Chapter 933: Excision
"Let's go out and talk. Fang Han nodded.
Although he has performed a perfect resection of the hemangioma in the simulated space and successfully completed the task, if there is an accident during the operation, it is still necessary to notify the patient's family.
Moreover, the actual operation and simulation space are also different, and if there are any variables, it is always necessary to explain to the patient's family.
"Xiao Chen, you go and tell the patient's family about the situation. Kuang Mingzhuo instructed Chen Binyang.
Chen Binyang is the third assistant, and there is nothing to do at this time.
"Okay, Director Kuang. Chen Binyang answered, got off the operating table, took off his gloves, and walked out of the operating room.
Outside the operating room, Xu Kai is still walking back and forth, it has been an hour and a half, and I don't know what the situation is inside, is it smooth?
At this time, Xu Kai was a little envious of Fu Weihong, although Fu Weihong was outside the operating room, but in the later time, someone came to tell him about the operation from time to time.
Big people have the benefits of big shots.
"Brother-in-law, you can sit and rest for a while, the operation is still early, it is only an hour and a half, according to the progress of the previous operation, there is at least one more hour. ”
Xu Kai walked to Peng Donghai and sat down, and said, "I can't sit still, I don't know what's going on inside, my heart is up and down." ”
"Don't worry, Fang Han's level is very high, didn't the last operation go very smoothly, they are all intrahepatic bile duct stones. Peng Donghai comforted.
"Haizi is right, the last operation went well, shouldn't there be a problem with our operation?"
"Hopefully. Xu Kai folded his hands and prayed
With the foundation of the previous operation, he was able to calm down a little.
Less than a minute after Xu Kai sat down, the door of the operating room opened, and a doctor in a white coat walked out of it: "Who is Xu Guozhu's family?"
"I, I ......"
Xu Kai hurriedly got up, Peng Dongmin and sister-in-law Peng Donghai also hurriedly stepped forward, Xu Kai asked urgently: "Doctor, how is the operation, did it go well?"
"Are you Xu Guozhu's family?" asked Chen Binyang.
"Well, I'm his son. ”
"I'm here to tell you that something has happened, and you have to be mentally prepared. Chen Binyang said.
Xu Kai's face turned pale in an instant: "Unexpected situation...... My dad ......."
"Doctor, what's the accident, is my dad dying? The sister-in-law also asked in a trembling voice.
Peng Donghai and Peng Dongmin's faces also changed, unexpected situation?
It's not a good thing that there are accidents in this kind of surgery.
"Don't worry, the patient is fine now, and there is no danger for the time being, but if there is an accident during the operation, the risk of subsequent surgery is still relatively large, and I still have to communicate with your patient's family here." ”
"Doctor, what's the situation, wasn't the last operation good, why did there be an accident when we arrived at our house?"
"Listen to me, okay?" Chen Binyang raised his voice.
"Everyone, be quiet, listen to the doctor first. Peng Donghai hurriedly interjected.
Xu Kai and the sister-in-law stopped interjecting, but their faces were full of anxiety.
Chen Binyang said: "The patient was accidentally found to have a hemangioma during the operation, and the location was relatively special, and the preoperative examination did not detect it. ”
To be honest, Chen Binyang is a little scared at this time, hemangioma, there was no abnormality when the patient was conditioning and losing weight before, it was really a trick.
"Hemangioma?" Xu Kai was stunned.
"Liver hemangioma is a relatively common benign tumor of the liver, most common in clinical clinics, cavernous hemangioma, most of the patients have no obvious discomfort symptoms, the general hemangioma can be found in the B ultrasound examination, if the location is not good, the hidden is deep, it may not be detected. ”
Chen Binyang explained: "A simple hemangioma can be surgically removed, but this time it was found during the operation, the location is not good, the surgical field is more serious, and the patient has symptoms of liver cirrhosis, and the hemangioma found is sclerosing, and the blood vessels near the hemangioma are very brittle......
Chen Binyang explained the situation and risks in detail, and said: "Now Dr. Fang is still operating, but in the event of this accident, the risk of surgery must be very great, I hope you can be mentally prepared." ”
"Hemangioma, how can you find a hemangioma?"
Xu Kai muttered, why did he have an accident when he arrived at their house, why was he so unlucky.
"Doctor, can this operation be successfully completed?" asked Peng Dongmin.
"It's not good to say, but Doctor Fang and Director Kuang will definitely do their best, so don't worry too much. Chen Binyang explained a few words, then turned around and went back to the operating room.
"Why are you so unlucky?"
Xu Kai's legs were a little weak, so he was so upright, why did there be an accident.
"Brother-in-law, you don't have to worry too much, Uncle Xu is still undergoing surgery, and the doctor just said that it was risky, and he didn't say that something would definitely happen. Peng Donghai comforted.
