Medical road
Chapter 553
"He has entered the liver gate. He has entered the liver gate!" Old Qin's voice was hoarse.Excited, the portal of the liver made Zhang Fan's autopsy clean.
The operation looked very comfortable, without any extra steps or hesitation.
Step by step, very clear.A lot of people understood in the venue.
"The basic skills of this kid are very solid, and the kung fu under his hands is really amazing. When I was his age, I was a lot worse than him. Even now, I feel that I have not done this kind of surgery cleanly. !" Zhang Fan's master brother said to Zhang Fan's fourth brother.
"Hmm! Did you find out about his operation? There is no extra step. This is very powerful. Not all human structures are the same. But he doesn't have to think about it, the knife is coherent, it's amazing! "Senior Brother nodded while looking at the big screen.
Old Wu sitting in the front row quietly watched Zhang Fan's operation without saying a word, but his eyes were fixed on Zhang Fan's hand.
"Strong! Really strong, where did this guy suddenly come out. Why have you never heard of his name before?"
Yaxiang's Hepatobiliary Director asked the Director of Sanchuan Xihua in surprise.They are all standing members of the Hepatobiliary Surgery Association.
"I don't know, it seems that he is really capable, not a character who specializes in walking."
"It's probably impossible to ask Mr. Lu to walk." These are a few great experts who understand surgery.
At this time, the big players recognized Zhang Fan. Although the operation has not yet reached the most important place, the anatomy of Zhang Fan's hand has already surprised them.
The doctors who couldn't understand were not so shocked, especially the doctors brought to the world by the master or director.
I was confused, "I think it's that way, but his surgical instruments are pretty. I don't know what brand it is. You know, I want to buy a set too."
"Well, it's pretty good, but his hemostasis is quite good. I think my practice is similar to him."
Half a bottle of talk is too much, and the quality of being unconvinced is not bad.Motivated by not convinced.
The major equipment vendors in the last row are suffering at this time.Look, don’t understand, listen, don’t understand.I knew that the operation was awesome.
Because Mrs Qin is excited!Everyone is not stupid.Really dare not ask or say!
"Xiao Wang, inquire about whether this person has any hobbies, such as tobacco, alcohol and tea."
"Ok!"
Zhang Fan's system gave Zhang Fan a platform to fully practice his hands.Although orthopedics opened earlier than general surgery.But in terms of professional understanding, Zhang Fan is currently the strongest.
Because in the subject of liver and gallbladder, Zhang Fan has sublimated and has made breakthroughs. In layman's terms, quantitative change reaches qualitative change.
The liver was in Zhang Fan's mind, and he had already figured it through. It can be said that Zhang Fan was able to create his own things with ease.
According to Jianghu Kungfu, although it has not reached the level of undefeated, with upright training, it is almost at the level of clear wind.
The major organs of the body are very weird. Those who want to play with blood vessels do not play with blood vessels, but with muscles, such as the heart.
Those who want to play with muscles do not play with muscles, but with mucous membranes, such as the stomach.The most important thing in stomach tissue is actually the hydrocarbon mucosa of the stomach. Without this mucosa, no matter how thick the muscle is, it cannot withstand strong acid.
As for the liver, it was supposed to play secretion and biochemistry, but it has fucked up blood vessels and swollen vessels to play martial arts with you unreasonably.
All the venous reflux of the human digestive tract passes through the liver, from the esophagus to the chrysanthemum, all passes through the liver.
This place is more important than the thoroughfare of the nine provinces.Once the portal vein of the liver is blocked, the veins of the upper and lower digestive tract begin to block.
In layman's terms, the upper digestive tract is above the duodenum and stomach, and the lower digestive tract is below.
After the upper and lower gastrointestinal veins are blocked, they will use it instead of the liver. Let alone the diseases that occur here, let's talk about the changes in blood vessels.
The veins originally hidden in the digestive tract have become thicker and thinner, leaking out like blue earthworms, and they are lying on the esophagus and the surface of the intestine.
The food that enters the lower digestive tract is a chylo-like paste, which doesn’t matter, unless it’s hard to go.
The upper digestive tract will not work. Once the portal system of the liver is blocked, the veins of the esophagus are bombs.
I took a bite of the biscuit without chewing, but when I lightly traversed the esophagus, the very thin veins were cut.
Then, the patient will have vomiting blood.You can vomit to death if you vomit blood.
The conventional treatment is ligation, ligation under a gastroscope.What Zhang Fan is doing now is to make the clogged vessel clear.
Although it cannot completely cure the original disease, it can at least delay the life of the patient.
