"Below is the hepatic phylum separated. ”

The doctors in Shanghai Hospital sat on the second floor and could clearly see the following operations, but because of the distance, some details in the abdominal cavity were not very detailed, but there was also a display screen on the side.

At this time, in the conference room of the hotel, the large display screen is also the scene in the No. 1 operating room of Shanghai Hospital.

"The tumor has been exposed. ”

"It's about 8cm, and it's a huge tumor. ”

At this time, a resident doctor in Shanghai Hospital was even holding the tumor sideways, even motionless, and the camera deliberately gave a close-up, and the size of the tumor could be clearly seen through the display screen.

The experts present are all experts in this area, and the size of the tumor can be intuitively judged.

"The location is close to the left hepatic lobe artery, which is very difficult to manipulate. ”

"And the patient's age, the blood vessels must be very brittle, and a bad operation may rupture the blood vessels and cause bleeding. ”

As extrahepatic experts, many people analyze and judge from their own perspective, what to do if this surgery is done by themselves, and then how Jon does it.

"Stripped. ”

Kuang Mingzhuo also looked at it seriously at this time, and said in a low voice: "Jon's level is really very powerful, and there is no stumbling in removing this liver tumor." ”

Just as Kuang Mingzhuo spoke, the tumor had been completely peeled off, and there was a nurse on the side holding a plate and a tumor with a diameter of 8cm, which was not small at all.

"Well, this Dr. Jon is perfect in his approach and precise in his judgment. Fang Han nodded.

Although Fang Han did not have many liver resection and liver tumor resection surgeries, the people who partnered with Fang Han were basically masters, whether it was Kuang Mingzhuo or Tian Yitao, they were all relatively powerful extrahepatic experts, and Fang Han had also seen Chen Peizhong's surgery at the same time.

Although there was an accident in the operation of Jiangzhou Provincial Hospital, it is undeniable that Chen Peizhong's level is mainly due to preoperative judgment errors and overconfidence.

Because the liver has the ability to regenerate, if a part of the liver is removed, the remaining liver will grow back, and for patients with good liver function, even if 70% of the liver is removed, the remaining 30% can supply the body's needs.

For patients with slightly worse liver function, removing 50% of the liver will not affect the patient's subsequent life, but this proportion is also limited, and you cannot remove 90%.

At that time, Chen Peizhong was too confident, and he didn't expect that there were so many parts of the patient's cancer cells infected after the laparotomy, so it was difficult to judge.

Aside from Chen Peizhong's mistakes, Chen Peizhong's other aspects are definitely very powerful, and the surgeries along the way ahead are very smooth.

Compared with Chen Peizhong, Jon seems to be another level, no wonder one Jon can attract so many domestic extrahepatic experts to come to Shanghai, even if it is the identity of a helper, there are so many people competing for it.

"Sun Ming also cooperated very well. ”

Gao Ruilin said in a low voice: "Jon's team is undoubtedly top-notch, with a top doctor like Director Sun Mingsun as a helper, even if it is a second helper, it is also a master of liver surgery in Shanghai Hospital, with the level of independent surgery, and the level of the chief surgeon is higher than that of many hospitals, the instrument nurse, anesthesiologist, the entire medical team cooperates quite tacitly, even if it is the first time to cooperate with Jon, the whole cooperation is also very smooth." ”

"yes. ”

Kuang Mingzhuo nodded: "Top chief surgeon, top medical team, although the difficulty of this operation is great, it shouldn't be anything to Jon, it seems that the operation is orderly." ”

"Hmm. Fang Han nodded.

Because the tumor is malignant, the cancer cells have spread to the liver tissue, and the surgery is only partially performed after the liver tumor is removed, and then Jon has to remove the liver tissue that has been infected by the cancer cells.

Compared with the removal of liver tumors, the removal of liver tissue in the back is not easy at all, but many doctors have also seen that this operation is not challenging for Jon.

"Dr. Jon turned out to be an anatomical liver resection. ”

"Anatomical liver resection requires an absolute understanding of liver structure. ”

"Although anatomic liver resection requires high patient tolerance, it is more suitable for this operation. ”

"Regular liver resection?"

At this time, Fang Han also watched Jon's operation.

Regular hepatectomy, also known as anatomical hepatectomy, is to dissect the liver according to the anatomical characteristics of intrahepatic blood vessels and bile ducts, dissect the hepatic hila, ligate and cut off the corresponding blood vessels and bile ducts of the diseased liver, resect the corresponding liver tissue along the anatomical landmarks, and use intermittent blockade of the hepatic portal to remove the corresponding half of the liver or liver lobe under the blockage of the hepatic circulation.

Irregular liver resection is also known as non-dissecting liver resection, and the advantages and disadvantages of both have been introduced in liver surgery before, so I will not repeat them here.

