Professor Eric Passant is getting older and feels that his hands are no longer as dexterous as Zhou Qiao's.
Looking at Zhou Qiao's operation, it was smooth and smooth. There was no surgical assistant, but it felt like there were two invisible surgical assistants who had a very tacit understanding of each other and were assisting him!
If we use Chinese to describe it, it would be called "if there is divine help"!
Sometimes, even when the equipment nurse Elena wants to help, he tells her not to move!
It's not that Zhou Qiao doesn't trust Elena, but that he feels that he can handle it alone! After all, Elena is just a nurse, not a doctor.
The advantage of single-person operation is that one person can do whatever he wants. If there is an assistant to cooperate, the assistant may not be able to cooperate just right. Sometimes he has to use words to say it, and the other party may not understand it, and he has to repeat it. correct!
If you meet a stupid assistant and the surgeon has a hot temper, you will definitely want to curse them!
It’s too troublesome, so Zhou Qiao is alone!
Why one hand? Because his left hand has been in the patient's abdominal cavity through the hand-assisted device and has not come out! The only one outside is the right hand!
In fact, if conditions really permit and there are one or two medical assistants with superb medical skills, Zhou Qiao can operate purely with laparoscopy without inserting his left hand into the patient's abdominal cavity. However, in that mode, the final specimen needs to be obtained through at least one The 5cm hole is simply not as convenient as opening a separate 8cm hand hole.
This method takes less time and is more efficient because you can use the touch of your left hand to explore the tumor and assist in surgery.
In order to achieve a complete cure and ensure the resection effect, an 8cm incision is also acceptable. Traditional surgery usually requires a 20-25cm incision!
This 8cm incision is based on the size of Zhou Qiao's left hand. If the surgeon's left hand is slimmer, the incision can be smaller.
Many times, you cannot completely follow the parameters in the book or taught by your predecessors, but you must learn to be flexible.
Of course, the prerequisite for flexibility is to not only know what is happening, but also why it is happening.
Professor Pasent was shocked, not to mention Dr. Sam next to him.
Dr. Sam's eyes flashed from time to time as she looked at Professor Parsent, wanting to exchange some insights with the professor. However, seeing that the professor was watching carefully, silent and calm, she could not speak.
Dr. Sam said to himself, Professor Parsont is awesome, well-informed, and as stable as the Alps. Unlike me, when I see such exquisite technology, I can't help but want to scratch my head, and I can't stand up!
As everyone knows, Professor Parsont is also in a state of confusion.
…
The operation is still going on in an orderly manner. This is a very large and very difficult operation, and it will not end so soon!
During the operation, Zhou Qiao found that the anatomical layers around the patient's portal vein and superior mesenteric vein disappeared, the fibrous tissue around the common hepatic artery was significantly thickened, and the mass was closely related to the side wall of the portal vein and the beginning of the gastroduodenal artery.
Considering the possibility of venous invasion, in terms of surgical strategy, Zhou Qiao first completed the anterior approach to SMA first, the uncinate mesentery to be disconnected first, and the Heidelberg triangle lymph node dissection;
Then, under venous pre-blocking, the pancreatic head mass was separated from the portal vein, and the specimen and regional lymph nodes were completely removed;
Finally, the reconstruction of the digestive tract is completed.
As for the specimen, it is placed in a non-permeable nylon bag and removed from the hand cuff.
If there was an assistant, the rest of the finishing work might be left to the assistant to practice, but Zhou Qiao didn't have one, so he did the whole process himself.
The advantage is that one less labor force is needed and the profit earned is higher.
At the master level, it is quite difficult for a single person to control a five-hole laparoscope with one hand. Even Zhou Qiao was sweating profusely, with beads of sweat on his forehead.
It might be easier if he exchanged it for a perfect level one.
The main reason is that he doesn’t think it’s necessary and thinks he can handle it! In fact, it can be done, but I am so tired. Performing such an operation is like running a marathon for 20 or 30 kilometers!
