
Not to mention the others, they all stretched their necks as if they had seen a ghost in broad daylight.
I didn't even get to see Zhou Can's movements clearly before it was over.
"Fortunately, the mission was accomplished and the tumor remnants were successfully removed."
The tweezers held in Zhou Can's left hand clearly contained the tumor remnant.
A confident smile on his face.
The knife strike just now, though seemingly simple and swift, actually contained all the knowledge he had acquired from practicing the quick knife technique, separation technique, and even the cutting technique.
Ten years of hard work off stage, only one second on stage.
All the accumulation was integrated into that unpredictable sword strike just now.
[Congratulations on successfully performing the Quick Knife Technique and understanding its essence, obtaining a special knife skill - the Quick Knife Technique. This knife technique can be used in dissection, separation, and debridement, and can quickly cut the target tissue at an extremely fast speed.]
The surgical skills Zhou Can usually acquire are all certain techniques, such as debridement, incision, suturing, etc.
What was obtained this time is called the quick knife method.
The combination of Fa and Shu is called Fashu, which is the name used by Taoists.
From a scientific point of view, it can be considered that the combination of methods and technologies has an ultimate power that is stronger than the original technology.
For example, in the separation just now, even though Director Wen's separation skills had reached the director level, he was unable to safely separate the tumor remnant.
But Zhou Can did it.
On what basis?
It is nothing more than integrating the quick knife technique into the separation technique to form a more powerful "spell".
With the integration of the Quick Knife Technique, his practical ability in separation techniques even surpassed that of the director-level separation techniques.
You know, his current separation skills are only at the lower level.
After integrating the quick knife technique, he directly leaped to two major realms.
Now, Zhou Can finally understood why Dr. Xu had gained such a great reputation.
The combination of method and technique is definitely top-level surgical ability.
[Quick knife method, current experience value: entry-level 1/10000, win by speed, and correct other surgical shortcomings by speed. It can be integrated into all surgical techniques of holding a knife. ]
Zhou Can looked at the newly added quick knife technique, which was actually ranked first.
Even before the pathology diagnosis.
This may be a personal surgical style, or it can be called a personal surgical characteristic.
"I'm only at the entry level, and I'm already so powerful after integrating it into the separation technique. Doctor Xu's level of fast knife skills must be much higher than mine. How strong is he?"
Being able to create the world's fastest surgery record and maintaining it without being surpassed by others is enough to show Dr. Xu's strength.
"Now that I have officially started learning the quick knife method, I wonder if I can learn other surgical styles in the future?"
The knife strike just now was extremely fast and it was a stunning sight.
Even Director Wen couldn't solve the surgical problem, but he solved it with one cut. The pleasure at that moment was enough to increase the dopamine in the brain several times.
After being happy, Zhou Can also felt a little worried.
Director Yin of Neurology and Director Shen of Orthopedics had both advised him not to follow Dr. Xu's old path.
Now that I'm on the pirate ship, can I get off?
Although the knife was extremely fast, Zhou Can was very calm and his mind was very clear. His hands were not faster than his brain.
Is it because of the calmness in one's heart that the evil brought by the sharp knife is suppressed?
It is possible.
Find a chance to ask Dr. Xu, maybe you can get a better answer.
After Director Wen came to his senses, he quickly checked the patient's central artery.
The blood vessel wall was smooth, without any residual tumor tissue. What was even more shocking was that the blood vessel was not damaged at all, and the separation of this small piece was even better than his.
Clean, smooth, and incredible.
"You, you made me see the second Xu Yidao. Really, you look so much like him. Back then, Director Xu always performed various difficult surgeries cleanly and neatly. His surgical skills were incredible, as if he was possessed by a god."
Director Wen had obviously witnessed Dr. Xu's abilities firsthand.
Even after many years, the memory is still vivid.
And full of respect.
"We will take this tumor remnant for pathological examination immediately. If the edges are clear, the central artery will not need to be moved. If the tumor cells have infiltrated and metastasized, then the scope of the operation must be expanded."
Director Wen said to a graduate student.
The errands were originally assigned to the newcomer Zhou Can.
Zhou Can has shown such strong surgical skills that even Director Wen has to admit defeat. Who would dare to let Zhou Can run errands or do odd jobs?
…
More than twenty minutes later, the pathology test results came out.
The margins were clearly defined and no spread was found.
This is extremely exciting good news.
Cheers rang out in the operating room.
Even Director Wen was beaming with joy, exclaiming, "Dr. Zhou is really the lucky star of our group! After he came, good things happened one after another."
Analyzing from another perspective, after Zhou Can came, several difficult cases in their group were all solved.
It's not just luck.
It just so happened that Zhou Can had the surgical skills in this area.
"Remove the artificial blood vessels for the bypass, clean the wound, and then suture it directly to complete the operation."
Director Wen looked at Dr. Zou.
