Gu Xiujie lifted the peritoneum with vascular forceps and expanded the incision.

Then, after taking a look, he smiled and said to Kang Hong: "This patient's appendix is ​​not easy to find, it's a bit difficult. It seems that you have won the prize. But don't worry, I'll stare at it, come and find the cecum first!"

For appendicitis surgery, Kang Hong used to memorize the key points of the surgery in his chest, and even without a system, it would be fine, not to mention that he still has perfect insights now.

He was confident in his chest, and the next step should be to push the large omentum and small intestine, expose the cecum, and then go down along the colon to find the appendix.

However, this patient's appendicitis was different from that of textbooks. The omentum moved downwards around the ileocecal part, and there was no way to see where the cecum was.

Is it an alien?

No, perfect insight tells him that the appendix should be here, not shifted.

Seeing that he stared at the masses and didn't say anything, Gu Xiujie thought he couldn't handle it anymore, so he sighed: "Forget it, let me do it. The treatment of this kind of inflammatory mass around the cecum is a bit difficult for you. It doesn't matter, take your time."

He took over again, and Kang Hong had to watch.

Gu Xiujie began to cut the lateral cecal free to look for the appendix. At the same time, he said, "In the morning, your performance was still very eye-catching. It saved the old lady's life. It was all up to you to find the bleeding point and find the matching blood type donor of the super panda blood. Director Chang asked me to give you the opportunity to practice. Actually, I know that your theoretical knowledge is good. After all, you graduated from graduate school, but this practice is still a little short of practice. It takes more time to train..., Huh? Where is the appendix?"

Gu Xiujie stopped talking and began to concentrate on finding the appendix.

Because he couldn't find the appendix.

This joke is a big deal.

I was just laughing at Kang Hong for not having enough practical practice and could not find the appendix, but I still couldn't find it when I got it. Isn't this a slap in the face?

"I can't find it, hell," Gu Xiujie muttered, "Puncture it, puncture it on the lump and see if you can pull out the pus."

Kang Hong was startled and said quickly: "Old Gu, you can't pierce."

"Why?"

Gu Xiujie is 60 years old and retires soon. He just graduated from college and has not studied further, so his medical knowledge is weaker.

Even if Kang Hong does not rely on perfect insight, he can answer this question only by relying on the knowledge learned by graduate students: "Even if suppurative appendicitis punctures into the mass, it cannot prove that it is the appendicle. The most important thing is that this puncture is very dangerous and can easily lead to complications such as inflammation, portal phlebitis, intestinal obstruction and intestinal fistula."

"Is that true?" Gu Xiujie was stunned for a moment, his old face was a little uneasy, "What do you think you should do? Please ask the superior doctor to come on stage?"

"No, I'll try it again. If it doesn't work, I'll ask for a higher doctor." Kang Hong was not polite at all.

Gu Xiujie's face sank: "If you can't, call the superior doctor again? Do you mean, are you better than me now?"

Kang Hong smiled: "That's not what I mean."

"Whatever you mean, I never swear to others in my surgery!"

As he said that, Gu Xiujie continued to look for the appendix.

Kang Hong stopped talking and focused on assisting Gu Xiujie in finding the appendix, while paying attention to finding clues.

Any judgment must be based on clues, and it is impossible to come up with an answer out of thin air, even with perfect insights.

As Gu Xiujie searched, time passed minute by minute.

The operation has been going on for more than an hour and the cecum has not been found.

Gu Xiujie's old face was even more unhappy. His forehead was already filled with sweat. The traveling nurse Hai Yin used several pieces of gauze to wipe his sweat.

Kang Hong's insight has determined the specific position of the appendix in the mass, and guided him down the colon belt with a steady expression to separate the adhesion between the cecum and the ileum to avoid damaging the intestine.

Finally, the appendix was separated!

Kang Hong's guidance was very concealed, and even Gu Xiujie himself did not notice it.

