The junior brother coped with it easily on the operating table, and Director Shi was itching to see it, and if there was still a chance, he was ready to go on stage and experience it again.

Yang Ping suspended the operation, took off the surgical gown and went to eat, and explained to Song Zimo and Xu Zhiliang before leaving: "Let Director Fang rest and rest, Song Zimo, you take Xu Zhiliang to slowly separate the inferior vena cava." ”

The resection of the inferior vena cava and tumor is the easiest of the eight organs to be removed ex vivo, in order to save the operation time, Yang Ping asked Song Zimo to continue the operation and complete this step of the operation.

Song Zimo understood the professor's words, without the professor's nanny-style assistance, Director Fang would not have been able to win this kind of operation, if he still let Director Fang take charge of the surgery, he would definitely be a disadvantage at that time, once it was messed up, it would not be able to end.

When a European climbed Mount Everest, he hired a local Nepalese team to assist in the mountaineering, and the team directly carried him to the top of Mount Everest in order to save trouble, and then asked him to take photos and check in, announcing the successful climb.

Later, the European led the group again, this time he decided to go it alone, thinking that he did not need the help of the Nepalese, but before he reached the mountainside, the team could not move forward, and it was in trouble, and if it was not rescued in time, the whole team was estimated to be destroyed.

Director Fang's interest was very high, and he said to Song Zimo and Xu Zhiliang, "Let's continue?" ”

"Wait, let me take a break." Song Zimo said.

Director Fang tried to continue the separation by himself, but he didn't know how to start, just like driving a car in a strange and complex city, relying on navigation without pressure before, but now suddenly turning off the navigation, the driver suddenly got lost.

Now Director Fang is like this, it feels like a driver who has suddenly lost his navigation, and he doesn't know how to start with the tissue scissors in his hand, and where is the pile of things in front of him, and now they are all blind.

Wasn't the anatomy clear just now, why did you suddenly see a black look in front of your eyes now, Director Fang couldn't figure out what was going on for a while.

"Hurry up, let's get the tumor out quickly." Director Fang looked for the place where the scissors were placed, and urged Song Zimo and Xu Zhiliang.

Big guy, the experience card has a time limit, you can't think about good things, you have to experience it without restrictions, you have to be kind, it was the professor who led you to do the operation just now, of course you did it smoothly.

As soon as this person floats, his IQ is particularly easy to decrease, Director Fang is like this, now he is dizzy and feels good about himself.

"Song Zimo, come, take a hand, let's wait for Professor Yang while we do." Director Fang completely lost himself.

''I don't dare to do it.'' Song Zimo said.

"Didn't you do a good job of helping Professor Yang just now, don't be modest, hurry up." Director Fang still refuses to relent.

The operation just now is so cool, but the time is not enough, it is too short, people are always like this, always hoping to be refreshed for a longer time.

"Just now we have cut off the tumor of the liver, and now we want to cut the pancreas, let me see, we should first cut off the left lobe of the liver and the tumor that have been cut off, so that it is convenient to cut the pancreatic tumor, take a hand, and start work!"

After making the next surgical plan, Director Fang was happy in his heart, grinding his fists.

"It cannot be cut off, and the professor has always advocated the removal of the tumor as a whole, so as to ensure that the tumor cells do not leak out to the greatest extent." Song Zimo rejected Director Fang's plan.

"Oh!" Director Fang responded and continued to plan the operation.

Now that a bunch of organs are out of the body, there is no need to pull the hook for the time being, Zhang Lin and Xiao Wu also followed down the operating table to eat, and when Yang Ping came back, they would drive fast together to improve the progress of the operation.

"Oh-"

Song Zimo didn't work together, Director Fang didn't dare to move by himself, although he felt a little diazed now, but the basic principles were still there.

"Director Fang, otherwise, let me experience it too, I will complete the separation of the inferior vena cava, this section is relatively easy, after the isolation, you will continue to isolate the pancreatic tumor?" Song Zimo proposed.

That's fine, Director Fang agreed.

Director Fang and Song Zimo switched positions, Song Zimo was the chief surgeon, and Director Fang acted as an assistant, and everyone began to isolate the tumor in this section of the inferior vena cava, which was relatively easy, but it was only relative.

Director Fang was an assistant, Song Zimo didn't dare to use a sharp knife, so he had to use tissue scissors to separate, he picked up tissue scissors and toothless tweezers and began to separate, lift the tissue, cut open and close, and at the same time separate the blood vessels, ligate the blood vessels, Song Zimo's horsepower climbed up one level at a time, and Director Fang slowly began to be in a hurry, a little unable to keep up with the rhythm, and it seemed very difficult.

