Chapter 647: To the extreme is art

Chapter 647: The Perfection Is Art
Surgery, not to mention that different schools of doctors have different results. Even the two apprentices taught by a master, the results of surgery are very different.
The simplest is that after the winter and summer vacations, the little devil wailed and held disposable paper cups, often seen in the hospital on the step of crabs.
And after the annual recovery season, the young boys came to the hospital to look for secondary development after the army saw the world.
For this foreskin operation, all major departments have broken their heads. Pediatric surgery, urology, general surgery can do it, and even male doctors in obstetrics and gynecology can give you a hammer for you.
Nothing else, because the cost of this operation is directly a small treasury of the department, so many departments are rushing to do it. The leaders open their eyes and close their eyes. This kind of manual work is not too much ...
However, this operation is also very susceptible to infection. Doctors with good skills have little damage. After the wound is done, it can be said that the surface is pink and tender, the white is red, and it is very cute. Therefore, the chance of infection is small.
A doctor with a poor skill, holding an electric knife is like giving a criminal law to someone, and violently heats their small (a) ji (a) ji as if it were a carbon rod inside a battery.
Can it not be infected!
This is a small operation, and different doctors do it all differently, not to mention large cancer surgery.
In some hospitals, the stomach cancer surgery is completed, and the patient can live longer. In some hospitals, the surgery is completed, and the patient does not come home long, just ...
There are two difficulties in gastric cancer. First, the remnant stomach and the reconstruction of the intestine. Second, lymph dissection around the stomach. These two roadblockers are sometimes the threshold of a doctor's life.
It ’s a question of whether you can do it well or not.
...
After Zhang Fan changed the position of Master, the operation speed also improved a lot. After all, she was here. Moreover, Zhang Fan didn't have the complicated emotional factors of Shan Lao in his heart, he could make better choices.
To be honest, the Chinese people's senses about Marukuni are very complicated, but in terms of medical treatment, especially the treatment of the digestive tract, they are not rivals, and even rivals are not even called.
The five-year survival rate for gastric cancer after surgery is approximately 30% in China, and slightly higher in Europe and the United States, but it is not as high. However, in the 1960s, it was already 30%, and now it has exceeded 70. %.
Maruko's ability to be a dojo in a snail shell is really not a joke, especially their diagnosis of gastric cancer is almost 10% around the world, and they have already reached a diagnosis rate of 40% early.
Mr. Lu learned thorough Western traditional methods from Qiu Zu, but after coming to Jade Bird, he had a lot of contact with the medical profession of Maruko.
Although I am old now and I can't keep up with my ideas, my vision is still there.
"I think the omentum is very dangerous. Is it all cut?"
Lu Lao gave the position of the main knife, but still couldn't rest assured.
"Full cut! We can't afford to gamble, and the old man alone has no second chance for surgery."
In fact, when the abdominal cavity was opened to emit odor, Zhang Fan had already decided in his heart the operation method.
"The full-cut injury is not small, his physical foundation ..." Lu Lao said a little hesitantly.
This is that once there is a relationship between the surgeon and the patient, there are too many problems involved. After all, in life, not everyone can let go of the seven emotions and six desires.
Zhang Fan paused for a moment, and gently took his hands out of the old man's abdominal cavity, then looked up and looked at Mr. Lu: "Master, this is not the time to hesitate.
Incomplete survival is better than spreading after discharge. "
On the operating table, to be honest, Zhang Fandu is even more domineering, that is, Lu is old. If it is someone else, it is estimated that Zhang Fan is already unwilling.
Lu Lao looked at Zhang Fan's firm eyes and sighed softly, "Well, cut it all, let's start."
Talking, Zhang Fan began to bow his head.
"Gauze!" Zhang Fan tried gauze, one gauze in one hand, in one hand, straight into the bottom of his stomach.
For the clarity of the surgical field of vision, Zhang Fan's requirements reached a point of abnormality.
Some doctors do n’t know if the operation is good or not, but he can hardly see the vision of the operation.
However, Zhang Fan is different. No matter the size of the bleeding, it will be considered in advance. Even if it encounters a variant blood vessel, there will be corresponding surgical measures.
Powerful system training allows Zhang Fan's brain, like a microtome, to cut human organs into countless times, and repeatedly allows Zhang Fan to learn.
Therefore, Zhang Fan's surgical field is very clean, just like performing an operation on a human body model. No blood is seen.
"Clean, there is no extra movement under the hand! The idea is also very clear, a good seed."
In the video classroom, the mediocre general director looked at Zhang Fan's operation carefully, and he could not help exaggerating.
"I don't think he can be said to be a seedling. He has grown into a big tree and has his own skills.
Director Chen, did you find out that Dr. Zhang would never go back? This shows that he is very confident in each step of his operation. "
After hearing the words of Director Zhongyong Chen, the general director of 30x said his thoughts.
"Yes, you are right, and I also found one thing, his method is not very similar to Lu Lao, what do you think?"
"Well, I also have this feeling. Teacher Lu from Qiu Zu should be refined.
However, Dr. Zhang's method always gives me a sense of infinite precision in the wide open and close.
It's a bit of a bountiful idea. He can say that he is not like Lu Lao but Wu Lao! "
After speaking, he also felt incredible looking at the 30x general director around him.
Both saw a ghost and a dog feeling from each other's eyes.
Doctors at their level, without saying anything else, took under their hands how many geniuses they passed, and how many students they passed through.
