Chapter 448: 448
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After cholecystectomy, the gallbladder like purple grapes was cut off by Zhang Fan. The smooth gallbladder is so beautiful that people really want to lick it.
"Bend!" The gallbladder is placed in a bend. Then, Zhang Fan said, "into the liver!"
With Zhang Fan's voice into the liver, Professor Zhao Jingjin became more focused, and the success or failure was in an instant. Although he and Zhang Fan have had this kind of operation, no one dare to ensure that they will succeed every time.
There are too many accidents in the operation. Maybe a different blood vessel can lead to the failure of an operation.
With the voice of Zhang Fan, all the doctors in the science and education department straightened up involuntarily. Although Zhang Fan did a very good and accurate cleaning in the early stage, none of the directors present couldn't do a good job in this cleaning.
Therefore, we just agree that Zhang Fan's level is OK and can make everyone look down. It's impossible for Gao to take a look. The next step is to focus on whether he is an expert or not. The next step is to show and show his moves.
If there is a voice over, let's say: now is the time to show technology! It should be more appropriate.
The people who had been chatting stopped talking and stared at Zhang Fan's next operation.
Hepatobiliary surgery belongs to general surgery. Although it is also a difficult department, it is much easier than Gastroenterology and brain surgery. If all the doctors here are doctors outside the brain, it is estimated that they are half a house bald, just like experts who have practiced iron head skill.
"You say, which method is he going to use?" Some newly graduated doctors in the back row of the science and education department were almost jealous when they looked at Zhang Fan in the display.
I'm not old. The operation has been so exquisite. Is there any reason to say.
"I don't know. Such a huge central liver tumor has no successful operation. Did he create it himself? "
"No, how old is he! Have you read the anatomy book ten times? " Another senior doctor directly thought that Zhang Fan could not succeed.
"Look at his separation. Don't say it ten times. It's estimated that he can write the anatomy by dictation."
The newly graduated doctors in the back row are still a little short of vision. This thing can only be improved by time and the amount of surgery, not by books alone.
After cutting off the gallbladder, he began to look for the hepatic duct along the gallbladder, ligation, ligation, and the scope began to narrow little by little.
"What is he doing! This is the middle lobe of the liver. Aren't you afraid of liver failure after such a large-scale resection? " The directors in the front row of the science and education department were surprised. The liver area handled by Zhang Fan was too large.
"Crazy! Crazy! Go and inform the dean. " Another director said directly to the doctor in his own department behind him. For whatever purpose, he informed the Dean directly.
Tumor resection is not to peel off the walnut skin or close to the tumor.
We must carry normal liver tissue of 34 cm, because cancer cells will infiltrate and metastasize. Only with liver tissue of 34 cm or even more normal tissue can we achieve the goal of tumor resection.
Why is it difficult for the tumor in the middle lobe of the liver, because this is the only way to the hilar of the liver. If the resection range is too large, it will destroy all the peripheral vascular system! If the tumor is removed, the remaining liver tissue will have no chance to live.
Determine the scope and start resection. At this time, Zhang Fan's accurate surgical method was demonstrated, and the scalpel accurately cut off the liver tissue.
Although he had several such operations with Zhang Fan, Lao Zhao was still nervous looking at Zhang Fan's hands. The tissue was gently cut with a sharp scalpel.
The distance here is not cm, but mm, or even micron. Such a narrow distance, not to mention finger shaking, is to take a deep breath, which may make the scalpel cut the blood vessels of the hepatic portal.
A knife, a knife, a bit, a bit. With the little separation of liver tissue, Professor Zhao Jingjin didn't even dare to breathe with satisfaction. He was willing to breathe. At this time, his scalp began to feel numb.
An oval tumor with a big fist, like cutting a radish, Zhang Fan began to cut around the tumor. The reason why tumors are terrible is that they grow too fast.
Cell growth depends on the nutrition in the blood, so the more malignant the tumor is, the richer the blood supply is. The tumor grows in a place where the blood supply of the liver is very rich.
Zhang Fan breathed slowly, took a shallow breath, and slowly vomited out. He was deeply afraid of shaking his hands. I don't know how many times this set of techniques have been done in the system, and he has already been very skilled.
Slightly across the tissue, like cutting sashimi, separating the liver tissue bit by bit.
The president of the Affiliated Hospital also went to the science and education department. Although he is not a general foreigner, he is an expert outside the brain. He looks at Zhang Fan's exquisite technique in the display.
Originally angry, he lost his anger in an instant and did not affect other doctors in the science and education department. He stood quietly in the last row and looked at Zhang Fan in the display for surgery.
