Fang Han used the copy card, it was a long story, but in fact, it was not a long time, that is, three or five seconds, whether it was communicating with the system or checking Tian Yitao's skills, it was carried out in consciousness, a process of thought.

Tian Yitao had been standing on the side and staring at Fang Han's operation, seeing that the movements under Fang Han's hands had slowed down, he thought that Fang Han had encountered some problems, and was about to play in person, but he never thought that the movements under Fang Han's hands suddenly changed, and the whole person seemed to have changed a little.

In Tian Yitao's stunned, Fang Han had quickly opened the patient's abdominal cavity.

Now Fang Han has completed the first step of the operation, opening the abdomen.

The patient's abdominal cavity was full of blood, and looking at this situation, Fang Han knew that the patient's condition was not optimistic.

Tian Yitao was also a lot more cautious at this time, looking at this situation, it is not clear that the patient's liver damage is extremely serious, and it should be a grade III injury by visual inspection.

"Suction, gauze filling. ”

Fang Han decisively gave an order, and the two resident doctors on the side hurriedly began to aspirate the fluid and fill it with gauze, and as the surgical field was exposed, Fang Han carefully examined it.

"The liver was severely damaged, with multiple ruptures, the wound on the right lobe was the largest, the celiac cava was also ruptured, and the patient lost a lot of blood. ”

Tian Yitao was standing next to Fang Han, and he also stretched out his head to observe at this time, and he recognized Fang Han's judgment very much.

"Most of the right lobe had to be removed, and the patient's blood loss was severe and urgent. ”

"Director Tian, do you think regular excision or debridement should be used?"

Tian Yitao was a little surprised, Fang Han knew a lot, and he even knew about regular excision and debridement resection.

Regular hepatectomy is to free the liver, dissect the hepatic hilum according to the anatomical characteristics of intrahepatic blood vessels and bile ducts, ligate and cut off the corresponding blood vessels and bile ducts of the diseased liver, and remove the corresponding liver tissue along the anatomical landmarks.

Debridement liver resection is irregular, does not follow the structure of the liver, and requires continuous ligation of blood vessels and changes to the biliary tract, depending on the degree of hepatobiliary damage.

The regular surgical line is carried out along the anatomical plane, that is, the median cleft, the interlobar fissure, and the intersegmental fissure, and the resection range is clearly defined, leaving neither too much ischemic liver tissue nor too much normal liver tissue, which is a more reasonable hepatectomy.

Simultaneous regular liver resection requires higher technical requirements and higher patient tolerance.

Debridement liver resection requires slightly less technical requirements for the physician and a correspondingly lower tolerance for the patient, but a higher requirement for the degree of involvement of different functional areas of the liver.

In some medical papers on hepatic resection surgery, regular resection and debridement hepatectomy have been compared with the eyes, and dozens of cases of severe liver trauma have been retrospectively analyzed, and the mortality rate of different surgical methods has been compared and the cause of death has been analyzed, and the results show that the mortality rate of debridement hepatectomy is 36.8%, and the relative risk is 0.71; The mortality rate with regular hepatectomy was 54.5% and the relative risk was 1.27; Debridement hepatectomy is associated with significantly lower mortality than regular hepatectomy, and debridement is more helpful than conventional regular lobectomy in reducing surgical mortality in the treatment of severe hepatic trauma.

Of course, there is no absoluteness in medicine, different situations are analyzed, whether it is regular liver resection or debridement liver resection, each has its own advantages and disadvantages, and it is the most correct way to choose different types of surgery for different situations and different liver injuries.

It's just that Tian Yitao was surprised that Fang Han, an intern at a traditional Chinese medicine hospital, also knew about regular liver resection and traumatic liver resection.

For the layman, most people have only heard of such a surgery as liver resection, and the specific situation is not clear at all, as for regular liver resection and traumatic liver resection, only some professionals know, even some residents only know the difference between the two.

Tian Yitao was surprised in his heart, but he didn't ask much, this was not the time to get to the bottom of it, he asked Fang Han rhetorically: "What do you think, Xiao Fang?"

Fang Han pondered for a while and said: "The area of regular liver resection is relatively large, and the tolerance requirements for patients are relatively high, and the risk is also large, although the requirements for liver regional function are relatively high, it is more suitable for severe dry trauma ......"

Obviously, Fang Han recommended debridement liver resection, copied Tian Yitao's left and right hemiliver resection, plus the effect bonus of the improvement card, the current Fang Han is not much worse than Tian Yitao in liver resection, and even much stronger than Tian Yitao, he actually has a plan in his heart for a long time, and the reason why he asked Tian Yitao is just to respect Tian Yitao.

Unlike other skills obtained from the system, the left and right hemiliver resection obtained this time was directly copied by Fang Han from Tian Yitao, in other words, Tian Yitao was equivalent to Fang Han's teacher.

"I didn't expect you to know so much about liver resection, Xiao Fang. Tian Yitao was even more surprised.

To say that Fang Han just knew the difference between regular resection and debridement resection and only read some papers and information on liver resection, at this time Fang Han can analyze the specific situation, then it is not what he can know by looking at the materials and papers.

The two resident doctors who were assistants on the side were completely confused.

