It is not difficult to remove benign tumors of the liver. This kind of surgery, compared to malignant tumors, is like one in the sky and the other in the ground. And benign tumors are such a thing, it looks down on normal cells.

It stands on its own, with a layer of clothing wrapped around the outermost layer. To put it in layman's terms, it means that a hole is pressed into the normal tissue of the liver with a fist, and then a plastic film is put inside, and a benign tumor is opened in the plastic film.

The operation is very simple, first the surrounding blood vessels are ligated, and then, little by little, peeled off and cleaned, and then the wound is stopped, the abdomen is closed, and the end is over.

Of course, everything is very simple. But that's not the case with that.

A doctor, the most ordinary doctor, five years of undergraduate, three years of rotation, one year of retractor, one year of appendix, hernia and other simple and non-consumable surgery.

If the doctor is skilled and can be a person, then at this time, the doctor who teaches will start to let go a little and let the doctor do peripheral surgery on the liver, that is, a simple gallstone gallbladder removal operation. Note that this is an open surgery.

When the hands are familiar, start to do laparoscopy, continue the above round, and do another round, first learn to make a hole, then learn to use laparoscopy to do the appendix, and then do the gallbladder.

Some people here will ask, the laparotomy is very damaged, the laparoscopy is advanced, why do you still learn to open the abdomen. Actually, the reason is very simple. For example, for appendix, not all appendicitis can be done laparoscopically, but all appendicitis can be done with laparotomy, which is the reason.

Doctors who can't prescribe the abdominal cavity are not qualified to do laparoscopy. Waiting for this ordinary doctor, he has boiled his bald head and survived the years.

When the young man became a greasy uncle, the director's retirement was about to enter the countdown to retirement, and he slowly began to contact the liver.

Zhang Fan has a system, there is no system, the dog is old and wants to have liver surgery, and stay up, human life is a matter of heaven, there is no fluke.

Sometimes, if you think about it, doctors want to rush to the top of the world in the industry.

In fact, just like cultivating immortals, if you want to get ahead in this industry, the excellence of your background (school), the reputation of your teacher (mentor), your own talent and efforts, and the size of your gang (hospital), these conditions are indispensable.

Zhang Fan is really lucky, not to mention the system, he came to a small place after graduating that year, he had the opportunity to practice, and he met a good leader and a good teacher, which is really against the sky.

Benign tumors of the liver can actually be done in municipal hospitals, let alone provincial hospitals, but Zhang Fan has to do it himself if they pay for the flying knife.

When Zhang Fan entered the operating room, the patient was lying quietly on the operating table with his upper body naked and a urinary catheter inserted underneath. Whether it is a rich person or an ordinary person, lying on the operating bed, he is not afraid, Zhang Fan has never seen it.

The patient has not been anesthetized, when he saw Zhang Fan enter the operating room, the patient forcibly put a smile on his face, he didn't speak, he just wanted to speak, but the anesthesiologist gave the drug, and the patient was turned over by numbness in an instant, sticking out his tongue and rolling his eyes.

After the patient was arranged by the anesthesiologist, disinfected and laid out the surgical towel, at first, Zhang Fan washed his hands, and after entering the operating room, the nurse hurriedly smiled and put on a surgical gown for Zhang Fan.

As the nurse tied the straps of her clothes behind Zhang Fan, Zhang Fan stood on the side of the instrument nurse's operating cart wearing gloves. And the mind is full of the patient's various examinations.

Imaging tests, such as CT, MRI, and PET, indicate that the liver tumor is benign, and even the tumor markers in the laboratory indicate that the patient's tumor is benign, but the results of these examinations can only be used as a reference and cannot be used as a diagnosis.

What is the gold standard for tumor diagnosis, which is to cut it down for pathology. Before there is no pathology, the diagnosis of the patient is a question mark, that is, an uncertain diagnosis.

Therefore, during surgery, it is necessary to reserve the operating space for the deterioration of the condition according to the standard of nausea tumor. In surgery, there is a very classic saying: God is not willing to correct a wrong incision.

When the knife falls, there is no way back, and there is no way back for the doctor to regret. Therefore, when a doctor raises a knife, he must have a clear mind, which has been cultivated from years of experience from easy to difficult, and from small to large.

The patient is ready, the surgical position is head high and foot low, intravenous catheters have been implanted in both arms, antibiotics are injected on one side, and energy is injected on the other side, these two channels are actually reserved for blood transfusion in case of accidents during surgery.

Many doctors like the median incision, which is the incision from the xiphoid process to the navel, which has many benefits, because the incision is in the middle, and the surgical plan can be adjusted at any time due to the condition. There are also many disadvantages, and the biggest disadvantage is that the damage is too large.

For benign liver tumor surgery, as far as Zhang Fan is concerned, it is too simple, most of the slightly famous instruments in the operating room are matte, and the only thing that can reflect is the blade of the scalpel.

When a little bit of cold light was reflected from the tip of the knife, Zhang Fan began. The skin was like tofu, and it was gently drawn in a big arc by Zhang Fan.

The muscles were separated, the peritoneum was cut, and with the sound of a click, the abdomen was opened by Zhang Fan, and the liver was exposed in front of the doctors.

The liver, the liver with a benign tumor, is very weird. A normal liver is like an irregularly shaped piece of blood tofu, flat and tender.

The wine owner's liver is different, and his liver painting style with benign tumors is completely different, like the liver grows muscles, like digging a piece of meat from a Belgian blue cow.

Although it doesn't look as uncomfortable as a malignant tumor, it's not as cute as a normal liver.

A normal liver is just like Xiao Zhengtai, which makes people feel a sense of pity or closeness.

And the liver with a benign tumor is like Dwayne Johnson. Looking at it, I can't wait to take a needle to release the qi in his body.

"It looks like it's benign. Zhang Fan looked at the bumps on the surface of the liver, and said to the two directors of the operation, and without waiting for them to reply, Zhang Fan began to probe the patient's body with both hands to see that it was a probing.

This is a necessary step in tumor surgery, regardless of whether it is benign or malignant, the surgeon must use his own hands to make a diagnosis of the organs around the patient's liver.

This action is like the action of shuffling cards with both hands after playing mahjong, Zhang Fan touched the organs around the liver and found nothing abnormal.

Then, he said to the itinerant nurse, "Electric knife!"

"Electric knife?"

The itinerant nurse looked at Zhang Fan uncertainly, and then at the two directors of the hepatobiliary surgery. The girl accompanied the doctors of the hepatobiliary surgery department to perform many surgeries on such benign tumors, none of which were separated with electric knives.

Before Zhang Fan didn't think through it, he would also be separated with his bare hands when he did this kind of surgery, but since Zhang Fan thought through it, it can already be said that there are tricks to change into no tricks, how to damage less, how to come, how to be fast, and how to come.

"Give it to Zhang Yuan!" The director of the fifth department of hepatobiliary was more anxious, and he was a little hesitant to see the nurse, so he said anxiously.

"Hehe, it's okay, give it to me. Zhang Fan smiled. The little nurse was helpless, and handed the electric knife to Zhang Fan.

Then, I saw a faint smoke rising, the electric knife flying in Zhang Fan's hands, and the liver tumor, not a trace of blood could be seen.

"Beautiful!" said the director of the second hepatobiliary department.

The road to medicine is smooth

The road to medicine is smooth