Chapter 838: Who Brought You to the Stage

"Left and right?"

Director Shi couldn't help but ask.

However, the narrator, Director Fang, was not around, and the doctor of general surgery next to him temporarily acted as the teacher's explanation: "That is, the two hands can operate independently."

"And such a riotous operation?" Director Shi couldn't help but feel it.

As soon as the words came out, Director Shi felt that he had used the wrong words, and the words "riotous" should not come out of the mouth of a professor, doctoral supervisor, chief physician and nationally renowned experts.

"Professor Yang is so angry, he always performs immortal surgery." The doctoral student agreed with the assessment.

Director Fang is now observing the operation at the operating table up close, and every time he sees the right moment, he asks, "Dr. Song, do you want to take a break?" Dr. Xu, would you like to take a break?"

But people are like chicken blood, and no one is sleepy.

Song Zimo and Xu Zhiliang felt that Director Fang was very considerate today, always concerned about whether he needed to rest, and he was really good colleagues.

"Order lunch! Sign up for the word! Fill in your own names, and I'll pick them up later."

The nurse came in with a notebook, put it on a shelf, and went to work on something else. Now there are several nurses in the operating room of the Institute of Surgery, Xiao Su was the head nurse in the past, now Xiao Su is on leave, Zhou Can is the acting head nurse, and now Zhou Can is on the stage as an instrument nurse.

The conditions of the Institute of Surgery are relatively good, whether it is doctors and nurses, or foreign visitors, whether on or off the stage, when it is time to eat, those who see it can report for meals.

As soon as several graduate students heard the report, they immediately turned their heads, and the surgical meals of the Institute of Surgery were of very high quality, and everyone wanted to taste them, and even some graduate students often came to eat them.

A graduate student picked up a notebook and began to volunteer to help register his name: "Raise your hand for lunch!"

Everyone raised their hands.

"Didn't you have surgery in the afternoon?"

"I'll have surgery after eating."

"Why do you want two?"

"Hehe, my girlfriend can't be busy in the gastroscopy room, so I'll send one later."

"Director Fang, Director Shi, also have a copy?"

Director Fang nodded, "One for each."

Hearing the meal, Director Fang had an idea, don't they have to eat later, they must take turns to eat, and when Song Zimo and Xu Zhiliang were eating, they directly brushed their hands on stage and stood in the position of a helper, which is not logical.

Everything is foreseen, and if nothing is prepared, Director Fang began to think about eating in advance and making full preparations.

Director Fang made up his mind, immediately found his graduate student in the Department of General Surgery, and quietly instructed, "Help me go to Shuilian Bakery to buy something, I have a bad stomach and intestines in the past two days, and I should not eat."

"Now?" Graduate students also want to continue seeing surgery.

"Go now, go back quickly!" Director Fang explained.

Regardless of whether the graduate student is willing or not, there is no room for negotiation in giving the tutor to run errands, so he was immediately ordered to go out to buy bread temporarily, Director Fang smiled in his heart, and finally seized the opportunity, and the rest was to act on the opportunity.

Those who achieve great things are not informal, and Director Fang is very satisfied with his arrangement.

Now the separation has come to the position of the left kidney, the left kidney has been invaded by the tumor very obviously, and it must be completely removed, fortunately, people can survive normally with only one kidney, and the healthy solitary kidney has no effect on the body.

The whole separation is separated by a knife handle except for some obvious loose connective tissue gaps, and most parts are sharpened by a sharp knife because of obvious adhesions in the tumor, so the whole operation is a knife tip and sometimes a knife handle, and the knife tip and the knife handle are always used alternately.

The separation of the inferior vena cava has been completed, and along it downward, near the midline of the psoas muscle, the sharp knife is longitudinally cut through the perirenal fascia, and the kidney is fully exposed upward, and then all the way down to the iliac vessels, and along the lateral edge of the kidney, the perirenal fat is cut longitudinally to reach the renal capsule, at this time, the left kidney is only connected to the human body by the blood vessels of the renal pedicle, and the other parts have been separated from the human body.

In the video, the speed of the knife tip and the handle is very fast, and there is almost no time interval, so Director Shi is very curious about how the scalpel is converted in Yang Ping's hand, and he moved to the operating table to observe.

The scalpel is like playing acrobatics in Yang Ping's hands, the conversion is very fast, which is the surgeon using instruments, this is obviously playing with instruments, and it is a matter of an instant to transfer from the knife to the handle.

Young people really have a lot of fun, and if the scalpel is taken off, how dangerous it is.