The moment he found the appendix, Gu Xiujie breathed a sigh of relief and said happily: "I just said that there is no surgery that I can't handle. Look, hasn't this been found!"

The root of this appendix is ​​edema, and the middle part is purulent and necrotic.

Gu Xiujie ligated the root of the appendix and did not suture it. He just took the pedicle omentum to cover the root of the appendix and fixed it, and then checked one by one for damage to the intestinal canal.

Kang Hong's gaze was already following, and suddenly, his gaze was concentrated on the ileocecal and the ascending colon.

Why does something look wrong here?

There is dilation here and the serosa is congested.

At the same time, a diagnosis came to his mind - colon cancer, stage 1!

Does the patient suffer from colon cancer?

This was not found at all during the examination before the operation, and it was obvious that the patient did not find it either, otherwise the main operation would have become a tumor removal.

Why can I clearly make a judgment on colon cancer just by seeing these not-so-obvious changes?

You should know that the first stage of colon malignant tumor is very small, just a little bit like soybeans, and it grows inside the intestine. For ordinary surgeons, even if they see this cancerous intestinal segment, because it is only the first stage of the intestinal tract, the changes on the surface of the intestinal tract are very weak, so it is unlikely to be sure that there is a tumor inside.

However, I accurately diagnosed the first stage of colon cancer based on the extremely weak changes in the ileocecal area and the ascending colon area. There is only one reason:

Have perfect insights!

He was excited by this discovery.

Suddenly, Haiyin, the young nurse next to him, gently poked him with her elbow: "Doctor Gu is calling you!"

Kang Hong came to his senses and looked up. Gu Xiujie stared at him and said unhappily: "Have you finished watching the fun? After watching it, you flush your abdominal cavity, place the drainage tube and then close your abdomen."

Kang Hong said: "Old Gu, I think there may be problems with the patient's colon."

"Do you think? Are you guessing?" Gu Xiujie's mouth was a little bit cramped, "You are a doctor, not a fortune teller."

"No, it's not a guess," Kang Hong pointed to the patient's ileocecal part and ascending colon. "Now, there is expansion here and the serosa is congested. From this, it may be cancerous near the ascending colon. However, it is probably early and has not spread yet, so it's best to remove it at this moment. If you don't care, it will be too late to regret it."

Gu Xiujie looked at him suspiciously and looked down, but he couldn't tell what was going on and what was going on in the blind part and the colon part that had changed.

Kang Hong was not surprised that under his eyes with perfect insight, the extremely faint pathological changes could not escape his eyes, and Gu Xiujie could not see the mortal body with naked eyes.

Fortunately, it is perfect level of insight, otherwise, if the level of insight is not enough, it will be impossible to see it.

Gu Xiujie said: "I didn't see any problem!"

Kang Hong said: "You can find the intestines at the point where the colon is close to the liver curve, and you may be able to touch the small lumps inside."

A mere resident doctor dares to teach me this old doctor who is almost gray? I have been working for more than 40 years. When I was the patient's appendix surgery, you were not reincarnated yet! You kid don't understand the rules too much.

Gu Xiujie looked at Kang Hong with a cold face and did not take action.

Kang Hong said: "In addition, I remember the medical records that the patient once said that he had paroxysmal abdominal pain, accompanied by diarrhea and constipation, which is also a proof of colon cancer."

"Particular abdominal pain, diarrhea and constipation prove to be intestinal cancer?"

"No, I mean this is a circumstance."

Nurse Haiyin said, "Old Mr. Gu, why don't you check it as Dr. Kang said, it won't be a problem anyway."

"What's the point, I have a lot of things!" Gu Xiujie snorted, "A lot of medical records are to be written, and the medical records department is asking for it. Don't take it for granted, you will finish the surgery later. I'll go ahead."

As he said that, Gu Xiujie took off his gloves while walking out.

Kang Hong said: "What should I do if this colon cancer?"

Gu Xiujie didn't look back and said with a bit of joke: "If you have the ability, you will do it!"
Chapter completed!