Chapter 1054: Chapter 1054: Everyone Looks Forward to TaTME
(Thanks to Damo Gulang for the reward and monthly ticket encouragement, and thanks to Heibatianxiong, Bookfriend20190507122404602, Xianren Ah Xianren, Wang Lintai1, Lazy Bewildered Insect, Zixing87 for the monthly ticket encouragement)
The next morning, Liu Banxia left twenty minutes earlier than usual.
It’s also because he was concerned about the female patient he received yesterday, and today’s examination is crucial. However, he also knows that this is not the patient’s last examination, and they need to see what the guidance is pointing to.
Moreover, today is also very important, they have to perform that TaTME surgery, which many people are paying attention to.
"Teacher Liu, you’re here so early?" Seeing Liu Banxia, Xu Yino was startled.
"Coming early helps in getting prepared early too. Did you sample the patient from yesterday?" Liu Banxia asked.
"Not yet, I’ll go up in a while, and then I can test it with today’s first batch of samples." Xu Yino said.
Liu Banxia nodded, "Comfort her a bit, once we finish the surgery, her examination results will be out, and we can discuss it better then."
"You all need to be in top form for today’s surgery. The principle of our NOSES surgery now is to minimize harm to the patient and provide the best prognosis conditions."
"To put it simply, if we can do TaTME, we should strive to do it. If it’s not feasible, we’ll opt for a combination of laparoscopic or intracavity operation and take samples through the anus."
"The requirements are a bit high, and I’ve only just started learning about it. But my expectations for you and myself are the same. That’s why you’ll need to observe more, and only when you feel confident will I let you practice with your hands."
Xu Yino quickly nodded.
Joking around is for normal times; now it’s about serious technical matters, they dare not slack.
They weren’t the only ones coming early; the other four were also ready. For them, the teaching of NOSES surgery is never too much.
Not to mention that this time, they’re using the relatively difficult TaTME from the NOSES surgery system. All the patient’s indicators fit, and they need a daring surgeon; it’s really hard to come by.
"Good luck, we’re all counting on you to treat us to lunch," Wang Chao leaned over after Liu Banxia got dressed.
"You’re just eyeing my meal card. Haven’t you thought about when I ever get treated by you?" Liu Banxia asked.
"My gosh, heavens know, heart’s cold and chilling. Haven’t I been bullied by you enough? How many pig feet and chicken legs have I foolishly bought you?" Wang Chao started his grumbling mode.
"It’s different, it was my skill that conned you before. You have to treat everyone using your skills, right?" Liu Banxia said seriously.
Su Wenhao quickened his pace while passing by; he’d better head to the operating room to wait. Both Teacher Liu and Teacher Wang are too lively.
This can be considered a unique style of the emergency center. The emergency center is quite young at heart, being meticulous yet with a touch of liveliness.
In order to reassure the female patient a bit more, after Xu Yino guided the sampling, Liu Banxia went to check on her. He spoke some comforting words, explaining his surgery this morning and that they would study her condition together afterward.
After leaving this ward, Liu Banxia went to the other patient’s ward.
The patient was constantly comforting his crying wife; the situation from yesterday was continuing.
"Alright, if you keep this up, I can’t even have the surgery. This tube insertion is uncomfortable enough, and I still need to console you." The patient said.
"You’re in such a serious condition, what if it doesn’t get better." The patient’s wife cried.
"Mom, can you just give us a break? Always crying, how can dad have his surgery? Alright, you should head outside." The patient’s daughter spoke up.
Sometimes one thing conquers another, so to speak, albeit not quite appropriate. But once the patient’s daughter spoke, the wife indeed stopped crying.
"Being worried is normal. It’ll take about two and a half hours, and the surgery will be done. It’s not that complicated, the sooner it’s done, the sooner you’ll feel at ease." Liu Banxia said with a smile.
"Director Liu, please take care. Will you notify us if there’s any situation?" The patient’s daughter asked.
"We will. After the specimen is taken out, you’ll get to see it before it’s sent for pathology." Liu Banxia nodded with a smile.
Hearing them say this, the patient’s wife began crying again.
The patient signaled his daughter with a glance, and she took her mother outside.
"Sigh... just timid." The patient sighed.
"That’s normal, everyone worries about the people they care about. If they didn’t care, why would they spare a second glance?" Liu Banxia said.
"Looked at the morning’s examination results, they’re quite good, your physical indicators are pretty decent. Don’t worry too much, you’ll soon be taken to the operating room, and our surgery starts sharply at nine."
The patient nodded; it’s truly uncomfortable with the nasogastric tube, better not speak if possible.
"Teacher Liu, aren’t you going to check on the brain tumor patient?" Xu Yino, who came along, teased the question.
