Chapter 3034: with translation of chapter title

2834 Not only is it fast, mainly it's steady (Sect Leader Butterfly Dance 1225 extra chapter)

Zheng Ren never looked up at the time; everything was under control. After interrupted suturing, the forceps were sent in, lifting the cut diverticulum wall to cover the interrupted suture incision, followed by covering suturing.

Um…… At this moment, everyone standing in the Operating Room were big shots, and they were all startled by Zheng Lao Ban's operation.

When encountering a patient highly suspected of leakage, take the greater omentum for coverage, which adds a layer of protection, allowing the esophageal anastomosis site to grow as much as possible.

But using the diverticulum wall for coverage, this damned operation has never been encountered. Normally the diverticulum is excised, and this blind spot nobody thought of.

As it turns out, there is such a method; the possibility of esophageal leakage…… Old Gu still thinks the possibility is not small.

The surgery was actually quite fast, 38′02″, Zheng Lao Ban during the suturing had already reinforced the cut esophageal diverticulum wall with the interrupted sutured esophageal wall.

This is about to finish, looks like postoperative recovery still depends on fate.

"Everyone, step out first." Zheng Ren hadn't finished suturing yet, and he said softly. At the same time, Gao Shaojie raised his hand level in front of his chest and had already walked back.

Seeing Gao Shaojie wearing lead clothing, just like Zheng Lao Ban and Su Yun, everyone was stunned.

"We need to place a jejunal feeding tube; it's convenient to do under fluoroscopy, observe with the mirror, to avoid problems." Su Yun explained.

Peng lao didn't ask why, but obediently turned around first, leading everyone to the Shujian.

The airtight lead door closed, and then they understood why Zheng Lao Ban's Medical Team all wore lead clothing for surgery.

There's also this operation!

Originally, completing a thoracoscopic surgery within one hour already baffled everyone, but now Zheng Lao Ban wants to add a small procedure.

Whether it's the relative thoracoscopic surgery or the celestial-like procedure for treating diverticula, placing a jejunal feeding tube is merely a trivial small operation, but for surgeries with time limits, could this be the straw that breaks the camel's back?

Probably not……

Zheng Lao Ban's Medical Team has many people; not only is it surgical operations, but interventional surgery is also like that.

Through the lead glass, two teams were seen performing surgery simultaneously; one team used the diverticulum wall to reinforce the interrupted suture site, another team placed a jejunal feeding tube, and Old Gu sighed.

"Old Peng, what I said before doesn't count." Old Gu said.

"The surgery is fine, right?" Peng lao looked very relaxed, with a hint of joy in his eyebrows and eyes.

"Hmm, I didn't consider that Zheng Lao Ban would finally place a jejunal feeding tube. This little guy, he didn't even write this down." Old Gu complained with a smile.

"Maybe Zheng Lao Ban considers combined surgery a routine operation." Peng lao laughed.

With a jejunal feeding tube, it solves the postoperative eating problem, strengthens nutrition, promotes healing of internal and external incisions, undoubtedly adding another safeguard for rapid postoperative recovery.

Watching Zheng Lao Ban's Medical Team busy in the Operating Room, after the jejunal feeding tube was placed, they didn't open the airtight lead door; everyone just watched silently, nobody went in curiously asking questions.

After surgery began at 44′21″, the airtight lead door opened; Lao He had already removed the tube, the time exactly matching Zheng Lao Ban's plan.

Zheng Ren tore off his surgical gown, took off his lead clothing, walked out laughing and said, "I worried the esophageal wall was a bit thin, so I did a little 'extra' handling. Postoperatively, using a jejunal feeding tube for three days will allow normal eating."

"Um……" Old Gu looked dubiously at Zheng Ren and asked, "Zheng Lao Ban, if the patient were a bit younger, could they eat directly after surgery?"

"Pretty much, but the elderly don't need to take this risk; it's better to be steady. It's best to still place a jejunal feeding tube, making the elderly suffer hunger for another two days." Zheng Ren said.

Everyone was speechless; at such an age and in such poor condition they underwent surgery—doesn't that already count as an adventure?

Ye Qingqiu and Lin Ge entered the Shujian, wanting to help lift the patient.

"Ye Chu, Lin Chu, wait a moment." Zheng Ren shouted from outside, "The elderly must first wake from anesthesia, then we still need to do an upper gastrointestinal barium swallow."

……

This time everyone was stunned.

Isn't it enough to just finish the surgery properly? Finishing it in under an hour is already quite impressive; what more does Zheng Lao Ban want to conjure!

"Once the anesthesia wears off completely, you can eat; do a barium swallow to check the esophageal condition, otherwise postoperative you'll still have to suffer." Zheng Ren explained.

No one can refuse the surgeon's demands.

It's impossible for a case to complete the surgery so smoothly; even if Zheng Lao Ban proposes whatever outlandish idea, anyone who disagrees can only hold it in.

"Little Zheng, you've worked hard." Peng lao said with a smile.

"The surgery is very simple, nothing wrong." Zheng Ren laughed, "Placing a jejunal feeding tube is just a precaution; the surgery is fine."

Zheng Ren emphasized.

Peng lao slightly shook his head and said, "The surgery was very steady; your thoracoscopic skill is truly high."

"Not bad."

"I think the surgery is fine; you young people are more careful than I am." Peng lao continued laughing and teased.

"There can't be a 100% guarantee; it's better to check. Even a postoperative barium swallow is fine, Old Peng you need to keep watch, use a jejunal feeding tube for three days of eating." Zheng Ren urged anxiously.

Director Yan stood aside, and his hanging heart finally let go.

Zheng Lao Ban is indeed steady; not only is the surgery well done, but including anesthesia time it ended in 45 minutes, which already explains the issue.

The key is that he doesn't put all his hope in the surgery; even if there's a small flaw, there are remedial measures. This is too reassuring; if something goes wrong, it can be fixed, rather than confidently telling patients' families that nothing will happen.

The gap between the two…… Although after surgery telling the patient's family the surgery succeeded and definitely won't have problems looks more reassuring, but who can guarantee the surgery definitely didn't miss any spot.

On the contrary, Zheng Lao Ban's cautious attitude makes Director Yan feel more at ease; he has no doubt that if a problem arises, Zheng Lao Ban will place a stent or use some new technology he himself doesn't know to solve dilemmas that others seem helpless about.

Just this one hour of time is really hard to endure.

The elderly woke from anesthesia; Peng lao entered the Shujian, holding his lover's hand, vital signs stable, and after a few minutes they could already conduct simple Q&A; the surgery can be said to be a great success.

One hour later, after oral contrast agent, an upper gastrointestinal imaging showed the pharyngoesophageal diverticulum markedly reduced compared to pre-surgery, the ridge between diverticulum and esophagus disappeared, contrast agent flowed down smoothly, no esophageal stenosis.

"Let's go back." Zheng Ren smiled and said, "Recovery should be quick."

……

……

Note: In the paper it's written like this, a barium swallow was done one hour post-op. I consider it might be a translation error? Or maybe it's some new technology? Although I don't understand, I still wrote it this way. If there's an error, please forgive.