"Tea vegetable, municipal hospital, Zhang Fan, Zhao Jingjin." These nouns kept circling in his mind.
The directors in the front row of the science and Education Hall, who had already begun to make noise, looked at Zhang Fan's precise technique and slowly quieted down. The original chatters stopped talking.
Staring at the dexterous and stable hands, "it's too stable and accurate. A little to the right is the right hepatic artery. Too bold! " The director who called Lao Chang was really stupid.
"How did he practice it?" It may be possible to cut within a few millimeters, but how many knives do you need to separate to cut a tumor with a large fist.
Almost every time, they were walking on the edge of death. Not to mention the people who had surgery, even these melon eating directors began to tighten their nerves. The more you understand, the more you know the difficulty of this operation.
"Impossible, impossible!"
"It's impossible. It's half done."
"No, I mean, he can't be a doctor in a regional hospital! There are so many patients in the regional hospital. Let him practice. This technique can be done at such a young age. It can't be a doctor in a regional hospital. Lao Zhao is lying! "
Several directors were fascinated. From disbelief at the beginning to seeing such exquisite techniques with their own eyes, it was not a bit shocking to describe. And it was done by an unknown little doctor. If it weren't for the day, if they weren't all materialists, they might think they saw ghosts.
"No matter where he comes from, Lao Zhao should not occupy it alone. This kind of operation needs to be popularized." A director who was a little older than other people's congresses said in a slightly raised voice.
"Yes! It must be popularized and can not be occupied by some people. This is the behavior of learning hegemony, and this is the behavior of medical hegemony. "
Listening to the excited and indignant voices of the directors, the Dean was relieved. He came and left quietly. He didn't have to say the rest. These directors will definitely show their intelligence.
This is like a toad in a quagmire. Everyone stays in a quagmire together. No problem. As long as one wants to climb out, the other toads will definitely start to pull back.
Lao Zhao wants to occupy Zhang Fan to learn this operation. If others don't know, it's no problem. Now I know, hehe, everyone is not a fool.
With the progress of the operation, Zhang Fan's sweat began to gather into one big one and two big ones, which took too much energy and energy.
As light as a feather, Zhang Fan needs a lot of effort to accurately control the scalpel to the millimeter range. This kind of operation is no easier than moving bricks in one operation. Moreover, it takes more energy. When the eye arrives, the hand will arrive, and the hand arrives, the brain should be one step or even three steps in advance to figure out the next cutting position.
There are few textbook surgical methods for tumors in the center of the liver. Lu's elder martial brother, Academician Wu Mengchao, has also successfully performed this operation.
However, just because the operation is too difficult, with the increase of the elderly, the operation also began to slowly withdraw from the medical field, which will not appear in even textbooks.
This kind of difficult surgery is killing people if it is not done well. Therefore, even the surgery published by Mr. Wu in his old age has not included this kind of surgery.
"He's starting to use the handle! To completely remove the tumor! He opened it with a knife handle! " With Zhang Fan's little by little dissociation, the liver tumor with a big fist was finally dissociated and cleaned. There is only the last point at the bottom of the tumor.
Professor Zhao Jingjin's hand washing clothes had already been soaked with sweat. If he took off his surgical clothes, he would be absolutely as if he had been fished out of the water. There was sweat in the gap between his toes wearing slippers.
It is not that Professor Zhao has done little, but that he attaches too much importance to the operation.
With Zhang Fan's gentle stroke with the handle, the tumor clamped by the liver forceps was pulled out.
"How about blood pressure, heart rate and vital signs of the patient?" Professor Zhao Jingjin couldn't help asking what was originally asked by the performer.
"Everything is normal. Does director Zhao need to step down now?" The anesthesiologist answered the question and asked again. At this time, the center of the liver became a big hole.
Although the upper and lower blood vessels were ligated, the original residual blood in the liver began to seep out. After a while, the gap was full of blood.
"Well!" Professor Zhao Jingjin realized that he seemed a little worried. He didn't speak, but looked at Zhang Fan.
"Step down, don't fall too fast, slow down." Zhang Fan didn't care.
At this time, not only anesthesiologists, but also itinerant nurses for surgery began to become polite.
"Doctor Zhang, please wait a moment and I'll change a towel for you."
"Thank you, gelatin sponge." How Zhang fan used to speak, but still how he speaks, has not changed because of the change of the other party's attitude.
Gelatin sponge hemostasis, obvious bleeding at the incision around the liver was ligated a little by Zhang Fan.
As Zhang Fan began to finish, he said to Professor Zhao, "pay close attention to the changes of liver function after operation. Although the operation is completed, the postoperative nursing must keep up.
