"This time we did a right hemiliver resection with conventional surgery. ”

Wait until everyone has changed their clothes, and then start the preoperative consultation, saying that it is a preoperative consultation, but in fact, it is just Fang Han unilaterally telling everyone the general steps and requirements of the operation, to be precise, it is more appropriate to popularize the operation.

In addition to Wen Xueyi, Leng Cen and others who participated in the operation, Chen Yuan, Ye Kai and Jiang Feng were also listening on the side, although they did not participate in the operation this time, they would also watch from the sidelines.

It was precisely because he didn't participate that Jiang Feng didn't have any pressure, and looked left and right from time to time.

"Jiang Feng, can you tell me why we used conventional surgery instead of laparoscopy this time?"

Jiang Feng was stunned suddenly, his face turned pale, how could he still have his own affairs?

This time he was completely playing the role of soy sauce, and Dr. Fang actually asked about him, this is really a person sitting at home, and disaster comes from heaven.

As a doctor with a background in traditional Chinese medicine, Jiang Feng knows the difference between conventional surgery and laparoscopic surgery.

Fang Haoyang glared at Jiang Feng, Jiang Feng was even more silent, and stammered: "Traditional surgery ......"

"If you don't know, you don't know, what kind of garlic is loaded?" Fang Haoyang snorted: "Is it so difficult to say that you don't know?"

"Doctor Fang, I don't know. Jiang Feng hurriedly said.

Fang Han didn't continue to chase Jiang Feng, the reason why he named Jiang Feng was only because Jiang Feng was not serious and didn't understand, but he didn't worry about it at all, which made Fang Han a little unhappy, the emergency department of Jiang Zhong Hospital would not have fewer opportunities to do surgery in the future, only more and more, even if he didn't have surgery, he still had to understand some basic things.

"Laparoscopic liver tumor resection is one of the more difficult and risky laparoscopic surgery, laparoscopic liver tumor resection from liver exploration, free to lesion resection and other operational processes are completed under laparoscopy, which is characterized by small incision and trauma, but due to the lack of tactile help of the hand, the operation is difficult, the probability of complications such as bleeding and gas embolism is higher, the patient's physique is relatively special, the blood flow is very poor, and the risk of laparoscopic surgery is greater than that of conventional surgery......

Fang Han said simply, this point was actually mainly for Leng Cen.

The incision of laparoscopic surgery is small, and the time period is said to be more in line with the situation of Leng Chen, after all, the wound recovery of diabetic patients is poor, and the smaller the wound, the more beneficial it is for the patient.

However, laparoscopic surgery has advantages and disadvantages, the advantages are obvious, and the disadvantages are also very obvious.

Leng Chen is not a simple liver injury, nor is it a simple liver cancer, the wound area is large during surgery, especially when the liver tumor is removed, it is very easy to have massive bleeding, and the probability of massive bleeding is higher than that of conventional surgery when laparoscopy is used.

Fang Han briefly talked about the situation and cooperation of this operation, and then asked people to send the patient in.

The nurses have already laid out the disinfectant towels, and the patients are sent directly to the operating table.

"Name, age?" The anesthesiologist confirms and examines the patient, and then anesthetizes the patient.

The patient has had two enemas since last evening and before entering the surgery, and is ready for bowel surgery.

"The right hemiliver was resected, and the patient was placed in a supine position. ”

The patient's position was placed, and Fang Han looked at Leng Cen: "Director Leng is coming to open his abdomen?"

"Let's come with Doctor Fang. Leng Cen waved his hand and said with a wry smile: "People say that doctors are not autonomous, and I didn't have much experience before, so I'm really nervous now." ”

"Director Leng can't be nervous, you are the main force today. Fang Haoyang was joking on the side.

Fang Han just asked, and when he saw Leng Cen refusing, he didn't ask again, and directly started to cut the skin regularly.

Fang Han used the median incision exploration, because the scope of the operation this time was large, and the incision was extended to the upper right, to be precise, it should be a combined thoracoabdominal incision, and the incision directly cut the diaphragm.

"With such a long incision, it is even more difficult to heal. Leng Cen on the side was startled.

"If you can cut it, you can naturally suture it, and if you can suture it, it will naturally heal. Fang Han replied, looking confident.

There are many factors for wound healing, in addition to the patient's own condition, the technique and level of suturing can also affect wound suturing, Fang Han is very confident in his own suturing.

His current sutures are already high-level sutures, which is really not good, and the level of sutures can completely offset the impact of the length of the wound.

Leng Cen didn't say anything more.

"Electric knife. ”

After cutting the skin, Fang Han changed to an electric knife and cut the layers under the skin and abdomen in turn......

As Fang Han continued to cut open, Leng Cen and the others also hurriedly began gauze blood tests to electrocoagulate and stop bleeding.

