Sever the skin, subcutaneous tissue, muscle and pleura, enter the chest cavity, poke and plug it in, and the endoscope begins to work.

    Old Zhou slept peacefully and breathed evenly. Ren Haitao looked at old Zhou and ECG monitoring. There was no difference at all.

    "Fiberoptic bronchoscope."

    After entering the chest, Wu Mian said to Ren Haitao.

    The mirror was ready early, but Mr. Zhou was lying on his left side, which was a little difficult. But Ren Haitao couldn''t help it. He put the bronchoscope in as soon as possible. The action was gentle, and Ren Haitao dared not disturb the old man''s sleep.

    While looking in the mirror, Ren Haitao looked at Mr. Zhou''s state.

    Under the fiberoptic bronchoscope, the stimulation to patients is still quite large. Many patients call it torture when they are awake.

    But Mr. Zhou is in sleep and assisted anesthesia. He doesn''t feel at all. Whether to sleep or not is really powerful.

    "The tracheal carina is 2cm long and 3.5cm long, blocking most of the lumen and bleeding on the surface." Ren Haitao looked carefully with a tracheoscope and immediately reported the situation. The forceps of the tracheoscope marked Wu Mian at the edge.

    Wu Mian nodded and began to do blunt separation with endoscopic pliers.

    The forceps are as dexterous as both hands. They are blunt and separated. They are not fast, but before Li Zhong, who holds the mirror, can see that Wu Mian has begun to cut the tumor.

    The contralateral normal tracheal wall was retained about 1 / 4 of the circumference, and the resection length was up to 5 cm. Go down to the position 0.5cm above the tracheal carina and hold it just right.

    "Artificial blood vessel."

    When cutting the tumor, Zhou still didn''t move and kept sleeping. Now it''s not a problem to look at anesthesia. As long as the operation is finished quickly, this one will be taken down!

    Li Zhong is a little excited. He can''t understand anesthesia. Acupuncture anesthesia + compound anesthesia, as long as he doesn''t get restless next week, his attention mainly lies in the operation.

    Director Li Zhong has done a lot of tracheal surgery. The difficulty is that the tracheal intubation is in the lumen, which has a great impact on the operation.

    To completely remove the tumor, we must overcome the negative effects of endotracheal intubation and delay the operation for at least 1 hour.

    However, under the action of acupuncture anesthesia + compound anesthesia, there is nothing about endotracheal intubation at all. The only problem is that there is no single chamber ventilation, the lungs can not shrink, and the surgical field of vision is very narrow.

    But Mr. Wu overcame this with techniques. The free trachea is called a slip. The tumor is cut off almost in the blink of an eye, and the local hemostasis is also perfect.

    "Miss Wu, what arc do you want?" Li Zhong asked.

    "You don''t have to do it. I''ll do it myself," Wu Mian said. "The diameter of 1.8 cm Teflon artificial blood vessel, prepare the 4-0 Prolene line."

    Li Zhong has done many similar operations. Artificial blood vessels are used to replace trachea and sutured with 4-0 Prolene suture. However, there is no tracheal cartilage in the artificial blood vessel, which is easy to collapse, which is a big problem.

    Therefore, it is necessary to fix the skeleton with steel wire outside. The specific radian depends on the operator''s meaning.

    Li Zhong took a look at the time. It has been 22 minutes since the opening. The operation is really fast.

    Speed is only one aspect. The key is that you don''t notice it at all. Mr. Wu is doing every step step step by step. Looking at it a little, I feel very ordinary and there is nothing special.

    Every step is written in the textbook. There is no originality, nor is there a magic pen like flying fairy outside the sky, but that''s it. Unconsciously, it comes to the step of anastomosing the airway.

    The pliers and tweezers for thoracoscopic surgery stuck in along the. Li Zhong held the mirror attentively. He knew how important his work was.

    There are usually only two people in endoscopic surgery, and the assistant''s work is very important. Like ordinary surgery, exposing the surgical field is the biggest demand of the operator. And endoscopic surgery to help the mirror needs rich surgical experience. Generally, novices will be scolded on the stage.

    His level is still very high, Li Zhong thought to himself. At least for this operation, Mr. Wu didn''t say a word about himself.

    The 4-0 Prolene line perfectly matched the polytetrafluoroethylene artificial blood vessel with the trachea. Then Wu Mian stretched out his hand and handed the steel wire to him.

    Wu Mian took out the pliers, clamped the steel wire and sent it directly into the chest along the card.

    "Miss Wu, radian!" Li Zhongzheng was absorbed in exposing the field of art. Suddenly he saw the steel wire go straight in. He was startled. He thought Wu Mian had forgotten and hurriedly reminded him.

    Did not hear Wu Mian''s answer, under the lens, two pliers clamped the steel wire, dexterously like both hands, gently broke out an arc, and then began to fix.

    It is still the 4-0 Prolene line, the previous technique, and it is still slow.

    Li Zhong was startled.

    Others don''t know. His heart is clear.

    That''s steel wire! Or only about 3cm steel wire! If you want to break a suitable arc with your hand, it takes at least 5-10 minutes. Even because the steel wire is too short to work hard, it will often break the steel wire and constantly replace it with a new one. And the size should be suitable for the thickness of the card. The radian is too large to send in.

    Although the steel wire has high hardness and poor flexibility, it must be used. Things with good flexibility can not act as the framework of the trachea.

    But I didn''t see Mr. Wu''s special action. The steel wire became the most appropriate radian like a nylon wire. Put it on the Teflon artificial blood vessel and fit it tightly. There is no need to repeatedly correct the radian and fit the artificial blood vessel.

    what the hell!

    This is a detail that only experts can see.

    What blunt separation, what tumor resection, those are small activities in Li Zhong''s eyes. The most time-consuming part of this operation is here!

    But under Mr. Wu, this piece seems to have no difficulty at all, and it is simply completed. Moreover, he did not use his hands, but made it with long pliers of about 30cm in his chest.

    This has to understand what the material is like!

    For a moment, Li Zhong felt goose bumps on his back and almost fell to the ground.

    Cow!

    This is a real cow!

    The more skilled people are, the easier it seems to be to perform the operation, because many difficulties are not difficult at all, but only part of the operation process.

    "Pa ~"

    There was a dull noise in his chest, and Li Zhong''s hand shook.

    "Concentrate and expose your vision. Why did you do well before and suddenly stop moving." Wu Mian said coldly, "it''s only more than eight o''clock, and you''re sleepy?"

    “……”

    Li Zhong was ashamed. He patronized teacher Wu''s technique. For a moment, his hands and eyes didn''t keep up, so he was knocked.

    Fortunately, it was endoscopic surgery. It is said that Mr. Wu hit the styloid process of the radius with hemostatic pliers. It was very painful and couldn''t be relieved for a few days.

    Minimally invasive surgery has the advantages of minimally invasive surgery. The trauma of patients is as small as that of assistants. Li Zhong thought of it in his heart.

    But I wanted to, but I didn''t dare to be distracted anymore. I focused on the operation.