At this time, the graduate student who was the director of the stage said: "Director, Cory is rescued, and you are always looking for you when you are hospitalized." ”

As soon as Director Fang heard about the department's rescue, he immediately put down the instruments in his hand, where did he still have the heart to do surgery, so he immediately left the operating table and apologized while taking off his surgical gown: "Dr. Song, I'm sorry, I have to go back to the department." ”

Then he asked the graduate student, "Which bed?" Isn't it okay to do the ward rounds in the morning? How did you suddenly come to a big rescue? There is no mistake. ”

"I didn't ask, and he didn't say it clearly." The graduate student said with a blushing face.

Director Fang was angry: "Why don't you ask clearly, call now to ask clearly." ”

Angry is angry, how dare this kind of thing be delayed, Director Fang hurriedly took off the surgical gown and threw it into the collection bucket, but he was angry in his heart, the operation was doing hard, and now a big rescue suddenly appeared, and the graduate student answered the phone and said that he couldn't tell which bed which patient, if it wasn't for being in someone else's territory today, Director Fang would start scolding now.

"Let's go!"

Director Fang yelled at the graduate students.

The graduate student followed him out of the operating room, and when he arrived at the locker room, Director Fang asked, "Do you want to ask clearly, which bed of patients and which group?" What is the situation? ”

"Director, the phone call is wrong, it is said that it is a patient of the Department of Urology, how can the boss of the Department of Urology call my mobile phone, it is really strange." Graduate students scratch their heads.

Mom, Director Fang really wants to kick it, when did you become confused, did you deliberately dismantle my platform? Director Fang stopped and glared at the graduate student: "What do you mean?" ”

"Which of these -—— - the director - hey, it's all my fault, I'm also in a hurry, I didn't figure out the situation-"

In fact, the graduate student watched Director Fang struggle more and more on stage, and suddenly realized in his heart that Director Fang's smooth operation was forced before, not that he was really powerful, but that Professor Yang deliberately cooperated to give him face in order to let him experience, and it was all Professor Yang's nanny-style assistance that was done well.

But maybe Director Fang had too much sense of substitution on stage, and he didn't wake up for a while, and insisted on being in charge, and the graduate student was afraid that the tutor would make a fool of himself in public, so he thought of such a low-level way to get rid of him.

Graduate students know that their mentors are knife-mouthed tofu hearts, and they are usually very good to themselves, and they will help themselves financially from time to time.

Just scold a few words, you can't say to the tutor: You don't know how many pounds and taels you have, I'm afraid that you will make a fool of yourself in public, so I will find a reason to pull you down.

Director Fang personally called the general inpatient of the ward to confirm that he was okay before he was relieved, maybe he was scared in a false alarm, and then asked several patients with complicated conditions, so that he was relieved.

"Which nerve did you make the wrong today, and this kind of thing is also an oolong."

Since it was fine, Director Fang decided to return to the operating room.

Director Fang scolded all the way, and the graduate students followed behind and only promised, no matter how Director Fang scolded, he was always smiling.

"You're so thick-skinned!"

Director Fang had no choice but to shut up.

After a while, Yang Ping had already finished eating and stood on the stage, there was no place for him on the operating table at all, and Director Fang complained in his heart: The operation was done quickly, how could he eat so quickly.

Song Zimo has completed the isolation of the inferior vena cava tumor, Yang Ping took over and began to continue to isolate the tumor, the tumor of the liver has now been successfully separated, and the next step is to separate the tumor of the pancreas, the tumor of the pancreas is the primary tumor, so it is more difficult to isolate.

Zhang Lin and Xiao Wu also ate relatively quickly, so they were in place quickly, and the operation could officially begin.

"Cheer up, let's hurry."

Yang Ping instructed that the team was ready, and everyone began to speed up the operation.

Yang Ping did not use tissue scissors at all, the whole process was separated with a scalpel, and in order to ensure the sharpness of the scalpel, a new scalpel blade should be replaced every half an hour, the left hand toothless tweezers, the right hand sharp knife, the tweezers clamped the tissue steadily, the sharp knife was cut and separated layer by layer, every time the blood vessel was encountered, Yang Ping would separate and ligate in advance, and the whole process did not have a bleeding due to accidental injury to the blood vessel.

The head of the pancreas, duodenum, part of the stomach, a section of the inferior vena cava, and part of the spleen, with mixed tumors, are slowly separated, and the area of resection is very large, and under the guidance of fluorescent glasses, the scalpel accurately separates the tumor from the normal tissue.

