Yenching Hospital, classroom.

At this time, several doctors were also watching the live broadcast of Fang Han's operation, and Chen Peizhong was holding a teacup and drinking slowly.

"Fang Han's level is really not to say, the abdomen opening just now is very stable, obese patients, the risk factor is very large, even if I do it myself, I have to be careful. ”

"Yes, depending on the patient's physical function and viscera, it should be an elderly patient, an obese elderly patient, there must be a lot of underlying diseases, and it is indeed very difficult for such a patient to do liver surgery. ”

Qi nodded violently.

Yanjing Hospital, Chen Peizhong is naturally not the only expert who can do liver resection, Qi Meng's level is not below Chen Peizhong, but Chen Peizhong is the director of the department, and his reputation is slightly greater than Qi Meng.

"Stopped!"

The doctors who watched the live broadcast of the operation discussed while watching, and as they were watching, they found that Fang Han suddenly stopped and stopped the operation.

"What's going on, the picture is zoomed in. Chen Peizhong hurriedly said.

"Looks like something unexpected has happened. Qi Meng said.

"Accidents during surgery are not uncommon, and the operation that is really smooth sailing is not challenging, and with Fang Han's level, it is definitely not a small problem. ”

As the picture enlarged, Chen Peizhong and Qi Meng both looked at it seriously, and soon discovered the abnormality.

At this point, the operation stopped, and in fact the live broadcast was a panoramic view of the patient's condition.

Lin Xintong is in charge of debugging the equipment, and she knows when to switch which shot, when and where to focus.

At this time, there was an accident during the operation, so what kind of accident was this question is not only the concern of the people watching the operation, but also the influence of the other party's cold.

The surgery is not smooth sailing, nor is it 100% successful.

Even if the operation fails, at least let the person watching the operation understand what the accident is, whether it is difficult or difficult, so as to minimize the impact of the other party's cold.

"Hemangioma!"

Qi Meng took a deep breath.

"Liver hemangiomas are generally benign and not malignant, but the location of this hemangioma is very secret and special, fortunately, Fang Han found it in time. Chen Peizhong was also frightened into a cold sweat.

Although it was Fang Han who did the surgery at this time, as extrahepatic experts, they often substituted themselves when watching the operation video, and their mood actually followed the progress of the operation.

If you find a hemangioma, if you take a slow step and accidentally break the hemangioma, it will be annoying.

"Although liver hemangiomas are mostly benign, the possibility of malignancy is not ruled out, and with the patient's physical condition and the characteristics of the liver just now, the proportion of sclerosis is not small, this hemangioma is not a common cavernous shape, nor is it a hemangioendothelioma, it is very likely to be a sclerosing hemangioma. Qi Meng judged.

"If it's a sclerosing hemangioma, it's a problem. ”

Chen Peizhong's eyes were glued to the video screen, and he said slowly: "If it is sclerosis, then the blood vessels and liver tissue near the hemangioma must be very brittle, and they will rupture if you are not careful." ”

"The main thing is that this hemangioma was not found before the operation, but during the operation, and the location is not good, which is really troublesome. Qi Meng nodded.

Union Hospital, Guo Dingwen is also explaining to Luo Binchao at this time.

"Preoperative discovery and intraoperative discovery are two completely different concepts, preoperative discovery, there will definitely be preparation, and the choice of open position will be different, but during the operation, it is difficult. ”

Whether it is liver surgery or heart surgery, the position of the laparotomy is not chosen randomly, the position of the laparotomy incision and the size of the incision, one is according to the patient's physique, and the other is according to the patient's condition.

When choosing the incision and location, it is natural to make it easier to operate.

For example, if the patient is undergoing hemihepatectomy, how to choose the incision, how to choose the right hemihepatectomy, how to choose the incision, intrahepatic bile duct stones, the location of the stone in this place, how to choose the incision, etc.

The same is true for heart surgery, where the lesion is as close to the lesion as possible and more blood vessels are avoided.

Although laparotomy is only a prelude to liver surgery, the choice of incision line is often determined by the doctor's habits and the patient's condition.

The patient's hemangioma was found during the operation, and Fang Han didn't think of this at all after doing it all the way before, but now he found the hemangioma at the critical time, and the operation was very difficult.

Extrahepatic surgery, what surgery to choose, just like what method to choose to do a problem, choose a certain solution idea in front, feel that there is a omission in the middle, and then want to add it, it is difficult.

"Director Chen, Director Qi, how should I operate in this situation during the operation?" In the demonstration classroom of Yanjing Hospital, a doctor consulted Chen Peizhong and Qi Meng.

"The hemangioma must be removed first, if the hemangioma is not removed, the stone cannot be removed, and if the hemangioma ruptures when it is obtained, it will be really too late. Qi Meng said.

"The hemangioma must be removed first, but the current situation, it is difficult to operate, how to cut, where to choose as the entry point, this is the difficulty, in the face of this situation, there is only one chance, once the choice is wrong, the hemangioma ruptures, the patient is in danger, and the operation fails. ”

Chen Peizhong said: "In this case, on the one hand, it depends on the experience of the chief surgeon, and on the other hand, it depends on luck. ”

"I can only gamble on my life!" Qi Meng also said.

