552 Reproduction of the Qiu Knife Technique
"Electric knife!" Zhang Fan put down the scalpel and replaced it with an electric knife. Tumors, especially malignant tumors, are too overbearing.
I can't overstate what disgusting words I can use to describe this thing. It comes in a variety of forms.
Once it breaks through the film, after breaking from the inside out, it is directly a foul-smelling Shrek.
On the rose-colored or wine-colored liver, a grayish, dark lump grows, which is irregularly shaped.
It's like a stunted, huge, sprouted, hairy potato that lands on a ball of rose fudge.
It's very uncomfortable.
After Zhang Fan took the electric knife, he gently touched the disgusting tumor on the liver with his left hand, as gentle as stroking the twin peaks.
Although the various preoperative materials have been perfected, Zhang Fan still has to experience this tumor by himself.
Feel its ripeness with a gentle touch. Just like picking a peach, see if it's completely rotten inside.
"Senior brother, after all, it's better to watch it here, or let's go into the operating room." With Zhang Fan's movements, Lu Lao was a little nervous.
The greater the hope, the more worried about disappointment.
"Don't worry, with such a big tumor, you and I can't help him if I go in. It only adds to the pressure, and the years when we hold knives have passed......"
"Dr. Zhang went under the knife. The ligaments are starting to be free. The technique is light, the sickle ligament is severed, and the deltoid ligament ......."
There was only Qin Lao's voice in the audience. "Hang the line!" Zhang Fan said to the nurse. The resection of malignant tumors is not only to remove the tumor, but also to remove a certain range of normal tissues around the tumor.
And the liver is like a pack of blood cells, and a large amount of blood will spurt out with each cut. This loss of blood is unavoidable by ordinary doctors. The bigger the tumor, the more bleeding can kill the patient, and that's the difficulty.
Therefore, it is necessary to suture the normal tissues of the liver in advance, and the blood can be ligated before the liver can be removed.
It's like fighting an encirclement war, you have to make a pocket first, and then you can do annihilation.
The difficulty here is to make pockets on the uncut liver, where are the great arteries, where are the bold tubes? Without having a very, very skillful knowledge of the anatomy of liver tissue, this step is blocking 890 percent of the world's doctors.
The knowledge of the liver is transparent, and the real sublimation is transparent. Today, even Zhang Fan's orthopedic surgery is not as beautiful as liver surgery.
Although the tempering in the system is the foundation, his own perception has raised Zhang Fan's liver surgery to several heights.
"Look! Dr. Zhang Fan has done the ligation, and he has started to do the ligation parallel to the tumor.
Oh my God, there's no bleeding, you see, there's no bleeding here. It's amazing. With Zhang Fan's ligation, Qin Lao's eyes widened, and he thought that there would be a lot of blood in the operation, but under Zhang Fan's operation, there was no trace of blood.
Zhang Fan did a bloodless ligation perfectly. This is the ability, this is the ability of the liver. Cows, not from the words, but from the liver.
Zhang Fan did it well, Director Zhao Quanping and Ma Yichen cooperated comfortably, and with Zhang Fan's rhythm, several people were unhurriedly doing the pockets of the siege battle.
"It's amazing! It's amazing!" Zhang Fan's master brother couldn't help but say as he looked at the big screen.
He started with a liver tumor, but Zhang Fan surprised him too much.
"Director Zhao, pull the line! Ma Yichen pulls the line. With the completion of the ligation around the tumor, Zhang Fan gave an order.
Lao Zhao and Ma Yichen lifted the gut that remained outside the liver. At this time, look down from above the shadowless lamp.
The tumor and sutured gut are like a parachute in the sky. The tumor, including the liver tissue surrounding the tumor, is suspended.
Zhang Fan didn't say much, the moment they mentioned it, Zhang Fan moved the knife, and in the stabbing and stabbing sound, Zhang Fan's electric knife entered the liver.
Green smoke curled up, holding a knife like a pen, Zhang Fan made a perfect picture scroll in his heart on the liver.
"Oh my God, look, look, Qiu Knife Technique. Look, look. This is the Qiu style knife technique!"