Antibiotic prophylactic intravenous drip for three days. If necessary, the use time can be extended. After the disease is detected, it can be decided whether the patient will undergo later radiotherapy and chemotherapy. "
As the superior doctor explained the precautions to the subordinate doctor, Zhang Fan said that Professor Zhao promised that Lao Zhao was not angry at all, but excited.
Anesthesiologist, instrument nurse and itinerant nurse looked at their director Zhao in surprise, "is this still a professor? Is this still director Zhao? "
"Good! Dr. Zhang rest assured that our department has done a very good job. "
There were only some doctors and ordinary doctors left in the science and Education Hall. When the directors of the Department saw Zhang Fan take out the tumor, they scattered like a fire.
"Lao Zhao, is there a Zhang Fan in your hospital?" This is a director calling the director of tea Su general foreign affairs.
"Yes, what's the matter?" Zhao Ping wondered how the director of the third Department of hepatobiliary medicine of the Affiliated Hospital of niaoshi took the initiative to call him. How arrogant a person he is at ordinary times.
"How is your relationship with him? Help set up a line and let me meet him. " The director didn't say what he wanted to do. He gave it to the lower level hospitals and learned from the hospitals he had never seen with his eyes. He couldn't say it.
"Very good. It's simple. I'll call him later."
"OK, make an appointment for me and I'll invite him to dinner."
At the same time, none of the directors fell. The eight immortals crossed the sea and began to contact Zhang Fan.
"Unreliable Lao Chang, how can the phone become an empty number!" Lao Chang is really afraid. It has become a haze.
"What, he's an orthopedic doctor in your hospital?"
"Don't be kidding. I'm talking about Zhang Fan. How many Zhang fan are there in your hospital!"
"What kind of world, mother! An orthopedic doctor, doing liver tumor, flying up. Would you like some face? "
"Itinerant nurse, help me scratch the left ear. It's a little itchy!" Zhang Fan wondered, who is scolding me?
"Recently, you have noticed that as long as there is a huge tumor in the liver center, tell me to accept such a patient and the Department will reward 300." After contacting Zhang Fan, the directors of the Department began to rush for the patient.
Everyone has the same idea. He can do this operation. As long as I learn it a few times, can't I learn it? I'm also the director of hepatobiliary surgery in the provincial hospital!
An undercurrent surged up in the already restless affiliated hospital.
"Didn't your relatives find a huge tumor in the liver center last time?"
"Yes, what's the matter?"
"Let him come to the hospital quickly. Our department can do the operation for him." A doctor in the hospital has a relative who is also suffering from this disease. He once went to several doctors with a checklist.
"Last time your relatives..."
"Four hepatobiliary departments, say they can do it! Just called me. " The doctor from another department also called.
"How is our relationship?"
After the operation, Zhang Fan came quietly when he came. At this time, not only the family members are waiting for Zhang Fan outside the operating room, but also the leaders of the hospital office are waiting for Zhang Fan.
"The operation is finished and the complete resection is completed. If the late recovery is good, there should be no recurrence. " Zhang Fan looked at the excited patient's family, took off his mask, gently smiled and calmly told him.
"Thank you, thank you." The family members almost passed out happily. Originally, with the mentality of gambling, they let their father go to the operating table, and the result was a complete victory!
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After cholecystectomy, the gallbladder like purple grapes was cut off by Zhang Fan. The smooth gallbladder is so beautiful that people really want to lick it.
"Bend!" The gallbladder is placed in a bend. Then, Zhang Fan said, "into the liver!"
With Zhang Fan's voice into the liver, Professor Zhao Jingjin became more focused, and the success or failure was in an instant. Although he and Zhang Fan have had this kind of operation, no one dare to ensure that they will succeed every time.
There are too many accidents in the operation. Maybe a different blood vessel can lead to the failure of an operation.
With the voice of Zhang Fan, all the doctors in the science and education department straightened up involuntarily. Although Zhang Fan did a very good and accurate cleaning in the early stage, none of the directors present couldn't do a good job in this cleaning.
Therefore, we just agree that Zhang Fan's level is OK and can make everyone look down. It's impossible for Gao to take a look. The next step is to focus on whether he is an expert or not. The next step is to show and show his moves.
If there is a voice over, let's say: now is the time to show technology! It should be more appropriate.
The people who had been chatting stopped talking and stared at Zhang Fan's next operation.
Hepatobiliary surgery belongs to general surgery. Although it is also a difficult department, it is much easier than Gastroenterology and brain surgery. If all the doctors here are doctors outside the brain, it is estimated that they are half a house bald, just like experts who have practiced iron head skill.
"You say, which method is he going to use?" Some newly graduated doctors in the back row of the science and education department were almost jealous when they looked at Zhang Fan in the display.
