553 I'm going to go!
When the liver was separated from the upper tissues by Zhang Fan, the operation also entered the final range, just like the final assault of the annihilation war.
It's a beautiful battle of annihilation. If you don't fight well, it becomes a joke for doctors and an accident for patients.
With the separation of the tumor, Zhang Fan finally freed the liver to the portadoor system of the liver.
Let's talk about it here, what is the liver gate, a simple description, the liver is a big house, and the place where the vasculature enters and exits the liver is called the door, that is, the liver gate.
The normal blood vessels of the human liver are very beautiful, and the arrangement is very beautiful and scientific.
The thick, flexible, blue-purple liver duct is on the far right, where bile flows from the gallbladder and liver, and the liver and gallbladder are attached together.
Next to the bile duct is the slender but powerful hepatic artery, the artery does not look thick, but the strength is not small, just like a perennial fit lady, it looks meatless, but once angry, the body is full of flesh lumps.
Next to the hepatic artery are hepatic lymphatic vessels, nerves, especially nerves, which are generally like little white faces, leaning on the big sister of the artery.
The lymphatic vessels and nerves are bordered by the portal vein, where the veins that are recovered from the intestines and the venous blood that is waiting for the liver to detoxify.
These tissues are like cables, tied together, with clear veins, like the wires laid out by a very experienced electrician, and they are beautiful.
After these ducts enter the liver, they begin to fork, just like a large tree, and all the forks are thickest near the trunk.
And the middle lobe of the liver is where these ducts fork. Therefore, the middle lobe of the liver is also called the forbidden area of the liver.
In the marginal zone, even if the fist-sized liver tissue is cut off, it will only hurt a terminal branch.
The middle lobe of the liver is different, if you are not careful, you may injure one piece or even half of the liver. The vasculature of the liver after the tumor is like the wires arranged by a trainee electrician.
It is never an exaggeration to use a lump of hemp as a metaphor. Therefore, if you want to do a good tumor surgery in the middle lobe of the liver, you have no talent, don't even think about it.
There are no more than ten doctors in the world who can enter the middle lobe of the liver at room temperature, and this is where Wu Lao is awesome, not only entered, but was also the first to enter.
Although there are no more than ten doctors who can enter the middle of the field, there are many people who understand surgery.
This is the wonder of surgery, you can see it, you can even say it clearly, you can give a scalpel, and you can ......
"In the end, the most critical few knives are made. Between 2mm is life and death, and the operation is done here, I can pat my chest and say that Dr. Zhang Fan's team is very professional. Although they come from the grassroots, there are few teams in Huaguo's top hospitals that can surpass them. ”
Qin Lao said emotionally, the operation of the middle lobe of the liver has achieved this step, there is no obvious bleeding, no tumor rupture, the patient's life state is still stable, he really wants to say that Zhang Fan is awesome, but he is afraid of causing trouble to Zhang Fan, so he replaced Zhang Fan with Zhang Fan's team.
Director Zhao Quanping, Ma Yichen, and Dr. Song gritted their teeth at this time, and a trace of shaking might be an accident.
In surgery, no doctor is unimportant, whether it is the surgeon or the assistant. Their muscles have changed from aerobic to anaerobic, and their hands, though sore, are as steady as a rock.
They are like a background wall, creating an excellent operating environment for the surgeon. Like an unsung hero, he silently supported Zhang Fan with his shoulders.
"Change the handle, change the handle!" Zhang Fan's master brother clenched his fists tightly and whispered to Zhang Fan on the big screen,
The distance of 2mm, only 2mm from the large blood vessels, with a knife, a sharp blade, a slight carelessness is a matter of death and the lights go out.
Although it is safe to use the handle of the knife, there is a high chance of tearing the tumor, and the ruptured tumor may form metastasis.
This is the doctor's dilemma, and if the operation is safe, then the operation will be flawed.
To have a perfect surgery, then you have to take a huge risk.
If the senior brother is a surgeon, maybe he will also choose a scalpel, but he is off the field, and he hopes that the junior brother who has met for a few days will use the handle of the knife.
Although the surgery is flawed, it will not let the patient die on the operating table.
The difference between a patient dying in a hospital room and dying on an operating table is very big for a doctor.
But Zhang Fan didn't do what he wanted, the knife edge!
The cutting range of about 10 centimeters long is always moving close to the large blood vessels of 2 mm. Under the knife are the major arteries and veins, and the sharpness of the scalpel is so terrible that people who understand it dare not think about it.
Every time the knife goes down, it is slightly skewed, and it may be like blood splattered like a flower.
The masters who understand the operation, their hearts are also hanging in their throats.
"One knife, two knives, three knives!" Qin Lao lost his mind like a child counting, and slowly followed Zhang Fan's scalpel to say the numbers.
