"After that, I haven't been so relaxed for a long time. I feel that the anesthesia plan this time was almost all given by Dr. Xu."

"Doctor Xu doesn't need other departments to help him in consultation. I always feel that even our anesthesia department can be kicked off in the future..."

"I won't say anything, I can give Dr. Xu a one-on-one!"

...

On the tenth day of admission, Professor Yan was pushed onto the operating table.

Preoperative examination:

CT shows that the mediastinum canal canal, directly invades the central vein, adjacent to the aortic arch, the brachial trunk, the left common carotid artery, the left subclavian artery and the superior vena cava, and block the nameless artery.

The electrocardiogram is normal.

Heart rate is 78 times per minute.

Type b blood.

The liver and kidney function are normal, etc...

This tumor made all the doctors sweat.

The position is too dangerous. If the blade is slightly tilted, it may cut through important blood vessels and cause heavy bleeding.

Xu Qiu looked careless.

Who knows how much he is playing in the simulation operating room.

Not to mention scratching the blood vessels, when the accident was simulated, several blood vessels exploded at the same time, and he underwent surgery on the blood flow.

He relied on the method of stopping bleeding with bare hands to stabilize this extreme situation.

Although the patient's sequelae in the end,... this kind of accident happened, and it was a miracle to survive. Is there any perfect prognosis?

"Doctor Xu, you're ready."

Next to the operating room, the anesthesia director was waiting for Xu Qiu's instructions.

Most of the anesthesia plan this time was polished with Xu Qiu. In this sense, Xu Qiu is not only the chief surgeon, but also half anesthesiologist.

"Yeah, let's start."

"Here you come."

The director of anesthesia said, becoming a pawn.

Before pushing the operating room, Professor Yan was injected with 0.5 mg of atropine in the intramuscularly.

Evaluate again at this time:

p79 times/min, r19 times/min, bp163/98mmhg, oxygen saturation 98%. There is little secretion in the oral and respiratory tract. There is no obvious abnormality in the heart and lung auscultation...

After confirmation, anesthesia begins.ъìqυgΕtv.℃ǒΜ

"Midazolam 3mg, fentanyl 0.1mg, etomidate 18mg, cis atracurum 14mg." Induce first.

Immediately afterwards, remove oxygen and nitrogen in the supine position for three minutes, and use an id7.0 hose for intubation.

“The intubation went smoothly.”

"Blood pressure drops, 107/69mmhg!" This is a normal manifestation after inducing anesthesia.

After the induction, static aspiration and compound anesthesia maintained the anesthesia state.

After the machine-controlled breathing, turn the patient over and turn to the right lying position to prepare for the operation.

...

Buzz —

The operating room was silent, and everyone seemed to hear the sound of their heart beating.

Everyone's eyes also fell on Xu Qiu's hands. As he raised his scalpel, his heart became nervous.

Before he blinked a few times, a six-centimeter-long incision extending along the skin pattern and arc appeared two centimeters above Professor Yan's sternum notch.

"Gauze, stop... stop..."

The assistant grabbed the gauze and stopped bleeding without saying the word "stop bleeding". He was stunned by the beautiful and clean incision.

After wiping symbolically, I finally successfully saw a trace of blood.

"Continue." Xu Qiudao.

There are four surgical paths for thymoma and thymus resection.

A little rougher means splitting the sternum.

Not only are the orthopedic surgery sites like slaughterhouses, cardiothoracic surgery, and brain surgery, but this is also a bit of the meaning.

In addition, there are also paths for enlarged thymus resection and thymus resection under the television thymus.

Xu Qiu chose the fourth type, which is also a surgery that is rarely used in clinical practice - transcervical thymus removal.

Its advantages are obvious, with little trauma and low damage caused by surgery.

But the disadvantages are also extremely fatal - the exposure technique is very poor.

For clinicians, seeing the tumor and clearly seeing the resection site is more important than anything else.

Sacrifices to reduce trauma are meaningless and not worth it.

But here in Xu Qiu, both trauma and savage can be taken into account...

laugh--

The sharp tip of the knife cuts to the sternocleidomastoid muscle.

Immediately afterwards, Xu Qiu freed the flap on the deep surface of the lats of the cervical lats, and the range was controlled extremely accurately.

The top of the flap is just approaching the thyroid plane and the bottom reaches the sternum plane. At this time, the sternum thyroid muscle is pulled open to both sides, and the thymus below is presented to everyone obediently.

From here, you can also see an irregular fiber tissue, which is brown overall and has a gray-red part, which is attached to the anterior mediastinum of the thymus, which is dazzling and shocking.

It's thymoma!

After a brief rejoicing, everyone in the operating room frowned again.

This tumor is worse than expected, and the area it invades a large area and covers many important blood vessels.

It is probably not easy to remove.

"continue."

Xu Qiu didn't say nonsense, glanced at him, and after judging the removal range, he immediately took action.

First, from the upper left pole of the thymus.

Here is the lower vein of the thyroid gland.

"Lining, cutting."

Then, using this ligation wire as a pull, it is separated downwards in turn and frees out of the upper right pole.

Then, free downwards, insert fingers at the sternum notch, and open all the thymus and sternum that need to be removed, the pleura on both sides and the nameless veins on the posterior wall...

The removal of thymoma is more complicated.

First, separate the tumor from the surrounding important blood vessels.

Then there is the cleavage of the left common jugular vein and the left subclavian vein.

Two hours have passed since the operation was completed.

Everyone in the operating room stared at the operation area, and their mouths were dry and dry.

“So fast.”

"The lower pole of the thymoma was lifted up...and the fat tissue was removed!"

"How did you detect the upper pole of the neck? Dr. Xu has some 100 million things..."

In the main swordsman's position, Xu Qiu's expression remained unchanged, as if he was planning everything, and his movements were steady and smooth.

The atmosphere in the operating room was getting more and more relaxed, and he started racing during the operation.

"Wipe down and sweat." The assistant stretched out his neck.

In the operating room, only Xu Qiu had a dedicated person to serve, and all the ugly ones had to be summoned by themselves.

"Oh, where?" the tour nurse came over and asked casually.

The assistant helped Xu Qiu pull the hook and said, "Wipe your forehead first, and then wipe the water from other places."

The operating room suddenly became happy.

Only Xu Qiu's face did not change. A few minutes later, he showed a happy smile and said intoxicatedly: "Yes, the big blood vessels and pericardium have been completely cleaned."

So beautiful, this aortic arch, this superior vena cava, this head and arm trunk, this trachea...

Everyone in the operating room was in awe.

...
To be continued...