The gallbladder was removed, and the gallbladder like a large purple grape was cut off by Zhang Fan. The oily and slippery gallbladder purple is beautiful, and it can really make people want to lick it.

"Curved disc!" the gallbladder was placed in the curved disc. Immediately afterwards, Zhang Fan said: "Into the liver!"

With Zhang Fan's voice, Professor Zhao Jingjin became more focused, and success or failure was in an instant. Although he and Zhang Fan have had this kind of surgery, no one dares to guarantee that it will be successful every time.

There are so many accidents in surgery that a single xenogenetic blood vessel can lead to the failure of an operation.

With Zhang Fan's voice, the doctors in the Department of Science and Education also involuntarily straightened up. Although Zhang Fan did a very good job of organizing and cleaning in the early stage, he was very accurate, but none of the directors present could not do this kind of cleaning.

Therefore, everyone just agrees that Zhang Fan's level is okay, which can make everyone look at it levelly. If you want Gao to take a look, it's impossible, the next thing is the point, whether it's a master, the next thing can be reflected, and the bright move is made.

If there's a voiceover, it's time to show off your skills!

Everyone who was originally chatting stopped talking, and their eyes widened as they watched Zhang Fan's next operation.

Hepatobiliary belongs to general surgery, although it is also a relatively difficult department, but it is much easier than gastroenterology and brain surgery. If it is a doctor who does it all outside the brain, it is estimated that it is a bald head of half a house, like a master who has practiced iron head skills.

"You say, which technique is he going to use? "Some doctors who have just graduated with a doctorate in the back row of the Science and Education Hall are almost dying of jealousy when they look at Zhang Fan in the monitor.

He is not very old, and the surgery has reached such a superb level, is there any reason to say.

"I don't know. With such a huge central liver tumor, there is no successful surgical method in the first place, could it be that he created it himself?"

"No, how old is he! Have you read the anatomy book ten times?" Another doctor in the older grade directly thought that Zhang Fan could not succeed.

"Look at his separation, don't say it ten times, it is estimated that he can write out the anatomy silently. ”

The newly graduated doctor in the back row picked up his eyes, but he was still a little lacking, this thing can only be improved by time and the amount of surgery, not books alone.

After cutting out the gallbladder, I began to look for the liver duct along the gallbladder, ligated, ligated, and the scope began to shrink little by little.

"What is he going to do! This is the middle lobe of the liver, such a large-scale resection, aren't you afraid of liver failure?" The directors in the front row of the Department of Science and Education were all surprised, the area of the liver that Zhang Fan handled was too large.

"Crazy! Crazy! Tell the Dean. The other director said directly to the doctor in his department behind him. Whatever the purpose, he informed the Dean directly.

Tumor resection is not peeling off the walnut skin, not being removed close to the tumor.

It is necessary to carry three or four centimeters of normal liver tissue, because cancer cells will infiltrate and metastasize, and only with three or four centimeters of liver tissue or even more normal tissue can the goal of removing the tumor be achieved.

The tumor in the middle lobe of the liver is difficult, because this is the only way for the liver to pass, if the scope of resection is too much, the surrounding vasculature will be completely destroyed!

Determine the extent and begin the excision. At this time, Zhang Fan's precise surgical method was revealed, and the scalpel accurately cut off the liver tissue.

Although he had undergone this kind of operation with Zhang Fan several times, Lao Zhao was still nervous when he looked at Zhang Fan's hands. The tissue is gently cut open with a sharp scalpel.

The distance here is not centimeters, but millimeters, or even microns, such a narrow distance, not to mention finger shaking, or taking a deep breath, maybe the scalpel will cut through the hepatic hilar blood vessels.

A knife, a knife, a knife, a knife, as the liver tissue was separated little by little, Professor Zhao Jingjin didn't even dare to breathe satisfactorily, aggrieved, he was willing to hold back his breath, at this time, his scalp began to numb.

The oval tumor the size of a fist, Zhang Fan began to cut around the tumor like a radish peeling. The reason why tumors are terrible is because this thing grows too fast.

Cell growth depends on nutrients in the blood, so the more malignant the tumor, the more abundant the blood vascularization. Tumors grow in places where blood vessels are very abundant in the liver.

Zhang Fan breathed slowly, took a shallow breath, and slowly spit it out, afraid that his hands would tremble, this set of techniques, I don't know how many times I have done it in the system, I have already been very proficient.