I'm not old. The operation has been so exquisite. Is there any reason to say.
"I don't know. Such a huge central liver tumor has no successful operation. Did he create it himself? "
"No, how old is he! Have you read the anatomy book ten times? " Another senior doctor directly thought that Zhang Fan could not succeed.
"Look at his separation. Don't say it ten times. It's estimated that he can write the anatomy by dictation."
The newly graduated doctors in the back row are still a little short of vision. This thing can only be improved by time and the amount of surgery, not by books alone.
After cutting off the gallbladder, he began to look for the hepatic duct along the gallbladder, ligation, ligation, and the scope began to narrow little by little.
"What is he doing! This is the middle lobe of the liver. Aren't you afraid of liver failure after such a large-scale resection? " The directors in the front row of the science and education department were surprised. The liver area handled by Zhang Fan was too large.
"Crazy! Crazy! Go and inform the dean. " Another director said directly to the doctor in his own department behind him. For whatever purpose, he informed the Dean directly.
Tumor resection is not to peel off the walnut skin or close to the tumor.
We must carry normal liver tissue of 34 cm, because cancer cells will infiltrate and metastasize. Only with liver tissue of 34 cm or even more normal tissue can we achieve the goal of tumor resection.
Why is it difficult for the tumor in the middle lobe of the liver, because this is the only way to the hilar of the liver. If the resection range is too large, it will destroy all the peripheral vascular system! If the tumor is removed, the remaining liver tissue will have no chance to live.
Determine the scope and start resection. At this time, Zhang Fan's accurate surgical method was demonstrated, and the scalpel accurately cut off the liver tissue.
Although he had several such operations with Zhang Fan, Lao Zhao was still nervous looking at Zhang Fan's hands. The tissue was gently cut with a sharp scalpel.
The distance here is not cm, but mm, or even micron. Such a narrow distance, not to mention finger shaking, is to take a deep breath, which may make the scalpel cut the blood vessels of the hepatic portal.
A knife, a knife, a bit, a bit. With the little separation of liver tissue, Professor Zhao Jingjin didn't even dare to breathe with satisfaction. He was willing to breathe. At this time, his scalp began to feel numb.
An oval tumor with a big fist, like cutting a radish, Zhang Fan began to cut around the tumor. The reason why tumors are terrible is that they grow too fast.
Cell growth depends on the nutrition in the blood, so the more malignant the tumor is, the richer the blood supply is. The tumor grows in a place where the blood supply of the liver is very rich.
Zhang Fan breathed slowly, took a shallow breath, and slowly vomited out. He was deeply afraid of shaking his hands. I don't know how many times this set of techniques have been done in the system, and he has already been very skilled.
Slightly across the tissue, like cutting sashimi, separating the liver tissue bit by bit.
The president of the Affiliated Hospital also went to the science and education department. Although he is not a general foreigner, he is an expert outside the brain. He looks at Zhang Fan's exquisite technique in the display.
Originally angry, he lost his anger in an instant and did not affect other doctors in the science and education department. He stood quietly in the last row and looked at Zhang Fan in the display for surgery.
"Tea vegetable, municipal hospital, Zhang Fan, Zhao Jingjin." These nouns kept circling in his mind.
The directors in the front row of the science and Education Hall, who had already begun to make noise, looked at Zhang Fan's precise technique and slowly quieted down. The original chatters stopped talking.
Staring at the dexterous and stable hands, "it's too stable and accurate. A little to the right is the right hepatic artery. Too bold! " The director who called Lao Chang was really stupid.
"How did he practice it?" It may be possible to cut within a few millimeters, but how many knives do you need to separate to cut a tumor with a large fist.
Almost every time, they were walking on the edge of death. Not to mention the people who had surgery, even these melon eating directors began to tighten their nerves. The more you understand, the more you know the difficulty of this operation.
"Impossible, impossible!"
"It's impossible. It's half done."
"No, I mean, he can't be a doctor in a regional hospital! There are so many patients in the regional hospital. Let him practice. This technique can be done at such a young age. It can't be a doctor in a regional hospital. Lao Zhao is lying! "
Several directors were fascinated. From disbelief at the beginning to seeing such exquisite techniques with their own eyes, it was not a bit shocking to describe. And it was done by an unknown little doctor. If it weren't for the day, if they weren't all materialists, they might think they saw ghosts.
"No matter where he comes from, Lao Zhao should not occupy it alone. This kind of operation needs to be popularized." A director who was a little older than other people's congresses said in a slightly raised voice.
