Chapter 1963 [1963] Road Map

Under all the above circumstances, ordinary doctors will be intimidated. As long as the previous cervical smear is suspected to be cancer, ordinary doctors will not take the risk and will cut it all out. They are most afraid that the recurrence will be more serious.

Doctors with superb skills will bravely break through for patients, provided they are capable.

When Zuo Liang asked this question, he was actually considering whether to directly remove the cervix. Total cervixectomy also preserves the uterus for the patient, but seals the cervix so that children cannot be born in the future. If the patient is old, there should be no need for fertility preservation, and it is no problem to cut off the cervix.

The less trouble, the better.

It's just that before the operation, Du Haiwei approved the operation plan provided by Geng.

The plan Geng Yongzhe submitted was a cone cut instead of a full cut.

"Ms. Zuo, I discussed with Yingying to cut this range." Geng Yongzhe turned out the prepared notebook and showed the surgery teacher the surgical anatomy diagram he drew.

Zuo Liang had actually seen this picture before, and now he checked it carefully with his eyes and asked, "How did you determine this range?"

"The size of the tumor is about 1.9 centimeters, which is just the critical value. Therefore, the scope of incision should be expanded. It is necessary to ensure that the distance between the negative margin of the incision and the excised tumor reaches the standard of 3 mm."

Numbers sound cool, but they are hard to do. Back to the key issue of the slight difference again. Three millimeters is a small difference in itself. To ensure the standard deviation of three millimeters, the doctor must first be able to accurately judge the solid edge line of the tumor with the naked eye. Secondly, it is best to reach the value of three millimeters when the knife is cut, and it will not cut too little or cut too much. up.

Thinking about it this way, it seems that it is not as refreshing and easy as Quanqie.

You can't think of it this way, if you cut it right, the knife will be in place, which will save labor and time. There may be more bleeding if there are too many steps in the full cut, which is very troublesome. So the biggest difference between the two is that doctors choose to use their brains or hands.

Zuo Liang felt that he had no choice. With his relatively little clinical experience, he was not sure whether he could cut very accurately.

A tumor of 1.9 cm is not too small. A doctor with some qualifications knows that such a tumor is like a tooth decay. It may be just a black spot on the surface, but it may actually rot to the root after the black spot is opened. The electric knife can only be eliminated because it cannot cut deep enough, and the traditional cold knife is used for cutting. The cold knife should cut deeply in a circle to dig out the tumor completely. This knife technique is too difficult.

Zuo Liang frowned, not knowing how to express it. The classmate Geng who answered him failed to answer the key points and helped him to meet the above requirements.

I don't blame the students. The difficulty lies in holding the scalpel, which requires the surgeon to do it himself. If other people can't replace the surgeon's hand, they will definitely not be able to help.

"Mr. Zuo, why don't you ask Geng to use a cotton swab to draw a cut around the tumor for you." Seeing this, Xie Wanying, who was on the sidelines, offered to suggest.

Zuo Liang looked at her deeply: this classmate Xie can guess what he is thinking just by hearing him ask a word.

Unlike Geng, she has worked with many teachers on the operating table, and she has a good understanding of how to observe and figure out the mind of the surgeon.

Du Haiwei stood beside him silently, and seemed to have no objection to the two interns' suggestion to try.

The superior's opinion remained unchanged, Zuo Liang turned to Geng and said, "Okay, you can draw."

The teacher stepped aside, Geng Yongzhe sat on the bench, took a cotton swab dipped in gentian violet, and carefully marked the incision site along the circumference of the tumor in the exposed surgical field.