644 Ingenuity to the extreme is art
Surgery, not to mention that doctors of different schools of thought have different results, even if two apprentices are taught by a master, the results of surgery are very different.
The simplest, around the winter and summer holidays every year, the little devils cry and clasp disposable paper cups, and they can often be seen in the hospital with crab steps.
And every year after the recovery season, the hairy boys come to the hospital to look for secondary development after seeing the world in the army.
Just this one circumcision has made all major departments rob the head, pediatric surgery, urology, general surgery, can do it, and even the male doctors in the obstetrics and gynecology department will give you a hammer in their spare time.
Not for anything else, because the cost of this operation is directly the small treasury of the department, so there are many departments rushing to do it, and the leaders are turning a blind eye, this kind of pure manual work, as long as it is not excessive......
However, this surgery is also very easy to infect, and the doctor with good techniques has little damage, and the wound can be said to be pink and tender after the operation, and the white is red, which is very cute, so the chance of infection is less.
The doctor with poor skills, holding an electric knife is like a criminal law on someone, and he violently burns someone's little (a) (a) ji like a carbon rod in a battery, and his face is hateful.
Can it not be infected!
This is a minor surgery that varies greatly from doctor to doctor, let alone a major cancer surgery.
In some hospitals, patients can live longer after stomach cancer surgery, and some hospitals, after surgery, patients go home not long after surgery, and they ......
There are two difficulties in gastric cancer, the first is the reconstruction of the residual stomach and intestines. Second, lymphatic dissection around the stomach body. These two roadblocks, sometimes, are directly the threshold of a doctor's life.
Let's not talk about whether it is good or not, whether it can be done or not is a question.
......
After Zhang Fan changed the position of the master, the speed of the operation also increased a lot, after all, the age is here. Moreover, Zhang Fan did not have complex emotional factors for Shan Lao in his heart, so he could make better choices.
To be honest, the Chinese people's senses for the country of pills are very complicated, but in terms of medical treatment, especially in the treatment of the digestive tract, they are not opponents, and they can't even be called opponents.
The five-year survival rate after gastric cancer surgery is about 30% in China, slightly higher in Europe and the United States, but not much, but in the 60s, it was already 30%, and now it has exceeded 70%.
Marukiko's ability to do a dojo in a lion snail shell is really not a joke, especially their stomach cancer diagnosis, which is almost 10% in the world, and they have already reached a 40% diagnosis rate early.
Mr. Lu learned from Qiu Zu that he was thoroughly Western traditional, but after coming to Bluebird, he also had a lot of contact with the medical community in the country of Maruko.
Although I am old now, my skills can't keep up with my ideas, but my vision is still there.
"I think what's on the omentum is very dangerous, cut it all or?"
Lu Lao gave up the position of the main knife, but he still couldn't be completely relieved.
We can't afford to gamble, and Old Man Shan won't have a second chance to operate. ”
In fact, when the abdominal cavity was opened and the stench came out, Zhang Fan had already decided on the surgical method in his heart.
"The damage of the total cut is not small, his body foundation is ......," Lu Lao said with a little hesitation.
This is that once the surgeon and the patient have a relationship, there are too many problems involved, after all, in life, not everyone can give up the seven emotions and six desires.
Zhang Fan paused slightly, and his gloved hands were bloodily and gently taken out of Old Man Shan's abdominal cavity, then raised his head and looked at Old Lu: "Master, now is not the time to hesitate.
It is better to survive the disability than to spread it after discharge. ”
On the operating table, to be honest, Zhang Fan is alone, and even more domineering, that is, Lu Lao, if it were someone else, it is estimated that Zhang Fan would have been unhappy.
Lu Lao looked at Zhang Fan's firm eyes and sighed softly, "Okay, all cut, let's start." ”
As he spoke, Zhang Fan lowered his head and began.
"Gauze!" Zhang Fan wanted to pass the gauze, gauze in one hand, and two fingers in the other, straight into the bottom of the stomach.
For the clarity of the surgical vision, Zhang Fan's requirements have reached the point of perversion.
Some doctors don't know whether the operation is good or not, but when you look at his surgical vision, they can hardly see it, and they are bleeding everywhere, and the blood is flowing like a river.
Zhang Fan is different, no matter how big or small the bleeding is, it will be considered in advance, and even if it encounters mutated blood vessels, there will be corresponding surgical measures.
The powerful system training made Zhang Fan's brain, like a slicer, cut the organs of the human body countless times, and asked Zhang Fan to learn over and over again.
Therefore, Zhang Fan's surgical field is very clean, just like operating on a mannequin, and there is no trace of bleeding, just like that!
"Clean, no extra movements under the hands! The thinking is also very clear, and it is a good seedling. ”
In the electric classroom, the director of the middle general education carefully watched Zhang Fan's operation process, and couldn't help but praise softly.
"I don't think he's a seedling, he's already a big tree, and he's got his own way.
Director Chen, have you noticed that Dr. Zhang never turns back, which shows that he is very confident in every step of his operation. ”
After hearing the words of Director Chen, the general foreign director of 30x, said his thoughts.
"Yes, you're right, and I also found out something, his methods are not very similar to Lu Lao's, what do you think?"
"Well, I feel that way too. Mr. Lu is from Qiu Zu, and he should go refined.
However, Dr. Zhang's approach always gives me a feeling of infinite precision in the opening and closing.
It's a bit of a way to learn from the strengths of other families, and his methods can be said to be not like Lu Lao but similar to Wu Lao!"
After saying that, he also felt incredulous and looked at the 30x general foreign director beside him.
Both of them saw in each other's eyes a feeling of seeing a ghost and a dog.
Doctors of their level, not to mention anything else, have taken an unknown number of geniuses under their hands, and walked through an unknown number of students.
