Chapter 269

Xiao Chenguang cleaned the abdominal cavity and used a suction device to push the obstructing intestine to the left, revealing an operable space.

"The next step is the key. The camera follows my instrument."

"Okay."

Generally speaking, the laparoscope opens the way in front, and the main surgeon's instrument follows behind.

This time it was the other way around.

Xu Guoqiang was concentrating on the operation on the stage and did not notice any clues, but Shen Yiwei, who had performed some laparoscopic surgeries below, looked at Xiao Chenguang deeply.

He felt a little strange.

I remember that the last time they did laparoscopy, Xiao Chenguang was the mirror supporter and never made such a request.

Is he intentionally coordinating the operation with Xu Guoqiang's rhythm?

How is this possible?

Shen Yiwei shook his head. As an assistant, it is natural to cooperate with the main surgeon in the operation.

But if the main surgeon actively cooperates with the assistant, how bad must the assistant be to need the main surgeon's care.

Others might have this possibility, but it was Xu Guoqiang who was holding the mirror on the stage. Although the two of them did not get along, it had to be said that Xu Guoqiang's surgery was indeed good, so much so that Shen Yiwei could only think of ways to avoid being stepped on by him.

As he focused his attention on the TV screen again, Xiao Chenguang had already inserted the long scissors into the abdominal cavity.

The movement was very gentle, but also fast. After avoiding the solid organs, Xiao Chenguang began to simulate the entire abdominal structure in his mind based on the positioning when reading the film before, and the long scissors finally stopped at the middle and lower part of the posterior peritoneum.

At the same time, the camera controlled by Xu Guoqiang also found the right direction.

On the screen, the peritoneum was pushed open by a sudden hematoma cavity, and even a pseudoaneurysm that was constantly oozing blood could be seen.

At this position, it was obvious that the patient's huge aneurysm was compressing the patient's living space bit by bit.

The peritoneum was as thin as a cicada's wing, and it would break if it moved. In this case, the operation was basically abandoned. Xu Guoqiang estimated that he could not do it.

I felt a little fortunate.

It was a wise choice to ask Xiao Xiao to save the stage. He was indeed an expert he invited from Yingcheng. With Xiao Chenguang on the operating table, the efficiency of the operation was more than doubled than usual.

Of course, this must also be due to his holding the mirror. Xiao Xiao operated so quickly, and he could cooperate with him immediately if he needed anything. There was no need for too much communication, as if the two of them had reached a close level.

"Teacher Xu, the abdominal aortic aneurysm is here. I will cut the posterior peritoneum in a while. Move your camera back and pay attention to keep the distance and field of view. There will be blood spraying out."

Xiao Chenguang reminded him in time.

"Okay."

Xu Guoqiang responded immediately. He knew that the operation had reached the most critical step.

Cut and drain, suture to stop bleeding.

At this time, in the entire operating room, except for the two people on the stage who were talking in a low voice, everyone else was very nervous.

The room was quiet, no one dared to speak, and the aneurysm that covered the sky and the sun on the screen was like a huge rock, pressing them to breath.

Although Xu Guoqiang on the stage agreed quickly, you could also see that his fingers used to stabilize the camera were a little white.

This is due to nervousness and excessive force on the knuckles.

Seeing this, Xiao Chenguang's right hand, which had been motionless, moved slightly, as if it was a little closer to Xu Guoqiang's hand holding the mirror.

"Prepare negative pressure, cut and drain."

As soon as the voice fell, everyone couldn't help but take a deep breath and then hold their breath.

Xiao Chenguang's knife fell, cutting the posterior peritoneum, and a stream of bright red gushed out. He aimed the suction device that had been prepared long ago at the bleeding site and quickly drained it.

The liquid level of the negative pressure suction bottle continued to rise, and the amount of bleeding was increasing. Xiao Chenguang's words rang in the operating room.

"Teacher Xu, the camera moves back, and then moves back, look at the screen, don't rush..."