Director Shi took a closer look, there was no such possibility, because the equipment was like growing in Yang Ping's hands, and it was very stable in control, and it was estimated that if someone grabbed it now, it might not be able to snatch it, let alone get rid of the equipment.

The kidneys have been separated, and the eight organs are now connected to the body without any other tissues except for their respective blood vessels.

At this time, Director Fang's graduate students had already bought bread and put it in the lounge, and Director Fang immediately temporarily withdrew, hid in the lounge and gobbled up the bread, and then breathed a sigh of relief.

His stomach has been filled, and now all that remains is to wait for them to be hungry, and then they will definitely take turns to get off the stage to eat, and once someone comes down, he will take the opportunity to go up and replace him, and firmly occupy the position of Ichisuke, and no one will want to shake his own Ichisuke at that time.

When it's time to eat, you take Professor Shi to the lounge for dinner, you know? 「

Director Fang instructed his graduate students not to accompany his senior brother to dinner in person, so as not to delay the opportunity.

The graduate student knew that his supervisor was going to participate in the operation later, which was a big deal, and of course he had to take care of his mentor for him.

"Open artificial blood vessels!"

Now we can finally know the use of artificial blood vessels brought by the device manufacturer, which is the same as opening a blind box.

Hearing Yang Ping's voice, Director Shi's gaze immediately shifted from the screen to the operating table.

Yang Ping is going to adopt a relatively new method, that is, is-ischemia-free autologous transplantation, he wants to learn from Professor Yao of the First Affiliated Department of Nandu Medical University, Professor Yao created his own ischemic organ transplantation, and now Yang Ping wants to apply this technology to autologous organ transplantation.

Because autologous transplantation can make use of the body's own blood circulation, if the isolated organs are connected to the patient's blood circulation system with artificial blood vessels, then even if the body is out of the body, it is possible to obtain good blood perfusion with almost no new equipment.

Huang Jiahui opened the aseptically packaged artificial blood vessels, which were very long and curled in the sterile packaging bag, onto the operating table.

Director Shi pondered how to use these artificial blood vessels, even if a section of the inferior vena cava was cut off, there would be no need for such a long blood vessel, and besides, these artificial blood vessels were not only used for the inferior vena cava at all, because there were pipes of various thicknesses.

The hepatobiliary, pancreatic, spleen, stomach, small intestine, inferior vena cava, and a kidney on the left side, eight organs, are now ready to detach from the human body, and they with tumors will be separated from the human body as a whole.

At least dozens of artificial blood vessels of various diameters are placed on the operating table, and everyone is dazzled, and the artificial blood vessels are sent to the abdominal cavity one by one.

Everyone finally saw clearly that this is to use artificial blood vessels to bridge the blood supply of organs, cut off all the arteries and veins of organs, and then use artificial blood vessels to bridge them, so as to ensure that the organs can obtain almost normal blood supply.

However, the arteries and veins of the eight organs, how much work this takes, it looks really numb to the scalp.

"What are you?"

Director Shi couldn't help but ask curiously,

"No ischemic autologous transplant!"

No ischemic autologous transplantation? Director Shi had only heard that Professor Yao of the First Affiliated University of Nandu Medical University was engaged in non-ischemic allogeneic transplantation, but he had not heard that there were still people engaged in non-ischemic autologous transplantation.

"Why haven't I heard of this technology?"

Director Shi blushed and asked, science is honest, don't understand or ask, don't pretend to understand.

"Aren't you looking at it right now, there's a first time for everything, what's so strange about that?" Director Fang replied.

There are more and more artificial blood vessels, because the organs have not yet been taken out of the body, and the dense artificial blood vessels are bent and exposed from the abdominal cavity, and the scene is particularly spectacular.

"Anesthesiologist, we're going to take the big dick out!"

Yang Ping shouted.

Liang Fatzi immediately reported his vital signs, indicating that there was no problem now and he could doxx.

At this time, no one was watching the video, all staring at the operating table to see what was taken out, and everyone's eyes were burning, like waiting for the stars to appear at the concert.

It's out, it's out, it's finally out!

It's been separated in it for so long, and now it's something that everyone is looking forward to.

Whoa!

A huge pile of things was taken out of the abdominal cavity, and the ordinary sterile tray could not fit at all, so the nurse specially prepared a huge metal sterile basin, and this pile of things could barely fit in.

Wow!

There was a low-pitched cry in the operating room.

Whether it is a young doctor or a senior doctor, he has never seen such a spectacular excision, eight organs plus tumors, even if he has seen a relatively large tumor before, it is only a single one, and there is no visual shock brought by this guy now.