You have to have a good rest when you go back, and let Elena or Ava give you a squeeze on your shoulders and a pat on your back.
Ava came over from time to time to help him wipe it, but fortunately, the operation finally ended successfully! The patient was transferred to the anesthesia recovery room by Nancy and the nurse.
A dedicated community hospital nurse will be responsible for subsequent cleaning of the operating room.
Zhou Qiao breathed a deep sigh of relief and led Elena and Ava out!
Professor Eric Pasent and Dr. Sam followed closely behind. They looked at each other and chuckled sadly.
Dr. Sam finally couldn't help but said: "Professor, this Dr. Zhou is really a surgical genius!" She felt ashamed.
Professor Eric Pasent nodded lightly and said, "This investigation will end here."
When Jessica saw that the operation was over, she left the monitoring room, came outside, and stood at the exit of the operating room with her father!
Although Jessica has watched most of the operation, she still wants to hear Zhou Qiao's evaluation of the operation in person!
"Dr. Zhou, is everything going well? How is my wife?" Mr. Clark asked first when he saw Zhou Qiao coming out.
Zhou Qiao smiled slightly and said: "Fortunately, I can proudly tell you that the operation was successful! However, I will continue to undergo chemotherapy for a period of time to consolidate!"
Follow-up chemotherapy was necessary and had been written in the treatment plan before, so Mr. Clark nodded, opened his mouth, and his body trembled slightly. After a long while, he finally said: "Thank you very much!"
After confirming the news that the operation was successful, he was very emotional, had thousands of words to say, and had mixed feelings. He didn't know how to express it for a moment!
"Mrs. Clark is in the resuscitation room. It is estimated that she will not be able to come out in one to two hours. Please be patient and wait for a while." Zhou Qiao comforted her.
"Yeah, thank you." Mr. Clark stepped forward and hugged Zhou Qiao gently.
"Dr. Zhou, thank you very much. I apologize for doubting and doubting your medical skills before!" Jessica was in a good mood and said with a slight smile.
"Who are you?" Zhou Qiao didn't recognize her.
Jessica quickly said: "I am Mrs. Clark's daughter!"
"Oh, hello, hello, nice to meet you!" Zhou Qiao said.
He thought to himself, "Foreigners are really sincere. You have questioned me before, and I don't know. You don't have to say anything."
In fact, Jessica didn't need to say it. It's just that she felt guilty in her heart and she wouldn't leave any knot in her heart if she said it.
"Dr. Zhou, thank you." Jessica also stepped forward to hug Zhou Qiao and kissed him gently on the cheek.
Elena: "..."
Ava: "..."
But, it’s hard to say anything. After all, this is American etiquette.
Ava thought to herself, I also want to find an opportunity to kiss Zhou Qiao a few times. Why can outsiders kiss me but I can't?
…
After Professor Eric Parsont came out, his cell phone was turned on, and there were a series of missed call reminders. David Thomas quickly pulled him aside and quietly told the news about the interrogation of many big shots.
Professor Parsont gave a wry smile, but then said: "The case was going to be closed. Dr. Zhou deserves it!"
David Thomas: "..." He originally thought he wanted to persuade him, but he didn't expect Professor Parsont to be so easy to talk to? Are you also afraid of those big guys?
Previously, Pasent was in the operating room and remained calm on the surface, so David Thomas didn't know Professor Pasent's attitude.
Professor Parsent seemed to have seen what David Thomas was thinking, so he smiled slightly and said solemnly: "The reason why I announced the closure of the case is not because of these phone calls, but because Zhou Qiao is really impeccable!"
He thought to himself, why is such an outstanding medical talent actually a Chinese? Medical education received in China? Why not Native Americans? Is China’s medical education so advanced?
But he immediately shook his head, it shouldn’t be possible!
He has also been to China. Even in China, geniuses like Zhou Qiao, favored by God and the God of Medicine, should be rare, and you would not encounter one in a hundred years!
