[Comprehensive] Six-hour endoscopic surgery does not replace the doctor left hand rubber gloves worn

Because the surgery cannot be stopped, the nurse can only hurry to the doctor for a few mouthfuls of bread.

In the past few days, a photo taken by Dunning, director of digestive medicine at the Run Run Shaw Hospital, was swiped in the WeChat group and friends circle. In the photo, a nurse is feeding bread to a doctor who is undergoing surgery.

Dr. Dai wrote: The chief surgeon started the endoscopic removal of digestive tract tumors from 9:00 in the morning. He did not step down until 5:30 in the afternoon. He had no time to go to the toilet, and he had no time to eat or drink until the nurse brought the bread. Only to hurry to eat a few mouthfuls.

In general, endoscopic surgery will not take more than two hours, and this operation has been unprecedented for 9 hours. Endoscopic surgery is not like surgery. It can be done in shifts. It is a doctor who does everything from beginning to end. It can be hard to imagine.

Yesterday, Qian Bao reporter approached the doctor to understand the story behind the photos.

Under the guidance of the nurse, the reporter found the protagonist of the photo on the third floor of the Shaoyifu Hospital outpatient clinic – Yu Liangliang, deputy chief physician of digestive medicine.

“That was last Thursday. I was engrossed in surgery. I didn't know how fast it was. I didn’t expect to eat. Later, the nurses changed their classes at noon. The nurse Liu Qifang brought me a bread. I only saw the time. It's almost 2 o'clock in the afternoon."

According to the memories of doctors, colleagues, and family members, the reporter restored the whole process of the operation.

Xiaocai, a 26-year-old patient from Hangzhou, had a stromal tumor in the esophagus last month. He needed to remove it as soon as possible.

8:50

Xiaocai was pushed into the operating room to perform general anesthesia.

The final preparation for the doctor to perform surgery. In the morning, he only had a row of Xiaocai surgery. In the afternoon, he also rushed to the Xiasha District. There were three more surgeries to be done there.

9:38

Yu doctor successfully found a tumor, but the situation is not good. The tumor is large, 8 cm x 4.5 cm. It is shaped like a long strip of pig's kidney. It holds the esophagus closed and has a bad position. The heart, mediastinum, and blood vessels are all nearby.

The wall of the esophagus is thinner than the A4 paper. If the wall of the esophagus is cut off during the resection and the large blood vessels are injured, the patient may die on the spot.

9:50

The doctor decided to use a bipolar knife to cut the tumor into six small pieces and then use a basket to remove them. Because the operation space is small and the removal is difficult, it requires careful operation and the doctor is very careful when cutting.

13:42

There were four nurses who joined the operating table on the same day and they changed course.

The old partner Liu Qifang’s nurse saw that the plan to cut the tumor into six small pieces only took out two small pieces. The doctor was still engrossed in surgery, and the dark green surgical suit had been soaked in sweat on the entire back. During this time, he did not go to the toilet, did not drink water, did not eat anything.

13:55

Liu Qifang took a loaf and ran into the operating room. "Because the doctor's sight can't leave the patient and his hand can't stop, I can't stop seeing the gap between the surgical screens. I'll hurry up and feed a few."

This scene happened to be caught by the director of Danning who had just finished the surgery and took a photo.

16:32

Dividing, removing, and removing the tumor, which is divided into six small pieces, is finally completely removed.

The doctor gave a long breath and until this time he had not moved his feet for more than six hours. The posture of holding the endoscope in the left hand and bending his right arm in his left arm has not changed. While the weight of the endoscope was weighed on the left thumb, rubber gloves had been worn out.

17:45

After the final treatment, the surgery is finally over.

From the operating table, the doctor's legs were soft and tripped over the stool that the nurse moved over. After a few minutes of relief, he got up and introduced several small nurses to the operation room.

Xiaocai’s mother has been waiting at the entrance to the operating room. "I was so impressed with the scene. When Yu Dao brought my son out, I saw his left hand keep fighting, he couldn't stop, his thumb was red, and he was broken."

Yu Liangliang, 41 years old, has been a digestive physician for 15 years. “Our department has about 400 such surgeries per year. I have cut the largest stromal tumor at 25 cm. I did more than four hours at the time. But it is the first time that Xiaocai is so intractable.”

How do you feel after such a long time surgery?

“There was no feeling during the operation. At the end of the surgery, it Felt like a dream. People were in a state of paralysis. It was as if a high school student had done all of his attention in hundreds of topics.” Dr. Yu said that during surgery, Eating, drinking, and going to the toilet is the normal job for doctors.

Yu and his colleagues told reporters that many doctors would drink less water or put a few cookies in their pockets in order to save time on eating and going to the toilet. Some simply specialize in scorpions, corn, and starve in the morning. "Working for a few years has not been very good for everyone."

Originally wanted to chat with the doctor for a while, but when he saw his schedule, he could not bear to occupy his time - he had just read more than 40 patients in the morning, had not eaten lunch at 12:30, and had several operations in the afternoon. To do it.

The reporter could not help but ask: If you work at such a high load, are you tired?

Yu doctor said, sometimes tired physically, I really do not think. However, patients do not understand and their hearts will be very tired.

He did not say bad things, but raised one thing. “One time, an old patient came to see me. She knew that I would not eat at the outpatient clinic at noon and cook the corn belt. It was a 60-year-old old lady Tonglu. I was afraid that the corn would be cold and the bag would be made of cotton wool. She wrapped up in the doctor's office, sat down in the doctor's office, opened the bag slowly, and handed me the hot corn. She said to me, "Do not go hungry."