Chapter 470: Teaching While Operating
Chapter 470: Teaching While Operating
Han Qiang rolled his eyes and said, "Don't laugh, you are a mask after all, and laughing is worse than crying!"
Lin Yu had already washed his hands, ignored him, and came to the operating room by himself!
At this point, all the preparations for the surgery are ready.
Lin Yu was about to announce the start of the operation, when a figure came to the door of the operating room.
"Director Lin! I have to ask you for something!" It's none other than Xia Yuyan!
"What's the matter?" Lin Yu thought that this beautiful girl would be fine: "You want your surgeon to come and learn, no way! Especially the one surnamed Tang!".
"Stingy!" Xia Yuyan scolded secretly, but she didn't scold, she just slandered in her heart.
"It's not like this, I want to ask you for a favor, it's this surgery, I want to make a teaching video, I want you to explain the important places during the operation, is it okay?"
After Xia Yuyan finished speaking, she looked at Lin Yu with big eyes, waiting for his answer.
"Oh, that's no problem! It's just that the cost should be increased appropriately! You see, I'm already very tired from this operation, and now I have to explain it to them like a class! How many brain cells have to die?" The expert looked embarrassed.
Xia Yuyan ninja said angrily: "How much do you say you want to add?"
"Add 120,000, depending on what you mean!" the expert said lightly.
When Xia Yuyan heard this, she just vomited blood, and asked you to explain, you actually want to add money again, you really fell into the eyes of money, be careful to drown you!
"That's... Dear Director Lin, don't say what you shouldn't say during the operation today!" Xia Yuyan thought about you saying a few words, and actually asked for tens of thousands of yuan, I don't want it yet, you do your surgery, I have already recorded it anyway, at most I can make it in the later stage.
Since then, this expert with excellent skills has been branded in Xia Yuyan's heart as a money-hungry person.
"Okay, I won't speak!" Lin Yu knew what she meant, yesterday's operation devalued the doctors in your hospital to nothing, and today's surgery fee did not start, so Dean Xia came to warn.
After Han Qiang saw Xia Yuyan leave disappointed, he smiled and said, "This is our boss, you don't give any face at all!"
"Pay attention to your attitude!I'm your uncle!" Lin Yu reminded.
Han Qiang just vomited blood!
The operation began, and a familiar voice sounded in Lin Yu's mind: [Live operating room begins!Start medical perspective!].
"Hey, hey, can you hear me?" I'm about to start the operation!" Lin Yu said while operating: "Just now, the beautiful dean of your hospital came over and asked me to explain the operation process in detail! Please ask Director Tang of the Department of General Surgery to prepare the notebook, I will explain while doing the operation, I must make a record, I will check later!"
"Hahaha!" Han Qiang couldn't help but laugh, and said happily: "You Donald Duck's beam is connected."
Lin Yu's admonition came from the stereo in the live broadcast room, especially like the request made by the homeroom teacher after class during the study.
The more than 100 doctors present were all a little uncomfortable listening to this expert's words, especially Director Tang, who just wanted to find a hole to drill down and never get up again.
"During your operation, as long as there is a little problem, I will clean you up, and I will definitely double the evil you have done to me!" his director kept his face dark, he could only scold Lin Yu in his heart.
"The operation has begun, our first step is to dissect the first hepatic hila! This is the round hepatic ligament, this is the sickle ligament, this is the perihepatic ligament! We are going to perform this operation, we must figure out these ligaments! This is the foundation! If you are not clear about the shape of these ligaments, you can review the anatomy!".
Lin Yu pulled out the three ligaments for everyone to see.
"Okay, you also saw the patient's three ligaments, let's first cut off the round hepatic ligament and this sickle ligament, and then cut the right perihepatic ligament!" Lin Yu cut off the three ligaments, and then exposed the posterior inferior vena cava.
Lin Yu pointed at a blood vessel with an electric coagulation hook, looked at Han Qiang and asked, "Do you know what kind of blood vessel this is?"
Han Qiang just wanted to rush to the floor and escape, this thing began to embarrass himself again, how do I know what kind of blood vessel this is?
"It's a... Hepatic veins?" Han Qiang guessed.
"No, this is the posterior inferior vena cava!Our next operation, you have done it before, tell me what it is?" Lin Yu asked Han Qiang, pointing to something that looked like a blood vessel.
Han Qiang's head was big, thinking that this was answering questions in front of so many people, and the pictures in the operating room were projected into the classroom from time to time, and the most vicious thing was that during this operation, what blood vessels, nerves, or whatever, he didn't know what it was!
"We've done it before?" Han Qiang didn't dare to guess the answer, and secretly said that we had done it before? Could it be that gallbladder surgery has been done?
"Yes, we've done it before!You've done it yourself!" Lin Yu reminded again.
"Cystic duct?" Han Qiang guessed that the only operation he had done was gallbladder removal surgery, which asked him and reminded himself that it could only be the cystic duct.
"That's right! That's the cystic duct, and next to it is the gallbladder artery, and we're going to remove the gallbladder!"
Although Lin Yu was asking Han Qiang, the movements in his hands did not stop at all, and he always maintained his due speed.
