Medical road

"Electric knife!" Zhang Fan put down the scalpel and replaced it with an electric knife.Tumors, especially malignant tumors, are too domineering.

It's not an exaggeration to describe this thing in any disgusting words.It has various forms.

Once it breaks through the film and bursts from the inside out, it will be Shrek exuding a foul smell.

On the rose-colored or red-wine-colored liver, a grayish and dark lump grew out of it, and the shape of this lump is still irregular.

It's like a dysplastic, huge, sprouting and hairy potato falling on a bunch of rose cakes.

Very uncomfortable.

After receiving the electric knife, Zhang Fan gently touched the disgusting tumor on the liver with his left hand, as gentle as touching Shuangfeng.

Although all the pre-operative data are very complete, Zhang Fan still has to experience the tumor by himself.

Touch it gently and feel its maturity.Just like picking a peach, see if it has completely rotted inside.

"Brother, it's better to watch the scene here after all, or let's enter the operating room." Following Zhang Fan's movements, Lu Lao became a little nervous.

The greater the hope, the more worried about disappointment.

"No hurry, with such a big tumor, you and I can't help him if you go in. It only increased the pressure, and the years when we took the knife passed..."

"Dr. Zhang is under the knife. The ligaments are beginning to free. Beautiful! The technique is light and the falciform ligament is broken, the triangular ligament..."

There was only Qin Lao's voice."Hang up!" Zhang Fan said to the nurse.The removal of malignant tumors is not only to remove the tumor, but also to remove a certain range of normal tissues around the tumor.

The liver is like a pack of blood cells, and a large amount of blood will be ejected every time it is cut.This loss of blood is almost impossible for doctors to avoid.The bigger the tumor, the bleeding can kill the patient. This is its difficulty.

Therefore, it is necessary to sew up the normal liver tissues in advance with sutures, and after the blood is ligated, the liver can be removed.

Just like fighting a siege, you must first make a pocket before you can do annihilation.

The difficulty here is to make a pocket on the uncut liver. Where is the aorta?Where is the bold pipe?Without a very, very skillful knowledge of liver tissue anatomy, just this step will prevent 89% of doctors in the world.

Zhang Fan's liver knowledge is clear, and his true sublimation is clear.Today, even if Zhang Fan had orthopedic surgery, he was not as pretty as having liver surgery.

Although the training in the system is the foundation, my own insight has improved Zhang Fan's liver surgery by several heights.

"Look! Doctor Zhang Fan has done ligation, parallel to the tumor and started ligation.

OMG!No bleeding, everyone, there is no bleeding here.so amazing."With Zhang Fan's ligation, Qin's eyes became round. He thought that there would be a lot of blood in the operation. As a result, under Zhang Fan's operation, no trace of blood appeared.

Zhang Fan did a perfect bloodless ligation.This is the ability, this is the ability of the liver.The cow was not spoken out, but from the liver.

Zhang Fan did it smoothly, Director Zhao Quanping, Ma Yichen and the others were comfortable with them. Following Zhang Fan's rhythm, several people did the pockets of the encirclement battle slowly and slowly.

"It's amazing! It's amazing!" Zhang Fan's master brother couldn't help but said as he looked at the big screen.

He started with a liver tumor, but Zhang Fan surprised him too much.

"Director Zhao, pull the thread! Ma Yichen pull the thread." After the ligation around the tumor was completed, Zhang Fan gave an order.

Lao Zhao and Ma Yichen mentioned the gut that remained outside the liver.At this time, look down from above the shadowless lamp.

The tumor and the suture of the gut are like a parachute unfolding in the sky.The tumor, including the liver tissue surrounding the tumor, was suspended.

Zhang Fan didn't say much. At the moment they mentioned it, Zhang Fan moved his knife, and Zhang Fan's electric knife entered his liver amidst the scorching sound.

Green smoke curls up, holding a knife like a pen, Zhang Fan is making a perfect picture of his heart on his liver.

