The next operation had to be carried out to the maximum extent of surgical resection.
A faint heaviness can be heard in the breathing sounds behind the surgical masks of the two surgeons.
There is no need to wait for the pathology to come out. In such obviously malignant cases, the operation must be started first. If the patient is older and has poor cardiac function, the operation time should be shortened. All the doctors thought the same thing.
The surgery continues.
Adjust the instrument, and the two surgeons each hold the ultrasonic scalpel and the separation forceps.
Starting from the location of the tumor, we first deal with the duodenum and pancreas. The descending part of the duodenum has been exposed during previous intraoperative exploration, and now we need to continue to separate, explore and cut it. Therefore, the duodenum and pancreatic head should be separated from the peritoneum.
The conventional surgical approach is to start from the peritoneum on the outside of the duodenum. At this time, the first thing to test is the memory of the mirror holder, whether it is timely or not to check whether the anatomical positioning standard is not standard. I saw the two surgeons' instruments following the mirror holder without hesitation.
It once again fully shows that the two chief surgeons may not get along with each other, but they are very harmonious with this student.
Boom, boom, when the two ultrasonic scalpels and the separation forceps are used interchangeably and complement each other, it is equivalent to opening the bow left and right, cutting all the way through the obstacles very smoothly, which is an eye-opener for all the surgeons present.
The speed of the two main knives is much faster. Tao Zhijie, who was playing slowly, suddenly turned into an impatient man. The engine in his body was driven by another impatient surgeon and mirror-handler, and the speed of the instruments he operated accelerated and accelerated.
It was the potential that was unleashed after being put on the shelves.
A group of people noticed an unprecedented competitiveness in Tao Zhijie's gentle eyes.
It turns out that this Buddha was in danger for a moment.
Due to the high speed of the surgeon, the monitor screen showed a very intertwined and complex situation. Without being an experienced surgeon, it would be difficult to tell where the cut was.
Director Tang was old and his eyesight was not very good. He was afraid that he would not be able to keep up with the speed of the young doctor, so he turned to Shen Jinghui and said, "Dr. Tan in your department is very fast. I forgot whether he injured his hand."
Shen Jinghui said modestly for Tan Kelin: "Dr. Tao is a good telescope operator and gave him another angle for him to operate."
The junior sister once again showed her talents. Gao Zhaocheng's eyes showed admiration.
The two main surgeons must be able to achieve such speed thanks to Xie Wanying's guidance.
This surgery is very large, not only because of the wide range of resection, but also because it is well known that the anatomical relationship in this area is very complex. The hepatogastric ligament and hepatoduodenal ligament should be incised together, to the horizontal part of the duodenum, to the root of the transverse mesocolon, to a good point to separate the loose tissue after the pancreas, and then turn it to the left stand up.
Every step of separation must be precise, otherwise, every step may turn into a disaster. Massive bleeding and the spread of cancer cells due to doctor's misoperation are all possible. Only when the bright light of the mirror arm is in place can the surgeon's operation become meticulous and error-free.
Xie Wanying's clear eyes seemed to have turned into a knife.
The duodenum and pancreatic head were fully freed from the retroperitoneum. The surgeon quickly checks the surrounding tissue for cancer cell infiltration.
Browse through the inferior vena cava, superior mesenteric artery, celiac artery, hepatic artery and other important blood vessels.
The rapid flow of images on the monitor represents the super speed of the hand holding the mirror. The doctor watching seems to be on a roller coaster. The images of climbing, falling, flipping and stopping in the field of vision are so dazzling.