Sometimes it seems to live an extra day, but it seems useless to live an extra year.In fact, this is very important for patients and their families.
"Knife!" The dissected liver vessels were clearly displayed on the big screen.
When Zhang Fan picked up the scalpel, the audience was silent.Even Lao Qin who was the commentator stopped talking.
Vascular fluctuations of varicose seem to be clearly visible."Pop!" Zhang Fan steadily accepted the scalpel glowing coldly.
"Separate the arteries! Prepare the microscope."
"Yes!"
After the ligation, after the distal ligation, Zhang Fan went under the knife without a trace of hesitation. There was no way to regret it after the knife.
God won't let the opened blood vessel let the doctor do it.
If once the passage is unsuccessful, the patient will not even be able to get off the operating table.There was only breathing in the venue.
When the scalpel was cut across, the dark red blood remaining in the blood vessel oozes out gently, just like the mouth of a rubber tube, the vein is enlarged under the microscope.
By this means, the vessels of the portal system were directly connected to the inferior vena cava by Zhang Fan across the hepatic portal artery.
When Zhang Fan clamped the inferior vena cava with a vascular clamp, the big experts who could understand made a cry: hiss!
Especially Qin Lao, with the blessing of the loudspeaker, the air-conditioning breath is exceptionally loud and elegant.
"Damn! He's too courageous. Go straight to the inferior vena cava. Oh my god! This one is not careful, and the patient just died."
Although some general doctors cannot understand surgery, at this time, they still understand the dangers of surgery.
"Don't make noise!" The other doctor was unhappy.
In layman's terms, blood vessels are divided into three layers, coat, muscle, and underwear.Zhang Fan relied on his super steady hands to connect the coat of the hepatic portal vein and the coat of the inferior vena cava, leaving a small opening.
"Buck!"
"Yes!"
"The blood pressure is at the end!" The anesthesiologist reported the patient's condition loudly.
At this moment, Zhang Fan's scissors entered the muscle layer of the inferior vena cava.
With a "click!" There was no obvious bleeding during the entire operation. At this time, bleeding occurred.
It came out like spring water.Hooping out, all the doctors couldn't help standing upright, squeezing their hands.
Blood vessel openings, especially large blood vessel openings, kidding!No matter how skilled this kind of surgery is, there is a huge risk. A careless one will lead to hemorrhage and death.
The blood vessels magnified by the microscope are like a dam bursting, blood roars out, and the magnified picture looks even more terrifying.
"Hang up! Hung up! This person is out of help!" Some ordinary doctors muttered while staring at the big screen.
In the operating room, doctors and nurses are skillful and stable.Rush and not panic.
When the blood spurted out, Zhang Fan moved, and the ophthalmic forceps flew in his hands.Two times, the muscles of the blood vessels were sutured up.
With one needle and two needles, the dam closes and the blood stops.
"Boost~!" When Zhang Fan retracted his pliers, the words came from his mouth without hesitation at all.
As the blood pressure slowly increased, Zhang Fan began to suture the coat of blood vessels.
"Pretty!" When the blood pressure rose to normal, there was no trace of bleeding from the sutured blood vessels.
Old Qin shouted loudly, the old man's face flushed.
"Pretty! Textbook-like operations are even more beautiful than textbooks.
Although this kind of surgery is not widely used in liver disease, this kind of thinking and this technique is very valuable."
Old Qin said as if drunk, with a trace of regret, perhaps a trace of aftertaste.
"The soldier is on the verge of danger! This kid is too courageous." At this time, Mr. Wu smiled and said to Mr. Lu.
Before Mr. Lu could speak, Mr. Wu said again: “However, in this way, I am even more looking forward to his surgery in the afternoon. See if he can enter the mid-hepatic lobes upright.”
"Haha!" Lu Lao smiled very comfortably with a hint of pride and satisfaction.
Grand Master’s eyes are above the top, let alone the younger generation, even in their generation, there are few who can be in the eyes of Grand Master.
Zhang Fan can let Senior Brother say that he is looking forward to it.
Old Qin continued to explain the operation. When the blood pressure rose, the blood vessels through the route were as long as they were on the inferior vena cava, without seeing a trace of bleeding.
"It's useless. I am afraid that this patient will have to undergo dialysis every two days! It is estimated that he will practice suturing pig blood vessels every day!"
A frontier doctor said with a bit of envy and jealousy, his voice was a little louder, but in exchange for all the eyes of SB!~
People are like this. If Zhang Fan were an expert in the capital, no one would have said this, and it would have been all praise.
But who made him a doctor in a primary hospital?