The suction device immediately drew the accumulated blood out, and the camera in Xu Guoqiang's hand also moved out at the same time, but the amount of bleeding was so alarming that it was like a tide, and it was about to contaminate the camera.

The picture began to shake, and Xu Guoqiang was afraid that the camera would be contaminated again, so his hands began to become unstable, and the speed of retracting the camera was even faster.

The operation screen was getting farther and farther away. If it retreated further, it would be covered by the intestinal cavity and lose its vision. Xiao Chenguang's right hand was freed and grabbed the hand that held the camera to stabilize the screen.

The blood that spurted out did not pollute the lens, and the picture on the screen was still clear. Xiao Chenguang then fixed it in a wide-angle position to take in the overall situation.

Everyone breathed a sigh of relief.

"Awesome!"

Director Sui couldn't help but sigh. Seeing such a dangerous picture, even he would definitely be panicked.

If Xu Guoqiang's operation was done by anyone else, he would either pollute the lens or be covered by the organs, and he would definitely lose his vision.

At first, the picture was indeed a little panic, but then it was stabilized. His psychological quality was really strong. No wonder he dared to do laparoscopic surgery. He maintained his vision to the extreme.

Director Sui stared at the picture on the TV, and didn't notice what was happening on the stage at all. He just sighed.

It seems that when he was studying in the imperial capital before, the laparoscopes there could not achieve such a clear field of view. Especially when facing such a large amount of bleeding, he could not guarantee absolute calmness.

Director Xu, you are still strong!

Unlike Director Sui of the Department of Anesthesiology, Xu Guoqiang was still in shock as he stood on the stage.

"Xiao Xiao, I'm sorry, I almost lost my balance..." Xu Guoqiang said with guilt.

Just now, if Xiao Chenguang hadn't helped to hold the mirror, he would have failed the operation.

Although the camera lens cannot damage the internal organs, losing the image at a critical moment will affect the progress of the entire operation.

The patient is now on the stage, and one more minute is a huge risk. If the blood and fluid accumulation in the abdominal cavity need to be cleared again because of his mistake just now, the operation is estimated to take more than two hours.

Even if the patient can get off the stage at that time, it is still a different matter whether he can survive the anesthesia during the operation.

"It's normal. Few people can stay calm in this situation." Xiao Chenguang said lightly.

"Uh..." Xu Guoqiang was speechless.

He looked at Xiao Chenguang's calm expression, and the electrocoagulation in his hand had already started.

While stopping the bleeding, the blue smoke emitted by the electrocoagulation was also sucked away by the suction device at the first time.

The operation was fast and steady, and he was not in a hurry even when facing this huge aneurysm.

It seems that Xiao Chenguang is one of the few people he mentioned. This operation is too calm.

Xu Guoqiang held the mirror and dared not move, for fear of making another mistake.

At this moment, he was a little depressed. He was obviously quite good at laparoscopic surgery, but why did he fail to hold the mirror for Xiao Chenguang for the first time? This was too embarrassing.

The people on the stage were still reflecting on themselves, but the people below were stunned.

This laparoscopic hemostasis surgery for ruptured abdominal aortic aneurysm seemed to be completed.

Director Sui of the Department of Anesthesiology looked at the clear picture on the screen. Even at this time, the mirror was still not blurred.

In the picture, Xiao Chenguang was doing the final electrocoagulation. There was no special skill in the operation, but he was able to do this hemostasis.

No wonder he was asked to save the department. It is really a small place that produces talents. He is steady and calm. Just based on this operation, he is more than qualified to be a deputy director in the provincial capital hospital.

"Director, the patient's systolic blood pressure has risen to 100mmHg, and the blood oxygen saturation has reached 95%."

The anesthesia assistant who has been in charge of the monitor reported the patient's vital signs on the spot.

This is the vital sign that the patient has never had so far.

And the situation is still getting better.

"It seems that the bleeding has stopped."

The significant changes made everyone in the operating room breathe a sigh of relief. Just when they were a little relaxed, Xiao Chenguang's voice suddenly rang out.

"Prepare 4-0 mousse thread and No. 7 round needle."

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