Chapter 554: Risky

"Into the liver door. He's in the liver door!" Qin Lao's voice was hoarse. Too excited, the liver door made Zhang Fan's anatomy clean.
The surgery looks very comfortable, with no extra steps and no hesitation.
Step by step, very clear. There are a lot of people who understand in the conference hall.
"The boy's basic skills are very solid. The kung fu under his hands is really good. I was a lot worse than him at his age. Even now, I don't think I have done this clean with this boy. Zhang Fan's elder brother said to Zhang Fan's four elder brothers.
"Well! You found no or no extra steps in his surgery. This is very bad. The structure of people isn't all the same. But he didn't even think about it, the knife is coherent, really amazing! "Si Shishi nodded looking at the big screen.
Sitting in the front row, Wu Lao quietly watched Zhang Fan's operation silent, but stared at Zhang Fan's hand.
"Strong! Really strong, where did this guy suddenly come from. Why hasn't he heard his name before?"
The director of Yaxiang's liver and gallbladder asked the director of Sanhua Xihua in surprise. They are all members of the Hepatobiliary Surgery Association.
"I don't know. It seems to have the ability, not a character who walks out."
"It's impossible to ask Lu Lao to walk." This is a few people who understand the operation.
At this time, the Canadians recognized Zhang Fan. Although the surgery had not yet entered the most important place, the anatomy of Zhang Fan's hand had surprised them.
And some doctors who did not understand in the middle were not so shocked, especially the doctors brought by the master or director to see the world.
Looking at it in fog, "I think that's it, but his surgical instruments are beautiful. I don't know what brand it is. You know not, I want to buy one too."
"Well, it's pretty good, but his hemostasis is still quite good. I think I practice like him."
Half a bottle talks a lot, and the quality of being unconvinced is not bad. If you are not convinced, you have motivation.
The major equipment vendors in the last row are suffering at this time. See, don't understand, listen, don't understand. I knew that the surgery was great.
Because Qin Lao is excited! Everyone is not stupid. I dare not ask or say!
"Xiao Wang, ask if you have any hobbies, such as tobacco, wine, tea, etc."
"Ok!"
Zhang Fan's system gives Zhang Fan a platform to fully practice his hands. Although the orthopedics opened earlier than the outside. However, the degree of understanding of the profession is currently the strongest of Zhang Fan.
Because in the subject of liver and gallbladder, Zhang Fan has sublimated and has broken through. To put it more generally, quantitative change has reached qualitative change.
The liver is in Zhang Fan's mind, which he has thought through. It can be said that in terms of liver and gallbladder, Zhang Fan has been able to create his own things with ease.
In terms of rivers and lakes, although it has not reached the level of invincibility, but by virtue of upright tempering, it is almost reaching the level of cleanliness.
The major organs of the body are very weird. Those who want to play with blood vessels, but not with blood vessels, play with muscles, such as the heart.
If you want to play with muscles, don't play with muscles, play with mucous membranes, such as the stomach. The most important thing about gastric tissue is the layer of hydrocarbon mucosa in the stomach. Without this layer of mucosa, the muscles can't withstand the strong acid even if it is thick.
The liver, originally supposed to play secretion and biochemistry, but it has manipulated the blood vessels and swelled the vessels, and it is unreasonable to play with you.
The venous return of the human digestive tract passes through the liver, from the esophagus to the chrysanthemum, all through the liver.
This place is more important than the nine provinces. Once the portal vein of the liver is not smooth, the veins of the upper and lower digestive tracts begin to block.
Generally speaking, the upper digestive tract is above the duodenum and stomach, and the lower digestive tract is below.
After the veins of the upper and lower digestive tracts are blocked, they will use the way instead of walking the liver. I will talk about changes in the blood vessels without talking about the diseases here.
The veins that were originally hidden in the digestive tract became thick and thin, leaking out like blue earthworms, and lying on the esophagus and the surface of the intestine.
The food that enters the lower digestive tract is a chyle-like paste, and it does not matter, unless it is hard to take the road.
The upper gastrointestinal tract does not work. Once the portal system of the liver is blocked, the veins of the esophagus are bombs.
I ate the biscuit without chewing it. When I ran across the esophagus, the very thin veins were cut.
The patient will then vomit blood. Spitting blood can spit people.
The usual treatment is ligation, which is done under gastroscopy. And what Zhang Fan is doing now is to make the blocked vessel clear up.
Although the primary disease cannot be completely cured, it can at least delay the patient's life.
Sometimes it seems like living another day, and living another year seems useless. In fact, this is important for patients and their families.
"Knife!" The liver vessels after dissection are clearly displayed on the big screen.
When Zhang Fan picked up the scalpel, the audience was silent. Even Qin Lao, who was explaining, did not speak.