Scratching the tissue slightly, as if cutting sashimi, the liver tissue is separated little by little.

The director of the affiliated hospital also came to the Department of Science and Education. Although he is not from an ordinary background, he is an expert outside the brain, looking at Zhang Fan's exquisite skills in the monitor.

He was originally angry, but the anger in his heart disappeared in an instant, and it did not affect the other doctors in the Department of Science and Education, so he stood quietly in the last row and watched Zhang Fan in the monitor perform the operation.

"Chasu, City Hospital, Zhang Fan, Zhao Jingjin. These nouns kept circling and circling in his head.

The directors in the front row of the Science and Education Hall, who had already begun to be noisy, looked at Zhang Fan's precise technique, and slowly quieted down, and the people who were originally chatting stopped talking.

His eyes widened and he looked at the dexterous and steady hands, "It's too steady, it's too accurate, and a little to the right is the right hepatic artery." It's too bold!" The director who called the old man looked stupid, really stupid.

"How did he do it?" A few millimeters of the knife, one or two knives may still be able to do it, but how many knives do you need to separate to cut a fist-sized tumor.

Almost every time, they are on the verge of death, not to mention the people who have surgery, and even these melon-eating directors are beginning to tense their nerves. The more I know, the more I know the difficulty of this operation.

"Impossible, impossible!"

"It's impossible, it's all done halfway. ”

"No, I mean, he can't be a doctor at the district hospital! There are so many sick numbers in the district hospital, let him practice. This technique, this technique can be done at such a young age, it is impossible to be a doctor in a regional hospital. Lao Zhao is deceiving people!"

Several directors were fascinated, from not believing it at first, to really seeing such a superb technique with their own eyes, it is not a little shock that can be described. And it was done by a little-known little doctor. If it weren't for the daytime, if they weren't all materialists, they would probably have seen ghosts.

"No matter where he comes from, Lao Zhao should not be occupied alone, this kind of surgery needs to be promoted. A director, who was a little older than the others, said in a slightly raised voice.

"Yes! It must be promoted, and some people must not be allowed to occupy it, this is the behavior of academic tyrants, this is the behavior of medical tyrants. ”

Listening to the excited and indignant voices of the directors, the dean was relieved, came quietly, left quietly, and the rest of the things, without him, these directors will definitely show their own skills.

It's like a toad in a quagmire, everyone stays in the same quagmire, no problem, as long as one of them wants to climb out, the other toads will definitely start to pull their hind legs.

Lao Zhao wants to occupy Zhang Fanxue's surgical method, and if others don't know, it's okay. Now I know, hehe, everyone is not stupid.

With the progress of the operation, Zhang Fan's sweat began to slowly converge from one or two pieces to one big one, two large pieces, which was too draining of spirit and strength.

A scalpel as light as a feather, Zhang Fan has to spend a lot of effort to accurately control it to the millimeter range, this kind of operation, a single operation is not easier than moving bricks. And it is more energy-consuming, the eyes are there, the hands are about to arrive, and the hands are there, and the mind is one step or even three steps in advance, and the next knife position is figured out.

For tumors in the center of the liver, there is hardly anything that can be called a textbook surgical method. Lu Lao's senior brother, Academician Wu Mengchao, also successfully performed this kind of surgery.

However, because the difficulty of the operation is too high, as the elderly get older, this surgery has slowly withdrawn from the medical field, and it will not even appear in textbooks.

If you can't do a good job of this kind of difficult surgery, it is murder, so even the surgical surgery published by Wu Lao after he was old did not include this kind of operation.

"He's starting to use the handle of a knife! He's going to completely remove the tumor! He's starting to use the handle of a knife!" As Zhang Fan dissociated little by little, the fist-sized liver tumor was finally slowly cleaned up. All that remains is the last bit at the bottom of the tumor.

Sweat had already soaked Professor Zhao Jingjin's hand clothes, and if he took off his surgical gown, he would definitely be like he had been fished out of the water, and even the toes in his slippers were covered with sweat.

If you have no desire, you are strong, not that Professor Zhao has experienced less things, but that he attaches too much importance to this operation.

With Zhang Fan's gentle stroke with the handle of the knife, the tumor held by the liver forceps was pulled out.

"What are the blood pressure, heart rate, and the patient's vital signs?" was originally a question asked by the surgeon, but Professor Zhao Jingjin couldn't help it.