It's just that because of the invasion of tumors, there are no clear organs to be seen now, only a bunch of human organs and tumors, and connective tissue.

How can such a huge pile be put back later? Everyone was full of doubts.

The pile of things that was taken out was connected to many artificial blood vessels, and the organs relied on the artificial blood vessels to obtain the blood supply to the patient.

If these artificial blood vessels are not supplied with blood, then these organs must be placed in a special ice water protection solution to prolong the survival of the organs in vitro.

The "no ischemia" allogeneic organ transplantation created by Professor Yao of the First Affiliated University of Nandu uses a machine to infuse the organs with a special artificial "nutrient solution" after the allogeneic organs are separated from the body, and the "nutrient solution" is used to deliver oxygen and nutrients to the organs, prolong the survival time of the organs, and reduce the damage caused by ischemia.

Yang Ping is now using "no ischemia" autologous transplantation, because it is an autologous organ, the organ can always remain in the close range of the patient after leaving the body, unlike the allogeneic organ and the long-distance transportation process, since it is within the close range of the patient, the patient's body can be used to continue the blood supply and keep the patient's organs not ischemia.

It's just that because of the prolonged blood transport distance, the perfusion of organs is relatively normal or lower, but I don't know how much better than ischemia, and these tubes do not affect the various flips of isolated organs. Next, the tumor needs to be completely removed from this pile of organs.

Director Shi discovered a major secret--- this pile of organs did not bleed significantly when placed on the sterile table, could it be because of the bridging of artificial blood vessels, which caused the perfusion to be too low, so there was no bleeding?

But the color of the organs and tissues is obviously very good, and the perfusion should not be too low, is the hemostasis done very well?

It's unlikely, how can the hemostasis work be done so well, more or less a puddle of blood will be shed on the operating table.

"Everyone takes turns to eat, and the surgery continues."

Yang Ping explained to everyone.

This operation took a long time, and it should be the longest operation in the history of the surgical institute, and there was no replacement team, so everyone had to come one by one and take turns to eat.

Seeing this, Director Fang hurriedly went to brush his hands, how could he miss such a precious opportunity, he immediately left the operating room, seized the time to brush his hands, and once Song Zimo left the operating table, he grabbed a position as soon as possible.

Quickly brushing his hands, Director Fang did not hesitate at all, he would rather brush his hands and wait in the operating room than miss the opportunity.

Director Fang just finished brushing his hands, the door of the operating room opened, Song Zimo came out of it, Director Fang and Song Zimo nodded slightly to say hello, and then snickered in his heart, and immediately rushed to the operating room, ready to snatch the position of Yizhu at lightning speed.

But --- but---

At this time, the senior brother had already put on a surgical gown and stood in Song Zimo's original position on the operating table.

What's going on

, didn't he even eat just now, but quietly brushed his hands? Why didn't I pay attention to it just now?

Thousands of calculations have not been counted on the senior brother, now that the senior brother is already on the stage, if he is still on the stage, it is equivalent to squeezing the two of them positions, which is not suitable, even if he forcibly occupies it, that Zhang Lin on the stage is not a good stubble, he will definitely go crazy, what should I do?

Professor Shi, you haven't eaten, how can I trouble you, hurry up and eat, I'll take care of you for a while." Director Fang said immediately.

Director Shi replied without looking back: "I ate a little too much in the morning, and I haven't digested it yet, so it's just time to be active."

"Shall we continue? I'm going to take a hand, make a tour, and give a pair of fluorescent glasses." Director Shi quickly got into the groove, and he didn't plan to eat lunch at all.

This kind of surgery, what kind of Chinese food to eat, doing surgery to delay eating is often done, and the stomach has long been used to it.

How to start this, it's a mess, it doesn't look like it at all, and many of these blood vessels connected to artificial blood vessels have to be cut off, so what about the blood supply, Director Shi feels that if he is the chief surgeon, he will not be able to start.

"Who is this?"

Zhang Lin asked.

Director Fang immediately replied for Director Shi, "Professor Shi Guosheng of Nandu Medical University Cancer Hospital."

"Who put you on stage?"

Zhang Lin is not polite, no matter who he is, he didn't let him run up on stage, this is okay, if there is no discipline at all, they will all be messed up like this, and everyone must not beat each other in order to grab the surgical position.

Zhang Lin's question made the air in the operating room instantly condense, here is the nationally renowned Professor Shi, and over there is the awesome Teacher Zhang.

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