Chapter 582: Being eliminated, the knife position is very important

In fact, in addition to famous doctors and experts of the older generation, every hospital also vigorously cultivates outstanding young doctors.

Only in this way can a hospital be guaranteed to have successors and continue to prosper.

Sun Dasheng and Pang Qing are both rising stars in Ocean Hospital.

A national-level medical skills competition like the one they are currently holding is a great training opportunity for them, and also a great opportunity to stand out.

As long as you can perform well when answering any of the questions, you can brag about it for years.

In yesterday's competition, people like Sun Wukong and Pang Qing had almost no chance to answer questions.

Because it was a quick response, while they were still wondering what disease the patient had and how to treat it, Li Quan and veteran experts and professors from major hospitals had already answered the questions in the first place.

Today they learned from their mistakes and became braver. It was only the first question but Sun Wukong had already bitten his cheek and started to answer desperately.

It’s just that Li Quan’s words were a bit hurtful.

Mocking Sun Wukong for changing his ways and changing his teacher.

The speaker may not mean it, but the listener may take it seriously.

One look at Xu Tiangao’s gloomy face and you’ll know his attempts to sow discord have worked.

At least a thorn has grown in Xu Tiangao's heart.

"Expert Xue Minqing, the chief surgeon of Beijing No. 1 Hospital, Dean Li Quan of Huier Hospital, and Doctor Sun of Yuanyang Hospital all support the same answer. After the patient was examined, it has been confirmed that he has a giant hemangioma of the liver. Congratulations to the three contestants for answering correctly. Please look at the examination film and give a treatment plan."

The host had a bright smile on his face.

It is very rare that all three contestants answered correctly.

As soon as the host finished speaking, the projection on the screen changed.

The patient underwent color Doppler ultrasound and spiral enhanced CT scan. The diameter of the blue area in the liver was definitely more than 15CM.

The hemangioma was more than thirty centimeters in size.

Everyone gasped.

Such a huge hemangioma is scary to look at.

In medicine, hemangiomas smaller than 5CM are called small hemangiomas. Hemangiomas larger than 5CM and smaller than 10CM are called large hemangiomas . Hemangiomas larger than 10CM and smaller than 15CM are called giant hemangiomas.

Those that are larger than 15CM are called extra-large hemangiomas.

In terms of surgical difficulty, surgery is extremely difficult.

Because the larger the hemangioma, the easier it is to rupture.

It's a complete bomb.

Surgical treatment is too difficult and the risks are extremely high.

The patient's hemangioma is probably about 30 to 40 centimeters in size, so you can imagine how difficult it is to treat.

"Such a large hemangioma can only be treated surgically. However, the operation is too difficult. If I operate on the patient, the chance of success is no more than 60%."

Xue Minqing is a surgical expert and a top-notch surgeon.

Even he said that the chances of success of the surgery were no more than 60%.

That means there is a 40% chance of failure.

"My confidence level for the surgery is about 70%." Li Quan did not say anything definite. It would be enough if my confidence level was 10% higher than that of the Xueminqing expert.

After hearing Li Quan's words, the whole audience was in an uproar.

Everyone was talking about it.

Many people scolded him for being too arrogant. Even Professor Xue Minqing was only 60% sure, but Li Quan, a young doctor, said he was 70% sure.

Who believes that?

"Li Quan, you are indeed shameless. You are invincible in the world. You are shameless enough!"

As Sun Wukong looked at the video footage on the big screen, his palms were sweating.

The patient's hemangioma was so large that he wasn't even 20% sure of success.

However, Li Quan boasted in public that he was 70% sure, which made Sun Wukong anxious and angry.

The host and judges won’t care whether you brag or not.

These days, the timid will die of starvation, and the bold will die of gluttony.

Sun Dasheng told the host and judges truthfully that he didn't even have 20% confidence and would be eliminated immediately. He didn't even have the chance to enter the operating room.

"Hehe, you can be more shameless than me. Even if you say you are 100% sure, I won't laugh at you." Li Quan sneered.

"you……"

Sun Wukong was so angry that his face turned red.

He gritted his teeth and felt the blood rushing up and his scalp tingling.

There is a buzzing in my ears.

"I'm 80% sure!" Sun Wukong really never stops talking until he makes a shocking statement.

If a person is not ruthless, he cannot stand firm.

In order to avoid being eliminated and to get the chance to enter the operating room, he actually exaggerated the success rate of his surgery by four times.

