Chapter 1528: False medical record

The patient's liver has the performance of nodular cirrhosis, and the overall atrophy is obvious.
Zheng Ren reached out and a latex tube fell in his hand.
He used a latex tube to pass through the small omentum hole and wrap the hepatoduodenal ligament to prepare for hepatic blood flow blockage.
Then lift the right liver, place the abdomen under the right armpit, and expose the right liver.
"Can you touch it?" Su Yun asked.
"Yes, the border is still clear." Zheng Rendao.
After that, he left his liver and Su Yun’s hand stretched out.
Gently touch the right liver and use a little force to feel a large lump inside the liver.
After Su Yun touched it, Professor Yang touched his body.
The tactile sensation... harder than the liver cancer lumps in my impression, not a little bit harder.
Is it that the intervention is embolization, and the changes in tumor tissue necrosis are so large? Professor Yang is somewhat puzzled.
Normally, the texture of the tumor tissue is harder than the surrounding normal tissue, but it should never be so hard.
The liver capsule was cut at a distance of about 2 cm from the mass with an electric knife, and the large needles of the 7th wire were interlocked and sewn on both sides of the margin.
This step is prepared for the assistant, lifting the liver tissue, exposing the field of vision, relying on the 7th line pulling.
Professor Su Yun and Professor Yang pulled a line and exposed the liver.
Zheng Ren looked at the operation area, and reached out and squeezed the ultrasonic knife in his hand.
He began to bluntly separate with the pliers of the ultrasonic blade.
Hey, the sound of slow condensing keeps ringing.
Small blood vessels, with slow power and low coagulation, will have a squeaky sound. Larger blood vessels, with faster power, will make a loud noise.
The speed of the operation is not fast, but it is not slow.
In the background music of good luck, the sound of screaming keeps ringing. In the view of Professor Yang, Zheng Ren’s hands seem to have a wonderful rhythm.
Small blood vessels and bile ducts are closed and cut with an ultrasonic knife. When encountering 4-5mm or more, Zheng Ren does not need the high power of the ultrasonic scalpel, but chooses to clamp it with a titanium clip and cut it.
"Zheng Boss, the ultrasonic knife can cut off the blood vessels of 6mm at most." Professor Yang reminded.
"It has been reported that blood vessels with a diameter of 4 mm or more are cut with an ultrasonic knife, and the possibility of rupture and bleeding after operation is 3-5%." Zheng Ren said while doing surgery: "Although the pressure is relatively large after surgery, Even bleeding can stop, but it is not necessary."
Professor Yang thought about it and he had not seen similar reports.
However, Zheng’s surgery is really clean, the liver has been opened, and there is not much blood in the field. I have been holding the suction device in my hand, and the sound of the cockroach indicates that the suction device is ready to go.
However, there are only a few milliliters of blood in the pipe of the aspirator, and there is almost no bleeding during the whole process of the liver.
As a helper, Su Yun used a hemostatic forceps to hold a piece of gauze, occasionally bleeding, revealing a clear field for the surgeon.
On the white gauze, the red blood of the stars is like the plum blossoms in the twelfth lunar month.
People who have less bleeding can't believe it.
A black, hard tumor tissue appears in the field.
"Looking at the normal liver tumor is a little different." Su Yun said, whispered.
"The difference is very big, you will know when you are free." Zheng Rendao.
"Zheng boss, is it because the blood supply artery is embolized?" Professor Yang asked.
"There are reasons for this, but more because the tumor tissue is necrotic, and there is a big difference between normal tissue. The surgery is more precise and simpler." Zheng Ren looked at the surgery area, said.
This is the live broadcast of surgery. Zheng Ren took the experience of the last operation and the eyebrows of the Xie Yi people. They did not look up at all. The vision always locked the liver tumor in the surgery area.
Start free tumors.
Zheng Ren used an ultrasonic scalpel and titanium clip to fall on the upper half of the tumor. The free tissue was about 0.7 cm away from the tumor tissue.
Soon, Professor Yang discovered different places.
As Zheng Ren said, the surgery seems to be much simpler than expected, and there is less bleeding.
Usually surgery for hepatobiliary surgery, also used ultrasonic scissors. Even the high-value consumables like the torch are occasionally used when bleeding is not enough.
Surgery is the same surgery.
However, under the hands of Zheng Boss, it seems that it suddenly becomes extremely simple.
The pliers of the ultrasonic knife head are constantly bluntly separated, the sound of the sputum is constant, and the operation is smooth.
Bleeding?
Professor Yang glanced at the suction device in his hand and the gauze in Su Yun’s hand.
Say no, it is nonsense.
But the little bit of bleeding... How to write the surgical record? Bleeding 3ml?
MD! Write this, it will not be recognized as a false medical record.
"Director Zhou, the boss is about to cut off the blood vessels from the brachial artery." Su Yun suddenly said.
Since Zhou Chunyong has been on the operating table, he has not said a word and carefully observed it.
This is the first time he saw the anatomy of liver cancer after embolization.
What is the branch of the radial artery?
Zhou Chunyong still remembers that when he underwent embolization surgery, the artery was not found on the pre-operative film.
Zheng Boss did not see the process of over-selection and embolization. ~EbookFREE.me~ But... Where?
Hey, the sound is sounding, and Zheng Ren continues to move down. Zhou Chunyong looked a little embarrassed and whispered: "Doctor Su, where?"
"Just the ultrasonic knife cut off." Su Yundao: "You didn't see it?"
"Oh, that's it." Zhou Chunyong said slyly, pretending to see it.
He is embarrassed.
I am not engaged in surgery, and the anatomy is only learned in images and books.
If you open the cockroach and see the actual situation, you will be stupid.
Can see a wool line! In addition to no bleeding, the surgery is clean, and there is no good to see.
But Zhou Chunyong knows that the surgery is clean, this is good!
Professor Yang of the 912 hepatobiliary before surgery also said that he should prepare blood. Now, it is completely unnecessary.
"Director Zhou, ordinary liver surgery, even if I do, bleeding should be around 100ml." Zheng Rendao: "Low bleeding, because the embolization of the tumor to support the blood vessels."
When I heard Zheng Ren’s suggestion, Zhou Chunyong’s heart raised an unspeakable emotion.
My own work, I have been working for 20 years, and I saw it for the first time. I have to tell Zheng that I have any effect.
This...hey.
Professor Yang heard the words of Zheng Ren, and his heart was not a taste.
There is no combined liver interventional embolization surgery for common hepatic surgery before surgery. If you do it yourself, at the current level, the bleeding must be at least 500ml.
Well, this is an extraordinary play.
In order to prevent this, blood transfusion has begun at this time.
But Zheng boss said, what he did now only bleed 100ml?
It shouldn't be possible, and the doctor on the operating table can't take it seriously. Professor Yang comforts himself.