"Protect the incision, hang the hook!" Fang Han's voice sounded.

Leng Cen hurriedly began to cooperate, and the nurse on the side also handed over the saline gauze pad, and Fang Haoyang and Li Wenjun cooperated with each other to fill the gauze to protect the incision.

As the operation progressed, Fang Han instantly felt the effect of Leng Cen.

As a thoracic expert, although Leng Cen has never had liver resection surgery, he is very familiar with many surgeries, so he has a very accurate grasp of the timing and cooperation is also very timely, and many times he does not need Fang Han's command.

Several people involved in the operation today, except for Leng Cen, even Wen Xueyi is a layman, Wen Xueyi's basic skills are good, but the most he can do is bone injury surgery, and he doesn't know much about extrahepatic and extrathoracic surgery.

There is a big difference between extrahepatic surgery and orthopedic surgery, not to mention the amount of bleeding is a big difference.

The success rate of the operation is greatly affected by the cooperation during the major surgery, and the error rate of the mature surgical team during the operation is much smaller than that of the unfamiliar team during the operation.

The biggest point is that poor coordination can greatly prolong the time of surgery, such as liver resection, the longer the operation, the more bleeding, and the greater the risk.

Adequate preparation, optimal cooperation of the patient, and skilled coordination skills during the operation are all important guarantees for the smooth operation of the operation.

With the suspension of the retractor, the field of vision gradually began to be revealed.

Leng Cen leaned over and took a closer look, and his heart palpitated: "The right half of the liver is seriously damaged, and the location of the tumor is also relatively special, close to the hepatic artery, if it is not handled properly, the probability of heavy bleeding is very high." ”

"Xiao Fang, do you have confidence?" Fang Haoyang was also a little worried at this time, although he had seen Fang Han's level and knew that Fang Han's level was not below Tian Yitao, but such an operation, even Tian Yitao did not dare to guarantee it 100%.

This operation can be said to be the first liver resection operation in the real sense of the emergency department, if it is successful, it will naturally have many benefits, but if it fails, the adverse effects are also very large.

Fang Han probed in detail, and did not say anything, but his consciousness instantly sank into the sea of knowledge, and the communication system.

After entering the system, Fang Han instantly entered the inventory.

"Use simulation cards. Fang Han's consciousness touched a card in the inventory and gave an order in an instant.

Fang Haoyang attaches great importance to this operation, and Fang Han also attaches great importance to it, not only this operation, but also treats every patient Fang Han is going all out and never hiding his selfishness.

As a doctor, any reservation in the treatment process is irresponsible to the patient, so at this time, Fang Han did not hesitate to use the simulation card.

Just like a big accident in the thirtieth year of Chinese New Year's Eve, Fang Han did not hesitate to use the promotion card and copy card, wasting two high-level cards.

No, it can't be said to be a waste, the two premium cards played their part completely and saved the lives of many patients.

Although the use of two cards, the worship points gained are definitely not as valuable as the two cards, and it may save the patient's life, which is the most important thing.

The simulation card can instantly simulate the surgical scene that Fang Han has participated in, and no matter how long the simulated scene lasts, the outside world is only for a moment.

Now that Fang Han is already participating in this operation, then using simulation cards can instantly make the current scene of this operation manifest, so that Fang Han has a chance to try.

What is the biggest risk of surgery, the biggest risk is that there is a mistake, the operation fails, there will never be a chance to do it again, once there is a mistake, there is an uncontrollable accident, the consequences will be a fresh life.

But with the simulation card, Fang Han can do it all over again, in the simulation scene, he can play to the limit, not afraid of mistakes, to be precise, find out the difficulties in the operation, so as to avoid this mistake in the real operation.

Although Fang Han copied Tian Yitao's advanced left and right hemiliver resection, it was completely okay to deal with the current operation, and the risk was not too great, but Fang Han still chose to use simulation cards.

Doctors do not avoid risks, and doctors do not hide their secrets.

As a doctor, you should not hold back on your patients at any time and do everything you can to minimize the risks.

Since he had duplicate cards, but Fang Han didn't have 100% confidence, then he naturally didn't need to hide the simulation cards.

Whether it is the system, whether it is the various props or skills extracted by the system, they all exist to cure diseases and save people, which he understood from the first day Fang Han got the system.

Therefore, when he first entered the emergency department, even if there were not enough worship points, Fang Han would not hesitate to exchange temporary skills to enhance his ability.

Healing and saving people is not a business, it is not a business, there is no need to hide it, if a simulation card can ensure the success rate of the operation, then it will play its greatest value.

As Fang Han's consciousness moved, Fang Han felt that he had reappeared in an operating room, exactly the same scene, exactly the same patient, exactly the same situation.

Exactly the same surgery, the same surgery, try it first, this is another effect of the simulation card, and in a way, this point may be the power of the simulation card.