But there has never been a student like Zhang Fan, at Zhang Fan's age, most of them are still studying for a master's degree, and the best ones are still studying for a doctorate, that is, most of them have not jumped out of the category of student apprenticeship.
But Zhang Fan, he gives others the feeling that he has already gone to a master's degree and jumped out of a doctorate, and he already has a posture of independent self-temperament.
The surprise of the two was not over, and immediately after, Zhang Fan brought them even greater surprise.
Because the surgery has reached the first conventional difficulty, gastrointestinal reconstruction.
Stomach cancer, what is it to do and how to do it?
In fact, it is to cut off the stomach, and then directly connect the esophagus or residual stomach to the intestines, so that the food can smoothly enter the intestines from the mouth to digest, and then discharge, which is what it means.
Everything, once it comes to reinventing and starting over, is not very simple.
And the reconstruction of the stomach is much more difficult.
The esophagus is a meat channel, and then the intestine is also a meat channel, and the thickness and diameter between them are almost the same.
The stomach, on the other hand, is like a ball hanging from two meat passages.
For example, if a monkey eats nuts, it should first be stuffed into the anal (a) door to try it, and as long as it doesn't hurt, it will be stuffed into the mouth, and once it hurts a little, it will never eat.
Why? There are so many careless parents who look at their children, and one accidentally swallows a foreign object, such as a glass ball, a small iron ball, or even other foreign objects.
At this time, the child's parents are anxious and take the child to the hospital, and the doctor will let the child drink a thin paste like lime water.
At this time, it is not the doctor who is tossing the parents, if the iron ball, or the foreign body can pass through the junction of the stomach and intestines, then it is not a big deal, just stare at the toilet, and the parents can definitely hear the clanging sound.
If you can't get past this threshold in your stomach, then it's a big deal. Don't underestimate this matter, once the foreign object is stuck here, the next thing can only be taken out by splitting the stomach, so especially if you have children at home, you must be careful.
In the removal of stomach cancer, the stomach is first cut as the name suggests, and then the intestines are attached to the esophagus.
This is the difficulty, the poor level of doctors, after doing this reconstruction, the patient is really a big sin.
Eat a little more, or be a little uncomfortable, and then, start vomiting!
If you encounter a special infarction, wait for the pressure of the digestive tract to break through the infarction.
My obedient, which state of vomiting, is very terrible.
It's like a spray gun, it's not poof, poof, it's just spitting.
Bile, food debris, intestinal contents, coming out of the mouth, greenish-purple-blackened bile, greenish-whitish food debris, plus intestinal ......
Really, this kind of surgical reconstruction is quite exquisite.
Zhang Fan put gauze in his hand in one hand, then grabbed the omentum and ligated the blood vessels little by little.
The omentum is actually a pearl curtain strung with fat particles, and the yellow fat particles cover the stomach, which is very slippery.
Many people love to eat fatty meat, and they also love to eat the so-called pork fat and pork neck meat, and the plate oil and neck meat on the intestines should actually be eaten less, because this plate oil is actually the omentum.
There is not only fat in it, but also a lot of lymphatic glands, and if there is a bit of a disease, it may be a lesion, so ......
Zhang Fan's eyes are like a perspective instrument, every big blood vessel, every mutated blood vessel, has been dealt with by him early.
The abundant vascular network has never seen a little blood flowing out. The electric knife walked by, a little green smoke, and the omentum was separated by Zhang Fan little by little.
"Ingenious~!"
Lu Lao's mentality has also adjusted a lot at this time, and after watching Zhang Fan separate the omentum very skillfully and accurately, the old man couldn't help but praise it in his heart.
The connoisseur looks at the doorway, Zhang Fan's hand separation is too clever, just like a toddler tearing paper, clicking, which can give people a crisp feeling.
Lu Lao originally wanted to mention Zhang Fan, but he didn't expect that Zhang Fan's technique was too ingenious, more clever than the professors of the Rice University in the Maru Zi Country he had seen.
Parting the omentum, Zhang Fan didn't raise his head, "Knife, M scissors!"
After separating the omentum and ligating the blood vessels around the stomach, Zhang Fan took a sharp weapon and attacked the stomach.
"Hiss!" the sound of cold air in the electric classroom was one after another, as they saw Zhang Fan's operation.
"Lao Chen, do you think his scope is a bit too big. Isn't it a little too reckless for him to have such a big removal without the stomach even opening?"
The director of the middle of the mean, softly asked the director of 30x beside him.
"It shouldn't be, according to his technique and level, there will be no such mistakes, but how can he be sure that the cancer in the stomach has such a large range?"
The director of 30x was also puzzled.
Zhang Fan did not hesitate, and went under the knife directly, system, the biggest advantage of Zhang Fan's system is that it allows him to exercise and hone his skills without restrictions, and it can also classify various types of recorded surgeries for hundreds of years in human beings.
Therefore, Zhang Fan is like an old doctor with 100 years of experience, and for the prediction of this kind of surgery, Zhang Fan can say that he has too much experience to refer to.
With a knife, it was like cutting a pig's belly, and Old Man Shan's stomach was cut open by Zhang Fan neatly.
Just like taking a child by caesarean section, Zhang Fan took the old man's stomach out of the abdominal cavity with both hands.
Lu Lao immediately opened the stomach that he took out, and as if he had opened a pocket, the shadowless lamp shone directly into the stomach.
I saw that in the residual stomach, Zhang Fan's knife edge completely removed the stomach cancer.
"Accurate! It's too accurate, my God, how does he judge? Even if Old Man Lu cuts it himself, it can't be so accurate!"
In the electric classroom, some people who are qualified to call Lu Lao as Old Man Lu have round eyes!