Chapter 166: 162 Help

Chapter 166 Chapter 162
On the second day, in the operating room, Zhang Fan was the first surgeon, Zhao Quanping was first aided, Zhao Jun was second aided, and Li Dajin, a professor of hepatobiliary neoplasms of Di Da, was at the operating room platform. He didn't have much confidence in the eradication of this tumor. Although he was an expert in consultation, he was not very optimistic about Zhang Fan being able to do it, but he didn't say it, let's do it first! I often come here. Although he is a systematic expert professor, he has a bad relationship with Li Jingjin. He is an expert of the same level, and he is still in a district. That ’s one thing, so my counterpart is right.
The two did not feel embarrassed, standing on either side of the operating table. Although there was no communication, neither of them was optimistic about Zhang Fan being able to get the operation down. Such a young doctor still has such a large operation and such a high-end operation. Just kidding.
They all come to the consultation. As long as they have not had surgery, they have no responsibility. Anyway, they are not afraid of big things when they see the bustle. The city hospital should insist on doing it, and Lao Li does not insist!
At the beginning of the surgery, Zhang Fan chose a conventional incision. This surgery would prefer a larger opening than a smaller one. A small incision may seem like a small injury, but in fact the field of vision is unclear and the damage to the internal organs is greater. A sharp knife cuts across the skin and the fat layer cracks the skin. Electric knife to stop bleeding, light smoke is insignificant!
Entering the abdomen, Zhang Fan began to explore the size and extent of the tumor to see if the tumor tissue actually invaded the hilar and large blood vessels. The tumor is really not small, and it occupies a large space in the middle of the liver. Li Jingjin and Lao Chang stood on both sides and saw the size of the tumor. At the same time, he shook his head and was too large. Maybe it has violated the large blood vessels! One accidentally, liver failure can't run away!
Zhang Fan gently probed and touched the tumor. The tumor tissue grew rapidly and was overbearing. Zhang Yawu's claws caused great damage to the body and tissues. The surface was a thin film, which would break if he was not careful. The patient's tumor had invaded large blood vessels, and the range of movement was a little bit, or he might rupture the major bleeding.
Zhang Fan slowly separated the hepatorenal ligament and cut the triangular ligament. This operation is much more difficult than ordinary liver surgery. If the operation is too large, it will directly rupture and bleed, so each operation must be careful and careful! "Gauze wrap." Zhang Fan said simply. Zhao Jun immediately wrapped the liver with gauze and supported the liver with both hands. The last ligament, the coronal ligament, was separated. The ligaments that fix the liver are free, and the assistant will bend over to support the liver to prevent it from moving.
Zhao Jun stooped, he was the chief physician, and he was an assistant in a hospitalization, doing the work of hospitalization. But he has no complaints at all, this is the team, this is the doctor, this is the characteristic of the technical post, only the technical hero.
The surgical knife is gently slid across the liver capsule, using a large curved hemostatic forceps at the front edge of the liver to slowly enter the liver tissue to separate, and clamp a little bit into. At this time, it is very important to be accurate, and to be particularly familiar with the anatomy, otherwise a blood vessel is missed, in which case it is difficult to stop bleeding.
The vena cava and short hepatic vein are ligated one by one to stop bleeding. The liver has two sets of blood supply systems, which are particularly complicated. However, the veins and arteries leading to other liver lobes cannot be ligated, or the other liver lobes will be necrotic after the operation is completed. After confirming that the blood vessel was successfully ligated, Zhang Fan gently released the hemostatic forceps, and the left and right livers, which were a little off-white, recovered blood color, which showed that the blood vessels of the left and right liver lobes were unobstructed.
The location of the middle hepatic lobe is too dangerous. The hepatic hiatus is in close contact with the inferior vena cava and the three veins of the liver pass through the middle hepatic lobe. The wound in this position has too much bleeding, the blood supply is rich, the tissue is complex, and it has multiplied Difficulty of surgery.
Which artery or vein needs to be ligated, and that artery or vein leads to other liver lobes, so it must be distinguished. When the liver is cut, it is really impossible to distinguish them without decades of liver surgery skills. Surgery is so difficult. Without a teacher, it is really too difficult. This is also the reason why liver tumor surgery is difficult to do. Without a large number of disease sources, it is impossible to mature. Good teachers are indispensable for a large number of diseases.
Zhang Fan ligated, stopped bleeding, released the hemostatic forceps, and restored the color of the left and right liver lobes. Li Jingjin and Chang often felt that it was incredible. They were so skilled at this young age. Both were experts. I know this guy is very good.
Time has passed little by little, and four hours have passed. The last step before the removal of the tumor is left. After covering the liver wound with a hot saline bag, the liver cancer tissue is removed. Liver cancer grows too fast, and the cancer cells outside have not yet matured. The internal liver cancer tissue has died due to lack of nutrition. The normal nutrition of the human body cannot meet the growth of cancer cells. Erosion, infiltration, and planting, and the proliferation of cancer cells are too many. It's really terrible.
