Professor Shi also has a big temper, and in his own hospital, sometimes the junior doctors are scolded so much that they are bloody.

A moment when conflict is on the verge of eruption.

"Professor Yang let him come to the stage, right, Professor Yang!"

Director Fang was in a hurry, and immediately turned his eyes to Professor Yang for help, especially Zhang Lin, who pretended to be a coerced boy and six relatives, it was best not to provoke him, otherwise he would become a victim of his pretending to be forced, if he was scolded in the operating room here, how would Lao Fang gain a foothold in Sanbo Hospital in the future, and several doctors from general surgery around him watched.

Yang Ping looked up and saw that the person who had just been introduced was Professor Shi from the Cancer Hospital of Nandu Medical University, so he nodded: "Yes, I just asked Director Shi to come to the stage." ”

The big guy spoke, pretending to be a forced boy who had nothing to say, so he had to give up the idea of pretending to be forced.

Director Fang breathed a sigh of relief, Zhang Lin, this kid is famous, no one dares to mess with him, even the director of the medical department is afraid of three points, let alone others, he will turn his face when he says it, there is no emotion to talk about at all. I still remember that in the past, the patient's family beat his wife, he didn't care about anything, he worked hard with others, no one could hold it, and finally the arrogant and domineering patient's family had to bow their heads and admit their mistakes and beg to be let go, Director Fang felt that it was best to stay away from this kind of person.

"There are not so many people standing on the stage, so don't come up again, people are crowded, and it is easy to pollute the operation." Zhang Lin said coldly.

In fact, this is indeed the case, the operating table is such a large place, it is definitely not possible to squeeze too many people, move casually, arm to arm, easy to pollute the operating area, and easy to interfere with others.

There was no way, Director Fang's hands raised in front of his chest had to be put down reluctantly, watching his senior brother cool on the stage, Director Fang regretted inviting his senior brother over, how good it was to be alone, if he hadn't taken care of his senior brother, he would have stood on the stage as a helper.

Director Shi sorted out the sterile gloves and immediately entered the state of one help, he picked up two vascular forceps, gently clamped a little connective tissue and lifted it up, so that the main knife could separate the tumor from the normal tissue.

"Come, Professor Yang, continue!" Director Shi urged.

Yang Ping picked up a sharp knife and continued the operation.

"This vascular clamp is a little bit higher."

"Oh! Is it here? ”

''The one next to the hepatic portal over there. “

"Is this it?"

"Yes!"

"The other handful is a little more relaxed, a little more relaxed."

"The pliers slipped, wait."

Just now, the two vascular forceps were adjusted, and one of them was not operated well and slipped directly from the soft tissue of the clamp.

Director Shi has not been an assistant for many years, and now he is extremely unaccustomed to it, he has not much sense of cooperation at all, and he has never been paired with Yang Ping, so he must be in a fog and dizzy.

Now Yang Ping is preparing to isolate a tumor in the hilar area of the liver, where the tumor is entangled in the growth of blood vessels, and the blood vessels must not be saved, so the blood vessels and tumors must be removed, and the bleeding must be stopped during the resection process, and the remaining healthy blood vessels must be protected and marked for subsequent vascular reconstruction.

"Don't shake your hands, I'm a sharp knife, and if you're not careful, you'll be hurt by mistake."

"Oooh-oh-"

"Don't tremble!"

"I didn't—"

The more Director Shi's hand trembled, he couldn't control it at all, so he even had sweat on his forehead, Yang Ping's speed was so fast, Director Shi was unfamiliar with the work of his assistant, and he usually used tissue scissors to separate, and now Yang Ping had a sharp knife in his hand, Director Shi looked at his heart and felt furious, this assistant couldn't do it.

"It is estimated that I haven't recovered from my cold in the past two days, and now I'm dizzy, Director Fang, come here!"

Director Shi finally couldn't hold on, and if he continued like this, he would definitely make a mistake.

"Okay!"

Director Fang immediately responded, he had been waiting for such an opportunity for a long time, regretting that he shouldn't have put his hands down just now, and now he had to brush his hands again.

Without stopping for a moment, Director Fang immediately prepared to go out to brush his hands, the door of the operating room opened, and Song Zimo walked in with two hands, he had already finished eating, and now it was Xu Zhiliang's turn to go out to eat.

Director Fang finished brushing his hands and dressed on stage: "Dr. Song, you take a breath, I will help you for a while." ”

"Oh!" Song Zimo saw that Director Fang was so active, so he didn't say anything, and gave up his position to him, and Director Fang stood in the position of Yizhu excitedly, ready to do a big job.

