The next day, in the operating room, Zhang Fan was the chief surgeon, Zhao Quanping was the first assistant, Zhao Jun was the second assistant, and Li Jingjin, professor of hepatobiliary tumors at Dida, was on the platform of the operating room. He didn't have much confidence in the eradication of this kind of tumor, although it was an invited consultation expert, he was not very optimistic that Zhang Fan could do it, but he didn't say it, let's do it first! Lao Chang also came, although they are all systematic experts and professors, but he and Li Jingjin have a bad relationship, they are both experts of the same level, and they are also in a region, and the hospitals that go to the acupoints are just that, and if you have more, he will have less, so it is not wrong that his peers are enemies.

The two of them didn't feel embarrassed, standing on both sides of the operating table, although there was no communication, but neither of them was optimistic that Zhang Fan would be able to perform the operation, such a young doctor, and such a big operation and such a high-end operation, it was really a bit of a joke.

They are all here for consultation, as long as they don't have surgery, they are not responsible, anyway, they are not afraid of big things when they see the excitement, the city hospital insists on doing it, and Lao Li does not insist on it!

At the beginning of the operation, Zhang Fan chose a conventional incision, which preferred a larger opening than a smaller one. A small incision may feel like a small incision, but in fact, the vision is not clear, and the damage to the inside of the organ is greater. The sharp knife cuts through the skin, and the fat layer cracks the skin. Electric knife to stop bleeding, light smoke is misty!

Entering the abdomen, Zhang Fan began to explore the size and extent of the tumor to see if the tumor tissue had truly invaded the hilum and large blood vessels. The tumor is really not small, it occupies a large space in the middle lobe of the liver, Li Jingjin and Lao Chang also saw the size of the tumor when they stood on both sides, and shook their heads at the same time, it was too big. Maybe it has already violated the large blood vessels! If you are not careful, you will not be able to run away from liver failure!

Zhang Fan gently touched the tumor tissue, the tumor tissue grew rapidly and domineering, and the damage to the body and tissues was particularly large, and there was a thin film on the surface, which would break if you were not careful. This patient's tumor has invaded the large blood vessels, and if it moves a little too much, it may burst and bleed.

Zhang Fan slowly separated the liver and kidney ligaments and severed the deltoid ligament. This surgery is much more difficult than ordinary liver surgery, and the movement is too large to break the ulceration and bleed, so every action is careful and careful!" Zhang Fan said simply. Zhao Jun immediately wrapped the liver in gauze and held the liver with both hands, and the last ligament, the coronary ligament, was separated and severed. The ligaments that hold the liver in place are free, and the assistant has to bend over to support it to ensure that the liver cannot move.

Zhao Jun bent over, he was the chief physician, working as an assistant for a hospitalized person, doing hospitalized work. But he didn't complain at all, this is the team, this is the doctor, this is the characteristics of the technical position, only the technical hero.

The surgical round knife gently glides through the liver capsule, and slowly enters the liver tissue with a large curved hemostat at the anterior edge of the liver, and the clamp enters little by little. At this time, it is very important, it must be accurate, and you must be very familiar with the anatomy, otherwise you will miss a blood vessel, and it will be difficult to stop the bleeding in this case.

The vena cava and short hepatic veins are ligated one by one to stop bleeding, and the liver has two sets of blood supply systems, which are particularly complex. However, the veins and arteries leading to the other liver lobes cannot also be ligated, otherwise the other liver lobes will be avascular and necrotic after the operation. After confirming the success of the ligation of the blood vessels, Zhang Fan gently let go of the hemostat, and the left and right livers, which were already a little grayish-white, recovered their blood color, which indicated that the blood vessels of the left and right liver lobes were unobstructed.

The position of the middle liver lobe is too dangerous, the liver door is close to the inferior vena cava, and the three veins of the liver pass through the middle liver lobe, and the wound bleeding at this position is too much, the blood supply is abundant, and the tissue is complex, which doubles the difficulty of the operation.

Which artery or vein needs to be ligated, and which artery or vein leads to other liver lobes, must be distinguished. When the liver is cut, it is really impossible to identify them without decades of liver surgery. Surgery is so difficult, without a teacher, it is really too difficult and too difficult. This is also the characteristic of why surgery for middle lobe tumors is difficult to do. Without the support of a large number of pathogens, it is impossible to mature. A good teacher is indispensable for a large number of diseases.

Zhang Fan ligated, stopped bleeding, let go of the hemostat, and restored the color of the left and right liver lobes, Li Jingjin and Lao Chang both thought it was incredible, they were already skilled to this point at a young age, both of them were experts, and at a glance Zhang Fan's methods, they knew that this young man was very powerful.

Time passed little by little, four hours had passed, and there was only one last step left in the preparation for tumor removal, after pressing the liver wound with a hot saline bag, the liver cancer tissue was removed. Liver cancer grows too fast, the cancer cells outside are not yet mature, and the internal liver cancer tissue has been necrotic due to lack of nutrition, and the normal nutrition of the human body cannot meet the growth of cancer cells at all.

Five centimeters of cancerous tissue were completely removed. Compression of the wound tissue and bleeding are followed by a chemotherapy drug injected through the omentum vein to kill the cancer cells that enter the bloodstream. Finally, the free omentum covers the edge of the liver, ligates and fixes.

