Medical road

The gallbladder was removed, and the gallbladder like a big purple grape was cut off by Zhang Fan.The shiny purple gallbladder is beautiful, and it really makes people want to lick it.

"Bent plate!" The gallbladder was put into the bend plate.Immediately afterwards, Zhang Fan said: "Into the liver!"

With Zhang Fan's cry, Professor Zhao Jingjin became more focused, and success or failure was in an instant.Although he and Zhang Fan had undergone this kind of operation, no one dared to guarantee success every time.

There are too many accidents during the operation, maybe a foreign blood vessel can cause an operation to fail.

Following this Fan's voice, the doctors in the Science and Education Department straightened up involuntarily.Although Zhang Fan did a very good and precise cleaning of the organization in the early stage, none of the directors here did a good job of cleaning.

So everyone just agrees that Zhang Fan's level is not bad, so that everyone can look at it.I want Gao to take a look, it's impossible, the next thing is the point, is it a master?

If there is a voice-over, here is the sentence: Now is the time to show the technology! It should be more appropriate.

The people who had been chatting stopped talking, their eyes widened and watched Zhang Fan's next operation.

Hepatobiliary surgery belongs to general surgery. Although it is also a more difficult department, it is much easier than gastroenterology and brain surgery.If the doctors here are all outside the brain, it is probably half a house bald, like a master who has practiced iron head skills.

"You said, which technique is he going to use." Some doctors who just graduated from the Science and Education Department looked at Zhang Fan on the monitor, almost jealous.

I am not very old, and the surgery is so superb that there is no reason to say.

"I don't know. There is no successful operation method for such a huge central liver tumor. Could it be that he created it himself?"

"No, how old he is! Have you read the anatomy book ten times?" Another doctor with a higher grade directly thought that Zhang Fan could not succeed.

"Look at his separation, don't say it ten times, it is estimated that he can write the anatomy silently."

The doctor who had just graduated in the back row looked up, but was still slightly lacking. This thing can only be improved by time and the amount of surgery. Books alone will not work.

After cutting off the gallbladder, I began to look for the liver duct along the gallbladder, ligate, ligate, and the scope began to shrink a little bit.

"What is he going to do! This is the middle lobe of the liver. Isn't he afraid of liver failure after such a large-scale resection?" The director of the front row of the Science and Education Department was surprised.

"Crazy! Crazy! Go and inform the dean." The other director said directly to the doctor in his department behind him.For whatever purpose, he directly notified the dean.

Tumor resection is not done by peeling the walnut skin, not by cutting close to the tumor.

It is necessary to bring the normal three or four centimeters of liver tissue, because cancer cells will infiltrate and metastasize, and only three or four centimeters of liver tissue or even more normal tissue can achieve the goal of tumor resection.

And why is it difficult to tumors in the middle lobe of the liver, because this is the only way through the hepatic portal. If the resection is too large, the surrounding vasculature will be destroyed!The tumor is removed, and the remaining liver tissue has no chance to live.

Determine the scope and start the excision.At this time, Zhang Fan's precise operation method was revealed, and the scalpel accurately cut the liver tissue.

Although he and Zhang Fan had undergone this kind of operation several times, Lao Zhao looked at Zhang Fan's hands and was still nervous.The tissue was gently cut with a sharp scalpel.

The distance here is not centimeters, but millimeters, or even micrometers. Such a narrow distance, not to mention the shaking of the fingers, is just a deep breath, and the scalpel may cut through the blood vessels of the hepatic portal.

With one knife, one knife, one click, one click, as the liver tissue was separated a little bit, Professor Zhao Jingjin didn't even dare to breathe satisfied with his mouth. It started to numb.

The oval tumor with the big fist, Zhang Fan started cutting around the tumor like a carrot.The reason why the tumor is terrible is because it grows so quickly.

Cell growth depends on the nutrients in the blood, so the more malignant the tumor, the more abundant the blood supply.Tumors grow in areas where the liver is very bloody.

Zhang Fan breathed slowly, took a shallow breath, and vomited out slowly, fearing that his hands would shake. I don't know how many times he has done this set of techniques in the system, and he is already very proficient.

Slightly across the tissue, as if cutting sashimi, separating the liver tissue bit by bit.