"I’m not doing surgery on him, why bother seeing him, it’s best to let him stay by himself for now." Liu Banxia said.
"By the way, after I got off work yesterday, did any more patients pass away in our emergency center? I remember there was one spot left yesterday, right?"
Xu Yino blinked, "Teacher Liu, speaking of which, I have to say a few words. Last night at 10:38, there was a patient in the CCU who didn’t make it."
"Then at 11:17 at night, a brain stroke patient was sent in and despite a series of resuscitations, we were unsuccessful. The patient passed away at 12:09 today, just nine minutes difference from yesterday."
"Why don’t you judge it yourself, isn’t it uncanny? I stayed until midnight, and indeed three patients passed away, I am truly convinced."
"Tsk, tsk, I’m convinced too." Liu Banxia nodded with a sigh.
Whether it’s a coincidence, or if the patient really calculated it all, the result is the same. The rest is up to everyone to judge for themselves.
This also made Liu Banxia feel more confident. That guy said it, it’s twins, a true pair of a son and a daughter.
In fact, when he got home yesterday, he almost blurted it out to Qiaoqiao, he was really close to spilling the beans, but then he used the opportunity of teasing Beifeng to gloss over it.
Because he took this surgery very seriously, Liu Banxia arrived at the operation room early. There were quite a few people in the observation room outside, given the significant teaching value of this surgery.
"Welcome everyone, actually it’s not much different from the endometriosis surgery a while ago." Liu Banxia waved to those above.
"Director Liu, will NOSES surgery become a routine procedure for you in the future?" Zhang Yun pressed the talk button.
Liu Banxia nodded, "More or less, but this procedure is quite selective for patients. So we can only try our best to conduct it, to accumulate more experience and operative data."
"Ah... I knew when I borrowed the machine, there’d be even less hope for us here in the future. Normally speaking, this should actually belong to our department of proctology." Guan Wei, who came along to watch, complained.
"Doctor Guan, why not join us here? There are plenty of opportunities, and you still have a lot of practical skills." Liu Banxia said with a smile.
"What do you mean? I’m thinking of poaching you to our proctology, and here you are eyeing Guan Wei."
Just as Liu Banxia finished speaking, Jiang Tao’s voice came from the observation room.
"Oh, Director Jiang, why are you here?" Liu Banxia was startled.
"Just came to take a look. Guan Wei said your operation last time was great." Jiang Tao walked to the front.
"Thank you, Director Jiang, thank you everyone, I will give it my all." Liu Banxia waved his fist.
The patient was also wheeled into the operation room, having had everything explained beforehand, they didn’t mind the number of people in the observation room and operating room.
It’s a teaching hospital, there are teaching tasks. But you can’t force teaching; you must get the patient’s consent first.
Generally, male patients agree more often, while the proportion is lower for female patients.
"Su Wenhao, verify the patient’s information." Liu Banxia said.
Su Wenhao quickly leaned in to verify with the patient.
After getting the signal from Su Wenhao, Liu Banxia nodded to Li Liwei to officially begin the anesthesia.
"OK, the patient is successfully anesthetized, and now it’s our turn." Liu Banxia said.
"Dandan, you can take your time to familiarize yourself with these instruments, no rush. Currently, there aren’t many patients eligible for NOSES surgery, you still have plenty of time."
Xu Dan nodded, with a hint of nervousness in her eyes.
"It’s time to perform, who will do the anal dilation, exploration, and insufflation? Be proactive." Liu Banxia said.
Liu Yiqing and the others quickly raised their hands, while Xu Yino took advantage of the moment to step forward and start operating.
"Haha, see that? Opportunities are for those who are prepared. Amazed, aren’t you? I told you to be more proactive." Liu Banxia said cheerfully.
The people in the observation room found it amusing; this is Liu Banxia’s teaching method. He won’t let you feel bored, keeping you alert at all times.
"Don’t look at me with resentful eyes, watching Xu Yino’s operation is also a learning opportunity." Liu Banxia said.
"The operation is very well done, combining speed and gentleness, and during anal dilation, it doesn’t harm the patient’s anus."
"The rectoscope is placed well too, and at the current angle, the lesion site can be clearly presented before everyone. The air pressure for insufflation can be slightly adjusted based on the patient’s condition, but let’s not get into that."
"Upon exploration, a 2CMX3CM mass is visible at 4CM from the anal margin, suitable for a TaTME procedure for rectal cancer resection." At this point, Xu Yino began to report.
"OK, let’s begin. No need to narrate the process, just watch carefully, I haven’t fully grasped these operations yet." Liu Banxia said.
The observers couldn’t help but feel the tension as things were about to get real.