"Yes! It must be popularized and can not be occupied by some people. This is the behavior of learning hegemony, and this is the behavior of medical hegemony. "
Listening to the excited and indignant voices of the directors, the Dean was relieved. He came and left quietly. He didn't have to say the rest. These directors will definitely show their intelligence.
This is like a toad in a quagmire. Everyone stays in a quagmire together. No problem. As long as one wants to climb out, the other toads will definitely start to pull back.
Lao Zhao wants to occupy Zhang Fan to learn this operation. If others don't know, it's no problem. Now I know, hehe, everyone is not a fool.
With the progress of the operation, Zhang Fan's sweat began to gather into one big one and two big ones, which took too much energy and energy.
As light as a feather, Zhang Fan needs a lot of effort to accurately control the scalpel to the millimeter range. This kind of operation is no easier than moving bricks in one operation. Moreover, it takes more energy. When the eye arrives, the hand will arrive, and the hand arrives, the brain should be one step or even three steps in advance to figure out the next cutting position.
There are few textbook surgical methods for tumors in the center of the liver. Lu's elder martial brother, Academician Wu Mengchao, has also successfully performed this operation.
However, just because the operation is too difficult, with the increase of the elderly, the operation also began to slowly withdraw from the medical field, which will not appear in even textbooks.
This kind of difficult surgery is killing people if it is not done well. Therefore, even the surgery published by Mr. Wu in his old age has not included this kind of surgery.
"He's starting to use the handle! To completely remove the tumor! He opened it with a knife handle! " With Zhang Fan's little by little dissociation, the liver tumor with a big fist was finally dissociated and cleaned. There is only the last point at the bottom of the tumor.
Professor Zhao Jingjin's hand washing clothes had already been soaked with sweat. If he took off his surgical clothes, he would be absolutely as if he had been fished out of the water. There was sweat in the gap between his toes wearing slippers.
It is not that Professor Zhao has done little, but that he attaches too much importance to the operation.
With Zhang Fan's gentle stroke with the handle, the tumor clamped by the liver forceps was pulled out.
"How about blood pressure, heart rate and vital signs of the patient?" Professor Zhao Jingjin couldn't help asking what was originally asked by the performer.
"Everything is normal. Does director Zhao need to step down now?" The anesthesiologist answered the question and asked again. At this time, the center of the liver became a big hole.
Although the upper and lower blood vessels were ligated, the original residual blood in the liver began to seep out. After a while, the gap was full of blood.
"Well!" Professor Zhao Jingjin realized that he seemed a little worried. He didn't speak, but looked at Zhang Fan.
"Step down, don't fall too fast, slow down." Zhang Fan didn't care.
At this time, not only anesthesiologists, but also itinerant nurses for surgery began to become polite.
"Doctor Zhang, please wait a moment and I'll change a towel for you."
"Thank you, gelatin sponge." How Zhang fan used to speak, but still how he speaks, has not changed because of the change of the other party's attitude.
Gelatin sponge hemostasis, obvious bleeding at the incision around the liver was ligated a little by Zhang Fan.
As Zhang Fan began to finish, he said to Professor Zhao, "pay close attention to the changes of liver function after operation. Although the operation is completed, the postoperative nursing must keep up.
Antibiotic prophylactic intravenous drip for three days. If necessary, the use time can be extended. After the disease is detected, it can be decided whether the patient will undergo later radiotherapy and chemotherapy. "
As the superior doctor explained the precautions to the subordinate doctor, Zhang Fan said that Professor Zhao promised that Lao Zhao was not angry at all, but excited.
Anesthesiologist, instrument nurse and itinerant nurse looked at their director Zhao in surprise, "is this still a professor? Is this still director Zhao? "
"Good! Dr. Zhang rest assured that our department has done a very good job. "
There were only some doctors and ordinary doctors left in the science and Education Hall. When the directors of the Department saw Zhang Fan take out the tumor, they scattered like a fire.
"Lao Zhao, is there a Zhang Fan in your hospital?" This is a director calling the director of tea Su general foreign affairs.
"Yes, what's the matter?" Zhao Ping wondered how the director of the third Department of hepatobiliary medicine of the Affiliated Hospital of niaoshi took the initiative to call him. How arrogant a person he is at ordinary times.
"How is your relationship with him? Help set up a line and let me meet him. " The director didn't say what he wanted to do. He gave it to the lower level hospitals and learned from the hospitals he had never seen with his eyes. He couldn't say it.
"Very good. It's simple. I'll call him later."
"OK, make an appointment for me and I'll invite him to dinner."
At the same time, none of the directors fell. The eight immortals crossed the sea and began to contact Zhang Fan.