Moreover, in order to prevent the contamination of tumor cells, Yang Ping always follows the tumor-free technique during surgery, and the tumor is separated from the normal tissue by clean gauze after incision.

Director Fang stood in front of the screen, looking relaxed, the anger in his heart just now disappeared in an instant, the authorities were fascinated by bystanders, Director Fang may have slowly sobered up at this time, this kind of operation just happened to be without a knife, even if it could barely be done, it was a mess, and it couldn't end in the end.

The moment I experienced it, it was just that the assistant was Professor Yang, he completely led himself to do the operation, and prepared everything for himself, and he was a fool to move the scissors, and he almost thought that he was a top master.

It's good to come down in time, otherwise it's really a joke, at this time, he was grateful to his graduate student just now, and called himself off the operating table in time, could it be that this kid did it on purpose?

Director Fang turned his head to look at his graduate student, who happened to meet the graduate student's gaze at this time, and the graduate student smiled awkwardly.

The kid is quite clever, he is a talent, he usually doesn't hurt in vain, and he knows that he is facing himself at a critical time.

On the screen, the sharp knife has been smoothly separating, anyway, the whole process has been alternating between separation or electrocoagulation and ligation of blood vessels, with a strong sense of rhythm.

In the end, the tumor was completely cut off with a circle of normal soft tissue, which is what a knife skill.

The remaining organs do not know whether they can be replanted, anyway, the liver has lost the left lobe, and the blood vessels of the remaining right liver have also been cut off a lot, the inferior vena cava has a long period of missing, the left kidney is gone, and there are many structures that need to be reconstructed.

All that remains on the table are a few scattered partial organs, and there are no blood vessels for transplantation of warm and anastomotic vessels.

Director Shi substituted himself into the position of the chief surgeon, and felt that he must be desperate now, how can these things be replanted, in this case, an autologous liver transplant can make people feel extremely stressful, not to mention such a bunch of incomplete organs.

Director Shi found that if the resection site includes the blood vessels connected to the artificial blood vessels, the connection location of the artificial blood vessels must be the healthy upstream of the blood vessels, that is, the bridging position of the artificial blood vessels.

Everything is under Professor Yang's control, and every step is obviously carefully choreographed, because every step is not a trace of hesitation and waiting, and the whole operation is like a huge and complex project, part and whole, front and back, interlocking.

As a well-known expert in the country, Director Shi couldn't help but refresh his understanding when he saw this operation, and a surgery can be designed so complex and precise.

Each step is like a gear, countless gears are precisely matched with each other, none of the gears have problems, everything is pre-precisely planned, echoing before and after, interlocking, and dripping.

That's amazing! Director Shi couldn't help but cast a look of adoration at Yang Ping.

And Director Fang is now secretly glad that he came down in time, otherwise he would be in a hurry to be an assistant above, and he has no experience in this kind of operation at all.

The next reconstruction work is undoubtedly a huge and complex project, and the arteries, veins, and bile ducts of the liver are all reconstructed to make people's scalp tingle.

"The inferior vena cava has been cut out so much, why don't you ask the cardiothoracic surgeon to come and help deal with it?" Director Shi was very involved in the operation, but the more he devoted, the more problems he considered.

Director Fang said: "Professor Yang can do it all alone, what cardiothoracic surgery should be invited, cardiothoracic surgery encounters complex aortic dissection and ask him to do surgery, the last time a tear of more than one meter of aortic dissection cardiothoracic surgery can not be taken, it is Professor Yang who is the main surgeon, and the patient is now alive and well." ”

I really do any surgery, and what surgery I do depends on my mood, this sentence is not bragging, but a true portrayal of this young man.

In order to keep the assistant with enough energy, Yang Ping took a break, and Director Fang walked around next to the operating table, wanting to say a few words to Yang Ping.

Yang Ping found Director Fang in the audience: "Director Fang, what's the matter, do you want to come up and try again?" ”

Director Fang immediately waved his hand: "I've had a cold for a few days, I'm dizzy, I can't stand standing for more than ten minutes, you're busy, I'll take a look below." ”

Director Shi glanced at Director Fang, how can I copy my reasons, and can I be serious about making up reasons.

"The next step is to rebuild, and after the reconstruction, we will do autologous transplantation, there are a lot of reconstructed blood vessels, Xu Zhiliang will take people to take blood vessels, and Song Zimo and I will reconstruct them, hurry up."

Yang Ping briefly reminded him of the next operation.