Qin Lao was excited, Zhang Fan made the old man's eyes red little by little, since Qiu Lao passed away and Wu Lao faded away, the Qiu style knife technique slowly seemed to disappear in the liver field.
Today, how many years have passed, and he finally saw the familiar knife technique again. In one point, it contains the most reasonable way to remove liver tumors.
Not only Qin Lao was excited, but Lu Lao, especially Wu Lao, who had held a knife all his life, couldn't help but tremble slightly.
Yes, this is the Qiu style knife method, the most perfect and the most difficult knife method in liver resection, there is no one, only one.
"Cool!" Even ordinary doctors can see the subtlety of Zhang Fan's technique, which is like embroidering on a water-filled sleeve.
Zhang Fan avoided the blood vessels and bile ducts, but this is just the case with Ding Jieniu.
This is the terrible thing about the Qiu faction boss, Zhang Fan has been in the system for two years, if there is no later understanding, he will definitely not be able to be so amazing.
The systematic tempering and the super liver on weekdays have reached the level of Qiu Lao and Wu Lao, so it is not an exaggeration to say that the Qiu faction is an ancestor and a sect.
Under Zhang Fan's rotary resection, the tumor slowly detached from the liver little by little. The tumor doesn't hang from a branch like an apple.
Instead, they are buried in the ground like potatoes, because they are too big and half of them are on the ground.
Therefore, the most difficult part of the resection of liver tumors is not the resection of the surface of the liver, but the most difficult part of the liver buried deep in the liver.
The further you go into the liver, the more complex the vasculature becomes, and the vasculature inside the liver is like broken bread, full of vacuoles.
Yes, Wu Lao defined the liver vasculature of the Chinese people back then.
It should be easy to do with a definition, but it's not, just like the theory of relativity, knowing and understanding are two different things.
Understanding and applying are two different things. Therefore, as Zhang Fan removed the superficial liver tissue little by little, the operation slowly entered the most difficult part.
Is it difficult? It is very difficult, even if Zhang Fan wants to penetrate the liver, it is difficult, and it is not difficult to be promoted long ago.
Not only Zhang Fan, but also beads of sweat oozed slightly from the foreheads of several surgical participants.
Success or failure is here and now.
Lu Lao secretly clenched his fists. Wu Lao stared at Zhang Fan's hands tightly, Zhang Fan's surgery was like replicating his surgery back then, no, it was more accurate than he was back then. In terms of controlling bleeding, Zhang Fan did a better job than him.
"Senior brother, how did the little junior brother's technique come out. The fourth asked the senior brother who was already so nervous that he couldn't help himself.
"Talent, it's talent, it's not enough to practice. "Brother Master didn't reply.
The hanging tumor was like a big mushroom, hanging by Zhao Quanping and Ma Yichen.
The two gritted their teeth and insisted, they must not tremble, and they must not use too much force. The dangling arm was sore and numb, but it had to be held on.
At this time, if you use a little force, it will be a situation where the world is stained with blood, and there is no need to do surgery again.
So, when the surgery is done to the extreme, it is necessary to have a qualified team. It's like a team on the battlefield that can give its back to its comrades.
Zhang Fan has been growing for two years, and while he has grown, he is also like a magnet, constantly attracting the people around him to grow.
"Knife!" Zhang Fan turned his head slightly, and the itinerant nurse quickly wiped the sweat off Zhang Fan's forehead with a very tacit understanding.
The gentle itinerant nurse wiped away the pearl-like sweat on Zhang Fan's forehead, nervous and super nervous, tired, super tired, this is their nerves like the bowstring of the full moon.
The electric knife was replaced with a scalpel. Inside the liver, an electric knife is not suitable.
There are too many vasculature here, and if you cut it with an electric knife, the bleeding may be temporarily covered, but this kind of coagulation is not reliable, and once you are careless, it will be a nightmare for both patients and doctors after the abdomen is closed.
Therefore, Zhang Fan must use a knife, even if it is bleeding, he must know where he is bleeding and how much he is bleeding.