Surgery for abdominal organs varies greatly, and the difficulties of each organ are different for the gastrointestinal tract, hepatobiliary and pancreatic spleen. Even the difficulty of surgery in each segment of the same organ is different.
With the rapid development of science and technology after World War II, surgery seems to be developing more and more refined, especially in the European and American medical systems, which are more and more detailed in disciplines.
But then, with the development of biomolecular technology, the cutting-edge medical professions began to be slowly integrated.
And medicine is starting to get harder and harder. It's too difficult to take a surgery to the extreme.
Therefore, when Zhang Fan showed his sword, Old Man Wu was really excited, just like meeting a junior who dared to show his sword.
The old man grabbed the handrail with both hands, clutched the handrail tightly, and stared at the big screen with his old eyes.
If Zhang Fan used the back of the knife, the old man might be extremely disappointed, but Zhang Fan didn't.
He showed his sword, just like a swordsman who survived the easy water, although there were tens of millions of people, I would go there.
This is not showmanship, this is not recklessness, this is the benevolence of a true healer.
In the face of gains and losses, they will choose to benefit the patient, regardless of hardships in the face of difficulties. It seems like a big word, but in fact, there are many doctors who can do it.
But......
"Senior brother, this little disciple of yours is amazing, although his sword technique has the shadow of Qiu Shi, he is still very young.
How did you let him out of the door, this kid has a good heart and talent, so he owes a little fire and a little formal and systematic training. ”
"Senior brother, this knife is dangerous, I am very flustered. "This kind of operation, Mrs. Lu knows it very well, and this is also a pain in his old man's heart, so when Zhang Fan's knife leaned against the blood vessels, the back of the old man's hand was in cold sweat.
"It's okay, although it is green, but you look at his first few knives, the knife is as straight as a line, like a horizontal cut, not a single slight, very accurate, to be honest, he is very powerful. You can rest assured, there will be no accidents. ”
After all, he is the initiator of this kind of surgery, and Wu Lao's vision is much higher than that of others.
"Hey, this rabbit cub I said that I would wait for him to take the graduate school entrance examination, but the result was like a second ha that was sprinkled out, and the swishing disappeared.
If I hadn't come to find it, I guess it would ......" Wu Lao's words made Lu Lao feel at ease, although he was also in the mood to tell jokes. But his eyes didn't mean to leave Zhang Fan's hands.
"Hehe, what, does he have other ideas?" Wu Lao meant that Zhang Fan wanted to immigrate abroad.
"No, Lu Ning told me, Zhang Fan's spoken language can only be understood by himself. ”
"Oh, why don't you talk to him when he's done with the operation. Wu Lao relaxed, and Zhang Fan's first few knives reassured the old man.
At this time, Wu Lao relaxed, lying on the sofa, holding a white porcelain cup, and slowly drinking tea.
"This kid has a bit of our teacher's demeanor. He's 30 years old. ”
Several of the big disciples of Wu Laojun looked at Zhang Fan on the big screen.
"No, it's only been a few years since I graduated from college. Senior brother, do you want to make a special move?" a senior brother who went to the administration looked at the senior brother with a wicked smile.
"Hehe, I'm willing, if you're not afraid that Uncle Lu will find you desperate, you can try. ”
"Hehe......"
The originally quiet venue was killed by Zhang Fan's knife towards the big blood vessels. The doctors in the audience were also talking.
"Damn! This guy's guts are iron-beaten, and the walls of the blood vessels are clearly visible when he goes down. Why bother, with the handle of a knife, you will soon become famous in one fell swoop, don't die at the finish line. ”
"This is the gap, people are called art masters and bold, do you understand, didn't you listen to Qin Lao, is this the Qiu style knife technique?"
"As if you know, Qin Lao himself doesn't know the Qiu style knife technique, he said yes. ”
It's a raiser.
"Quickly ask foreign experts, how do I listen, it seems that this master is too bold. It feels a bit reckless. ”
Qin Lao was muttering, and the explanation would not be explained, the ordinary doctor was raising the bar, and the instrument dealer in the last row of the venue was hurrying to collect Zhang Fan's confidence in the operation.
Some say good, some say bad, some say that the artist is bold, and some say that Zhang Fan is stupid and bold.
So, these guys don't have a bottom in their hearts. Hurry up and start asking about the big sound.
Device manufacturers looking for doctors, just like companies looking for celebrity endorsements, generally do not consider those who have bad habits and are too alternative.
The last ten centimeters of the operation cost Zhang Fan the most mental state.
The system is too rebellious, Zhang Fan's techniques are practiced by himself, the system only pursues results, and Zhang Fan can't get the small skills from the system.
Therefore, although Zhang Fan did this operation beautifully, compared with Lu Lao, he spent more energy, which is the gap between making a car behind closed doors and having a master to lead the way.