A bunch of organs were spread on a special sterile operating table, Yang Ping continued to separate the tumor, Director Shi couldn't keep up with the rhythm, how could Director Fang keep up with the rhythm.

The human tissue was spread on the sterile table, soft and collapsed, Director Fang was a little overwhelmed, in the past, the surgery was done in the human body, but now this pile of things is out of the body, he didn't even have Lin idea, so the performance as an assistant was not much higher than that of the senior brother, mainly because of the gap in basic skills.

After all, the training methods of the people in the Institute of Surgery are different, they have a set of scientific basic skills training system, and they have one or two hours of basic skills training every day, and then a lot of surgical training.

Director Fang follows the traditional surgical training, the traditional surgical training lacks a systematic and scientific training system, only scattered and discontinuous training, and even many hospitals do not have such a thing as basic skills training at all, but the doctors themselves try to explore and self-train, most of them are on the operating table to learn from the same and explore from practice.

This backward training method directly leads to the lack of basic skills training of surgeons, many orthopedic surgeons do not recognize the complete orthopedic professional instruments, slightly newer instruments need the manufacturer's engineers to guide, without engineers to follow the table, the operation can not be done.

Many neurosurgeons do not have formal training in microsurgery, even if some short-term training, it is very sloppy, only a few hospitals have systematic and formal microsurgery training, and most doctors go to the battlefield with a little training on their own.

There is no basic laparoscopic training in general surgery, resulting in laparoscopy becoming a special skill for some physicians rather than a basic skill for all general surgeons.

From schools to hospitals, there is no awareness of skill training, let alone a department dedicated to skill training and evaluation, the so-called model of skilled hands with novices also exists in name only, in some top hospitals, doctors basically grow up in the wild, completely relying on their own groping and self-learning.

Therefore, many doctors have graduated for a few years and are already deputy chief doctors, but they can't even be proficient in knotting and thread cutting, a lot of papers have been sent, and a lot of surgeries have been done.

"We're going to remove the left lobe of the liver, Director Fang, please pick out the round ligament!"

Yang Ping reminded Director Fang.

But Director Fang is completely blind, this pile of soft and collapsed things, tumors and organs are mixed together, where is the liver? Where is the round ligament, I haven't figured it out at all for the time being.

"Professor Yang, I'm here to experience it-——" Director Fang really couldn't keep up with the rhythm, so he explained honestly.

When Yang Ping heard this, Director Fang came to experience life, there was no way, Yang Ping had to slow down, to take care of Director Fang's speed, this patient was accepted by Director Fang, and it had been communicated before the operation, let him do a help, everyone forgot about this matter when the operation started, and now people are finally on stage, no matter how they have to take care of it, let him experience it, and the Institute of Surgery can't be untrustworthy.

Anyway, there is no hurry, when Xu Zhiliang comes back, Yang Ping will also go to dinner.

Yang Ping said to Director Fang: "Come, old Fang, experience the feeling of being the main knife." ”

Solo?

Director Fang shook his head, how dare he be the chief surgeon of this kind of operation, the senior brother is a well-known pancreatic tumor surgeon in the country, and he doesn't dare to say this, how dare he be the chief surgeon, he still knows how many catties and taels he has.

Yang Ping gave up the position of the chief surgeon: "Old Fang, come here, experience it, this patient is still received by you, it's okay, I'll be a helper." ”

Director Fang saw that Yang Ping was not joking, but serious, and heard that Yang Ping was doing a helping by himself, so he felt a little eager to try, and stood in the position of the main knife with a twist, anyway, if it didn't work, he would hand it over to Yang Ping, and nothing would happen.

Playing with sharp knives, Director Fang definitely wouldn't dare, it's still okay to try with tissue scissors, Director Fang adjusted the tissue scissors in his hand to find the feel.

Yang Ping's vascular forceps gently lifted a little tissue, and the other tissue forceps pointed to a part: the action was slower, the scissors started from here, and the scissors were used to open and close as little as possible, and there was no hurry.

Director Fang followed Yang Ping's guidance and cut it little by little, no matter how he said it, he was also a senior doctor who had worked for more than ten years, and the level was still there, and it was good, but when he met Yang Ping, a non-human, it was difficult for anyone to keep up with the rhythm.

Under Yang Ping's guidance and protection, Director Fang followed suit, following Yang Ping's guidance, Yang Ping's vascular clamp lifted the tissue of that part, he cut it, as long as Yang Ping's vascular clamp blocked, he immediately stopped.

Whenever he wanted to touch a blood vessel, Yang Ping would definitely use the tip of the vascular clamp to separate the blood vessel, and then hand it over to Director Fang for electrocoagulation or ligation.

In this way, Director Fang pushed forward the operation little by little, and the speed was good.