"Something is going to happen, for sure. ”
Xu Kai's lips trembled, and his voice trembled: "I understand the routine of the hospital too well, if the risk factor is not big, they will not come out to notify, and coming out to notify must mean that something has happened, and now they are just doing their best and obeying the destiny of heaven......"
Peng Donghai: "......"
Chen Binyang returned to the operating room, washed his hands again and changed his gloves on the operating table, Fang Han had already taken off his gloves and was disinfecting his hands.
"This position, re-block the artery, move the position, Chen Binyang is about to pull the hook, Xiao Yunheng remains still. Fang Han commanded.
In the classroom of Yanjing Hospital, seeing Fang Han taking off his gloves, some doctors were puzzled: "What is Doctor Fang planning to do?"
"The hemangioma is on the back of the liver, and if you want to remove it, you have to move the liver, and the blood vessels near the hemangioma are relatively brittle, so you can't use instruments. Qi Meng explained.
Fang Han's level of freehand hemostasis is very high, and every time he stops bleeding with his bare hands, he takes off his gloves because the gloves will affect the touch of the skin and affect the judgment, and this time it is almost the same.
Surgical gloves are thin and can have an impact on direct contact with the skin.
It's like that, with tao and without, it's completely different, and it feels almost the same, although it's only a slight gap, but there is also a gap.
Fang Han estimated that he was prepared with both hands. ”
Chen Peizhong said: "Fang Han's level of hemostasis with bare hands is quite high, and he may also be ready for hemangioma rupture by doing this, and once the hemangioma ruptures, he can also stop the bleeding as soon as possible." ”
Qi Meng nodded: "Well, there is a possibility." ”
Fang Han's bare hands to stop bleeding Qi Meng had heard of it, and it was very powerful.
In the operating room, Fang Han glanced at everyone and said, "Get ready, Director Kuang will listen to my orders." ”
As he spoke, Fang Han stretched out his hand, one hand lightly touched the patient's liver, and the other hand pressed on the other place, the patient's liver was temporarily displaced, but the compressed blood vessels were not affected.
This operation is simple to say, but in fact, both the strength and the direction requirements are quite high.
When Fang Han stretched out his hand, everyone watching the operation sweated for Fang Han.
Why didn't Fang Han let Xiao Yunheng move casually just now, it was because of liver compression, whether it was liver deviation or squeezing, it might cause the hemangioma to rupture, at this time, Fang Han used his hand to displace, exposing the surgical field, and the operation should be very careful.
"The surgical field was exposed, and the hemangioma did not rupture, which was simply perfect. ”
In the demonstration classroom of Yanjing Hospital, many doctors were shocked by Fang Han's operation.
The layman looks at the bustle, and the insider looks at the doorway, and only these laymen can see the difficulty of Fang Han's operation just now.
"The judgment of the position is too accurate, the strength is also very good, and the direction is also very accurate, I am in a cold sweat. Chen Peizhong let out a long sigh.
"Awesome. Qi Meng also praised it.
Although they had judged that Fang Han had actually made two preparations, it was a completely different concept to break or not to break.
The patient's condition is poor, the body is fat, and there is a high probability of three highs, once the bleeding is made, even if Fang Han stops bleeding in time, it will have a great impact on the operation.
"Director Kuang. ”
Fang Han reminded Kuang Mingzhuo, Kuang Mingzhuo hurriedly started to remove the hemangioma, and Fang Han was in charge of directing on the side.
"It's about half a centimeter, and you can remove a part of the liver tissue by the way, pay attention to proportion. ”
Kuang Mingzhuo's level of liver resection was not low, and with Fang Han's guidance, the hemangioma was successfully removed.
"Whew!"
Chen Peizhong, Qi Meng and others, who were watching the operation, also let out a long breath.
The liver is rich in blood circulation, and the difficulty of liver surgery is already great, and this unexpected hemangioma really makes people sweat.
"Fortunately, the hemangioma is not too big. "Some doctors saw the hemangioma that Kuang Mingzhuo had cut out.
"It's not big, but the location is too tricky, but the part of the intrahepatic bile duct stones is completely different, and the difficulty of operation is quite large. Chen Peizhong said.
The liver is an organ with a very rich blood supply, and the specific liver range to be removed should be selected according to the location and size of the hemangioma.
Simple hemangioma resection is not a minor operation, not to mention that this time it was accidentally found in intrahepatic bile duct stone surgery, and the two are not the same position, the surgical field is limited, and the difficulty is not half a star.
"Director Chen, have you noticed, Fang Han has always been very calm when he was operating just now, and he started to assign tasks and divide labor and cooperate before, what does this mean?" Qi Meng said to Chen Peizhong.
This shows that Fang Han has long been confident, from the moment he exposed the field with his bare hands, he has already made a judgment on where to cut and how to operate. Chen Peizhong gasped.
It's horrible.
"Yes, we said before that it depends on luck, the doctor's level accounts for half and luck accounts for half, and now it seems that there is no luck in the operation. Qi shook his head violently.