Xu Tiangao and nearly 30 participating doctors from Yuanyang Hospital all looked at Sun Dasheng with shocked expressions.

The eyes of other contestants in the venue were also focused on Sun Wukong's face.

Everyone began to seriously re-acquaint themselves with this rising star of Yuanyang Hospital.

Even the host was surprised.

Li Quan said that he was 70% sure, which was already amazing enough.

However, Li Quan performed extremely well yesterday, answering many questions correctly in a row, and also demonstrated his proficiency in many difficult surgeries or treatment plans.

So, even if he said he was 70% sure, everyone would curse him, but they would still agree with him in their hearts.

But Sun Dasheng is different. This newcomer suddenly appeared and said that his surgical skills are even better than those of the Xueminqing expert and Li Quan.

Who believes it?

"Okay, the three contestants who participated in the quick answer are more than 60% sure that they can cure this patient. Please invite the three contestants to enter the operating room number seven together."

The host asked all three of them to go into the operating room to help treat the patient.

Sun Wukong enjoyed vanity he had never experienced before. It felt so damn good to be the center of attention.

Following the staff, Sun Wukong felt as if his feet were stepping on cotton, so light.

Entering Operating Room No. 7, I saw the male patient on the screen, who looked like a pregnant woman in her 10th month, lying on the operating table, waiting for them to perform surgery on him.

"The patient's vital signs are currently stable and he is under general anesthesia. Will the three contestants perform surgery on the patient immediately?"

The anesthesiologist and Li Quan are old acquaintances.

Because Li Quan answered many questions yesterday.

There are only two anesthesiologists in total.

For every major operation, this male anesthesiologist, who is about 40 years old, is responsible for giving anesthesia to the patients.

"Which one of you will come first?"

After the anesthesiologist introduced the situation, he asked who would perform surgery on the patient first?

"The kidneys store essence, and the liver stores blood. The patient's liver hemangioma is particularly large. Expert Xue Minqing is a top surgical expert and a senior. This kind of operation is extremely risky and difficult, so it should be performed by Expert Xue Minqing first. As a junior, I am content to observe and learn from the sidelines and give a helping hand."

Li Quan was outside just now, acting very crazy.

But when he got into the operating room, he showed enough respect to the Xueminqing expert.

Even gave the other person a helping hand.

"President Li Quan is so humble." Expert Xue Minqing has a very good impression of Li Quan.

A colorful sedan chair carries people, and everyone loves it.

No matter how many holes there are, flattery will never wear out.

The praise from Li Quan, a rising star of such influence, was particularly helpful to the Xueminqing experts.

"I, I'll help out too." Sun Wukong followed suit and spoke along with Li Quan.

"When did Dr. Sun become a follower? As a doctor, especially if you want to be a chief physician, it's better to have your own opinions. You can't just follow what I say."

Li Quan raised his eyebrows. He was following Sun Tzu's Art of War's principle that attacking the city is inferior to attacking the heart.

Today he was determined to use words to provoke Sun Wukong and disrupt his formation.

The anger that Sun Wukong had suppressed with great difficulty began to rise again.

"Stop lecturing me here. If that's the case, I'll operate on the patient first. Professor Xue, you can't blame me for taking your lead. Just blame this kid named Li for not speaking human language."

There was smoke coming out of Sun Wukong’s head.

With a dark face, he took two steps forward and stood directly in front of the operating table.

"Please!"

The expression and tone of the Xueminqing expert were a little cold.

Sun Dasheng's words seemed to be deliberately giving in to him and Li Quan, which made the Xueminqing expert very unhappy.

"This operation is extremely difficult and risky. Are you sure you can handle it?" Standing opposite the operating table was a male doctor in his sixties, looking very imposing.

The veins on his hands were bulging, and one could tell at a glance that his arms were incredibly strong.

If you see this kind of doctor in the operating room, you don't have to think too much, he must be a director who often performs surgeries. At the very least, he is a deputy director.

Because the blue veins on people's hands are caused by long-term surgeries.

Performing surgery on patients is a physically demanding job.

"Nonsense, if I'm not capable, how can I come in here?" Sun Wukong was already fuming. Being questioned like this, he retorted unhappily.

"Okay, we can start now."

The elderly doctor who asked the question nodded indifferently.

Sun Dasheng asked the nurse to help him put on sterile gloves, and then began to determine the location for the incision.

Because if we want to remove that huge liver hemangioma, we must open our chest and abdomen.

