The next morning, the operation started on time.

In the operating room.

Director Qian of the emergency department, Ruan Bin, Dai Yaowen of the general surgery department, Liu Bin of the vascular surgery department... Anesthesiology department, cardiothoracic surgery department... Even the equipment nurse and the circuit nurse pull the best in the hospital.

The artificial venous blood vessels needed are all prepared, and even some of the artificial blood vessels of the arteries are prepared.

8,000 ml of blood were also prepared! Coping with the problem of possible severe bleeding during the operation at any time. Generally, the blood in the whole body of an adult is about 5,000-5,500 ml.

Prepare 8,000 ml, which means preparing blood for more than one person.

All this is just in case, the operation is more serious than anyone imagined, and there is no way to avoid a half-point difference.

Now their First Affiliated Hospital of the Magic City has definitely used the best power and all medical resources!

The best doctor, the best nurse, the best medical device, the best equipment!

Outside the operating room.

"Old man, do you think the doctors will succeed?" Liu Jitang's mother said eagerly towards the operating room gate.

"Leave it to fate!" Liu Jitang's father said with no joy or sorrow.

When it reaches this point, it can only be left to fate.

…………

General anesthesia.

Achieve effect.

The first person to go into battle was Director Qian, who was the first to remove the tumor tissue at the neck.

Ruan Bin is the number one assistant.

This operation is not something that can be sat down for one or two people. It needs to be replaced in turn, and whoever is good at it will be able to take the order.

We are also ready to fight a protracted war. This operation is probably not going to be removed in less than an hour, and it even takes more than a dozen hours!

At this time, Director Qian saw that in the longitudinal incision, he could make the first incision along the sternocleidal r-procator muscle, and then incision in the submandibular area of ​​the mastoid process, and also make the incision in the supraclavicular area and the anterior trachea area.

Beginning below after the incision, the sternocleidal r-projection muscle is cut off, the scapulohyoid muscle, the anterior trachea, the anterior cervical muscle, and the internal jugular vein horizontally above the clavicle. Separate upward along the outer edge of the thyroid gland, clamp under direct vision, cut off the middle thyroid vein and the inferior thyroid pole blood vessels.

Director Qian is still as stable as a dog.

Just as everyone was amazed at Director Qian's profound skills, he suddenly stopped.

Because he found that the recurrent laryngeal nerve was infiltrated too seriously by tumors, if blunt separation was performed, it might damage the nerve surface!

"Director Qian, why did you stop?" Liu Bin asked in confusion.

"I didn't expect that the recurrent laryngeal nerve was infiltrated so severely, and it was offset from the examination results!" Dai Yaowen took a breath and said coldly.

"Can't continue?" Everyone looked at Director Qian in unison.

They didn't expect to encounter a difficult problem at the beginning!

"I'll try it?" Ruan Bin suddenly spoke. His current radical thyroid cancer surgery is innovative, and he definitely has no problem with this problem.

Everyone saw Ruan Bin speaking, and they all disagreed.

It is not appropriate to change players on the spot.

Besides, can you compare your operations with the director as a resident?

However, the next second Director Qian's words surprised them all.

"Ruan Bin, come on, your basic operating technology is better than mine. You can separate all the thin layer of tissue on the surface of the recurrent laryngeal nerve, is it okay?" Director Qian said.

"no problem!"

Seeing that Director Qian trusted Ruan Bin, everyone couldn't say anything.

The next second, Ruan Bin came to the main knife position and began to separate.

The sword lights and sword shadows, and the cook cuts the cow.

Soon the thin layer of tissue on the surface of the recurrent laryngeal nerve was separated.

This impressive operation surprised everyone!

"My God, a magical operation!"

Just as everyone was shocked, Ruan Bin continued to undergo surgery, and the free subthyroid pole was exposed and protected the recurrent laryngeal nerve. After completely freeing the subthyroid pole, the tissue block was turned to the opposite side, and a sharp dissection was performed on the surface of the tracheal wall, and the entire resection of the glands were freed to the contralateral lobe, including the isthral thyroid gland, and the sternum hyoid muscle and sternum thyroid muscle were cut at the level of the thyroid cartilage and hyoid bone...

When everyone came to their senses, they saw that Ruan Bin had already undergone several more surgery!

"Doctor Ruan, you have done too much, you should hand it back to Director Qian!" Liu Bin's heart tightened. He was afraid that Ruan Bin would not do anything!

Director Qian saw Ruan Bin's skillful movements and steps, and he couldn't even understand many of them. Is the new surgical method? It's simpler and more effective?

This kid...

"Ruan Bin, will you have this surgery?" Director Qian asked.

"Ahem...it will be a little bit." Ruan Bin said shyly.

I said that your level is higher than you, would you hit me?

When everyone was shocked when they heard Ruan Bin say that he would also have this surgery.

This little genius is a bit powerful!

"Since Ruan Bin knows, let's leave it to him. I'll come back when he doesn't know. I'll guide him on the spot now, how about?" Director Qian said.

"It should be no problem. I think Dr. Ruan does better than me!" Dai Yaowen said dazedly.

Everyone:...

However, they could also see that what Ruan Bin did was indeed impressing them!

The effect is perfect!

At this time, Ruan Bin checked that there was no bleeding in the incision, flushed the postpartum negative pressure drainage tube, and sutured layer by layer.

As fast as lightning!

Then the thyroid cancer is better differentiated invaded the outer membrane of the trachea, and the adhesion is stripped and removed, and the blood circulation of the membrane is separated and retained in the trachea sheath, electrocausing the superficial wound of the trachea.

Then I saw the cancer invading the entire trachea layer and started to undergo a total tracheal wall or partial tracheal wall removal.

After this step, you need to perform the [Internal jugular vein-femoral vein transfer system].

Ruan Bin personally fiddled with these equipment and machines, and also connected to venous blood vessels. Liu Bin, the director of vascular surgery, helped as an assistant.

A person cannot do it.

Fifteen minutes later, everyone saw that the external membrane pulmonary oxygenation was successful and the arteriovenous circulation was normal.

Everyone breathed a sigh of relief.

Since the extracorporeal membrane oxygenation cycle is successful, they do not need to worry about major bleeding when the surgery is done. They then undergo venous vascular resection and reconstruction, without any obstacles.

Since the vascular reconstruction step has not yet been reached, Ruan Bin continued to remove the thyroid gland, put a tracheotomy casing, and performed a regular tracheotomy. He found that the upper trachea was damaged, and the thyroid cartilage was directly sutured with the trachea, and then the surrounding soft tissue was added. Then the trachea defect was cut into the clavicle of a piece of the attachment of the periosteum and the sternocleidomastoid tendon, and made into the periosteum of the sternocleidomastoid muscle periosteum plate, and then transferred to the defect to repair the defect...

At this time, an hour had passed without realizing it!

"The operation time is shorter than expected!" Dai Yaowen looked at the time and exclaimed.

If they follow their prior surgical progress, it will probably take about 3 hours to reach this progress!

Shortened by two hours!

Ruan Bin’s credit!

The most terrifying thing is that Ruan Bin made zero mistakes! This kid really has this radical thyroid cancer treatment!
Chapter completed!