Five centimeters of cancerous tissue was completely removed. The wound tissue is compressed to bleed, and then chemotherapy drugs are injected from the omental vein to kill cancer cells that enter the blood. Finally, the large omentum was free and covered and fixed at the edge of the liver.
The operation was a success because the tissues surrounding the liver cancer were clean. When the liver cancer was removed and placed in the tissue tray, Lao Li said in awe: "Precise liver resection! Great! I was taught!"
After seeing Zhang Fan's complete resection of the cancer tissue, he often saw no major bleeding, and when the patient's vital signs were particularly stable, he quietly left the operating room. What consultation fees and plane tickets did he lose? He made up his mind that he would never come to the Chasu market again! Too much, just jump out of a little doctor to do this operation, really too much!
The usual departure, no one cares, the expert team outside the operation is still on standby, watching the dim old often leave, as if disregarded, retribution comes too fast!
The operation continued. After Zhang Fan left the drainage tube, the equipment nurse counted the gauze, and after the equipment was completed, the abdomen was closed. After more than six hours, the operation was over. Zhang Fan began to give an oral doctor's order, "Fast three days after surgery, plasma and albumin supplementation, low-oxygen inhalation."
After listening to Zhang Fan's doctor's order, the general attendant said, "Received!" The patient was rushed to the ICU by the anesthesiologist and the visiting nurse.
Tired? Not tired is fake, more than six hours, fixed standing posture, not tired is a robot. Zhang Fan, who had just taken off his surgical gown and gloves, was held by Professor Li of Dida. "Director Zhang, great! Precision liver resection, the technique is too precise, too powerful!"
It is really not easy for a provincial surgeon to call a director.
"You're welcome! Please enlighten me!" Zhang Fan is very polite and respectful.
It's not time to rest in the operating room's lounge. The support expert team and Zhang Fanlao began to discuss postoperative care, special care for special diseases, and a strict and scientific nursing plan must be formulated, otherwise the operation was successful and the patient died of infection!
Ouyang personally presided over the meeting, and the directors of all departments discussed it together. The plan was soon adopted and sent to the Nursing Department. The head nurse was responsible.
When Ouyang was left with several surgical directors, Zhang Fan, and Dadi Li, Professor Li said with emotion: "Dean Ouyang, it is really terrific. Your liver and gallbladder tumors have come before us. It is gratifying. "
"The development of regional hospitals is not easy, and we need to support Professor Li in the future!" Although often gone, now the operation is successful! Ouyang thought of her usual gloomy figure, and she was very happy. If it wasn't for the wrong occasion, she really wanted to laugh three times!
"Dean Ouyang, I have a proposal, I don't know when to say it!" Lao Li looked at the happy Ouyang and said something.
Who is Ouyang? Lao Li opened her mouth and knew what she wanted to say. He said immediately: "There is nothing to say. You are a professor and expert at a higher level hospital. If you have any suggestions for our lower level hospital, please don't hesitate to enlighten me. It is really too difficult for us to train a mature doctor. It is really difficult to keep talents in remote areas. I have protested several times at the meetings of the municipal party committee. The siphon phenomenon of the superior hospital has put too much pressure on us. "
What old Li wants to say, can't say it! The meaning of Ouyang is very clear. Suggestions and opinions can be mentioned. If you want to dig people out, you will be sorry. Ouyang has even moved out!
"Oh, yes, yes, frontier hospitals are really too difficult to develop. In fact, we are the same. The siphon phenomenon in big cities puts more pressure on us. Some doctoral doctors went directly to the south. I have no other meaning. I just want to ask Director Zhang to go to our hospital for a few operations and give us classes. His precise liver resection is too powerful. I can say that, for precision liver resection, Director Zhang is the first! "
"You are so kind. How can he be young? He is still young and cannot be killed! Dr. Zhang is still a resident. It ’s a joke to go to a provincial hospital for lectures. You can bring our patients to our hospital. We make progress together. Regional hospitals are too difficult. There is a shortage of doctors and more typical patients. There are many patients in provincial hospitals and high-quality doctors. We can form a helping hospital. The hospital ca n’t do it, it can also form a department to help, how about, as long as there are suitable patients, our hospital will cooperate fully and what equipment is needed. You said that the city hospital does not have it, I will apply now!
He rejected Professor Li's proposal.
"What a joke! I want to dig someone in my hand!" Ouyang looked at Lao Li proudly, Professor Li shook his head with a bitter smile, and turned to look at Zhang Fan.
"It's a pity!" A voice came from his heart.
"Doctor Zhang or a resident?" He was reconciled.
"Well, yes, Professor Li. It didn't take long for me to get a license."
"I think it ’s good that Dean Ouyang suggested this. But I have an opinion. I ca n’t be the master at the hospital level, but I can still do the interaction between the departments. The surgery can be done in Chasu City, but the assistant It must be all the staff of our department. We develop together, what do you say, Dean Ouyang? "Old Li did not succeed, and immediately turned to prepare to train his own doctor.
The doctor who sent his department to the mainland for further study was also worried about whether the meat buns would hit the dog or not, but he came to the tea vegetarian city with confidence!
Eight thousand words! No cow!
Ticket for that month! You know it!
There are also singles! You all know!
(End of this chapter)