The risk may be related to the fact that the wound on the patient's left lung has not healed completely, or it may be related to the patient's heart problem. We can only hope that the surgeon can act faster.
The surgical team received the anesthesiologist's signal, and the pressure was like a huge mountain pressing down on the surgeon's head.
"Let's start." Du Yeqing said in a steady voice and took the scalpel handed to him by the nurse with his right hand.
Thoracoscopic surgery usually requires three holes to be made in the right chest wall of the patient, two of which are operation holes and one is an observation hole. The observation hole is used to insert the laparoscope. The specific positions of these three holes can be selected by the surgeon according to the patient's condition.
Xie Wanying tilted her head slightly and turned to the best viewing position to observe the operation.
As far as she could see, the three holes made by the teacher were located at the third intercostal space beside the right sternum, the fourth intercostal space at the right midaxillary line, and the fifth intercostal space at the right anterior axillary line. The three holes formed a triangle, which should be the regular hole position. Teacher Du's conservative style was reflected here.
Conventional procedures have their own advantages. Practice has proven that conventional procedures are the best solution for most cases. Secondly, it reflects the surgeon’s extraordinary control and belief that conventional procedures are sufficient to handle the case at hand.
After the surgeon has opened the hole, he inserts the thoracoscope and the operating rod along with the surgical instruments. As the laparoscope approaches, the outer outline of the beating heart in the chest cavity appears on the monitor screen.
Don't use some beautiful novels to describe that looking at a beating heart is the feeling of life and it is touching. In fact, doctors performing surgery will only feel their scalps tighten when looking at a beating heart.
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Once the heart stops without the doctor's permission, the patient is dead. Doctors don't have time to lament the impermanence of life. If there is one thing doctors really feel, it's like defusing a bomb.
When operating on a beating heart, every beat of the heart is like a number on a bomb defusing timetable, which is frightening. The heart rate should be slowed down during the operation. Even if the patient's heart beats slowly, the doctor's hands are still on thin ice. You can't force the heart to be still and then cut or sew it. You can only cut it cleanly and neatly with one cut and one needle, trying not to disturb the heart's own beating. To use another metaphor here, the doctor's mood is probably like plucking the hair and teeth of a tiger.
Surgeons are always walking on a tightrope. The surgeon's mentality is very important and must be stable, whether they are in surgery or in medicine.
According to the preoperative planning, the surgical instruments were first moved closer to the suspicious area shown on the right ventricle CT scan. This place seemed to be a bit tricky to operate with the conventional operation hole. The chief surgeon and his surgical team manipulated the joystick without any dexterity being affected.
This is the skill that teachers who have performed many operations have practiced. Xie Wanying looked serious, as this is exactly what Teacher Tan hopes she can achieve.
What is that half-moon-shaped bulge shown on the CT scan? Now the surgeon needs to see it with his own eyes to remove the drape covering it.
"Bleeding." The voice that suddenly said this was not the surgeon in charge, but the assistant doctor Shi Lei.
The anesthesiologist immediately leaned over to check on the operation to see if the amount of bleeding was so severe that the patient needed an immediate blood transfusion.
Not for now. The assistant's voice was calm, and his words seemed to remind the other surgical team members of the progress of the operation.
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