It is not advisable to repeatedly pull the poop with unnecessary clamps. Other techniques of staying still should be used, such as pushing, pressing, and turning. Just like doing Tai Chi, by using the peristaltic power of the patient's own organs to move, it is possible to avoid damaging the patient's organs as much as possible.
It once again tests how deeply the doctor understands the anatomy of the patient's body.
Being constrained by the special conditions in the patient's abdominal cavity, He Jiuliang was unable to conduct eye exploration first with the laparoscope in his hand, and could only follow the chief surgeon and the first assistant.
Unexpectedly, the surgeon's condition was not much better than his, and he still relied on his help to clear the way through the patient's body.
The operation seemed to be difficult. He Jiuliang felt a little anxious, but when he looked back, Tao Zhijie was very calm.
Pancreatic surgery is inherently the most difficult thing to do. The pancreas is too deep and hidden behind various organs, making it difficult to perform an open abdomen, let alone a laparoscopy. Like the surgery we are going to do today, the actual situation is that there seem to be few successful cases in China. Including the doctors from their National Association, it was definitely the first time to do it. Because this time, the transferred peritoneum needs to be cut off, which is more difficult than simply removing the tail of the pancreas and preserving the spleen. He Jiuliang didn't understand where Tao Zhijie had confidence in these two people.
As seen during the operation, the splenic artery and splenic vein were indeed adhered to the retroperitoneum.
Isuke's separation pliers and the chief knife were cutting through the layers, and he couldn't be more careful. And then to the critical tail of the pancreas. The tail pancreatic artery branches from the splenic artery. It can be seen how close and closely connected the tail of pancreas and splenic artery and splenic vein are.
At this point, the pancreatic tail and splenic artery are almost glued together, making it even more difficult.
The surgeon's ultrasonic scalpel hesitated twice.
No more. It will definitely break if you tear it directly. Using an ultrasonic scalpel is equivalent to cutting a blood vessel. Are electric scissors useful? It doesn't seem to work. He Jiuliang thought to himself.
When he wanted to cut his head and didn't know what method to use to solve the problem, the chief surgeon's ultrasonic scalpel and Isuke's separation forceps were used together. This scene shocked everyone present. Such an operation requires a team with high coordination and proficiency. Can these two people do it? Besides, how are these two people going to separate with these two things?
I saw the separation forceps grasping it, very gently, but because it was too tight and pulled, it inevitably tore a little and caused blood spots. The ultrasonic scalpel immediately repaired it and used electrocoagulation to stop the bleeding.
As they watched, He Jiuliang and Tao Zhijie's eyes lit up: these two people actually matched well. It was the first time they officially collaborated on stage and they had such an idea of cooperation. It was very rare.
The surgeries continued. The two of them seem to be getting more and more used to working together like this, because it seems to go more smoothly. After all, scratching causes less damage than simple sharp separation of cutting.
The tail pancreatic artery needs to be ligated. The sutures went in and there was a little adhesion all around. Issuke immediately made a decision and rushed with water.
The other doctors and nurses looked at the monitor screen with their eyes fixed, probably because they thought it was more exciting and beautiful than watching a movie, like watching a kaleidoscope.
Various ways of separation were performed. This shows how flexible the brain of the surgeon is. To put it more accurately, it may be that the surgeon seems to have a perceptual understanding of the nature of the patient's tissues and organs, and knows where to push it and where to grasp it to fall apart. .
The most important thing is that this is the result of the cooperation of two doctors. Just like the solo trapeze and the double trapeze, the double trapeze performance is definitely more complex and exciting.
