The risk may be related to the fact that the patientās left lung wound has not completely healed, or it may be related to the patientās heart problem. We can only hope that the surgeons will act quickly.
The anesthesiologist signaled this to the surgical team. The pressure weighed on the surgeonsā heads like a massive mountain.
"Letās begin." Du Yeqingās steady tone emerged as he took the scalpel handed by the nurse with his right hand.
In routine thoracoscopic surgery, three holes need to be made in the patientās right chest wall: two for operation and one for observation. The observation hole is used for inserting the scope. The specific positions of these three holes can be chosen according to the patientās condition, either the routine or adjusted positions.
Xie Wanying slightly tilted her head down to adjust to the best angle for surgical observation.
As far as she could see, the three holes made by the teacher were located at the right parasternal third intercostal space, the right midaxillary fourth intercostal space, and the right anterior axillary fifth intercostal space. The three holes formed a triangular line, which should fall under the routine hole positions. Teacher Duās conservative style was reflected here.
The advantage of routine lies in its benefits; practice has proven that routine is the best solution for most cases. Secondly, it demonstrates the extraordinary control of the chief surgeon, who believed routine was sufficient to handle the current case.
After the surgical doctor completed the holes, they inserted the thoracoscope, scope, operation rod, and surgical instruments. As the scope approached, the outer contour of the heart beating inside the thoracic cavity was displayed on the monitor screen.
No need to describe the sight of the beating heart as an emotional life-giving feeling using some aesthetic novel. In reality, all the surgeon feels when looking at the beating heart is their scalp tingling.
If the heart stops on its own without the doctorās permission, it means the patientās life is gone. Surgeons have no time to sigh about lifeās uncertainties. If one must express the doctorsā real feeling, thereās only one: itās like defusing a bomb.
To operate on a beating heart, each beat is like the ticking numbers on a bomb timer, making oneās heart race. During surgery, the faster the heartbeat, the better if it can all be brought down. Even if the patientās heart beats slower, the surgeonās operations are still as if walking on thin ice. They cannot forcibly stop the heart to cut and sew; each cut and stitch must be swift and clean, disturbing the heartās own beat as little as possible. To draw another analogy, the surgeonās feelings could be likened to pulling hair and teeth from a tiger.
Surgeons have always been like walking on a tightrope. The surgeonās mindset is crucial; it must be steady, the same for both internal and external medicine doctors.
According to the pre-operative plan, the surgical instruments first moved towards the suspicious area shown on the CT of the right ventricle. This place seemed to have a somewhat peculiar angle for the regular operation holes. The chief surgeon and the surgical team manipulated the operation rod, with their dexterity not affected in the slightest.
This is the handiwork honed by the teachers after performing many surgeries, Xie Wanying looked serious, and this is exactly what Teacher Tan hoped she would achieve.
What was that crescent-shaped protrusion shown on the CT? Now, the surgeons need to see it directly with their eyes to unveil the cover on it.
"Bleeding." The voice that suddenly spoke was not from the chief surgeon but from the first assistant Doctor Shilei.
The anesthesiologistās head immediately leaned over to check the surgical situation to see if the amount of bleeding was significant enough to require immediate blood transfusion for the patient.
Not necessary for the time being. The first assistantās voice was considered calm, with words more like a reminder of the immediate surgical progress to the other members.