Big Doctor Global Network, the live broadcast begins.

"The anchor's surgeries are really frequent as always!"

"I don't know what kind of surgery it is today!"

"Don't talk, the case is coming!"

"The patient's stomach wall is diffuse and irregularly thickened, the sense of hierarchy disappears, and the five-layer structure can only distinguish two layers, and the stomach cavity is narrow and cannot be filled!

Ulcers in the stomach are also present, and obvious ulcers can be seen protruding into the cavity, with a crater distribution, and diffuse hypoechoic appearance at the base, with unclear boundaries with the surrounding normal tissues. ”

"Shrimp??"

"This is advanced stomach cancer!

”

"I'll go, is the anchor going to heaven?"

"I calculate how many surgeries the anchor has performed, including appendicitis, cholecystitis, amputated limb replantation, patellar reconnection, and craniotomy..."

"I'm going, hepatobiliary, gastroenterology, orthopedics, neurosurgery, and now I'm here to touch the oncology department, how many surgeries will the anchor have?"

"General practitioners? Or is it the kind that is proficient in the door? ”

"How can a person have so much energy!"

Just when everyone was shocked and sighed,

"Wait a minute, you see that the person who is in charge of the surgery this time is not the anchor, it is a joint operation!"

"Hey, really!"

"That's understandable, scared Lao Tzu, almost felt like a waste!"

Soon, the first knife fell.

After the live broadcast was quiet for a while, it was directly restless.

", I'm not mistaken, this special mother is really a knife to open her stomach!

”

"Who is this man, he is simply a madman!"

In general, there are three surgical approaches to gastric malignancies: transthoracic surgery, transabdominal surgery, and combined thoracoabdominal surgery.

In general surgery, median epigastric incision is often the preferred approach because it has the advantages of less invasiveness, easier and thorough dissection of lymph nodes, and avoidance of thoracic and lung metastases caused by surgical implantation.

Normally, transabdominal surgery is usually done in three steps.

In the first step, hand a 23# knife to open the skin, cut the skin and subcutaneous tissue, use small curved forceps and 4# silk thread to ligate, and then hand the thyroid retractor to pull the skin.

In the second step, the blade is replaced, a small incision is made, and the tissue scissors are used to enlarge it, and then the abdominal line alba is cut to expose the peritoneum.

In the third step, hand 2 middle curved forceps to lift the peritoneum, and then hand a 23# knife to cut a small incision, and the tissue scissors expand to open the peritoneum.

Just these three steps, a skilled hand needs 2~3 minutes to complete.

The guy in the video actually got up and down with a knife, and he cut the peritoneum with just one knife.

"Damn, this is a ruthless person!"

"Not only ruthless, but also the key is the accuracy of the special mother!"

"That's awesome!"

On the barrage, there was a wave of 666.

"A lancet" sat in front of the computer and fell into deep thought, "I think I've seen this knife technique somewhere!" ”

……

Mo Kaike didn't know that his surgery was live-streamed.

He cut the incision with a knife, and Xu Ye hurriedly handed over the curved forceps and abdominal retractor.

In a short time, the patient's abdominal cavity was exposed.

The patient's gastric corpus lesions were severe and surrounded by a large number of lymph nodes.

Intraperitoneal exploration must be performed immediately to confirm whether the cancer cells have metastasized.

The procedure is extremely demanding and the tumor must not be touched.

Once the tumour is punctured, there is a high chance that the cancer cells will spread throughout the body through the bloodstream.

Mo Kai glanced up at Li Xiyang and nodded slightly.

The probe begins!

"Tweezers!"

"Tissue pliers!"

Li Xiyang is responsible for the exploration of the liver, gall bladder, pancreas, and spleen.

Mokai is responsible for the mesentery, pelvis, and large blood vessels for metastases.

The two have a division of labor and full of tacit understanding.

"The tail of the pancreatic body needs to be removed."

"Adhesions occurred in the transverse mesocolon, and partial metastases occurred in the lymph nodes."

Whenever Li Xiyang or Mo Kai spoke, Li Hua hurriedly recorded it.

Soon after the first exploration, Mo Kai breathed a sigh of relief, the cancer cells had not metastasized in a large area, and it was meaningless to cut or remove the whole stomach.

Mo Kai glanced at Li Xiyang, "Total gastric resection, are you coming?" ”

Li Xiyang shook his head.

The system hasn't opened the exchange shop until now, so he doesn't dare to mess around.

"Teacher, I'll cooperate with you!"

"Good!"

Mo Kai took the forceps oval and pulled the stomach forward and up, quickly exposing several arteriovenous vessels below.

"The middle curved forceps are free, and the 4# line is ligated!"

Li Xiyang nodded and quickly took the equipment handed by Li Hua.

"Teacher, it's blocked!"

Mo Kai adjusted the position of the stomach to the upper left and shouted, "Use the S-shaped retractor to pull the left lobe of the liver to the right up, exposing the liver-stomach ligament."

"Done!"

"Tissue scissors, cut in the non-vascular part of the hepatogastric ligament."

"Separation of the right artery and vein of the stomach, 7# silk thread ligation!"

Mo Kai moves quickly, but he speaks at the same time.

Li Xiyang understood that the teacher was teaching himself to do gastrectomy surgery.

Realizing Mo Kai's intentions, Li Xiyang was moved in his heart.

It is not necessary to exchange medical skills in a systematic manner, and he can master new techniques with the guidance of a teacher

Soon the ligament ligament of the stomach was ligated.

"Next, we will begin to remove the omentum sac."