Can you do it yourself? Director Fang had never done such a smooth operation, and the operation area was clean and there was almost no blood.

The assistant helped him prepare in advance for each step, and did a good job of guidance and exposure, he only needed to follow the assistant's guidance, this operation was really a fairy operation, and Director Fang was getting more and more energetic.

Director Shi was envious in the audience, the junior and younger brothers did it so smoothly, why couldn't I keep up with the rhythm just now, maybe I didn't fit in, and I will try it again when I have the opportunity.

If you want to completely remove the tumor, you can only do the resection of the left liver lobe, and some blood vessels of the liver portal have to be cut out, so the operation is still very difficult.

Director Fang wore fluorescent glasses, took it seriously, and made steady progress with Yang Ping's strong cooperation, and was very stylish.

"Xiao Chen, help me take a few photos, take a few more from different angles, and record the video, hurry up!"

Director Fang suddenly remembered the matter of taking pictures, and immediately ordered his graduate students to take pictures immediately, now he is the main knife, and if he wants to take out these photos to brag in the future, how can he miss such a rare opportunity.

Yang Ping's two vascular forceps gently lifted the tissues on both sides, so that the tissue between the two vascular forceps was exactly where the scissors could be lowered, and Director Fang's scissors were shallow every time, so it was very safe.

Now it is necessary to cut the liver parenchyma and perform liver lobectomy, and Director Fang is becoming more and more confident.

As long as the blood vessels are cut off, the assistant's vascular clamp will immediately clamp the broken end of the blood vessel, and Director Fang only needs to easily touch the tip of the electric knife to the tip of the vascular clamp to electrocoagulate the broken end of the blood vessel.

Even if the blood vessels are a little thicker, it doesn't matter, it's a big deal for Director Fang to ligate.

And the vascular forceps in the assistant's hand seem to be forever endless, appearing in time one by one without any hesitation.

Yang Ping's vascular clamp clamped the severed round hepatic ligament, gently lifted, and the other blood vessel had guided Director Fang forward, Director Fang took the round hepatic ligament as a symbol, carefully cut the anterior lobe of the left coronary ligament, Yang Ping pulled the left lateral lobe of the liver, revealing the posterior lobe of the left coronary ligament for Director Fang to remove, and Director Fang gradually separated laterally under the guidance to separate the left deltoid ligament site.

Usually do ordinary liver lobectomy director is experienced and full of confidence, but this case is too special, and the tumor looks tricky, now Yang Ping helps him prepare everything, for the other director, this operation is a fool's surgery, as long as he doesn't die, just take the scissors and click and cut it randomly.

Many doctors in the general surgery room were staring at the screen at this time, Director Fang puffed up his chest, a full boss style, everyone has a heart to pretend to be forced, and Director Fang is no exception.

The tissue scissors continue to separate, and in addition to the blood vessels, there are also some small intrahepatic bile ducts that are also severed when the liver parenchyma is cut, and their broken ends are retracted.

But don't worry, the assistant is very powerful, the vascular forceps will clamp their stump in time and steadily, whether it is a blood vessel or an intrahepatic bile duct, one will not be let go, when the assistant lifts the stump, the forceps and wire have been sent to him, Director Fang only needs to wind the wire generously and knot.

Finally, the tumor that invaded it in the left lobe of the liver has been completely isolated, and the whole process is clear and clean.

"Anesthesiologist, I'm removing the left lobe of the liver!"

Director Fang loudly announced that at the critical juncture of each operation, the surgeon should remind the anesthesiologist to report the vital signs, which is also Director Fang's declaration of his status as the chief surgeon.

Although it is an ex vivo resection, each organ is still connected to the patient's blood circulation, so in fact, it is only separated from the body in the spatial position, and it has not been separated from the body physiologically, after removing the left lobe of the liver, in case the bleeding is not done well and there is heavy bleeding, the anesthesiologist will be caught off guard if he is not psychologically prepared, so it is necessary to remind the anesthesiologist.

The eyes of the doctors, masters, doctors, and trainees of the general surgery department all focused on Director Fang from the screen, and they all respected the other director, such a big operation, Director Fang did a decent job, and now he has not accidentally injured a blood vessel, and the operation area is clean, when Director Fang is so powerful, and he has also mastered the "bloodless surgery" of the Institute of Surgery, and the real person does not show his face.

"How? Director Fang, are you tired, do you want to take a break? ”

At this time, Xu Zhiliang had already finished eating, and it was Yang Ping's turn to eat, Yang Ping asked with concern.

Director Fang was already immersed in it and couldn't extricate himself: "It's okay, go on, I'll cut all the tumors and let you do autologous transplantation, and let you take a breath." ”