Chapter 466: This operation is indeed difficult

"Hmm!" Han Qiang's heart was very happy, he was about to clap his hands to show his gratitude, he felt that Lin Yu, this expert with a mask, spoke too well!

However, he was about to clap his hands, and found that Donald Duck and the head nurse's faces were not very good-looking, so he immediately put his hand down!

"Well, head nurse, go get busy first!" Xia Yuyan is a smart person, and immediately called the head nurse out.

The head nurse went out with a flushed face and embarrassment.

Now the head nurse is completely offended, of course, because of the relationship between the head nurse and Donald Duck, Donald Duck is also completely offended.

"Director Lin, what is the situation with this patient? You haven't even told us yet? If you don't know, it's not easy to get out of this door? I heard that you can't afford to do an operation!" Donald Duck's words began to smell of gunpowder.

His sweetheart was scolded by this expert, and he felt uncomfortable!

"The operation is not cheap!Director Tang, I heard that you can't take this operation!" Lin Yu looked at Donald Duck curiously.

Donald Duck saw him say this, that embarrassment! This patient, he really can't take it down, otherwise, he won't cheat him!

"Hmph! I'm thinking, Expert Lin will definitely be able to take it down!" Donald Duck didn't have a bad quality in his heart, and secretly said Don't be arrogant, I can't take down this patient, I don't understand if you can take it down?

"Of course, I don't have any surgery that I can't take, this patient! I guess! It should be liver cancer!" Lin Yu said the diagnosis.

"Ah, really, fake, you haven't looked at the medical records, do you know what the disease is?" Xia Yuyan didn't believe it.

The expressions of the other people were a little weird, of course, there was more surprise in everyone's eyes! Donald Duck's eyes were even more unsightly!

"Well, Director Lin, I really didn't expect it! You still have two brushes!" Although Donald Duck was shocked, he still didn't believe that a person could judge the exact lesion of a patient without looking at any information.

"I guess!hehehe!" said Lin Yu seriously.

Donald Duck's eyes flashed, and he said lightly: "Hmph, then I also guess that the patient has liver disease! However, if a patient has not had a liver biopsy, can you confirm the diagnosis?"

Generally speaking, the gold standard for diagnosing cancer is a biopsy! Without biopsy results, even if you have clinical experience, you don't dare to make a direct diagnosis based on clinical manifestations, especially for cancer patients.

"This patient is liver cancer! I believe that Director Tang has already done a needle biopsy! It should have been clearly diagnosed!" Lin Yu speculated.

Lin Yu's speculative words, in the eyes of everyone here, felt that he was indeed guessing, otherwise, he would not have known so accurately!

"Han Qiang?" Donald Duck looked at Han Qiang puzzled, his eyes were a little sharp, as if he was scolding him: You eat things inside and out! You actually told the expert the results of the patient!

He thought that the reason why this expert surnamed Lin could guess the patient's diagnosis should have been told to him by his nephew Han Qiang, otherwise, he would not have known!

Han Qiang was stunned, because it wasn't just Donald Duck who looked at him, but several other doctors, including Xia Yuyan, also looked at him in confusion, and he felt furious in his heart.

"I... I didn't even look at the medical records!How do I know which medical records you're going to give to Specialist Lin? So, don't look at me!" Han Qiang vigorously argued.

"You know the expert here! You didn't tell him the result, how could he guess the result!" Donald Duck decided that it was Han Qiang who did it.

"I said I guessed! Director Tang believed it, since this is the case, then I will continue to guess the situation of this patient!" Lin Yu took a sip of the tea in the cup!

"Hmm! Director Tang didn't speak loudly, it felt like it was coming out of his nose, and there was a bit of a hmm-humm, and his voice revealed disdain.

"The location of this patient's tumor is quite special, it is located in the center of the liver! This position is more embarrassing for the Eighth Branch of your Huaqing Hospital, and it happens to be the weakness of our Director Tang! I guessed correctly!".

Lin Yu looked at Donald Duck after speaking, his face was not very good-looking at this time, and his whole face was like the color of pig's liver! This can be regarded as his weakness, liver cancer surgery is a relatively common operation in general surgery, but the operation is also a relatively difficult operation, the liver is a detoxification organ, blood circulation is very rich, and the distribution of blood vessels is also extremely complex!

Without more than 10 years of surgical experience, it is impossible for him to do the operation! Although Donald Duck is a knife in general surgery, for liver surgery, he is good at resection of the left and right hepatomy, and middle lobectomy of the liver, which is a challenge for him!

Liver middle lobectomy, as the name suggests, is to remove the left anterior lobe and the inner table lobe of the liver, retain the right posterior lobe and left lateral lobe, the operation is done, it is equivalent to the removal of half of the liver, the blood vessels and pipes in this part are extremely complex, so the difficulty of the operation is quite high, the technical difficulty is second to none in liver surgery, and it is a relatively difficult operation in general surgery.

