On Monday morning, the first operation was performed on the patient of Liu Jian, director of the interventional department.

After interventional surgery for small nodular liver cancer.

The liver is divided into left and right lobes by the sickle ligament in the middle, the right lobe is large and thick, and the left lobe is small and thin.

Without the left lobe, the right lobe alone, the human liver function can be completely compensated.

But if it grows on the right lobe of the liver, it will not be so simple, the liver gate is on the right lobe of the liver, and the right lobe of the liver is directly cut off, which is equivalent to cutting off the blood supply to the liver, and the left lobe of the liver can not survive.

Only local excision can be performed.

If the cancer on the right lobe of the liver is born on the outer edge of the liver, the operation is not very difficult, and a wedge-shaped incorporating is made, and the cancer is removed and sutured.

Naturally, it is impossible for this patient's cancer to grow on the outer edge of the liver, otherwise, neither Qin Gewei nor Ma Zongtai would have rejected Liu Jian politely.

In fact, the location of the cancer growth in this patient is really annoying, which is basically a surgical contraindication in surgical practice.

Hepatic hilum department!

It's no wonder that Qin Gewei and Director Ma are reluctant to take over, starting from the liver door to remove the cancer, which is like turning in the middle of the Song kiln Ru porcelain in one place, and if you are not careful, it will be a big mistake. It is not impossible to enter the knife from other directions, but the distance is far and the position is deep, and if you can't hold it, it will also hurt the liver.

In the past, Gao Yong would never touch this kind of operation, it is not easy to be a doctor, don't be reckless, it is a trivial matter to eat a lawsuit, and it is tragic to be stabbed by the patient's family with a knife.

But today is different, Gao Yong, who went to the operating table, seemed full of information.

"Where do you get into?" opened his abdomen, Gao Yong assisted Lian Xiangdong to adjust the hook, and asked Yang Xi on the other side by the way.

Yang Xi was a little dazed.

Although it is difficult, it has little trauma to the patient's liver and is conducive to the patient's postoperative recovery.

There is only one reason why Yang Xi was in a daze.

Do you want to use a surgical skill card?

A level 4 surgical skill card is only 50,000 yuan, which is very cheap, and now Yang Xi, who is worth millions, will not look at it at all, but the problem is that he has a strong feeling that even if he doesn't use a skill card, he can win this operation.

Taking a deep breath, Yang Xi made a decision.

"Liver Gate approach, let's just do it slowly. ”

There is no need to pursue the speed of peeling six grapes in ten minutes, it is enough to peel four grapes in ten minutes, anyway, there is no live broadcast, so it is a big deal to delay the second operation until noon.

Liver cancer, known as the king of cancer, is probably second only to pancreatic cancer and tied for second place with female ovarian cancer. The treatment of liver cancer is not ideal for the treatment of liver cancer, and the theory of subneoplastic lesions was once popular in clinical practice, which means that there are still invisible microscopic cancer foci around the visible cancer lesions, and the recurrence rate of the plateau position after liver cancer surgery may be related to this.

As a result, the number of surgeries for liver cancer has been expanding.

However, the results of clinical studies have shown that the survival rate of patients is not significantly improved by expanding the scope of resection.

As a result, in recent years, the number of surgeries for liver cancer has been shrinking.

Although the prognosis of surgical resection is not ideal, it is better to be able to cut than not to resection, because most types of liver cancer are not sensitive to chemotherapy drugs and radiation, and targeted drugs such as sorafenib or lenvatinib for the treatment of liver cancer are not only expensive, but also have the defect that the target is easy to close after being attacked, making the occurrence of drug resistance relatively high.

It's far away, so I hurried back to the operating table.

In ten minutes, with the cooperation of Gao Yong, Yang Xi sorted out the anatomy outside the hepatic portal, and loosened the round hepatic ligament and sickle ligament, and approached the left and right liver lobes, cut open the liver, and exposed the cancer......

In the position of one assistant, Gao Yong couldn't help but shout: "Then who, come and help me wipe my sweat!"

Nervous, it is easy to sweat, although the demon on the other side is as stable as a dog, but Gao Yong is still holding on to his heart.

Yang Xi's forehead also oozed some fine beads of sweat.

Well, this is the most critical step, the speed of peeling four grains in ten minutes is still fast, let's slow down to the level of peeling two grains in ten minutes, is there still a problem?

Outsiders can't see any clues, including Gao Yong, who only thinks that the operation is too difficult, Yang Xi is very cautious, that's all.

It took half an hour for Yang Xi to completely remove the cancer.

The next steps are much simpler.

It took another ten minutes to close the pit dug in the liver, and then a quarter of an hour to clean up the surrounding lymph nodes, and finally clean the battlefield, close the abdomen and step down.

At half past ten, it took exactly two hours.

Liu Jian finished an interventional operation, hurried over, and couldn't help but be stunned as soon as he entered the door.

"Didn't do it?"

Nobody cares.

Liu Jian scratched his head and smiled.

If you can't do it, you won't stay up on stage for so long to come down.

"I heard that you were fast, but I didn't expect you to be so fast, alas, ......" Liu Jian smiled improperly, put his arm around Yang Xi's shoulder, and said, "Man, you can't be so fast!"

The operating room is a racing track, and any person is likely to be an old driver.

For example, itinerant nurse Wen Yanyan.

Without waiting for Yang Xi to respond, Wen Yanyan opened her mouth first: "Doctor Yang can come several times a day, and it will be fast if it's fast, you Director Liu don't have this ability, right?"

Although there is a separate DSA room in the interventional department, some cases need to be carried out in conjunction with the surgery department in the hybrid operating room in the large operating room, so Liu Jian is also familiar with the nurses in the operating room.

Liu Jian was prepared for Wen Yanyan's seemingly inexplicable retort, smiled, and responded: "Our interventional department is also a doctor of surgical tablets, and for surgeons, the most important thing is the skills in hand, Yanyan, are you right?"

Wen Yanyan responded with a smile: "You, Director Liu, have also lost a mouth." ”

Yin Wei finished filling out the anesthesia record, stood up at this moment, and answered: "Isn't it, Lao Liu's mouth is much more effective than his hands." ”

This is the case in the operating room, as long as the operation is done cleanly, the atmosphere is happy, and any joke can be made, but if the operation is not done smoothly, then everyone is silent.

The patient in this operation has to be sent to the PACU in bed, and then go to the next patient, which must be at least ten minutes in between, plus the anesthesia time, enough for the surgeon to go back to the lounge to smoke a cigarette and drink saliva to recover his strength.

As soon as he lit the cigarette, Yang Xi suddenly let out an exclamation: "Where is my key? Why is the key to my locker missing?"