Chen Peizhong nodded and said, "In the face of this situation, even if the operation fails, Fang Han can be regarded as doing his best, let's see how he does it?"

Dr. Fang closed his eyes. There was a doctor on the side.

"It seems that Fang Han doesn't know what to do anymore, the choice is very important. Chen Peizhong nodded.

"Pause a little, sort out your thoughts, make the right choice as much as possible, don't be impatient or impatient, Fang Han is really good. Qi Meng nodded.

"Yes, in the face of this situation, the chief surgeon must not panic, once panicked, the failure rate will increase exponentially. ”

Jiangzhou Provincial Hospital, Tian Yitao was also watching the live broadcast of Fang Han's surgery at this time.

Seeing this, Tian Yitao's face also became solemn.

This is a big problem, if one is not good, the patient will not be able to get off the operating table.

Jiangzhong Courtyard Observation Room.

There are indeed a lot fewer people at this time.

The leaders of the hospital are basically gone, and Mr. Xu has surgery, but the leaders of the hospital don't care, and he is not Fu Lao.

However, many people in the emergency department are still there at this time, and Fang Haoyang is also in the observation room.

"Stop, is this something going on?"

The doctors in the observation room were stunned.

Compared with Chen Peizhong and Guo Dingwen and others, the level of Li Xiaofei and others is much worse, and Fang Haoyang doesn't understand it very well.

Although they couldn't understand it, there was a voice, the sound of Fang Han and Kuang Mingzhuo discussing, Fang Haoyang and the others really listened to it.

"Hemangioma?" Fang Haoyang's face changed.

Although he had never had a liver removed, he knew what it meant to have this condition during surgery.

In the operating room, Solis also looked nervously at the operating table, and at this time, the entire operating room was instantly quiet, and the nurses did not dare to take a breath.

The entire operating room was only the sound of instruments and the sound of people's breathing.

Xiao Yunheng pulled the hook, motionless, maintaining a fixed posture, at this time, his hand must be steady, an unstable may cause traction or squeezing, resulting in the rupture of the hemangioma.

Kuang Mingzhuo's face was also solemn, looking at Fang Han, he didn't have any suggestions at this time, he could only hope that Fang Han could create a miracle.

Fang Han closed his eyes at this moment, and he was aware of the communication system.

"Redeem high-level items, high-level simulation cards!"

"To exchange for advanced simulation cards, it takes 25 million worship points, may I ask the host if you can redeem them?" the system's routine confirmation inquiry sounded in Fang Han's mind.

"Redeem. Fang Han did not hesitate to give an exchange order.

His current worship points are close to 150 million, and the Wanbao incident has brought him a large number of worship points, although the heat has dropped now, Fang Han also has hundreds of thousands of worship points every day.

"Ding....... The host redeems advanced simulation cards, 25 million worship points are deducted, and the balance of worship points is 128.56 million points, and the simulation cards have been distributed, and the host can check them in the inventory by themselves. ”

Fang Han didn't listen to the system's verbosity at all, his consciousness entered the inventory, and a golden card prop in the inventory was placed inside.

Fang Han's consciousness touched the simulated card and used it directly.

As Fang Han gave the instruction to use it and selected the simulation object, the scene in front of him changed, and he had already arrived at the simulation space.

The simulated space is still the layout of the operating room of Jiangzhong Hospital, and the patients are lying on the operating table, but there are no Kuang Mingzhuo, Xiao Yunheng and others, and there are no nurses, and there is only Fang Han alone in a huge operating room.

At the same time, the patient has just been sent to the operating table to be anesthetized.

Fang Han's consciousness moved, the scene changed, and the patient had become an open abdomen, but the situation of the patients outside was generally the same.

This time, Fang Han used simulation cards in the operation, so the previous operation has been finalized, and the operation cannot be restarted, and in the simulation space, Fang Han can only start from the progress of the operation outside.

Simulating the space, Fang Han tried many times, constantly operating, constantly looking for an entry point, but it was only a moment outside.

Kuang Mingzhuo and the others only felt that less than a minute had passed, and Fang Han opened his eyes.

"Doctor Fang!"

"Xiao Yunheng keep not moving, I will operate later, expose the location of the hemangioma as much as possible, Director Kuang, you will remove it." Fang Han commanded.

This operation is not something that Fang Han can complete alone, it requires the cooperation of three people, to be precise, the removal of hemangioma needs Kuang Mingzhuo to complete, what he has to do is to help Kuang Mingzhuo, expose the surgical field under the condition of ensuring that the hemangioma does not rupture, and create operation space for Kuang Mingzhuo.

"Hmm. ”

Kuang Mingzhuo took a deep breath and nodded.

"Sclerosing hemangioma, the blood vessels near the hemangioma should be very brittle, Director Kuang should try to pay attention to it when operating, and listen to my command later. Fang Han reminded.

Kuang Mingzhuo nodded again and reminded Fang Han: "Doctor Fang, do you want someone to inform the patient's family?"