"The removal of the omentum is relatively easy, but it is a test of the operator's strength."

As he spoke, Mo Kai had already completed the removal of the entire omental sac.

"The next step is to separate the transverse mesocolon."

"It's important to note here that the transverse mesocolon is prone to rupture."

"Electric knife!"

Li Xiyang quickly handed over the electric knife.

After Mo Kai took it, he smiled at Li Xiyang, "Next, blunt separation!" ”

Blunt separation?

Not only was Li Xiyang stunned, but Xu Ye and Li Hua on the side also frowned.

As if he knew everyone's doubts, Mo Kai said while operating, "As I said earlier, the mesentery of Hengjie is very fragile, and it is difficult to control the strength of sharp separation, which is easy to cause mesangial rupture, and the use of blunt separation can avoid the problem of uneven force, and the separation plane is most secure to advance in parallel." ”

As he spoke, Mo Kai had completed the complete separation of the transverse colon.

Xu Ye looked at Mo Kai deeply, and his heart was extremely complicated.

He has been in the emergency department for 15 years, and he thought that it was a natural thing to be promoted to director, but he didn't expect to be cut off by this hairy boy.

Xu Ye was unhappy, but at the same time he was helpless.

Because he's seen Mokai's genius and knows how good this guy really is.

And just now, he was still shocked by Mo Kai's miraculous operation.

It is important to know that high-frequency electrosurgical instrument is an electrosurgical instrument that replaces the traditional scalpel for tissue cutting and separation.

It heats the tissue when it comes into contact with the body through the high-frequency current generated by the electrode tip of the electric knife, and separates and coagulates the tissue, thereby serving the purpose of cutting and stopping bleeding.

It can be said that any surgeon knows the use of an electric knife.

And this guy actually came up with the idea of blunt separation of the transverse mesocolon with an unplugged electric knife head.

This is a usage that is not mentioned in textbooks.

Xu Ye couldn't help but sigh, this was probably the difference between him and Mo Kai.

He can be an expert, but never a genius.

"Hand the bent pliers!"

"Begin to free the pylorus and cut off the duodenum under the pylorus."

"Hand the wet pad to protect the incision, and 2 straight buckle pliers clamp the duodenal broken intestine."

"The pylorus end is wrapped in wet gauze."

"Duodenal stump, small round needle 4# line continuous suture, small round needle 4# line intermittent suture serous muscle layer ......"

Offstage, Chen Xu's eyes were blurred.

Whether the whole operation is tissue dissociation or ligation and stitching, Director Mo's actions are textbook-level.

It's just perfect!

On the operating table, Li Hua was also bright.

Li Hua has always been proud of the gorgeous surgery, and seeing Mo Kai's skills, Li Hua was convinced.

Mo Kai's operation is not as artistic as Li Xiyang's, but it is definitely a model of standard.

It is the kind of strength that the basic skills have been completely integrated into the bones.

Also shocked were the water friends in the live broadcast room.

"Damn, which god is this?"

"Is there a room number?"

"The address of the seeker, Lao Tzu is going to apprentice!"

If there is anyone inside and outside the operating room who can maintain stability, it is only Li Xiyang.

It's not because Mo Kai's operation can't surprise him, but Li Xiyang has known Mo Kai's strength since a long time ago.

still remembers the craniotomy and blood pressure lowering surgery where the two intersected for the first time, everyone thought that Mo Kai had failed, but Li Xiyang knew how perfect Mo Kai's surgery was.

It's just that the old man is too old, the cerebral blood vessels are compressed and the blood collapses, and the bleeding points are too vague.

But Li Xiyang carefully looked at the incision of the patient's scalp and bone flap, and it was perfect.

Later, Li Xiyang mastered the traditional Chinese medical cranial nerve resection surgery and did the first craniotomy by himself.

At that time, he realized that Mo Kaishan had reached the level of Chinese medicine in craniotomy and blood pressure reduction.

His tissue dissociation and suturing skills are top-notch.

Therefore, whenever Li Xiyang encounters a situation that cannot be solved, he will designate the patient to go to the first hospital to find Mo Kai.

The teacher is powerful, and as a student he knows better than anyone else,

So Li Xiyang behaved very steadily from beginning to end.

"Lift the esophagus, puff forceps from the upper edge of the tumor."

"After inserting the purse line, use a small round knife to remove the whole stomach."

"Iodophor triangular yarn sterilizes the cut edges, removes the specimen..."

Soon, the whole gastric specimen was successfully removed.

Mo Kai glanced at Xu Ye, "I'll leave the rest to you!" ”

After the total gastrectomy, the operation is not over.

The next step is to do a digestive tract reconstruction.

Standardized gastrointestinal reconstruction is of great significance for improving the success rate of surgery, reducing the incidence of surgical complications, and promoting postoperative rehabilitation.

However, the related surgical complications that may occur after reconstruction are still one of the problems that plague surgeons, and the occurrence of complications can not help but increase the patient's hospital stay and the pain of reoperation, and it is the main cause of perioperative death.

Postoperative anastomotic leakage significantly shortens the long-term survival time of patients with gastrointestinal tumors.

This is also the reason why Mo Kai invited Xu Ye here, because digestive tract reconstruction is the most lengthy operation of the other party.

For a while, everyone's eyes looked at Xu Ye.

Xu Ye nodded and switched places with Mo Kai.

And at this moment, the long-lost system voice sounded again.

[The exchange shop has been opened, and the host can exchange it for jejunal interplacement for digestive tract reconstruction]

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Chapter 127 Total Gastrectomy Surgery Free Read.