"really……"

As soon as Xu Qiu came in, he immediately became the absolute core of the operating room. He judged the situation under the operating field, and his face became more solemn.

The report is similar to that of the circulating nurse.

The omentum and various organs and tissues in the abdomen are lumped together.

A piece of the liver area on the left side bulged outward, which was an enlarged liver.

At a glance, the intestines are also in very bad shape!

From about 110cm below the trize ligament, the color of the patient's small intestine was extremely poor, and no physiological peristalsis was seen.

The intestinal wall of a large area of ​​the small intestine showed a grayish-white color and was stiff to the touch, like a nine-turn large intestine that had been frozen for several days.

It is these inactivated "zombie intestines" that create the turtle's shell that cannot be cut.

"What's going on? Is there any way?" Wang Ping asked.

Director Xiao also swallowed.

Xu Qiu actually doesn't do many abdominal surgeries. After his first-hand Chen's pancreaticojejunostomy shocked the whole hospital and even alarmed Academician Chen from Tiandu, he seldom involved in abdominal surgeries, especially hepatobiliary surgeries.

If this operation is performed on a patient with pneumatosis in the hepatic portal vein, if it can be successful, it may leave a model operation at the level of a medical treasure for the gastroenterology and hepatobiliary departments!

It's just...this is really weird.

"It's a bit troublesome." Xu Qiu said.

Wang Ping and Director Xiao looked at each other and sighed.

Joseph felt a little relieved.

I was so scared, I thought Xu Qiu could even master the Death Sign...

This guy is obviously a doctor in the emergency department, but he has established a talent base for the brain surgery department, and even performed small blood vessels in the cardiac surgery department to initiate surgery. This is simply outrageous!

It would be outrageous to cross the line again to save a patient who has been sentenced to death!

"In that case, then..."

Wang Ping was just about to finish with a switch operation, but Xu Qiu suddenly picked up the scalpel.

"Change the surgical plan."

Xu Qiu brushed off the fatigue from the previous surgery, her whole face was radiant, and she said forcefully: "Preserve the 110cm of small intestine under the trize ligament, and at the same time perform right hemicolectomy of necrotic small intestine, enterostomy, and distal transverse colon closure!"

"???"

Wang Ping and others looked shocked.

Is this what you said...a little troublesome?

Just turned around and gave me a solution?!

"Is it really possible?" Joseph was stunned for a long time.

This is unscientific.

But Yang Yuen was very excited: "It's OK, I can definitely do it!"

…

Xu Qiu spoke, and the center of gravity of the entire operating room immediately adjusted.

Soon, a new surgical plan began.

First is the removal of necrotic small intestine.

Xu Qiu held a knife and directly cut off the "zombie intestines" on the surface of the tortoise shell without any mercy.

It looks like a large intestine that has been split and frozen together.

A little disgusting, but also a little decompressing.

Large areas of gray-white, fragile small intestine were peeled off.

As time goes by, the tortoise shell becomes smaller and smaller.

Wang Ping and others were shocked.

Director Xiao was a little confused: "Why does the abdominal omentum become like this?"

Others also came to their senses.

This question had troubled them for a long time. During the 20 minutes they waited for Xu Qiu to arrive, they discussed it for a long time, but there was no answer.

Logically speaking, this should not happen.

Director Xiao has been undergoing abdominal surgeries for so many years, and this is the first time he has seen a tortoise carapace belly that is glued together.

"Peritoneal Dialysis."

Xu Qiu peeled off the tortoise shell and gave an explanation.

"Peritoneal dialysis?" Director Xiao and others were stunned.

Peritoneal dialysis, especially long-term dialysis, has many disadvantages, such as intraperitoneal bleeding, organ damage, peritoneal dialysis catheter dysfunction in the acute phase, etc.; complications in the chronic phase include peritonitis, peritoneal hypofunction, hyperlipidemia, etc...

…

Tortoise shell belly? Never heard of it.

"The acute phase leads to omentum encapsulation, and the chronic phase is complicated by peritoneal hypofunction, which coincides with hepatic portal pneumatosis. Under the influence of diffuse inflammation, various tissues all stick together."

Xu Qiu's answer shocked everyone.

This is something that cannot be learned from textbooks.

Even Director Xiao, a leader in abdominal surgery, only realized this at this moment.

This kind of medical knowledge is like a black box.

No one knows until you open the box.

But once it was revealed, it became immediately clear.

"That's it!" Yang Yuen suddenly realized it and nodded in surprise.

As I said, if you have any questions, just ask the magical idol!

…

As Xu Qiu took over, the tense atmosphere in the operating room suddenly relaxed.

Wang Ping and Director Xiao served as first and second assistants, and they became more and more comfortable.

"It's still nice to be an assistant..." Wang Ping sighed silently.

Being a tool is so wonderful!

Director Xiao was also smiling.

Who pronounced the death sentence?

Doctor Xu hasn't come yet, who dares to issue a critical illness notice to the patient!

Joseph became more and more silent.

Didn't he come to the No. 1 Hospital in Hainan to demonstrate his skills and abduct Xu Qiu along the way?

Why do you feel that your strength is becoming less and less impressive in front of Xu Qiu?

"Cut off."

At this time, Xu Qiu had already dismantled the tortoise shell and removed all the necrotic small intestine.

Then it went straight from the retroperitoneum to the hepatic flexure, and then cut off the right greater omentum along the upper edge of the transverse colon.

This step is a right hemicolectomy.

"Scan."

Xu Qiu's words were concise, but his actions were unambiguous.

He bluntly separated the retroperitoneal fat and lymphoid tissue and carefully explored it.

After confirmation, the mesentery of the right colon was completely cut off.

Then the right end of the transverse colon was cut off in the same way.

At this point, the entire right colon was separated from Gao Juan.

At this point, Xu Qiu's Chen's pancreaticojejunostomy came in handy again.

Although it has nothing to do with the pancreas, this suturing technique can be used for end-to-end anastomosis of the terminal site and the transverse colon.

After integrating various exquisite suturing skills, Xu Qiu once again performed a regular anastomosis, which was as easy as his fingers, reaching a dazzling level.

When everyone came back to their senses, a beautiful section of intestine had appeared under the surgical field.

"What a waste of natural resources!" Wang Ping was filled with envy.

This kind of suturing can be considered a perfect technique when used by plastic surgeons to sew double eyelids and make faces for little girls.
To be continued...