"Unreliable Lao Chang, how can the phone become an empty number!" Lao Chang is really afraid. It has become a haze.
"What, he's an orthopedic doctor in your hospital?"
"Don't be kidding. I'm talking about Zhang Fan. How many Zhang fan are there in your hospital!"
"What kind of world, mother! An orthopedic doctor, doing liver tumor, flying up. Would you like some face? "
"Itinerant nurse, help me scratch the left ear. It's a little itchy!" Zhang Fan wondered, who is scolding me?
"Recently, you have noticed that as long as there is a huge tumor in the liver center, tell me to accept such a patient and the Department will reward 300." After contacting Zhang Fan, the directors of the Department began to rush for the patient.
Everyone has the same idea. He can do this operation. As long as I learn it a few times, can't I learn it? I'm also the director of hepatobiliary surgery in the provincial hospital!
An undercurrent surged up in the already restless affiliated hospital.
"Didn't your relatives find a huge tumor in the liver center last time?"
"Yes, what's the matter?"
"Let him come to the hospital quickly. Our department can do the operation for him." A doctor in the hospital has a relative who is also suffering from this disease. He once went to several doctors with a checklist.
"Last time your relatives..."
"Four hepatobiliary departments, say they can do it! Just called me. " The doctor from another department also called.
"How is our relationship?"
After the operation, Zhang Fan came quietly when he came. At this time, not only the family members are waiting for Zhang Fan outside the operating room, but also the leaders of the hospital office are waiting for Zhang Fan.
"The operation is finished and the complete resection is completed. If the late recovery is good, there should be no recurrence. " Zhang Fan looked at the excited patient's family, took off his mask, gently smiled and calmly told him.
"Thank you, thank you." The family members almost passed out happily. Originally, with the mentality of gambling, they let their father go to the operating table, and the result was a complete victory!
After cholecystectomy, the gallbladder like purple grapes was cut off by Zhang Fan. The smooth gallbladder is so beautiful that people really want to lick it."Bend!" The gallbladder is placed in a bend. Then, Zhang Fan said, "into the liver!"With Zhang Fan's voice into the liver, Professor Zhao Jingjin became more focused, and the success or failure was in an instant. Although he and Zhang Fan have had this kind of operation, no one dare to ensure that they will succeed every time.There are too many accidents in the operation. Maybe a different blood vessel can lead to the failure of an operation.With the voice of Zhang Fan, all the doctors in the science and education department straightened up involuntarily. Although Zhang Fan did a very good and accurate cleaning in the early stage, none of the directors present couldn't do a good job in this cleaning.Therefore, we just agree that Zhang Fan's level is OK and can make everyone look down. It's impossible for Gao to take a look. The next step is to focus on whether he is an expert or not. The next step is to show and show his moves.If there is a voice over, let's say: now is the time to show technology! It should be more appropriate.The people who had been chatting stopped talking and stared at Zhang Fan's next operation.Hepatobiliary surgery belongs to general surgery. Although it is also a difficult department, it is much easier than Gastroenterology and brain surgery. If all the doctors here are doctors outside the brain, it is estimated that they are half a house bald, just like experts who have practiced iron head skill."You say, which method is he going to use?" Some newly graduated doctors in the back row of the science and education department were almost jealous when they looked at Zhang Fan in the display.I'm not old. The operation has been so exquisite. Is there any reason to say."I don't know. Such a huge central liver tumor has no successful operation. Did he create it himself? ""No, how old is he! Have you read the anatomy book ten times? " Another senior doctor directly thought that Zhang Fan could not succeed."Look at his separation. Don't say it ten times. It's estimated that he can write the anatomy by dictation."The newly graduated doctors in the back row are still a little short of vision. This thing can only be improved by time and the amount of surgery, not by books alone.After cutting off the gallbladder, he began to look for the hepatic duct along the gallbladder, ligation, ligation, and the scope began to narrow little by little."What is he doing! This is the middle lobe of the liver. Aren't you afraid of liver failure after such a large-scale resection? " The directors in the front row of the science and education department were surprised. The liver area handled by Zhang Fan was too large."Crazy! Crazy! Go and inform the dean. " Another director said directly to the doctor in his own department behind him. For whatever purpose, he informed the Dean directly.Tumor resection is not to peel off the walnut skin or close to the tumor.We must carry normal liver tissue of 34 cm, because cancer cells will infiltrate and metastasize. Only with liver tissue of 34 cm or even more normal tissue can we achieve the goal of tumor resection.Why is it difficult for the tumor in the middle lobe of the liver, because this is the only way to the hilar of the liver. If the resection range is too large, it will destroy all the peripheral vascular