The dean of the affiliated hospital also went to the Science and Education Department.Although he was not born in general, he was an expert outside his head, looking at Zhang Fan's superb technique in the monitor.

He was originally angrily, but the anger in his heart instantly disappeared, and it did not affect the other doctors in the Science and Education Department, so he stood quietly in the last row and looked at Zhang Fan in the monitor for the operation.

"Tea Su, City Hospital, Zhang Fan, Zhao Jingjin." These terms kept circling in his mind.

The directors in the front row of the Science and Education Department who had already begun to be noisy, watched Zhang Fan's precise technique, and slowly fell silent. The original chatters stopped talking.

With eyes wide open, he looked at the dexterous and stable hands, "Too stable, too accurate, the right hepatic artery a little to the right. The courage is too big!" The director who called the old Chang looked stupid. Really look silly.

"How did he do it?" A knife was cut within a few millimeters. One or two cuts might still be possible, but how many knives are needed to cut a tumor with a big fist.

Almost every time, I was on the verge of death. Not to mention the people who performed the operation, even the directors of eating melons began to tighten their nerves.The more I understand, the more I know the difficulty of this operation.

"Impossible, impossible!"

"How could it be impossible? I did half of it."

"No, I mean, he can't be a doctor in a regional hospital! There are so many patients in the regional hospital, so let him practice his hands. This technique, this technique can be done at such a young age, and it cannot be a regional hospital. Doctor. Old Zhao is lying!"

The directors were all fascinated. From not believing them at first to seeing such exquisite techniques with their own eyes, it was not a shock to describe.And it was done by a little-known doctor.If it weren't for the day, if it wasn't for the materialists, they would all think they had seen ghosts.

"No matter where he comes from, Lao Zhao shouldn't be occupied by himself. This kind of surgery needs to be promoted." A director who was slightly older than the others said in a slightly higher voice.

"Yes! It must be promoted, and certain people cannot be occupied. This is an act of academic hegemony and an act of medical hegemony."

Listening to the excited and indignant voices of the directors, the dean felt relieved, came quietly, and left quietly. For the rest, these directors would definitely show their abilities without him.

This is like a toad entering a quagmire. Everyone stays in a quagmire together. No problem. As long as one of them wants to climb out, the other toads will definitely start to pull their legs.

Lao Zhao wanted to dominate Zhang Fan to learn this kind of surgery, if others didn't know it would be fine.Now I know, hehe, no one is a fool.

As the operation progressed, Zhang Fan's sweat began to gradually converge into one big one and two big ones, which took too much energy and effort.

A scalpel as light as a feather, Zhang Fan needs a lot of effort to accurately control it to the millimeter range. This kind of operation is no easier than moving a brick.Moreover, it consumes more energy. When you see it, your hand is about to arrive, and when your hand arrives, you have to advance one step or even three steps in your mind to figure out the next position of the knife.

For tumors in the center of the liver, there is almost no such thing as a textbook operation.Old Lu's brother, Academician Wu Mengchao, had also successfully performed this kind of surgery.

However, just because the operation is too difficult, as the elderly get older, this operation has slowly withdrawn from the medical world, and it will not even appear in textbooks.

Surgery of this kind of difficulty is murder if it is not done well, so even the surgical surgery published by Mr. Wu when he was old does not include this kind of surgery.

"He started to use the knife handle! To completely remove the tumor! He used the knife handle!" As Zhang Fan drifted away bit by bit, the fist-big liver tumor was finally freed and cleaned.Only the last point at the bottom of the tumor is left.

Sweat has soaked Professor Zhao Jingjin's hand-washing gown. If he took off his surgical gown, he would now look like he was fished out of the water. Even the gap between the toes wearing slippers was full of sweat.

If there is no desire, you are strong. It is not that Professor Zhao has gone through few things, but that he attaches too much importance to this operation.

As Zhang Fan swiped the knife handle gently, the tumor held by the liver forceps was pulled out.

"Blood pressure, heart rate, and patient's vital signs?" Professor Zhao Jingjin couldn't help it because it was originally asked by the surgeon.

"Everything is normal, Director Zhao needs to lower blood pressure now." After answering the question, the anesthesiologist asked again.At this time, the center of the liver became a big hole.

