Chapter 1667: 【1667】The tightrope walk
The anesthesiologist's instructions for the surgical team were received. The pressure was on the surgeon's head like a giant mountain.
"Let's start." Du Ye Qing said in a calm tone, and took the scalpel handed over by the nurse in his right hand.
Three holes are routinely drilled in the patient's right chest wall in thoracoscopic surgery, two of which are operating holes and one is an observation hole. The viewing port is used to insert the endoscope. The specific positions of the three holes can be selected by the surgeon according to the needs of the patient's condition in a conventional position or an adjusted position.
Xie Wanying tilted her head slightly and turned to the best viewing angle for surgical observation.
As far as she could see, the three holes drilled by the teacher were in the third intercostal space next to the right sternum, the fourth intercostal space on the right midaxillary line, and the fifth intercostal space on the right anterior axillary line. The three holes present a triangular connection line, which should belong to the conventional hole position. Du teacher's conservative style is reflected here.
Routine has the benefits of routine, and practice has proven that routine is the best solution for most cases. The second is to reflect the extraordinary grasp of the chief surgeon, who believes that the routine is sufficient to deal with the case at hand.
The surgeon opens the hole and inserts the thoracoscopic endoscope and the operating rod together with the surgical instruments. With the approach of the endoscope, the outer contour of the beating heart in the chest cavity is displayed on the monitor screen.
Don't use some aesthetic novels to describe watching a beating heart as a life-like feeling that is touching. In fact, the surgeon who performed the surgery would only have a tingling scalp when looking at the beating heart.
Once the heart stops on its own without the doctor's permission, it means the patient's life is gone. The doctor has no time to sigh that life is impermanent. It must be said that the doctor's realistic feeling is only one: like detonating a bomb.
Operates on the beating heart, and every beat of the heart is like the number of beating on the timetable of bomb demolition. How fast the heart's heart rate is during the operation, it is best to reduce it all. Even if the patient's heart beats slowly, the doctor's hands are still on thin ice. You can't force the heart to move and then cut and sew it. You can only cut and sew it cleanly with one knife and one stitch, and try not to disturb the heart's own beating. To use another metaphor here, the doctor's mood is estimated to be like pulling the hair and teeth of a tiger.
The job of a surgeon has always been a tightrope walk. The mentality of the surgeon is very important, to be stable, no matter the surgeon is the same.
According to the steps of preoperative planning, the surgical instruments were first moved to the suspicious area displayed on the CT of the right ventricle. This place seems to be a bit tricky to operate with regular operating holes. The main surgeon and his surgical team manipulated the joystick, and their dexterity was not affected in the slightest.
This is a **** practiced by teachers who have performed multiple operations. Xie Wanying has a serious expression, which is exactly what Teacher Tan wants her to practice.
What is that half-moon-shaped bulge that ct shows. Now surgeons have to look at it directly to lift the drape over it.
"Bleeding." The voice who suddenly said this was not the chief surgeon, but a helper, Doctor Shi Lei.
The anesthesiologist's head immediately stretched over to check the operation and see if the blood loss was large enough to require an immediate blood transfusion.
Being not. Ichisuke's voice was calm, and the words he spit out were more like a reminder to the other members of the operation that the operation was progressing immediately.
(end of this chapter)