Medical road
Chapter 1640 Tutoring the mouth to the mouth of the hand to the mouth
The tour of the tour is different from the conventional flying knife surgery. Flying knife surgery, the experts are better, and they will also give the local doctor on the operating table that if the doctor who is more proud, even if you say a word, even the local doctor will not give up. The whole process is taken, and the local doctor is also a personal hook.
There is no way to make money after all, after all, he has made money, not to promote technology.
However, the touring surgery must be explained in detail, and even finding a way to make the doctors participating in the operation clearly clear, just like watching a movie, you must not have mosaic. Although many big guys can do the same in their hearts, this thing is in the end. Is it natural or artificial, and it is still not possible across the mosaic.
Therefore, at the beginning of the surgery, Zhang Fan would explain that Zhang Fan was a bit uncomfortable with this operation.
Because Zhang Fan claimed to be dumb at Cutcho Hospital, he was rarely spoken in surgery.
It makes sense, but everyone is not strictly observed. In the surgical rules and regulations, there is one, which clearly stipulates that you should not speak as much as possible during the operation, because there will be droplets when speaking. sex.
A man and a woman quarreled face to face. In fact, it is not unreasonable to describe that they are kissing from the molecular level.
If necessary to speak in the operating room, you must whisper, but in reality, doctors and nurses drove up.
At that time, a patient had a patient chatting with a surgeon and a nurse. After he was discharged from the hospital, he went to the Discipline Inspection Commission to tell the hospital because the patient was semi -numb and half -awake at that time. ","
The nurse does not know whether it is really or false, and it is a sentence immediately, "Yes, I haven't seen it, you are smaller than him anyway."
This is a real thing, you can imagine how fast this car is.
"Zhang Yuan, the surgery is ready." The anesthesiologist gently said to Zhang Fan. The anesthesiologist was brought by the old man Wu. He had cooperated with Zhang Fan at the beginning.
As soon as Zhang Fan heard it, he stood up, nodded at the camera, and nodded at the old man Wu.
He knew that his old man would stare at the display. It is estimated that the old man was more nervous than himself. And Shi Bo, who is so old, still enters the operating room to help Zhang Fan stand on the operating room.
Zhang Fan can't say thank you, he can only be grateful in his heart.
"Conventional medium incision, this incision cannot be saved, as much as possible as possible. Although the damage is a bit bigger, after a relatively accident, the second extension is more cost -effective."
Zhang Fan took the surgical knife and performed a simulated incision on the patient's belly with the same knife. This method is available in many surgery, but other doctors are not demonstrations, but preview.
Before many doctors cut their skin, they will use a knife handle or back to do exercises. Black traces on the skin.
The gallbladder is hidden on the edge of the liver. How can this stuff describe it? In fact, just like a lady wearing a dress, the wind blows, the skirt floats fiercely, and the faintness can make a lot of fatty men excited. White, black, rice mouse!
The gallbladder is actually the same, and it is hidden in a faint manner. When most people enter the hospital, the doctor will let the patient lie down and shrink back together. Then the doctor's hand will be buckled on the edge of the ribs. Let the patient exhale, and the palm of his hand is deeply touching with his breath.
This is just like the wind. This operation can feel that it is white and dark.
Before entering the abdomen, there is nothing special, conventional operations, don't say Zhang Fan, at Shanhua Hospital, just pull out the treatment of Puwa, you can give you clearly.
When entering the abdominal cavity and holding the liver, the cancerous gallbladder appeared.
Normal gallbladder is like a dew in the morning grape vines, and the crystal clear purple grapes. With the peristalsis of the body, the crystal clear bile slowly flows inside the grapes. Under the irradiation of the sunlight, it really makes people feel the most sucking.
The body's organs, to be honest, are quite beautiful in normal times. It is definitely more cute than the organs on the surface of the body. The lungs are like a pink jade.
But this patient's gallbladder is not difficult to be cute. Choosing a description word is like a public toad that meets the mother toad. Occasionally, the yellow sticky liquid secreted can spit out the half -cooked fried eggs that I eat in the morning.
At this time, the purple gallbladder with water droplets was like a toad group shrinking, and the gallbladder was slightly greasy because of the swelling of the gallbladder.
"Late! The door is late, and Zhang Yuan is not easy to leave."
In the observation room, many doctors came to theft. Everyone originally felt that perhaps the first tour, Shanhua would find a patient in the early stage of cancer. I did not expect to be a late stage.