Whether this doctor is a Chinese medicine or a Western doctor, he is more specialized in liver resection than a professional liver surgeon like them, really

i got a dog.

"Learned a little bit about it before. Fang Hanqian smiled: "You also know that the emergency department of our Jiangzhong Hospital is now being restructured. ”

Tian Yitao didn't ask any more, and said directly: "Then take debridement liver resection, Xiao Fang, you give me a help, Xiao Jiang and Xiao Yang have a second help, and a third help." ”

Laparotomy can only be said to be a prelude, and now it can be regarded as the beginning of the liver resection operation, and Tian Yitao naturally does not plan to let Fang Han do it anymore.

Liver resection surgery is a major operation, the risk is extremely high, the mortality rate is not low, even if the operation is successful, the postoperative recovery is also a big difficulty, in this kind of life is at stake, Tian Yitao naturally can no longer let go.

Fang Han didn't argue, and decisively gave up his position to Tian Yitao, and he got to the position of a helper.

"Pay close attention to the patient's condition and report at any time. Tian Yitao explained to the anesthesiologist.

"Now the patient is in stable condition. The anesthesiologist replied, and also kept an eye on various instruments, it is the responsibility of the anesthesiologist to detect changes in the patient's vital signs, and the anesthesiologist is not only to turn the patient into anesthesia, but also to worry about the changes in the patient's vital signs during the operation, and then take a plan.

"Electric knife. ”

Tian Yitao reached out and took the electric knife from the instrument nurse's hand, and then began to remove the liver tissue without blood circulation.

Tian Yitao began to do it, and Fang Han began to ligate the severed blood vessels and gallbladder as soon as possible.

After obtaining Tian Yitao's skills, coupled with the improvement of the promotion card, Fang Han is now already standing at the top of the liver resection collection, and there are only a handful of grandmaster-level liver resection surgeries in the world.

The promotion of a whole rank is not as simple as one plus one equals two, but a qualitative leap.

If Tian Yitao's high-level liver resection is already regarded as an authority in the field of liver resection in Jiangzhou Province, Fang Han's grandmaster-level liver resection is a global authority.

Looking at the world, there are thousands of extrahepatic experts whose level is the same as Tian Yitao's, and those who can reach the level of grandmaster-level liver resection will become single digits, which is the difference between grandmaster-level and high-level.

Tian Yitao was more and more surprised.

Fang Han's rhythm is very suitable, he can cooperate closely every time, and even many things were originally Tian Yitao's own affairs, and Fang Han tried his best to do it.

For a while, Fang Han cooperated with both hands, his movements were extremely smooth, and he took over most of the work of the operation, and the two resident doctors who served as the second and third assistants on the side were even a little unable to intervene.

With the cooperation of Fang Han, who has the level of grandmaster-level liver resection, Tian Yitao's rhythm is also a lot faster, and many times it is Fang Han who leads to the rhythm of surgery, which saves most of Tian Yitao's energy and physical strength.

The two resident doctors, not to mention meddling, couldn't keep up with the rhythm of Shang Han and Tian Yitao.

The two of them looked at Fang Han dumbfounded, this is really a Chinese medicine doctor? This is really only in his twenties?

No matter how they looked at it, they felt that Fang Han's level of liver resection seemed to be above Tian Yitao.

Tian Yitao was also shocked at this time.

As an authoritative expert in the field of extrahepatic surgery, he can feel Fang Han's level more personally.

At the beginning, Fang Han only cooperated, but as the operation continued, Fang Han had actually taken the initiative.

Don't look at Tian Yitao at this time, he is still standing in the main knife position, but in fact, Fang Han has already become the main knife, and there are only some areas where Fang Han's technique is not very convenient, and Tian Yitao has taken the initiative to operate.

Fang Han and Tian Yitao continued to cooperate, and the operation was done smoothly.

Originally, when he went to surgery, Tian Yitao was still a little lacking in energy, but as the operation continued, Tian Yitao was a little excited, and his energy was even better than when he first went to surgery.

How long has it been?

Tian Yitao couldn't remember how long it had been since he had such a smooth operation.

In today's operation, Tian Yitao can be said to be held by Fang Han and ran all the way forward, this kind of comfort is simply intoxicating.

......

In the observation room, Qin Weihua, Guo Mingqiang and several other doctors from Jiangzhong Hospital were watching the operation at this time.

Today's injured person is the only injured person sent to the Jiang Zhong Hospital, and it is also a very serious injured person, because both Guo Mingqiang and President Xu Jinbo are extremely concerned.

Although it was Tian Yitao from the Provincial Hospital who did the operation, this operation was actually only borrowed from the operating room of Jiangzhong Hospital, but outsiders would never think so.

If the patient really can't get off the operating table, it will have a great impact on the reputation of Jiangzhong Hospital.

Some people who are in the know are okay to say, what will the uninformed think?

They will only think how many patients have been sent by other hospitals and how many mortality rates have been sent, but Jiangzhong Hospital has sent a patient but has not saved it.

: I want to check the information, sort it out and then I can continue to write the plot, it's really hard to write, I actually prepared a whole day today, but I only wrote two more, there is a saying that the heart is more than enough and the strength is insufficient, ask for a vote to comfort it!