Although the doctor in the classroom didn't like the arrogance of this expert, his skills were really amazing!
Fast!
This is the only feeling everyone has about him, almost all of the people who come here to observe are surgeons, and everyone likes to see master surgeries, but the surgeon in front of him has decided to be a top master!
He didn't hesitate to do the surgery.
The operation continues!
The gallbladder has been removed, and when it comes to this, the operation only took six minutes, which is indeed fast enough, usually a gallbladder removal operation is done in the open abdomen, and the doctor who does it quickly also takes half an hour to doctor, but this specialist only took a few minutes to remove the gallbladder.
"The next step is to cut the hepatoduodenal ligament, separate the left and right hepatic ducts, and the hepatic silicone artery... Left and right hepatic arteries... This is the main branch of the portal vein!Let's cut the Glisson sheath along the right notch..."Lin Yu patiently explained the operation process while operating.
In one go, the operation went smoothly, and the hepatic artery, portal vein, and bile duct branch of the left inner lobe were ligated and severed one by one.
"Let's start dissecting the second hepatic phylum next!" From here, the liver parenchyma is cut along the middle liver fissure, of course, there is a very important middle hepatic vein in it, so the depth of the incision of the liver parenchyma is generally about 2.5cm!" Lin Yu began to separate the middle hepatic vein.
The classroom fell silent, and everyone began to admire the expert's speed.
A doctor looked at Director Tang and said with a puzzled expression: "Old Tang, where did this expert be invited, it is so fast, faster than our boss!"
The doctor who asked the question was Director Tang's senior brother, who was the director of the Department of General Surgery of the First Affiliated Hospital of Huaqing Medical University.
"Well, this speed is really fast!" Donald Duck had to admit that every step of the operation in the video was under his eyes, and this expert of the bull fork not only did it quickly, but he was also doing detailed explanations while doing it.
Donald Duck looked at the operation video, he not only did the operation quickly, but also explained it very well! There is not a single blood vessel, he knows it in his heart, this is not easy, he is also a surgical expert, he does not dare to say 100% sure when he encounters blood vessels during the operation, sometimes he needs to judge on the spot before he dares to say it.
But the expert in the video is different, he did not hesitate at all, and even if the surgical vision is not clear, he can clearly judge the blood vessels and tissues!
He is really qualified to be arrogant, and he has the capital! Donald Duck thought desperately.
His operation is indeed too fast, it has only been fifteen minutes now, he has already dealt with the second hepatic door, the difficulty of Bentai's surgery is also here, the middle hepatic vein joins the inferior vena cava, this distance judgment is very important, generally speaking, it needs to be ligated and cut off at 1cm at the place where it merges into the inferior vena cava, this position is particularly easy to accidentally injure the left hepatic vein!
But this expert, surnamed Lin, did it easily.
Donald Duck looked at the video, Expert Lin has now begun to remove the middle lobe of the liver, this speed has made him very embarrassed, and others are arrogant and indeed have capital.
Lin Yu's previous work was mainly to block the blood vessels of the supply, response, liver, and organs, and now he can confidently and boldly remove the middle lobe of the liver.
"Nephew Han, have you noticed that there is any difference between this liver lobe and other livers?" Lin Yu began to ask again.
Han Qiang was nervous and goosebumps when he heard this, but fortunately it was a relatively simple question, he looked at the liver in the middle lobe of the liver, and said, "The color of this part of the liver has darkened!
"Well, you have observed very carefully! The medical term is called the middle lobe of the liver, which has become blue due to ischemia!" Lin Yu said.
Han Qiang's face was full of black lines, and he secretly said that this special mother can be seen by everyone, which is called careful observation.
The live broadcast operating room is also very lively.
[Ladies and gentlemen, have you noticed that our big guy's surgery has begun to be difficult, and now he is actually attacking the liver!]
[Needless to say, yesterday's surgery was also a bull fork, not to mention today's operation, the middle lobe of the liver actually dared to use laparoscopy!
[Our director usually has a high tone, saying that the person who dares to use laparoscopy for middle lobectomy has not yet been born! I watched the video just now, and now I am quietly watching it in the toilet by myself! He will at least keep a low profile for a while!]
[How did the big guy practice this speed? It's so fast, one of my senior brothers thinks this video is fast forward!]
[The difficulty of this operation is to deal with the Glisson duct system in the second hepatic hilum, and another key point is to deal with the middle hepatic vein of the second hepatic hila, we are also a tertiary hospital, it takes five or six hours for the boss to do an operation, and every time this operation is done, it is like prostration, can our great god solve the problem within an hour?]
[There's nothing wrong with this, not counting the anesthesia time, I predicted that it would be solved in less than an hour!]
[Don't forget the most critical point, the great god uses laparoscope!laparoscope!laparoscope, the focus is on these three words!Knock on the blackboard, everyone take notes!This is the point!]
[I'm a medical student, I don't know much, I only know that I'm doing liver surgery, but I don't know the trick!
[Upstairs kid, it's good that you're still a student, if you're like us, you know what the great god is doing?