In fact, the director of Shan Hua talked to Zhang Fan at the beginning, which means the first game. It is best to choose the patient in the early stage. The operation is more difficult.
However, Zhang Fan refused. Sometimes, the doctor was strange.
Some doctors can no longer be well represented. Hua Yan is not an opponent in the world, but people follow a sentence. Zhuge is so cautious! This habit is good or not, it is not easy to say in the medical community.
This kind of caution will reduce medical accidents in large quantities, but the disadvantages are also obvious. Such doctors can hardly risk treatment.
The old man Wu is famous, how much does the old man do, what kind of liver Asian map, and what to develop an Asian liver surgery, in fact, these are not as good as he risked to a young child to do a huge tumor resection. The old man's surgery is currently the smallest operation of patients in the world and the largest cancer tumor.
If the academic level is concerned, this resection is not important above, and there is also a illegal taste of surgery regardless of surgery. But can I say that the old man is wrong?
Therefore, the medical bank really cannot define a doctor with such simplicity.
Zhang Fan is not as high as the old man Wu, and has not cultivated to the point of others, but Zhang Fan has confidence in his surgical level.
Now that people are so persistent, the director of Shan Hua's foreigner also wants to see the level of this future leader.
Therefore, the first operation is a very serious patient.
"You must destroy the blood vessels and nerves involved in the surrounding area here. This is difficult. Please pay attention."
Zhang Fan said gently, but after the sound, in the observation room, a group of doctors' eyes were raised.
This kind of surgery is not to remove gallbladder. The difficulty of removing the gallbladder is actually not much different from the difficulty of removing the gallbladder. The real difficulty is to clean the nerves and blood vessels around the gallbladder.
Many cancer surgery is very difficult. The difficulty is the resection of the lesion. The removal of a lesion is actually the same as removing a piece of rotten meat. It is not difficult.
The difficulty is cleaning. Many cancer surgery scope is the extension of the surrounding seven or more than ten or more lymph nodes. What do you say about this, simply speaking, such as surgery in the navel eyes, some surgical lymph swecting must be under the armpit.
With such a big distance, it can be said that one of them accidentally missed one, and the ending was to abandon the front. And the scale of injury along the way is unimaginable.
It is equivalent to destroying a person's defense organization.
The operation of gallbladder cancer is even more troublesome. You stunned the pancreas, the liver, and colon, which are all unhappy masters.
"Gauze package!"
Director of the Nursing Department quickly handed Zhang Fan a gauze with a physiological saline.
Zhang Fan began to wrap the gallbladder, and the wet white gauze gently wrapped around the gallbladder, and the disgusting gallbladder was wrapped in the gauze.
Zhang Fan began to clean.
Vascular, end vascular resection, nerve downside nerve resection, lymphatic cleaning.
The lymphatic like sesame grains hangs near the vein of the liver door, and it is like a young brother who is a younger brother who is glaring around the big brother's thigh. Don't come over, come over to come over.
The thick liver vein surrounded by sesame -like lymph -like lymph -like lymph, and with the fluctuations of the liver vein, the lymph also fluctuates.
Knife, changed a new sharp knife. The surgery knife is particular. For example, the scoop of the skin is generally changed after entering the abdominal cavity. It is not a waste of a doctor, because at this moment, you must keep the blade sharp.
Zhang Fan held the knife handle and started cleaning, stingy, the blade, the blade along the gate system, just like peeling the carrot, Zhang Fan was nervous or not, I did not know. I dare not breathe.
At this time, if you carelessly, a little blade penetrates one millimeter or two millimeters, and the cleaning can become a big blood.
Outside the operating room, a group of people shook their heads constantly. "This is not good, this requirement is too difficult. Can't do it! His blade is along the outer vessels, this ..."
When everyone thinks that this Nima is a dazzling skills, Zhang Fan starts to speak, "The blade is against the outer membrane, and you must feel the resistance of the outer membrane to the blade. , Internal efforts, don't care about it, you must always feel the resistance of the outer membrane. "
"I go, can this operation of this Nima still speak, is this still human?" A year of vice Gao Meng said. The old man Lu smiled slightly outside the surgery and said, "This is the improvement of the Qiu style knife method. You see that Zhang Fan’s knife tip is not oblique. of!"
Zhang Fan gave the director of Shanhua, the difficulty of commentary operations, and how he operated with himself.