"Oh my God! Look, look, Qiu-style sword technique. Look, look, it's Qiu-style sword technique!"

Old Qin was excited, and Zhang Fan was a little bit together, making the old man's eyes red. Since Old Qiu passed away and Old Wu faded away, Qiu-style knife technique seemed to disappear slowly in the liver area.

Today, how many years have passed, finally let him see the familiar knife technique again.One by one, it contains the most reasonable way to remove liver tumors.

Not only Qin Lao was excited, Lu Lao, especially Wu Lao, the people who held the knife for a lifetime, couldn't help but tremble slightly.

Yes, this is the Qiu-style knife method. In liver resection, the most perfect and also the most difficult knife method, there is no one, there is only one.

"Cool!" Even ordinary doctors can see the mystery of Zhang Fan's technique, which is like embroidering on a sleeve full of water.

Zhang Fan avoided blood vessels and bile ducts, but Pao Ding Jie Niu was nothing more than that.

This is the horror of the Qiu faction boss. Zhang Fan has been in the system for two years. If there is no later insight, he will never be so amazing.

System training and the usual super liver have reached the level of Old Qiu and Old Wu. Therefore, it is not an exaggeration to say that the ancestors of the Qiu School came from one family.

Under Zhang Fan's rotary incision, the tumor gradually separated from the liver little by little.The tumor is not hung on the branch like an apple.

It is buried in the ground like a potato, because when it is too big, half of it will appear on the ground.

Therefore, the most difficult resection of liver tumor is not the resection of the liver surface, but the most difficult part is buried deep in the liver.

The more you go inside the liver, the more complex the vasculature becomes. The vasculature inside the liver is like a broken bread, with pores everywhere.

Is it regular?Yes, Mr. Wu defined the liver vasculature of the Chinese.

Once you have a definition, it should be easy to do. In fact, it is not. Just like the theory of relativity, knowing and understanding are two different things.

Understanding and application are two separate things.Therefore, as Zhang Fan removed the superficial liver tissue little by little, the operation slowly entered the most difficult part.

is it hard?It's very difficult, even if Zhang Fan wants to get through his liver, it will be difficult. It is not difficult to be promoted long ago.

Not only Zhang Fan, but the foreheads of several operators involved slightly leaked sweat.

Success or failure is at this moment.

Old Lu secretly squeezed his fist.Wu Lao stared at Zhang Fan's hands closely. Zhang Fan's operation was like replicating his previous operation, no, it was more accurate than he was back then.Zhang Fan did better than him in controlling bleeding.

"Senior brother, how did the younger brother's technique be practiced?" The fourth brother asked the master who was already nervous enough to be self-sustaining.

"Talent, this is a talent, it is not enough to rely on training." The master did not turn his head back.

The suspended tumor is like a big mushroom, suspended by Zhao Quanping and Ma Yichen.

The two clenched their teeth and insisted, absolutely not trembling, absolutely not using excessive force.The dangling arm became sore and numb, but I had to persist.

At this time, if you apply a little force, it will be blood-stained, and you don't need to do surgery again.

Therefore, when the operation is to the extreme, there must be a qualified team.It's like a team that can give their backs to their comrades on the battlefield.

Zhang Fan's two years, along the way, as he grows, he is also like a magnet, attracting the people around him to grow.

"Knife!" Zhang Fan turned his head gently, and the traveling nurse quickly wiped off the sweat from Zhang Fan's forehead with a tacit understanding.

The gentle itinerant nurse wiped off the pearl-like sweat on Zhang Fan's forehead. They were super nervous, tired, and super tired. This is their nerves like the bowstring of the full moon.

The electric knife was exchanged for a scalpel.Inside the liver, electrocautery is not appropriate.

There are too many vessels here. If you cut it off with an electric knife, the bleeding may be temporarily covered up, but this kind of coagulation is not reliable. Once careless, the patient and the doctor will have a nightmare.

Therefore, Zhang Fan must use a knife. Even if he bleeds, he also needs to know where and how much he bleeds.