At this point, the surgeon has completed the step of externally observing the tumor.
Dr. Jiang, the chief surgeon of internal medicine, had already inserted the gastroscope into the patient's esophagus and was ready.
It happened that the patient had not undergone a gastroscopy before the operation, so this was a preliminary observation of the tumor from within the esophagus.
As mentioned earlier, where this tumor grows, the outline of the tumor should be similar when viewed from inside and outside the esophagus, but this tumor grows outward, and its protruding shape should not be as obvious when viewed from the inside as from the outside.
In this case, is it likely that we can find a surgical entry point by observing the inside of the esophagus?
Think about it again, if the internist and the surgeon want to cooperate here, their thinking should be to walk on both sides of the outline of the opposite sex.
Here we can use an analogy. For example, when looking at a convex surface, a surgeon looking from the outside would undoubtedly see the convex surface, which is equivalent to looking from the front. On the other hand, an internist looking from the inside would see the opposite concave surface.
Another thing that the surgeon in charge of internal medicine needs to do is to inflate.
The purpose of inflation has been mentioned in the previous article. The inflation entry point we are looking for is not simply to inflate the concave surface or the convex surface, but to stretch the surface where the tumor and mucosa are tightly adhered. This means that the tumor does not care whether it is concave or convex, it only cares where it sticks. Correspondingly, the doctor may have to inflate it regardless of whether it is concave or not.
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The people observing the operation felt like their heads were about to explode when they thought about these things.
"I have absolutely no idea what she's going to do." Teacher Ming sighed. It seemed that his brain couldn't keep up with the pace of Doctor Jiang and Dr. Xie.
On the operating table, surgeon Xie took over the operating handle from Dr. Duan and got back into position.
Unlike Dr. Duan who is "slow", Dr. Xie becomes an accelerator once he gets started.
Squeak, squeak, the tumor is removed~
"I didn't see clearly that she had already started cutting." A group of fellow spectators shouted.
Doctor Yu Xuexian stood in the operating room, sometimes leaning over to look at the gastroscopy image, sometimes turning over to look at the thoracoscopy image: he couldn't see it all! I am even more confused as to how Dr. Jiang and Dr. Xie can take into account the adjustments made to the operating screens on both ends.
In fact, under such circumstances, the surgeon in charge certainly cannot take care of everything, and he has to rely on the preliminary work mentioned by Dr. Jiang.
The purpose of the camera to display the surgical screen to the doctor at this moment has become more like post-operation verification rather than prior confirmation of the operation.
"She saw something," said Dr. Zhang Huayao.
Everyone could tell that the Big Devil was complaining about Dr. Jiang Mingzhu, so he was a little frustrated when he said this.
When coming to challenge, I hope that the opponent will be completely wiped out. They didn't expect that there was someone here who was as well prepared as their Doctor Shen.
If you want to cooperate with Dr. Xie, you must do enough homework in advance so that you know clearly where Dr. Xie will make the cut. In this operation, Dr. Jiang needs to know where Dr. Xie needs her to inflate.
To determine these areas, it is necessary to carefully examine the preoperative examination data.
These cannot be pointed out by the experts in imaging, because knowing the point where inflation is effective is a skill of gastroenterologists.
Therefore, Mr. Qin said to the doctor that as a staff member of the logistics department, how would she know where the chief surgeon on the front line of clinical practice was.
Dr. Yu Xuexian swallowed his saliva. At this moment, a trace of panic flashed through his heart. He could clearly feel that Dr. Jiang had found an academic goal that surpassed his.
On the screens of the two machines, the moment when the patient's esophagus was stretched was seen, like the gentle rise and fall of waves. On the other screen, the image of the tumor was pulled out by the roots. Seizing this momentary opportunity, the scalpel passed through it in a quick and decisive manner, eradicating the tumor completely.
The two pictures are like the two sides of everything in the universe, with a sense of tight integration, yet completely different dualities. The patient's tumor and the two doctors' knives form a picture of the intersection of darkness and light, as if playing a sonata of hell and heaven. It is so wonderful that it is hard to describe.
In the observation room, even a top boss like Zhang Da Lao was stunned.
The surgical scene with two knives combined is extremely rare to see, and the bosses know it well.
The moment the entire tumor was cut out, applause broke out in the observation room.
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