Sun Dasheng turned around and looked at the examination film hanging on the wall. Then he began to determine the location of the incision and the length of the wound on the patient's chest and abdomen.

After drawing the incision with a pen, he seemed very satisfied with the location of the wound he had chosen.

"Disinfect the area where the line was drawn immediately."

Sun Dasheng instructed the assistant beside him.

"No need, you've been eliminated."

The person who spoke was the old doctor that Sun Wukong had just angrily criticized.

Human life is at stake, so there must be a skilled surgeon in charge here.

This was Sun Wukong's first time entering the operating room of the competition, and he had no idea what was going on there. The old man was actually a hidden examiner in the operating room.

The team has the right to terminate any athlete's surgical plan or operation at any time.

Just like when we are taking the third part of the driving test, the safety officer sitting next to you has the right to step on the brakes if he thinks your driving behavior is dangerous.

Of course, the consequences of him stepping on the brakes were very serious.

As long as he steps on the brakes, there's basically no hope.

As soon as Sun Wukong came in, he confronted the hidden examiner. It would be strange if he was not punished.

"I don't accept it. The operation hasn't even been performed yet. What right do you have to say that I'm eliminated?" Sun Wukong felt furious and wanted to beat up the old man to vent his anger.

He found that it seemed as if everyone was deliberately against him and bullying him.

"Why? Because of the position you chose for the surgery. The hemangioma fills the entire abdominal cavity, and the skin here is the thinnest. It seems easiest to open the wound, but it is also easy to cut the hemangioma inside. Also, the length of your wound is obviously unreasonable.

With such a long wound, do you want to learn how to perform cesarean section like ?

Young man, it is understandable that you are young and full of energy, but you must first have real skills. I am not exaggerating when I say that if I had not stopped in time, this patient would have died today.”

The old man was able to be the examiner of this operation, so he must be very capable.

Li Quan gained a lot from these words.

The selection of surgical incision is very particular.

There are many factors to consider. First of all, safety is the first priority. If the selected incision position will threaten the patient's life, it should be abandoned decisively.

Secondly, try to ensure that the operation can be completed successfully while making the surgical incision as small as possible.

In theory, the smaller the surgical incision, the better.

This is why interventional techniques and minimally invasive surgeries in modern medicine are becoming more and more popular.

The surgical wound is small, the patient recovers quickly, and the risk is low.

"Child, if you don't understand, go back and ask your teacher. Goodbye." Li Quan waved to Sun Wukong.

"Hmph, let me see where you choose the blade position?" Sun Wukong did not argue any further and glared at Li Quan angrily. He stood by and watched with dissatisfaction.

Despite being eliminated, watching is still allowed.

"The incision was moved 6cm to the left, and the initial incision length was about 20cm. It can be adjusted according to the situation. It is normal to take more than ten hours to remove such a large hemangioma.

As long as it does not affect the surgical removal of the hemangioma, the smaller the incision, the better.

If it’s too big, stopping bleeding during surgery will be a big problem.”

Expert Xue Minqing is worthy of being an expert. He is very experienced in both the selection of the knife position and the reasonable reduction of the initial surgical incision.

These rich surgical experiences are simply not comparable to those of Sun Wukong.

After hearing this, the arrogance on Sun Wukong's face faded a lot.

"Professor Xue, can you tell me why the incision should be moved 6cm to the left?"

Sun Wukong lowered his posture and asked Xue Minqing for advice.

"Because the heart is on the left, it is convenient to rescue or stop the bleeding of the patient when necessary. In addition, the incision is moved 6cm to the left. This position is close to the ribs and it is not easy to cut the hemangioma. Young man, liver hemangioma is a bomb. If you encounter this type of patient in the future, you must be very careful.

Once it is scratched, it is very likely that a life will be lost."

Xueminqing expert said earnestly.

"I'm grateful for your advice." Sun Wukong has calmed down.

What Xue Minqing said made a lot of sense, and he accepted it with an open mind.

After selecting the incision site, Xue Minqing was calm and composed and performed thoracotomy on the patient calmly and unhurriedly.

Li Quan watched from the side.

He brought his own assistant and didn't need his help at all.

Generally, a good obstetrician will have his own medical team.

Including anesthesiologists, instrument nurses, first assistants, etc.

After opening the chest, the huge hemangioma was exposed.

It looks like a huge heart that is still beating.

Beads of sweat the size of beans appeared on the forehead of the Xueminqing expert.