My Medical Skills Give Me Experience Points

Chapter 962: Chapter 381: Fast Knife Skill Advances, Full Delegation

The patient who underwent the urethral dilatation was sent to the recovery room, and as they waited for the anesthesia to wear off, a new patient was quickly brought in.

It was a female patient around forty years old, her face a sallow yellow, and she moved very slowly.

Zhou Can had already reviewed her information. The main symptoms during her hospital admission were jaundice, emaciation, nausea, and vomiting. Upon examination, a tumor was found in the duodenum head.

This surgery requires the complete removal of the tumor and is classified as a Level 3 major surgery.

Duodenal surgeries are generally Level 3 or Level 4 surgeries, with high difficulty and significant risk.

The previous urethral dilatation in the Emergency Department was just an appetizer for Zhou Can’s evaluation. Now, here’s the main event.

Dr. Xu, being a senior attending physician, is qualified to lead Level 3 surgeries according to the surgical safety admission system. Junior deputy chief physicians can lead Level 3 surgeries under the on-site guidance of a senior physician and can gradually perform Level 4 surgeries.

Therefore, this procedure to remove the duodenal head tumor is the limit for Dr. Xu in evaluating Zhou Can.

He cannot oversee a higher-level surgery.

If Zhou Can successfully completes this surgery, all Level 3 or lower surgeries in the Emergency Department will be fully entrusted to him in the future.

The anesthetist from the previous surgery still attended to guide the patient onto the operating table and began to proceed with the anesthesia.

"Call me when this side is ready!"

Dr. Xu went to perform another surgery in an outside operating room.

In the Emergency Department, to maintain the monthly total number of surgeries, the surgeons work very hard. Even so, due to the lack of skilled surgeons like Zhou Can, Dr. Xu has to roll up his sleeves and personally take charge.

He works extremely hard every day.

In fact, Dr. Xu is quite old, over fifty years, and cannot compete with the physical and mental energy of young ones.

Even so, he still works tirelessly, aiming to steadily grow the Emergency Department’s operating room.

The hospital only cares about the department’s performance and surgical quality.

If the number of surgeries in a department is low, the allocation of surgical staff will also be reduced. Additionally, all kinds of hardware resources will be significantly cut as well.

Just look at the ten-thousand-level operating rooms in Cardiothoracic Surgery, Neurosurgery, General Surgery — they have top-tier configurations, endoscopes, laser surgical knives, high-frequency radio wave knives, and so on. It’s even said that Neurosurgery is building a top-class hybrid operating room.

Then, look at the Emergency Department, which only has one genuinely dedicated operating room.

The equipment is quite outdated.

To gain a better surgical environment and high-tech instruments, one can only strive through hard work.

How should one strive?

Make enough money for the hospital, perform more surgeries, and enhance both the quantity and quality of surgeries.

"Qiao Yu, you start the preparations, and I will carefully study the patient’s examination materials!"

"Okay!"

Qiao Yu readily agreed.

She needs to handle various responsibilities alone; as the instrument nurse, she’s quite hardworking.

Usually, a Level 3 surgery would have at least two surgical nurses.

If the surgical team is more splendid, having three nurses is not uncommon.

Zhou Can’s surgical team is just starting, and strictly speaking, it’s just her and Zhou Can. The hardship is inevitable.

After more than forty minutes, the pre-surgical preparations were completed, and Zhou Can had gained a deep understanding of the patient’s condition. He had already devised the most suitable surgical plan in his mind.

"I’ll go get Dr. Xu!" Qiao Yu took the initiative to find Dr. Xu outside, informing him that they were ready only after Dr. Xu finished his surgery.

Details like these show Qiao Yu’s finesse in handling matters.

Having such an outstanding nurse in the surgical team is a blessing. In future collaborations within the surgical team, she can be Zhou Can’s valuable assistant, greatly aiding in the coordination of the entire surgical team’s cooperation.

This can save Zhou Can from many unnecessary hassles, somewhat enhancing the team’s unity and synergy.

Before the surgery officially began, Zhou Can first placed a nasogastric tube for the patient.

According to surgery requirements, the nasogastric tube should have been placed during the morning rounds at seven or eight o’clock.

Additionally, for duodenal head tumor resection, under conditions that allow it, especially for type B cases, endoscopic surgery is now often chosen.

However, the surgical conditions in the Emergency Department are basic; there’s no endoscope, and advanced surgical room checking equipment is lacking.

This will undoubtedly add some difficulty and trouble to the surgery.

Zhou Can’s return to the Emergency Department this time is to build up the surgical team, then gradually strive for surgical resources to develop the Emergency Department’s operating room into something bigger and stronger.

Once the operating room becomes larger and stronger, other departments in the Emergency Department will also be motivated, developing alongside.

After thoroughly examining the patient, Zhou Can stepped into the main surgeon position to start the surgery.

After careful consideration, he did not choose a direct incision.

Instead, he opted for a subcostal oblique incision on the right upper abdomen of the patient, extending laterally to the anterior axillary line, slightly crossing the midline medially.

Dr. Xu, serving as the assistant beside him, nodded in approval seeing his choice of incision.

The advantage of this incision is good exposure. Although it requires cutting through the abdominal wall muscle groups, it’s rare to see incision dehiscence post-operation. Furthermore, no small intestines are found under this incision, leading to fewer postoperative complications such as adhesive ileus.

This also indicates that Zhou Can’s surgical experience is extremely rich.

The three years of honing have transformed him, enhancing not only medical techniques but also medical knowledge, clinical surgical experience, comprehensive evaluation ability, and more.