Although the upper and lower blood vessels were ligated, the original residual blood in the liver began to leak out, and after a while, the gap was filled with blood.

"Um!" Professor Zhao Jingjin seemed to be a little anxious himself, did not speak, but looked at Zhang Fan.

"Step down, don't drop too fast, slowly." Zhang Fan didn't care.

At this time, not only the anesthesiologist, but even the itinerant nurses who performed the operation, began to be polite.

"Doctor Zhang, wait for a while, I'll change you a towel."

"Thank you, gelatin sponge." What Zhang Fan said before, and now he still speaks, has not changed because of the other's attitude.

The gelatin sponge stopped the bleeding, and the obvious bleeding at the incision around the liver was dealt with by Zhang Fan's little ligation.

As Zhang Fan started to finish, he said to Professor Zhao: “Keep a close eye on the changes in liver function after the operation. Although the operation is completed, the postoperative care must be kept up.

Preventive intravenous infusion of antibiotics for three days, if necessary, the use time can be extended, and after the disease is detected, it is decided whether the patient will undergo late radiotherapy and chemotherapy."

Just as the higher-level doctor explained the precautions to the lower-level doctors, Zhang Fan said that Professor Zhao agreed that Old Zhao was not angry at all, but excited.

The anesthesiologist, instrument nurse, and itinerant nurse looked at their Director Zhao in surprise, "Is this still another professor? Is this still the same Director Zhao?"

"Okay! Don't worry, Dr. Zhang, our department is still doing very well on this point."

In the science and education hall, there were only a few doctors and general doctors left. When the directors of the department saw Zhang Fan taking out the tumor, one or two of them scattered around as if on fire.

"Lao Zhao, is there a Zhang Fan in your hospital?" This is a director who called the director of Chasu Puwai.

"Yeah, what's the matter?" Zhao Ping was all wondering how the director of the Third Hepatobiliary Department of the Bird City Affiliated Hospital took the initiative to call him, what a arrogant person usually.

"How is your relationship with him? Help set up a line so that I can get to know him." The director didn't say what he was going to do. He could not say what he was going to do to the lower-level hospital and learn from the hospital he hadn't seen directly.

"Very good, this is simple, I will call him later."

"Okay, make an appointment for me, I will invite him to dinner."

At the same time, none of these directors left, and the Eight Immortals crossed the sea and showed their magical powers and began to contact Zhang Fan.

"Unreliable Old Chang, how come the call has become empty!" Old Chang is really scared, it all becomes a haze.

"What, he is the doctor in the orthopedics department of your hospital?"

"Don't be kidding, Zhang Fan I'm talking about, there are several Zhang Fans in your hospital!"

"What kind of world, mother! An orthopedic doctor who does liver tumor flying. Is it okay to point your face!"

"Itinerant nurse, help me scratch the left ear, why it's a little itchy!" Zhang Fan wondered, is anyone scolding me?

"Recently, everyone has noticed that as long as there is a huge tumor in the center of the liver, tell me that if you accept a patient number like this, the department will reward you with 300." After contacting Zhang Fan, the directors of the department began to grab the patient number. Up.

Everyone has the same idea. He can do this surgery. As long as I learn it a few times, can I not learn it?I am also the director of the Department of Hepatobiliary Surgery at a provincial hospital!

An undercurrent surged in the originally unstable affiliated hospital.

"Last time your relatives found a huge tumor in the center of the liver?"

"Yes what's the matter?"

"Let him come to the hospital soon. Our department can perform the operation for him." A doctor in the hospital has a relative who also has this disease. He has seen several doctors with checklists.

"Last time your relatives..."

"Four departments of hepatobiliary, said they can do it! Just called me." The doctor from another department also called.

"How is our relationship?"

After the operation, Zhang Fan came quietly when he came.At this time, not only the family members were waiting for Zhang Fan outside the operating room, but even the leaders of the hospital office were waiting for Zhang Fan.

"The operation is finished and the resection is complete. If you recover well later, there should be no recurrence." Zhang Fan looked at the agitated patient's family, took off the mask and smiled gently, and told him calmly .

"Thank you, thank you." The family members fainted happily. With the mentality of taking a gamble, they put his father on the operating table, but they won!