Due to time constraints, there was no opportunity for students to ask questions and discuss in the ward. The attending doctor patrolled around and rushed to the operating room to perform the surgery, just like the second general surgeon. At this point, surgeons work much harder than physicians.
The half-hour follow-up round was just a quick glance for a medical student like Xie Wanying who came to study in this department on her first day. Many patients' faces are unrecognizable and they have no idea what's going on. The teacher could only wait until after the afternoon to assign tasks to her, so there was no rush at all. After such a comparison, it seems that it was a good thing that she was left out in the ward in the second year of general foreign language.
Going to the operating room, Xie Wanying became very familiar with the operating room environment. It’s just that this time it was hepatobiliary surgery, not general surgery II. Keep in mind Senior Sister Jiang’s words, wherever you go to study with the teacher, you must concentrate and not be distracted, and don’t think about your ex. Without meeting Teacher Tan or the others, she stood directly in the operating room of the Hepatobiliary Surgery Department to observe.
The surgery this morning was a laparoscopy on a patient with primary liver cancer.
All surgical departments tend to perform minimally invasive surgeries. Laparoscopy for liver cancer has been promoted a lot, but the threshold for performing it is much higher than that for laparoscopic surgery of the gastrointestinal tract. For today's surgery, the seniors held a meeting and discussed it for a long time that night.
Specifically, Xie Wanying did not participate in the group meeting that night and did not know the content. She could only stand in the operating room and observe.
The chief surgeon is Senior Brother Tao, I heard about it before.
The first assistant is Dr. He.
The mirror holder is not Dr. Qiu. Dr. Qiu has gone to help in another surgery. It is another resident doctor named Gong Xiangbin. He is one year older than Dr. Qiu, shorter and fatter than Dr. Qiu. He is not as handsome, gentle and steady as Dr. Qiu. of a doctor.
Song Xuelin, who was called to try his hand, put on a surgical gown and stood behind the first assistant and the intermediate surgeon as if on standby. It was not clear what operations he would be asked to perform at that time.
They have graduated, but she is not, she is just an intern. So it makes sense for the teacher to tell her to just watch. Xie Wanying watched attentively. Teacher Tan has always been a telescope operator, so she came to the Hepatobiliary Surgery Department for the first time to see laparoscopy for liver surgery, so she couldn't help but carefully observe Dr. Gong's operation.
Dr. Gong's hands seemed to be motionless, and he had to look at them like a magnifying glass to notice the tiny amplitude. Unlike the gastrointestinal tract, the liver is a substantial organ that is fixed in one area. Surgery around the liver is basically performed in this area and requires considerable stability and meticulousness. The gastrointestinal tract is a hollow organ with many twists and turns, requiring more dexterity.
The hand holding the mirror had already paid attention to caution, not to mention the first assistant and the chief surgeon. As Dr. He said, they were like demining soldiers, digging in little by little without daring to make any big moves.
After all, the liver is filled with very, very rich blood vessels. When removing a tumor, you need to cut the liver. As long as the position of the cut is slightly deviated, it is easy to hit various blood vessels in the liver, and blood will bubble all over the liver wound. .
If there is a large area of parenchymal hemorrhage, the surgeon will rush to directly press the liver wound with his hands to stop the bleeding during laparotomy. During laparoscopic surgery, the doctor's hands cannot enter and can only use hemostatic gauze to apply pressure. If the pressure cannot be suppressed and the bleeding point cannot be found due to severe bleeding, the only option is to open the abdomen. It can be seen that difficulty in hemostasis is a major drawback of laparoscopy for liver surgery, which seriously restricts laparoscopic liver tumors from being large, the location of cancers cannot involve the portal vein, and there are high requirements for the patient's liver function level.
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