Additionally, the superior mediastinal lymph nodes were enlarged and spread to the anonymous vein, and significant fluid accumulation could be seen in the pericardium.
The results are basically consistent with the examination.
Director Xue performed a right upper lobectomy on the patient to ensure the complete removal of cancer cells and prevent recurrence.
Looking at the removed lung lobe, the tumor on it made one's scalp tingle.
Even though doctors deal with blood and pus daily, the sight of a cancerous tumor still instinctively instills fear.
This is also a manifestation of reverence for life.
Ordinary people only feel fear and realize the threat to life when a knife is held to their necks.
Doctors, having far more medical knowledge than the average person, are deeply aware of the fragility of human life.
Even today, cancer is still synonymous with death.
The main issue is that cancer has no obvious symptoms in its early stages, and most people in China are very frugal and dislike undergoing health checkups. Once cancer is diagnosed, it is usually at an advanced stage.
Developed countries perform much better in this regard.
Their lower cancer mortality rate is not because their medical skills are many times better than those in China, but because they detect and treat it early.
In the early stages of cancer, if it is removed and supplemented with radiation and chemotherapy, a satisfactory cure is generally achievable.
It's like a forest fire; it is easy to extinguish when it has just started.
Once it grows larger and spreads long lines of fire, it becomes hard to extinguish.
Director Xue's skill in lobectomy, Zhou Can memorized thoroughly.
"Lymph nodes act as the body's loyal guards, swelling when there's inflammation or cancer cells attack. With the superior mediastinal lymph nodes swollen , they must be eradicated. This eradication needs to be thorough, and before doing so, the pericardial effusion can be managed first."
Her movements were not fast, but she progressed steadily and methodically.
Choosing which part of the enemy to eliminate first, then dealing with each subsequent part, and finally tying up loose ends, all follow a certain strategy.
After opening the pericardium, she skillfully removed part of the pericardial wall and then drained the yellowish clear effusion, followed by incising the mediastinal pleura in a circular manner.
The lymph nodes in areas 10 and 11 were then exposed.
Following the eradication, the right upper lobe vein was dissected.
Incision Skill has a wide range of application scenarios, and what she was performing were essentially Incision skills.
She then carried out a double ligation on the proximal end of the upper lobe vein and severed it.
Continuing, she opened the lung fissure, dissecting the trunk of the right pulmonary artery and its three branches to the upper lobe. Following the procedure, a double ligation at the proximal end was performed and then cut.
All this was done to dissect the right upper lobe bronchus.
After dissecting the right upper lobe bronchus, she used a stump closer to close off the bronchial stump.
This surgery was indeed too complicated.
Zhou Can even felt his brain wasn't enough.
Director Xue being so young and able to stand out from the masses, being evaluated as a Full Professor, her surgical abilities were even stronger than Zhou Can had estimated.
Of course, her academic capabilities were probably even more formidable.
This is an exceptionally outstanding female doctor.
"Once it is removed, one can then clean the lymph nodes and mediastinal pleura in zones 1, 2, 3, 4, 7, 8, and also remove the affected anonymous vein altogether. The cunning and stealth of cancer cells, far beyond imagination. If meticulousness cannot be maintained during the surgery, and any cancer cells are missed, it's easy to relapse post-operation."
"Once it relapses, it means the end of a life. Patients choose to trust us, thus we must also be highly responsible, handling it as attentively and with as much care as if it were our own affair."
Doctors in Tu Ya, generally, those who rise to the rank of Deputy Director have excellent medical ethics.
At least Zhou Can, who had interacted with these chief physicians, never encountered one who trifled with a patient's life.
"Lastly, open the lower pulmonary ligament, clear out the lymph nodes in zone 9. Thus, the surgery is completed. After a thorough check, with no cancer cells missed, the operation can end."
The surgery was successfully completed, and Deputy Director Lu took over the remaining tasks.
She sat beside, satisfied and resting.
"Director Lu, can I do the suturing?"
Zhou Can, having watched for so long, was itching to get involved.
The high-risk clearing and resections were not something he could handle, but he was fully capable and confident in doing the suturing work involved in finishing up.
"Your Suturing Skill is not inferior to mine, I'll leave it to you."
Deputy Director Lu had witnessed Zhou Can's Suturing Skill, with a level high enough to outperform many attending physicians.
"Thank you for your trust!"
Zhou Can blissfully began suturing for the patient.
Deputy Director Lu was happy to take it easy, occasionally guiding him with a few words.
This Level 4 surgery, after lasting for hours, was finally declared over.
It had started at a little past nine in the morning, and now it was four twenty-seven in the afternoon.
During this time, everyone had neither eaten nor drunk.
All had steadfastly remained at their posts.
Be it doctors or nurses, it's an exceptionally hard job.
"Alright, everyone go have a meal, rest a bit. About half an hour later, we'll come back and continue with the next surgery."
Director Xue had two major surgeries scheduled today.
Whether it was this cancer patient or another one with a tracheal fistula closure surgery, both required prompt action.
She had to persevere through the exhaustion and grit her teeth.
That's why training several successors is so important.
With capable assistants, the chief surgeon can relax a lot more. Everyone working together can maintain good energy and stamina.