But there has never been a student like Zhang Fan. As far as Zhang Fan is concerned, most of them are still studying for masters, and more outstanding are still studying for PhDs, that is, most of them have not yet jumped out of the category of student apprentices.
But Zhang Fan, his feeling to others is that he has been a master for a long time and jumped out of the doctoral degree.
The two were not over yet, and Zhang Fan brought them even greater surprises.
Because the operation has reached the first conventional difficulty, the reconstruction of the stomach and intestines.
What exactly is gastric cancer, and how do we do it?
In fact, it is just to cut off the stomach, and then directly connect the esophagus or remnant stomach to the intestine, so that the food can enter the intestinal digestion from the mouth and then be excreted. This is what it means.
Everything, once it involves remaking, it is not easy.
The reconstruction of the stomach is much more difficult.
The esophagus is a meat channel, and then the intestine is also a meat channel. The thickness and diameter of the tube are almost the same.
The stomach is like a ball hanging on two meat channels.
It can be said that if something eats from the mouth, if it can come out of the stomach, it can be discharged from the (a) door. For example, if a monkey eats nuts, it must first be stuffed into the (a) door. Try it, as long as it doesn't hurt, it will be stuffed into your mouth. Once it hurts a bit, it will never eat.
why? Many careless parents watched their children. One accidentally swallowed a foreign object, such as a glass ball, a small iron ball, or even other foreign objects.
At this time, the parents of the child are in a hurry, and take the child to the hospital. The doctor will let the child drink a slime like lime water.
At this time, it is not the doctor who is tossing the parents. If the iron ball or the foreign body can pass the connection between the stomach and the intestine, then it is not a big deal. Just stare at the toilet, and the parents will definitely hear a clang.
If you can't get through this pass in the stomach, then this is a big deal. Don't underestimate this matter. Once the foreign body gets stuck here, you can only take it apart by splitting your belly, so especially if you have children at home, you must be careful.
For gastric cancer resection, as the name suggests, the stomach is cut, and then the intestines are attached to the esophagus.
This is the difficult point. The doctors who are not good enough, after finishing this reconstruction, the patient is really seriously guilty.
Eat a little more, or a little uncomfortable, and then start vomiting!
If you encounter a particular type of infarction, wait for the pressure of the digestive tract to break through the infarction.
My obedient, which vomiting state is terrible.
Directly like a spray gun, it is not 噗嗤, 噗嗤, directly 嘭! Huh! Spit.
Bile, food residues, and intestinal contents emerge directly from the mouth. Green-purple black bile, green-white food residues, and intestinal ...
Really, this surgical reconstruction is quite particular.
Zhang Fan put a gauze pad in his hand, and then grasped the omentum, ligating blood vessels little by little.
The large omentum is actually a pearl curtain stringed with fat particles. The yellow fat particles cover the stomach, which is very slippery.
Many people like fatty meat, but also so-called pork suet and pork neck meat. The suet and neck meat in the intestine should be eaten less, because this suet is actually the omentum.
It's not only fat, but also a lot of lymph! Gland, if there is a disease, it may be the focus, so ...
Zhang Fan's eyes are like a fluoroscope. Every big blood vessel and every mutated blood vessel has been treated by him early.
The rich vascular network has never seen a little blood flow. The electric knife passed, a little smoke, and the omentum was separated by Zhang Fan a little.
"Smart ~!"
At this time Lu Lao also adjusted a lot of mentality. After watching Zhang Fan very skillfully and accurately separating the omentum, the old man couldn't help but praise it.
Experts looked at the door, Zhang Fan's hand was too clever to separate, just like a child tearing a paper, clicking and clicking, giving a crisp feeling.
Originally, Lu Lao wanted to mention Zhang Fan, but he did not expect that Zhang Fan's technique was too clever, even better than the professors at Maruko Rice University he had met.
Separating the omentum, Zhang Fan did not lift his head. "Knife, M scissors!"
After separating the omentum and ligating the blood vessels around the stomach, Zhang Fan held a sharp weapon and started to strike the stomach.
"His!" The sound of cold air in the classroom because they saw Zhang Fan's operation.
"Lao Chen, do you say that his range is a bit too large. He did such a large resection without opening his stomach? Is it a bit reckless?"
The modest director gently asked the 30x director around him.
"Probably not. According to his technique and level, such mistakes will not occur, but how can he be sure that the cancerous body in the stomach has such a large scope?"
The 30x director is also wondering.
Zhang Fan didn't hesitate, he just dropped the knife, the system, the biggest advantage of Zhang Fan's system is that he can exercise his skills without restriction, and can also be classified into various recorded human beings for hundreds of years. The type of surgery.
Therefore, Zhang Fan is like an old doctor with a century of experience. For the estimation of this operation, Zhang Fan can say that he has too much experience to refer to.
With a knife, just like cutting a pig's belly, the old man's stomach was cut uniformly by Zhang Fan.
Like holding a child by caesarean section, Zhang Fan took Shan Shan's stomach out of his abdominal cavity with both hands.
The first time Lu Lao opened his stomach, just like opening a pocket, the shadowless lamp shot directly into the stomach.
I saw in the residual stomach, Zhang Fan's knife edge completely removed the gastric cancer.
"Just! It's so accurate, oh my God, how did he judge? Even if Mr. Lu cut it himself, it wouldn't be so accurate!"
In the video classroom, some people who qualified to call Mr. Lu the old man had their eyes widened!
To be honest, I have n’t spent less than ten hours in front of the computer recently, but I still ca n’t feel it. I deleted it and deleted it. It was very uncomfortable.
(End of this chapter)