"You're here to remove the bypass. Is there a problem?"
"Ensure the mission is completed safely."
Dr. Zou had not been able to contribute in the previous stages of the operation, so Director Wen was taking care of him and had given him a task to finish the operation. He naturally gave it his all.
Otherwise, both he and Director Wen would lose face.
This operation was full of twists and turns, and it seemed that it was Zhou Can, the intern who had just joined the group, who was performing the operation.
Naturally, everyone was ashamed.
The operation was over very quickly, and Dr. Zou's operation was standard and quite good.
It can be considered as saving a little face.
Of course, the one who gained the most was definitely Zhou Can.
Not only did he advance his Knife Skills to the entry level, but he also accumulated practical experience in Knife Skills. At the same time, his status in the group improved significantly.
It is estimated that in Director Wen's mind, Zhou Can's status is higher than that of the two attending physicians.
Director Wen cannot be blamed for being realistic.
Because Zhou Can has too many skills.
"Doctor Zhou, I have an operation this afternoon. Can you come over and help me?"
Before leaving the operating room, Dr. Zou took the initiative to invite Zhou Can, which surprised Zhou Can.
The relationship between the two was originally very tense.
He had no problem with Dr. Zou.
It's just that Dr. Zou doesn't like him because he performs too well and steals the show.
For old comrades, the most common psychological state is that they don’t want to be surpassed by new comrades.
"Sure, I'd love to."
Zhou Can naturally would not lose the other party 's face.
A senior attending physician took the initiative to lower his status and show goodwill to him, thus easing the relationship between the two. This is extremely rare.
"Haha, Doctor Zou, are you conscripting men into the army ? Next time, if I have a separate surgery, I will learn from you and conscript Doctor Zhou into the army." Tang Li joked with a smile.
He also greeted everyone in advance in a half-joking tone.
She said that next time she performs surgery alone, she will ask Zhou Can to help.
"The more capable you are, the more work you should do! Dr. Zhou's surgical skills are so strong, and we are all in the same team, so I'm sure he won't mind doing more."
Doctor Zou rarely smiled.
His eyes were also looking at Zhou Can.
"Thank you for looking up to me as a junior and taking care of me. I promise to be there whenever you call and never be lazy. I will work hard."
Zhou Can was being flattered by the two attending physicians, so he didn't dare to get cocky.
His humble behavior of actively lowering his profile also won the favor of several senior doctors.
…
In the afternoon, Zhou Can cooperated with Dr. Zou to perform surgery on the woman with a skull fracture.
I wanted to keep a low profile.
As a result, Dr. Zou's fracture union and bone setting skills were mediocre.
It is understandable that neurosurgeons have always looked down on orthopedic surgery, believing that orthopedic surgery only does rough work.
Naturally, few neurosurgeons are good at orthopedic surgery.
Many times when we encounter fracture surgery, we have to call on orthopedic surgeons for help.
Note that it’s call, not please.
Whenever the neurosurgeon asked the orthopedic surgeon for help, he was never polite.
Zhou Can worked in the orthopedic surgery department for three months and really learned a lot.
Moreover, many orthopedic surgeries have been upgraded to the third-level level. Currently, only the bone grafting surgery is a little weak and is still at the standard training level.
Zhou Can put a lot of effort into the surgery for this woman's fracture.
Do the critical surgical part properly.
Dr. Zou said that it was the right person to ask for help.
Originally, Dr. Zou didn't know that Zhou Can was so good at bone surgery. He just thought that fracture surgery was difficult to perform alone. The residents under him were as dumb as pigs.
In addition, since this is a brain surgery, safety must be ensured.
Zhou Can is a steady and reliable person with strong abilities in many surgical procedures. Asking him to help would at least be a safe bet.
As a result, Zhou Can did not disappoint him.
It even gave him a big surprise. The two of them worked together to complete the skull fracture surgery.
And it was done very well.
The operation is over and the patient is anesthetized while he is still asleep.
Zhou Can said to Dr. Zou, "The injuries on this woman's body don't look like those caused by a fall, but more like those caused by a violent beating. Do you think she was subjected to domestic violence?"
"Doctor Zhou, we can't intervene in this matter. If she is a minor, we can intervene. She is an adult and I believe she has her own considerations. And based on my experience, it is easy to be thankless to intervene in such matters."
Dr. Zou gave him some advice.
"I just saw too many injuries on her body. You see, these injuries are old injuries, which means she has been subjected to continuous violence and beating. I really don't understand why they don't just divorce?"
Zhou Can pointed at the woman's shoulders, legs and other parts.
The bruises and hematomas were shocking to see.
"Marriage is not as easy as you think. You can't just get divorced whenever you want. There are children, friends and relatives, parents, common property, and inseparable feelings. In short, you will understand when you get married."
Dr. Zou is forty years old and must have been married long ago.
He just shook his head and smiled.