Compared with regular liver resection, irregular liver resection has a lower tolerance requirement for patients, and the risk in liver resection surgery is correspondingly less, and the prognosis is correspondingly better, but irregular liver resection has a disadvantage, which requires time-consuming dissection of the liver portal and can preserve more normal function of liver tissue, especially suitable for liver cancer resection with cirrhosis. However, the disadvantages are also more obvious, that is, the liver cutting interface is not clear, and there are more opportunities for liver tissue bleeding, necrosis and decay.

Jon chose regular liver resection precisely to remove the liver tissue infected by cancer cells more accurately, ensure a clear interface, and avoid liver tissue necrosis.

"Dr. Jon is a world-class extrahepatic master. ”

"Yes, the operation is first-class, the judgment is accurate, and there is a lot to learn from us. ”

"Indeed, this time it was not in vain, and Dr. Jon will be there in person later, and you can also ask about the doubts in your heart on the spot. ”

Whether it was the experts in the conference room or the doctors on the second floor of the operating room of Shanghai Hospital, they were all communicating in a low voice at this time, feeling Jon's level.

Being able to observe surgery in front of so many big names in China is the dream that many doctors have been pursuing all their lives.

For young doctors, the evaluation of patients is the greatest praise for doctors, but for senior doctors, the praise and recognition of peers is the real honor.

As the top hepatic experts in China, many people on the scene have done observation surgery and teaching surgery, but the level of doctors who observed and cheered on the scene cannot be compared with this time.

It's like if you give a lecture, all the students are junior high school students and all the college students are listening to the lectures, which are two completely different concepts.

If you teach elementary school students, it can only mean that you are a primary school teacher, if you teach junior high school students, then you are a junior high school teacher, and if you teach graduate students, then you are a professor.

It's the same in the profession of a doctor, when you do observation surgery, you come to the attending level, and you come to the deputy senior level, that's a different concept.

"Didi Di Di ......"

Just when some of the doctors who watched had already started to observe and study in a very relaxed mood, the equipment in the operating room suddenly sounded a rapid alarm, and the anesthesiologist's face turned pale with fright: "Blood pressure has risen." ”

As a doctor who observed the operation, when he was immersed in it, his mood also fluctuated with the situation in the operating room, just now Jon's operation has been smooth, and everyone is also in a relaxed mood, but now there is a sudden emergency, and everyone's hearts are also raised.

"Bleeding. ”

Sun Ming's voice, as a helper, sounded very serious.

"Stop!"

Sun Ming was already about to reach out to check the bleeding spot, when Jon's voice rang out.

There was a pause for Jon to speak to the interpreter next to him.

Jon said don't panic, smoke first, and wait for a clear review. ”

The assistants on the side hurriedly began to smoke.

"More bleeding. ”

With suction, the bleeding not only does not stop, but the bleeding begins to increase in volume and is multiple.

Even Sun Ming was a little big in this kind of scene, and Sun Peizhong, Guo Dingwen and others who were watching from the side were even more worried, although they were not doing this operation, but they couldn't handle this situation if they replaced it.

Jon was wearing a mask, and he couldn't see his face clearly, but he seemed to be calm.

"Keep suctioning. ”

"The anesthesiologist controls blood pressure. ”

"Bleeding?"

Looking at the scene in the video, whether it is the doctor on the second floor or the doctor in the conference room, many people feel that something is big at this time.

In liver surgery, bleeding is a very serious condition, the liver has a rich blood supply, many blood vessels, and complex structure, once bleeding, it is quite troublesome.

"At this time, this situation has occurred, is this a ruptured blood vessel?"

"It should be a ruptured blood vessel, and it is a rupture of multiple blood vessels, and now the bleeding is not stopping, and the bleeding point has not been found, which is troublesome. ”

"Could it be that Dr. Jon is going to capsize in the gutter this time?"

"This is not a gutter, this operation is not easy, Jon is already remarkable that he can do this, this bleeding is completely accidental. ”

"It's up to Jon to do what he does. ”

If you look closely at Jon's order, you can see that Jon's sideburns are already densely covered with fine beads of sweat.

"Dr. Jon, the bleeding is still increasing, and the bleeding point must be found as soon as possible. Sun Ming's voice was already a little hurried.

"Continue to aspirate and control your blood pressure. ”

The interpreter relayed Jon's instructions, and Jon leaned into the translator's ear to mumble a few more words.

Dr. Jon asked if there were any experts on the scene who were good at stopping the bleeding, and if there were, he could come forward and help. The translation conveyed Jon's meaning.

The translator's voice fell, whether it was the operating room or the second floor, it was quiet, even Sun Peizhong, Guo Dingwen and others, who were also in the operating room, did not dare to step forward casually.

Before, everyone rushed to step forward, that was to observe and learn from close range, thinking that Jon's surgery would go smoothly, but now that something has gone wrong, it is too late to hide at this time, who wants to step forward?