The operation was considered a success, because the tissues around the liver cancer were treated very cleanly, and when the liver cancer was removed and put into the tissue dish, Lao Li said in amazement: "Accurate liver resection!

Lao Chang quietly left the operating room after seeing that Zhang Fan had completely removed the cancer tissue, and there was no major bleeding, and the patient's vital signs were particularly stable.

Chang Chang left, no one cared, the expert group outside the operation was still on standby, watching the gray Lao Chang leave, as if ignoring, retribution came too fast!

The operation continued, and after Zhang Fan left the drainage tube in place, the instrument nurse counted the gauze and the instruments were completed, and then began to close the abdomen. After more than six hours, after the operation, Zhang Fan began to give oral medical instructions, "Fasting for three days after surgery, replenishing plasma and albumin, and low-flow oxygen." ”

After listening to Zhang Fan's doctor's instructions, the attending officer of the general surgery department said, "Received!" The patient was sent to the ICU by the anesthesiologist and the itinerant nurse, and a group of nurses in the operating room hurriedly stepped forward to help the three surgeons take off their surgical gowns.

Not tired? Not tired is fake, more than six hours, fixed standing, not tired is the robot. Zhang Fan, who had just taken off his surgical gown and gloves, was held by Professor Li of Di Da, "Director Zhang, amazing! Precise liver resection, the technique is too precise, too powerful!"

It is really not easy to get a provincial surgeon to call a director.

"You're polite! Please give me more advice!" Zhang Fan is very polite, he respects people three feet, and he respects people.

Now is not the time to rest, in the lounge of the operating room. The support expert group and Zhang Fan Lao Li began to discuss postoperative care, special care for special diseases, and a set of strict and scientific nursing plans must be formulated, otherwise the operation will be successful, and the patient will be infected and die!

Ouyang personally presided over the meeting, and the directors of each department discussed together, and soon the plan was approved and issued to the nursing department, which was responsible for the chief nurse.

When Ouyang and several surgical directors, Zhang Fan and Professor Di Da Li were left, Professor Li said with emotion: "Dean Ouyang, it's really amazing, your hepatobiliary tumor has come to the front of us, congratulations." ”

"The development of regional hospitals is not easy, and I will need Professor Li's support in the future!" Ouyang was full of red light! Although Lao Chang was gone, now the operation was successful! Ouyang thought of Lao Chang's gray figure, and her heart was very happy, if it wasn't for the wrong occasion, she really wanted to laugh three times!

"Dean Ouyang, I have a proposal, I don't know if I should say it or not!" Lao Li looked at the happy Ouyang and said.

What kind of person is Ouyang, Lao Li knew what Lao Li wanted to say, and immediately said: "There is nothing that cannot be said, you are a professor and expert in a higher-level hospital, if you have any suggestions for our lower-level hospitals, please be sure to give advice." It is really too difficult for us to train a mature doctor, and it is really difficult to retain talents in remote areas~! I have protested several times at the municipal party committee meeting, and the siphoning phenomenon of higher-level hospitals has put too much pressure on us. ”

What Lao Li wants to say, I can't say it! Ouyang is very clear, and he can put forward suggestions and opinions, but if he wants to dig people up, he can't help it. Ouyang even moved out of the municipal party committee!

"Hehe, yes, yes, it's not easy for the frontier hospital to develop, in fact, we are the same, the siphon phenomenon in big cities puts more pressure on us, and many doctors who graduated with a doctorate go directly to the south, and I have no other meaning, I just want to ask Director Zhang to go to our hospital for a few surgeries and give us classes. His precision liver resection is too powerful, I can say that in this area, Director Zhang is the first in the frontier!"

"You're too polite, how can you be, he's still too young to kill! Dr. Zhang is still a resident doctor, going to the provincial hospital to give lectures will make people laugh, we are not self-cherished, so Professor Li, there are such special patients you can bring to our hospital, we make progress together, the regional hospital is too difficult, the lack of doctors, but also the lack of typical patients, the provincial hospital has many patients, the quality of doctors is high, we can form a help hospital, even if the help hospital is not good, you can also form a department to help, how, as long as there are suitable patients, our hospital will absolutely fully cooperate, what equipment is needed, you said, the city hospital does not have, I will apply nowOuyang even vetoed Professor Li's proposal.

"What are you kidding! You want to dig people in my hands!" Ouyang looked at Lao Li proudly, Professor Li shook his head with a wry smile, and turned his head to look at Zhang Fan.

"It's a pity!" he said in his mind.

"Dr. Zhang or is it a resident doctor?" he was unwilling.

"Well, yes, Professor Lee. It didn't take long for me to get my license. ”

"I think it's good that Dean Ouyang suggested this. However, I have an opinion, I can't be the master of hospital-level help, but I can still make the decision on the interaction between departments, and the operation can be done in Chasu City, but the assistants must be all personnel from our department. We develop together, what do you say, Dean Ouyang. Lao Li couldn't succeed, so he immediately turned his head and prepared to train his own doctors.

He was worried that the doctor in his department would go to the mainland for further study, but he was worried that the meat bun would not come back to the dog, but he was very relieved to come to Chasu City!