"Everything is normal, does Director Zhao need to lower blood pressure now. The anesthesiologist answered the question and asked again. At this time, the center of the liver became a large hole.

Although the upper and lower blood vessels were ligated, the remaining blood in the liver began to seep out, and after a while, the gap was filled with blood.

"Huh!" Professor Zhao Jingjin realized that he seemed to be a little anxious, so he didn't speak, but looked at Zhang Fan.

"Lower your pressure, don't lower it too fast, slow it. Zhang Fan didn't care.

At this time, not only the anesthesiologist, but also the itinerant nurse of the operation began to become polite.

"Dr. Zhang, you wait a little while I'll change you to a towel. ”

"Thanks, gelatin sponge. "How Zhang Fan used to speak, and how he still speaks, has not changed because of the change in the other party's attitude.

The gelatin sponge stopped the bleeding, and the obvious bleeding at the incision around the liver was treated by Zhang Fan's ligation a little bit.

Zhang Fan said to Professor Zhao while starting to wrap up: "Pay close attention to the changes in liver function after surgery, although the operation is completed, the postoperative care must keep up."

Antibiotics are given intravenously for three days, and if necessary, the use time can be extended, and after the disease is detected, the decision is made on whether the patient will undergo chemotherapy and radiotherapy in the later stage. ”

Just as a senior doctor explained the precautions to a junior doctor, Zhang Fan said that Professor Zhao agreed, and Lao Zhao was not angry at all, but excited.

The anesthesiologist, instrument nurse, and itinerant nurse looked at their Director Zhao in surprise, "Is this still the professor? Is this still the same Director Zhao?"

"Okay! Dr. Zhang, rest assured, our department is still doing a very good job in this regard. ”

In the science and education hall, there were only some doctors and ordinary doctors left, and when the directors of the department saw Zhang Fan take out the tumor, one by two, they scattered as if they were on fire.

"Lao Zhao, is there a Zhang Fan in your hospital?" This is a director who called the director of Cha Su Puwai.

"Yes, what's wrong?" Zhao Ping was all puzzled, why did the director of the third department of hepatobiliary of the Affiliated Hospital of Bird City take the initiative to call him, what an arrogant person he usually is.

"How's your relationship with him? The director didn't say what he wanted to do, he couldn't say anything about learning from a lower-level hospital and a hospital he had never seen before.

"It's good, it's easy, I'll call him later. ”

"Okay, make an appointment for me, I'll treat him to dinner. ”

At the same time, none of these directors were left behind, and the eight immortals began to contact Zhang Fan to inquire about it.

"Unreliable Lao Chang, why is the phone number empty!" "Lao Chang is really scared, this has become a haze.

"What, he's a doctor in the orthopedic department of your hospital?"

"Don't be kidding, I'm talking about Zhang Fan, how many Zhang Fan are there in your hospital!"

"What kind of world, mother! An orthopedic doctor, doing liver tumors and flying. It's okay to have a face!"

"Itinerant nurse, help me scratch my left ear, why is it a little itchy!" Zhang Fan wondered, who is scolding me?

"Recently, everyone has paid attention, as long as there is a huge tumor in the liver center, tell me, accept such a patient number, and the department will reward three hundred. After contacting Zhang Fan, the directors of the department began to grab the patient number.

Everyone has the same idea, he can do this surgery, as long as I learn a few times, can't I learn it? I am also the director of the hepatobiliary surgery department of the provincial hospital!

The affiliated hospital, which was not calm in the first place, surged an undercurrent.

"Didn't your relatives find a huge tumor in the center of the liver last time?"

"yes, what's wrong?"

"Hurry up and let him come to the hospital, our department can do the operation for him." "One of the doctors in the hospital had a relative who also had this disease, and he had visited several doctors with a checklist.

"Last time your relatives ......"

"Hepatobiliary Department IV, said they could do it! Just called me. "The doctor from another department also called.

"How's our relationship?"

After the operation, when he came, Zhang Fan came quietly. At this time, outside the operating room, not only family members were waiting for Zhang Fan, but even the leaders of the hospital office were waiting for Zhang Fan.

"The surgery was done, and it was completely removed. If the recovery is good in the later stage, there should be no recurrence. Zhang Fan looked at the excited family members of the patient, took off the mask and smiled slightly, and told him calmly.

"Thank you, thank you. The family members were almost happy to faint, and they originally had the mentality of gambling and let their father go to the operating table, and the result was a complete victory!