At this time, Donald Duck was already a little afraid of this expert surnamed Lin, why did everyone who had an enmity with him have the surname Lin! There was nothing good about the person surnamed Lin! What this expert said was like a sharp knife piercing into his body: Pain!

He was very uncomfortable, because Lin Yu talked about his death point! Doctors are not omnipotent, and Director Tang did not panic about cancer in the middle lobe of the liver at first! Because of the two surgeries, he no longer dared to attack the patient in this area!

"Director Tang! In the middle lobe of the liver, many surgeons, even experienced surgeons, messed up the operation! Some patients even died on the operating table!" Lin Yu continued to sprinkle a handful of salt on Donald Duck's scar.

Donald Duck's previous operation was like this, one patient died on the operating table, and the other patient died one day after the operation! From then on, he never dared to set foot in the removal of tumors in the middle lobe of the liver, and no matter how strong the mental endurance of the person would have a psychological shadow.

His shortcomings were told by this expert, and Donald Duck's heart was dripping blood, and he couldn't lift his head again.

"Expert Lin! If you want to guide, you can guide it well! If it has nothing to do with this patient, you still have to be cautious!" Of course, Xia Yuyan knew Director Tang's story, and the implication was to ask this expert to tell more about this patient.

"I'm just talking about this patient! Since I want to guide him, I will definitely find the crux of our Director Tang's problem! So that I can guide him well! Maybe after my guidance, he can finish the operation?" Lin Yu said deliberately.

After Lin Yu finished speaking, he looked at Donald Duck with a kind face! Secretly said: You dare to find me unhappy, I want to clean you up! Don't blame me, you took the initiative to find me!

"Then I'm going to listen to you!" Donald Duck didn't have a good air, all the time, he has maintained restraint against this expert, and now, he is really a little unbearable, no matter what, as the director of the department, in Huaqing Hospital, he can be regarded as a speaker, who would have thought that this foreign, so-called expert is against himself everywhere!

"The difficulty of this operation lies in the treatment of the second hepatic hila, this place deals with the middle hepatic vein, and 6 percent of the patients have the middle hepatic vein and the left hepatic vein combined into the inferior vena cava, and when treating, we have to ligate the liver before merging! There are many doctors in clinical practice who are not clear about the anatomy of the liver, and it is easy to accidentally injure the left hepatic vein! This is the most important part of this operation! Director Tang, have you ever made this kind of mistake?"

After Lin Yu finished speaking, he took another sip of tea!

Han Qiang looked at Lin Yu, looked at this "middle-aged" uncle, and felt a little unaware of him, this product was too well explained, it was even more detailed than a textbook.

Textbooks generally talk about the principles of surgery for surgery, because a book of surgery is not only about liver surgery, but also about liver surgery, then you need another book!

Clinically, many doctors have mastered a lot of knowledge points that are passed down from teachers or summarized by experience!

After listening to Lin Yu's analysis, Donald Duck couldn't be too accurate, he had two surgeries because of the wrong cut of this key vein, so what Lin Yu said was simply an empowerment for him.

"Of course, this operation is not as difficult as imagined, and as long as you are careful during the operation, the problem will not be too big!"

As soon as Lin Yu finished speaking, Donald Duck began to speak, and he had endured it for a long time.

"It seems that Director Lin is an expert in this area, and this time we can just learn from Director Lin!" Donald Duck made a sincere statement.

Lin Yu looked at this sincere appearance, and felt a little bad! This guy is not a good person, he has never served anyone! If you want him to respect himself, it is almost impossible, looking at this guy's attitude, he is going to dig a pit.

Sure enough, before Donald Duck finished speaking, before Lin Yu finished speaking, he said again: "We heard that Director Lin has done a good job of laparoscopy, and you will definitely use laparoscopy to do it for us, right?"

Lin Yu.

"Well, look at it, our Director Lin is silent! That's fine! Since you can take the atrophic cholecystitis off, what is this operation? We'll wait and see!"

"This patient, the family has no requirements, not to mention, the operation is more difficult, the safety of the operation comes first, I don't think there is any need to use laparoscopy!" Han Qiang finally stood on Lin Yu's side and said a word.

Lin Yu glanced at Han Qiang gratefully.

"Even if this operation arrives in the First Affiliated Hospital of Huaqing Medical University, I'm afraid it will be an open surgery! And the location of the tumor is relatively close to the second liver gate!"

Lin Yu was a little anxious, this operation is indeed more difficult, cancer is not good information, not to mention liver cancer, there are more blood vessels in it, liver blood vessels are like spider webs, and laparotomy is obviously the wisest choice.

Although Lin Yu has a golden finger, he has never used laparoscopy to have liver cancer!

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