system! If the tumor is removed, the remaining liver tissue will have no chance to live.Determine the scope and start resection. At this time, Zhang Fan's accurate surgical method was demonstrated, and the scalpel accurately cut off the liver tissue.Although he had several such operations with Zhang Fan, Lao Zhao was still nervous looking at Zhang Fan's hands. The tissue was gently cut with a sharp scalpel.The distance here is not cm, but mm, or even micron. Such a narrow distance, not to mention finger shaking, is to take a deep breath, which may make the scalpel cut the blood vessels of the hepatic portal.A knife, a knife, a bit, a bit. With the little separation of liver tissue, Professor Zhao Jingjin didn't even dare to breathe with satisfaction. He was willing to breathe. At this time, his scalp began to feel numb.An oval tumor with a big fist, like cutting a radish, Zhang Fan began to cut around the tumor. The reason why tumors are terrible is that they grow too fast.Cell growth depends on the nutrition in the blood, so the more malignant the tumor is, the richer the blood supply is. The tumor grows in a place where the blood supply of the liver is very rich.Zhang Fan breathed slowly, took a shallow breath, and slowly vomited out. He was deeply afraid of shaking his hands. I don't know how many times this set of techniques have been done in the system, and he has already been very skilled.Slightly across the tissue, like cutting sashimi, separating the liver tissue bit by bit.The president of the Affiliated Hospital also went to the science and education department. Although he is not a general foreigner, he is an expert outside the brain. He looks at Zhang Fan's exquisite technique in the display.Originally angry, he lost his anger in an instant and did not affect other doctors in the science and education department. He stood quietly in the last row and looked at Zhang Fan in the display for surgery."Tea vegetable, municipal hospital, Zhang Fan, Zhao Jingjin." These nouns kept circling in his mind.The directors in the front row of the science and Education Hall, who had already begun to make noise, looked at Zhang Fan's precise technique and slowly quieted down. The original chatters stopped talking.Staring at the dexterous and stable hands, "it's too stable and accurate. A little to the right is the right hepatic artery. Too bold! " The director who called Lao Chang was really stupid."How did he practice it?" It may be possible to cut within a few millimeters, but how many knives do you need to separate to cut a tumor with a large fist.Almost every time, they were walking on the edge of death. Not to mention the people who had surgery, even these melon eating directors began to tighten their nerves. The more you understand, the more you know the difficulty of this operation."Impossible, impossible!""It's impossible. It's half done.""No, I mean, he can't be a doctor in a regional hospital! There are so many patients in the regional hospital. Let him practice. This technique can be done at such a young age. It can't be a doctor in a regional hospital. Lao Zhao is lying! "Several directors were fascinated. From disbelief at the beginning to seeing such exquisite techniques with their own eyes, it was not a bit shocking to describe. And it was done by an unknown little doctor. If it weren't for the day, if they weren't all materialists, they might think they saw ghosts."No matter where he comes from, Lao Zhao should not occupy it alone. This kind of operation needs to be popularized." A director who was a little older than other people's congresses said in a slightly raised voice."Yes! It must be popularized and can not be occupied by some people. This is the behavior of learning hegemony, and this is the behavior of medical hegemony. "Listening to the excited and indignant voices of the directors, the Dean was relieved. He came and left quietly. He didn't have to say the rest. These directors will definitely show their intelligence.This is like a toad in a quagmire. Everyone stays in a quagmire together. No problem. As long as one wants to climb out, the other toads will definitely start to pull back.Lao Zhao wants to occupy Zhang Fan to learn this operation. If others don't know, it's no problem. Now I know, hehe, everyone is not a fool.With the progress of the operation, Zhang Fan's sweat began to gather into one big one and two big ones, which took too much energy and energy.As light as a feather, Zhang Fan needs a lot of effort to accurately control the scalpel to the millimeter range. This kind of operation is no easier than moving bricks in one operation. Moreover, it takes more energy. When the eye arrives, the hand will arrive, and the hand arrives, the brain should be one step or even three steps in advance to figure out the next cutting position.There are few textbook surgical methods for tumors in the center of the liver. Lu's elder martial brother, Academician Wu Mengchao, has also successfully performed this operation.However, just because the operation is too difficult, with the increase of the elderly, the operation also began to slowly withdraw from the medical field, which will not appear in even textbooks.This kind of difficult surgery is killing people if it is not done well. Therefore, even the surgery published by Mr. Wu in his old age has not included this kind of surgery."He's starting to use the handle! To completely remove the tumor! He opened it with a knife handle! " With Zhang Fan's little by little dissociation, the liver tumor with a big fist was finally