Chapter 231-Wedge Cutting

“Young man, you are too young. It’s the first time to participate in the selection. A competent doctor not only needs a lot of financial support, but also has superb medical skills. If you can do the impossible with just one hand, then It’s really amazing, but it’s very difficult if you want to undergo further surgery. If it’s you, with invasive lung adenocarcinoma, what chance do you have?”

A word of the contestant was like a slap on the head of the young man. He returned to the corner angrily. Although he was unwilling, he could only accept the fact that he was helpless.

In the operating room, Liu Xin’s scalpel was slowly slashed across the patient’s chest, using one of the most difficult incisions to suture. The Lu’s incision formed a trajectory along the lungs, and the whole process was smooth and flowing.

“What does he want to do? The Lu’s incision may not be suitable for left lobectomy.”

The crowd became suspicious again, and even began to doubt Liu Xin’s medical skills.

Not only him, but even the doctors who participated in the assistance were overwhelmed.


“Dr. Zaport, what are you going to do, the Lu’s incision does not comply with the rules of surgery.”

Surgery for invasive lung adenocarcinoma is very complicated, and wedge resection must be used, but to the extent of the second stage, severe cases almost require the use of most lung resections.

“Using a wedge cut.”

“What! Isn’t it only necessary to perform lung lobectomy surgery?”

The assistant doctor seemed a little overwhelmed for a while, as if he couldn’t get through the operation at all.

“How long is there?”

“Three hours.”

“enough.”

Liu Xin used the Lu’s incision to open the epidermis. Under the contrast lamp, Liu Xin used a scalpel to remove the large areas of acinar formation from the lungs one by one using a wedge resection. The whole process was frightening. They have never seen such a fast and decisive operation process.

“It’s so fast, but it’s a pity that even if the wedge surgery is completed, the lung lobes may not be removed at a fixed time.”

Someone in the crowd has already raised questions, but the next second, the reality is like a heavy blow on his face. Liu Xin doesn’t know when he has two more knives in his hand. Although the wedge operation is not difficult, but he wants One hand is very limited in the whole process of resection, but the man in the picture, with two knives operating at the same time, at the cutting edge of his fingertips, the lungs are removed quickly and accurately.

“Two swords.”

Someone recognized Liu Xin’s surgical ability.

“Second Sword Style? Is this the legendary Second Sword Style?”

“Yes, the two-knife cutting method is very rare and requires extremely high skill to complete. The surgeon needs to control not only the back and forth of the two knives, but also precision and speed.”



Everyone watched the scalpel cut across the lungs, and in a short time they cleaned most of the acinars in the lungs. The whole process made everyone present dumbfounded.

“How many hours are there?”

The nurse wiped off the sweat from Liu Xin’s forehead, and he asked back.

“Three hours.”

Liu Xin glanced at it, not much, it was exactly three hours.

“Can it be done?”

People on the sidelines also sweated for Liu Xin.

“Next is surgery to remove the lower lobes of the left lung.”

Two help one listen can be regarded as having his own use, picking up the scalpel and preparing to do it.

“Re-incision, follow the road incision.”

Ersuke was familiar with the road, and when he moved the knife, he discovered that Liu Xin had spent most of his time performing the Lu’s incision, which was originally time-consuming and laborious, but now played a very critical guiding role when opening the left lung lobe.

He followed the line of the knife edge and saw the lung lobe less than three centimeters away.

Liu Xin prepared to continue with the operation. He took out the X-ray knife. Originally, the most serious infection in the lung lobe was in the lower lobe. Now Liu Xin’s idea is to use X-ray knife to ensure that some cancer cells will not spread and enter other lung lobes through the blood. Of course, this is not the case. It can’t be cured completely, it can only be delayed.

Liu Xin skillfully opened the oblique fissure, and pulled back the middle and upper two lung lobes. After a short while, the inferior pulmonary artery was exposed. Under the light, when everyone saw the condition of the inferior pulmonary artery, they all responded. It’s shocked.

“How come? There is a blockage in the lower pulmonary artery?”

“Is it just blocked?”

Everyone thought that when Liu Xin was already on the safe side, the patient had an accident in his lungs.

“Doctor Zabot, the lower lobe artery of the lung is blocked, and a blood clot will soon form.”

“Cut and ligate the lower lung ligaments. No further action is needed for the time being.”

Liu Xin maintained a high level of calm at this moment. When the second assistant took the initiative to ligate the inferior lung ligament, he pushed open the mediastinal pleura and freed the inferior pulmonary vein. The suture ligation and suture process were completed in one go. There were countless precise surgical procedures. Blocked arteries.

“Why is there no abnormality and the patient’s condition is very stable?”

There is only this doubt in everyone’s mind. Pulmonary artery obstruction is not a common cause. In contrast, the whole process has almost no effect, which is the strangest.

“Could it be…”

The blond young man stared at Liu Xin’s left hand, and he had just noticed with all his strength that his right hand was using the two-sword cutting technique but ignored the movement of his left hand.

“Ligate the pulmonary artery! Is he crazy?”

It was indeed what Liu Xin did, but he did not respond. Instead, he continued to deal with the basal arteries, and finally became shocked after freeing the lower lobe bronchus.

“He, how did he do it?”

Under the angiographic light, the bronchus and arteries in the basal segment appeared very clear. Liu Xin did not make any treatment at all, and completed the resection of the lower lobes of the lung, and the treatment process used arterial retention to flow blood back through the arteries. , And at the same time supplement the weakness of blood loss in the lungs caused by wedge surgery.

After the ligation was removed, the pulmonary artery resumed operation, and the second assistant in the operating room was not aware of it.

“Suture, perform the final debridement treatment.”

After Liu Xin said, Second Assistant started the operation in a daze. When he turned around, the entire operation only took less than five hours, with a difference of nearly 30 minutes.

“Huh, fortunately there were no accidents.”

Liu Xin originally estimated that it would take more than four hours to complete the operation, but now it seems that there are no accidents, and the operation was completed very smoothly.

In the observation room, everyone opened their mouths unspeakably. They were fortunate that they gave up bidding to watch this operation. Although invasive lung adenocarcinoma has not been completely cured, the cancer cells in the patient’s body have been completely contained, at least in the short term. This is what they want to see most.


“When do I start scoring, I feel at least five points or more.”

Some people have already given predictions. After all, although invasive lung adenocarcinoma is part of the left lower lobectomy, the difficulty of the entire operation is far more difficult than they thought, and not everyone can do it.

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