Chapter 235 Change of Nodules

“Why, what we did was gastric cancer surgery.”

“Believe me.”

Jessica had no reason to refuse, and in desperation, she nodded and agreed to Liu Xin’s request. Ten minutes later, the result of CT came out. Not only Liu Xin, but even Jessica, who is generally knowledgeable, was surprised.

“This is……”

“Yes, lung nodules. How do you say it? The nodules formed by gastric cancer do not seem to interact with the lungs, but you see, this is the condition that appeared in the patient’s lungs three months ago. , There was no trace of lung nodules before three months.”

Jessica frowned when she saw the result. She never expected that a gastric cancer operation would involve so much.

“But what does this show?”

“It’s just a connection, it can’t be fully proven, but the human body itself is complex and changeable, and it is even more unlikely that any kind of disease will be spared.”

“Then what do you want to do?”

Jessica asked.

Liu Xin shook his head: “I haven’t figured it out yet. If there is still no result after ten hours, gastric cancer surgery will proceed as usual.”

“good!”

For the next ten hours, Jessica stayed in the ward as a supervisor. He originally thought Liu Xin would use this to check a lot of information, but he did nothing, just lay down and slept for ten hours.

“Wake up!”

Jessica woke up from her dream and saw Liu Xin’s face turned awkward, and she lifted her forehead and hair.

“How? How are you thinking?”

“There is no result. Just thinking about it is in vain, and he can’t stand the toss. Let’s do the operation first.”

Jessica was not depressed, nodded lightly, and after some random packing, the two put on surgical gowns and walked into the operating room again. The man was pushed onto the operating table again.

“Inject anesthetics.”

“Are you crazy? He has allergic epilepsy now. Anesthetics will cause his epilepsy to recur!”

Jessica snapped, preventing the anesthesiologist next to her from continuing to work.

“Continue to inject and listen to my arrangements!”

Upon seeing the situation, the anesthesiologist slowly injected the anesthetic.

“You are already disqualified!”

Jessica spoke sternly, but Liu Xin smiled and motioned to her to take a closer look. Jessica looked at the patient and found no allergic epilepsy in the unexpected situation. On the contrary, the heart rate and blood pressure also stabilized.

“What’s the matter? What did you do?”

“This time there is no anesthetic. It is a hypnotic drug, which is equivalent to an enhanced version of a sleeping pill. I thought about it. If anesthetic is not injected, the effect of anesthesia based on the theory of Chinese medicine is good, but there is not enough time, so I want to try to use it. If you sleep deeply and turn your pain into a dream, you may not have epilepsy.”

Jessica completely treated these words as a joke: “Don’t you wake up when you feel pain when you sleep?”

“This is the magical effect of this anesthetic.”

After Liu Xin said, he snapped his fingers confidently, and the anesthesiologist injected another medicine.

“what is this?”

“Relaxation drugs, I think if the cerebral cortex goes to sleep, this relaxation drug can make the patient enter a deeper level of sleep, which is equivalent to chemical hypnosis.”

“Are you an anesthesiologist or a doctor?” Jessica couldn’t help but look at the man in front of her.

“It’s true that this is one of the methods my friend taught me. Although I haven’t tried it, he is a senior and excellent anesthesiologist, and it will definitely work.”

The result was clear at a glance, the anesthetic was injected, the effect began to take effect, and the operation officially began at this moment.

Immediately after the previous step, although Liu Xin had sutured the patient’s wound, in order to prepare for this operation, he left the reserved needle directly. He only needs to cut it gently with a scalpel. The suture is broken and only the little finger is exposed. Surgery on long and short wounds.

“The incision surgery is too small.”

Jessica reminded in a low voice.

“This length is enough.”

Liu Xin vowed to use multiple openings along the roots of the blood vessels, and the incised duodenum was rotated downwards to the peritoneum. At this time, the lower part of the pancreas appeared to be bulging. This is the vascularized root of the omentum and upward Arteries are veins down.

Since the right omental vein and the right colonic vein round, Liu Xin used a special tool to ligate it, and then used a scalpel to sharply separate the subpyloric lymph nodes.

“Pay attention to the bottom. If there is bleeding, speak as soon as possible.”

Although it is not the first time for Liu Xin, the roots of each person’s blood vessels are different from everyone else. Once they use too much force, they will be damaged immediately, leading to damage to the ligation, and the effect is very serious.

“Um!”

Jessica responded coldly. Liu Xin couldn’t help but glance at her before continuing to separate. The process is not difficult, but it requires very patience and carefulness.

“Next, close the duodenal stump.”

Liu Xin took out another scalpel and carefully incised the upper margin of the duodenum. After separating the back of the duodenum, the appropriate length was determined, and the next one opened the avascular area of ​​the hepatogastric ligament to explore the tumor and pancreas in both directions. Relationship.

“The length is nine centimeters.”



Jessica was somewhat surprised after the measurement. Generally, the length was not longer than one centimeter, but the result was ridiculously accurate. It was performed by Liu Xin himself, and the speed was so fast.



“Check if the blood transport is unblocked.”

The nurse hurriedly drew a tube of blood and nodded lightly after the examination.

“Blood circulation is normal.”

“Very good, there is no need to perform duodenal fistula surgery.”

After the second operation, the sweeping of the entire stomach is just beginning.

Multi-directional scanning of the spread of gastric cancer cells, especially near the side of the minor curve.

“Scalpel.”

The nurse wiped Liu Xin’s sweat, and he performed the knife again. Today, a large engineer was given a longitudinal incision along the avascular area of ​​the hepatogastric ligament. The back wall of the stomach was explored and the incision was directly extended upward.

After doing this, Liu Xin suddenly stopped working and looked at his stomach.

“What’s wrong?”

Jessica asked hurriedly, for fear of another moth.

“nothing.”

Liu Xin didn’t say anything, but directly gave up the duodenum area and proceeded to the next step. From the original starting point to the left, knowing the right side of the cardia, and then down, cut the blood vessels, and do it in one go.

“How long is there?”

“Three hours.”

The nurse reminded.

It really took Liu Xin a lot of time to sweep the small curvature, but it was precisely his last step. This sweeped the stomach tumors from the pylorus, common hepatic artery, celiac artery, left gastroepiploic artery, large curve to the left liver. The leaf delta ligament, the whole process, is done in one go, flowing smoothly.

“There are still three hours, can the remaining parts be removed?”

Jessica asked.

“Quickly, but there seems to be a problem right now.”

“you say!”

Unknowingly, Jessica has become an assistant to Liu Xin’s work.

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