The vasculature of varicose veins can be seen clearly. "Slap!" Zhang Fan took the cold light scalpel steadily.
"Separate the arteries! Prepare the microscope."
"Yes!"
After ligating and ligating at the distal end, Zhang Fan stabbed the knife without a trace of hesitation. There was no way to regret this knife.
God will not let the open blood vessels, let the doctor never.
If the excuse is unsuccessful, the patient cannot even get down the operating table. There was only sound of breathing in the meeting room.
When the scalpel was scratched, a bit of dark red blood remaining in the blood vessel leaked out, just like the mouth of a rubber tube. Under a microscope, the vein was enlarged.
By the way, the vasculature of the portal system was connected to the inferior vena cava by Zhang Fan directly across the hepatic portal artery.
When Zhang Fan clamped the inferior vena cava with vascular forceps, the big guys who understood understood made a noise: hiss!
Especially Qin Lao, under the blessing of the loudspeaker, this mouthful of air-conditioning sucked is particularly loud and elegant.
"Fuck! He's too brave. Move the inferior vena cava directly. Oh my god! This one is careless, and the patient's number will just hang up."
Although some ordinary doctors cannot understand the operation, at this time, they still understand the danger of the operation.
"Don't make a noise!" The other doctor was unhappy.
In layman's terms, the blood vessels are divided into three layers: coats, muscles, and underwear. Zhang Fan, relying on super robust hands, first connected the coat of the hepatic portal vein and the coat of the inferior vena cava, leaving a small mouth.
"Buck!"
"Yes!"
"The blood pressure is at the end!" The anesthesiologist reported loudly to the patient.
At this moment, Zhang Fan's scissors entered the muscle layer of the inferior vena cava.
With a click, there was no obvious bleeding operation, and at this time, bleeding occurred.
It came out like spring water. Huh la la came out, the doctors in the audience couldn't help but stand upright, and squeezed their hands.
Vascular openings, especially large ones, just kidding! No matter how proficient this operation is, there are huge risks, and an accident can lead to massive bleeding and die.
The blood vessels magnified by the microscope, just like the dam that crashed, blood roared out, and the enlarged image looked even more terrible.
"Hang up! Hang up! This person isn't saved!" Some ordinary doctors murmured to the big screen.
In the operating room, doctors and nurses are skilled and have stable connection. Hurry without panic.
When the blood spurted, Zhang Fan moved, and the ophthalmic forceps fluttered in his hands. Twice, the muscles of the blood vessels were stitched to the naked eye.
One needle and two needles, the dam was closed, the blood stopped.
"Boost ~!" When Zhang Fan retracted the pliers, his words also came out of his mouth without any hesitation.
As the blood pressure slowly increased, Zhang Fan began to sew the coat of blood vessels.
"Pretty!" After the blood pressure rose to normal, there was no trace of bleeding in the sutured vessels.
Old Qin shouted loudly, the old man's face turned red.
"Pretty! Textbook-like operations are even more beautiful than textbooks.
Although this kind of surgery is not widely used in liver disease, this idea and technique are very valuable. "
Lao Qin said as if he was drunk, with a hint of regret and perhaps a hint of aftertaste.
"It's dangerous! This kid is too brave." At this time Wu Lao said to Lu Lao with a smile.
Before waiting for Lu Lao to speak, Wu Lao said, "However, this way, I will look forward to his surgery in the afternoon. See if he can enter the middle of the liver squarely."
"Hehe!" Lu Lao smiled very comfortably with a touch of pride and satisfaction.
The master's eyes are too high, let alone a younger generation. Even their generation, few can enter the master's eyes.
Zhang Fan can let his teacher say that he is looking forward to it!
Mr. Qin continued to explain the operation. When the blood pressure rose, the blood vessels on the way were as if they had grown on the inferior vena cava, and there was no trace of bleeding.
"It's useless, I'm afraid this patient will have to do dialysis every two days! I guess he will practice suture every day with pig blood vessels!"
A frontier doctor said a little bit enviously and enviously, the voice was a little louder, and in the end, all he looked at was SB's eyes! ~
This is how people are. If Zhang Fan is an expert in the capital, it is estimated that no one will say that, and it is probably all praise.
But who made him a doctor in a primary hospital.
In the last few days, the old man in the family has experienced some accidents.
Lao Zang ran Wanli Road for three days,
To be honest, a little tired
People are middle-aged and things are really busy
Sorry guys!
One day, Lao Zang coded on the ground floor of the train station lobby
A little baby pointed at Lao Zang and said
Mom, why is your uncle kneeling and playing with a computer?
Lao Zangxin said
Uncles want to tear up tickets,
Don't kneel or hit!
(End of this chapter)