Chapter 218: Excision of a Huge Lipoma, Doctor Feng's Reminder_2
Zhou Can couldn't help but wonder to himself.
He had thought for sure that the crisis would be lurking in the process of separating the tumor from the surrounding tissues, as that was the most difficult part.
Even after Zhou Can employed his Fast Knife Skill to wield a Level 4 Separation Skill, he still encountered numerous difficulties.
Fortunately, he got through them all smoothly.
Now that the lipoma had been separated, the sense of danger had not disappeared but had intensified.
Where exactly did this sense of crisis come from during the surgery?
Could it be dangerous to remove this lipoma?
The difficulty of excision was not as high as that of separation; it shouldn't be dangerous.
Zhou Can even wondered if the more one knew, the more fearful one became.
Many older doctors are extremely cautious when performing surgery or prescribing medication for patients, appearing incredibly timid.
Now, Zhou Can seemed to have developed the same 'timidity disease' as those older doctors.
"Senior Doctor Liu, do you see any major potential risks in excising this tumor?"
Zhou Can could only seek help from Senior Doctor Liu.
"With your level of anatomical expertise, you are fully capable of safely removing this lipoma. Don't overthink it; we surgeons must be courageous yet meticulous. Where has the confident and challenge-embracing Zhou Can of the past gone? Bring out your courage. If I, as the responsible senior doctor, am not afraid, what are you afraid of?"
Senior Doctor Liu gave him the greatest encouragement.
The two had collaborated on as many as seven to eight hundred surgeries, big and small, so Senior Doctor Liu knew Zhou Can's surgical capabilities very well. It was based on high trust in Zhou Can that he insisted on letting Zhou Can operate, even when Zhou Can voiced doubts and showed timidity.
The aim was to cultivate Zhou Can.
To help him improve his surgical skills.
Many highly complex surgeries, let alone a short-term resident doctor like Zhou Can, even a chief physician with decades of work experience may have never encountered.
One can only try to meet the challenge.
There are too many hurdles to overcome in life.
"Then I'll start the incision!"
Zhou Can steadied his emotions, and then began to excise the massive tumor from the patient.
Swoosh swoosh swoosh!
The monopolar electrosurgical unit easily cut off the lipoma completely.
To prevent recurrence, he even deliberately excised some of the adjacent normal tissue.
All tumors, benign or malignant, are prone to recurrence if not completely removed. This is something that many novice surgeons tend to overlook.
Even some attending surgeons who have been working in surgery for over a decade may lead to incomplete removal of the tumor mass due to various reasons.
Compared to a regular scalpel, the electrosurgical unit has several advantages.
It cuts quickly, has good hemostatic effects, is easy to operate, and can effectively reduce complications.
For the excision or incision of subcutaneous tissues, abdominal and thoracic organs, and tissues, doctors often choose to use an electrosurgical unit.
However, some older doctors insist on using a regular scalpel.
Because they believe it is easier to control and grasp. It is said that the top experts in the surgical field in the capital's most prestigious hospital do not use electrosurgical units when operating on patients.
He has successfully completed many highly precise, extremely difficult surgeries.
It has to be said, this is a miracle.
Zhou Can's current level of surgical technique and anatomy is just average. He is far from understanding the reasons why the top surgical expert insists on using a regular scalpel.
One thing is certain, even now Tuya Hospital, including many top hospitals in other provinces, still cannot achieve a truly surgery-free zone within the skull.
The brainstem is still regarded by the vast majority of surgeons as a surgical taboo.
Even the much-talked-about robotic surgeries abroad have not been reported to dare operate on the brainstem.
But that top expert from the capital dares to perform surgery there, the key is that he has succeeded, not just once, but in multiple cases.
Therefore, the debate over which is more potent, the regular scalpel, electrosurgical unit, LEEP knife, or cryogenic plasma ablation knife, has never ceased.
To this day, the regular scalpel has not been phased out, still being widely used in surgeries - this is an undisputed fact.
Zhou Can neither rejects the traditional 'cold weapons' nor touts the electrosurgical units and other surgical instruments invented later in time.
Whichever is convenient, that is what he uses.
For example, the great saphenous vein stripper also belongs to high-tech achievements. Using it can avoid making multiple incisions and causes less trauma to the patient.
Or take the ultrasonic aspirator, for instance; it not only results in less bleeding during surgery and fewer postoperative complications but also enables a faster recovery after surgery. It also has the capabilities of ultrasonically emulsifying, aspirating, flushing, ultrasonic incisional hemostasis, and ultrasonic debridement.
It cannot be matched by a regular scalpel.
Using it to separate blood vessels and bile ducts is safe and accurate - one of the essential surgical miracles in Liver and Gallbladder Surgery.
Especially for those surgeons with less adept separation techniques, it is nothing short of a lifesaver.
An average level of separation skills among resident doctors can be immediately elevated to an excellent level with its use.
The medical advancements brought about by technology cannot be overlooked.
Zhou Can used the electrosurgical unit, and managed to completely excise the lipoma without any mishaps.
[Incision Skill Experience Points +1.]
[For your first successful excision of a large subcutaneous facial tumor, you are rewarded with 100 Incision Skill Experience Points.]
Performing this highly difficult surgery was truly exhilarating.
He had just earned 101 Incision Skill Experience Points.
These experience points for surgical skills are not easy to come by.
To earn so much at once, Zhou Can was naturally thrilled.