dissociated and cleaned. There is only the last point at the bottom of the tumor.Professor Zhao Jingjin's hand washing clothes had already been soaked with sweat. If he took off his surgical clothes, he would be absolutely as if he had been fished out of the water. There was sweat in the gap between his toes wearing slippers.It is not that Professor Zhao has done little, but that he attaches too much importance to the operation.With Zhang Fan's gentle stroke with the handle, the tumor clamped by the liver forceps was pulled out."How about blood pressure, heart rate and vital signs of the patient?" Professor Zhao Jingjin couldn't help asking what was originally asked by the performer."Everything is normal. Does director Zhao need to step down now?" The anesthesiologist answered the question and asked again. At this time, the center of the liver became a big hole.Although the upper and lower blood vessels were ligated, the original residual blood in the liver began to seep out. After a while, the gap was full of blood."Well!" Professor Zhao Jingjin realized that he seemed a little worried. He didn't speak, but looked at Zhang Fan."Step down, don't fall too fast, slow down." Zhang Fan didn't care.At this time, not only anesthesiologists, but also itinerant nurses for surgery began to become polite."Doctor Zhang, please wait a moment and I'll change a towel for you.""Thank you, gelatin sponge." How Zhang fan used to speak, but still how he speaks, has not changed because of the change of the other party's attitude.Gelatin sponge hemostasis, obvious bleeding at the incision around the liver was ligated a little by Zhang Fan.As Zhang Fan began to finish, he said to Professor Zhao, "pay close attention to the changes of liver function after operation. Although the operation is completed, the postoperative nursing must keep up.Antibiotic prophylactic intravenous drip for three days. If necessary, the use time can be extended. After the disease is detected, it can be decided whether the patient will undergo later radiotherapy and chemotherapy. "As the superior doctor explained the precautions to the subordinate doctor, Zhang Fan said that Professor Zhao promised that Lao Zhao was not angry at all, but excited.Anesthesiologist, instrument nurse and itinerant nurse looked at their director Zhao in surprise, "is this still a professor? Is this still director Zhao? ""Good! Dr. Zhang rest assured that our department has done a very good job. "There were only some doctors and ordinary doctors left in the science and Education Hall. When the directors of the Department saw Zhang Fan take out the tumor, they scattered like a fire."Lao Zhao, is there a Zhang Fan in your hospital?" This is a director calling the director of tea Su general foreign affairs."Yes, what's the matter?" Zhao Ping wondered how the director of the third Department of hepatobiliary medicine of the Affiliated Hospital of niaoshi took the initiative to call him. How arrogant a person he is at ordinary times."How is your relationship with him? Help set up a line and let me meet him. " The director didn't say what he wanted to do. He gave it to the lower level hospitals and learned from the hospitals he had never seen with his eyes. He couldn't say it."Very good. It's simple. I'll call him later.""OK, make an appointment for me and I'll invite him to dinner."At the same time, none of the directors fell. The eight immortals crossed the sea and began to contact Zhang Fan."Unreliable Lao Chang, how can the phone become an empty number!" Lao Chang is really afraid. It has become a haze."What, he's an orthopedic doctor in your hospital?""Don't be kidding. I'm talking about Zhang Fan. How many Zhang fan are there in your hospital!""What kind of world, mother! An orthopedic doctor, doing liver tumor, flying up. Would you like some face? ""Itinerant nurse, help me scratch the left ear. It's a little itchy!" Zhang Fan wondered, who is scolding me?"Recently, you have noticed that as long as there is a huge tumor in the liver center, tell me to accept such a patient and the Department will reward 300." After contacting Zhang Fan, the directors of the Department began to rush for the patient.Everyone has the same idea. He can do this operation. As long as I learn it a few times, can't I learn it? I'm also the director of hepatobiliary surgery in the provincial hospital!An undercurrent surged up in the already restless affiliated hospital."Didn't your relatives find a huge tumor in the liver center last time?""Yes, what's the matter?""Let him come to the hospital quickly. Our department can do the operation for him." A doctor in the hospital has a relative who is also suffering from this disease. He once went to several doctors with a checklist."Last time your relatives...""Four hepatobiliary departments, say they can do it! Just called me. " The doctor from another department also called."How is our relationship?"After the operation, Zhang Fan came quietly when he came. At this time, not only the family members are waiting for Zhang Fan outside the operating room, but also the leaders of the hospital office are waiting for Zhang Fan."The operation is finished and the complete resection is completed. If the late recovery is good, there should be no recurrence. " Zhang Fan looked at the excited patient's family, took off his mask, gently smiled and calmly told him."Thank you, thank you." The family members almost passed out happily. Originally, with the mentality of gambling, they let their father go to the operating table, and the result was a complete victory!
