After reacting, the entire operating room was instantly in chaos.
The previous operation alone was already extremely difficult, and the operation plan proposed by Xia Xingran was undoubtedly twice as difficult.
"Xiao Ran, your heart is good. But you must also consider the patient's actual physical condition. You will have to do this for at least ten hours. But according to the patient's current cardiopulmonary condition, four hours of extracorporeal circulation is the limit. Already."
Zhong Lin was the first to express his refusal. As an old man who has been practicing medicine for thirty years, he is an out-and-out safetyist.
"Yes, yes, Doctor Xia, how about we do one first and do the others next time. You have raised the difficulty so much this time. Even if you are fine, we can't keep up at all."
The two assistant doctors who were doing the job on the opposite side had their eyebrows tightly knitted together, and their faces were wrinkled into a bitter melon.
"Dr. Xia, the hospital's blood bank is always nervous. We managed to get 1,000 ml of blood. If something unexpected happens during your operation, the blood bank won't be able to pick it up."
Chen Lan took inventory of the surgical tools and raised objections.
"And that's Director Shen's mother. Doctor Xia, think about it clearly. If something happens and we are implicated, how will you compensate?"
The doctor who had long been dissatisfied with Xia Xingran leaned against the wall with a contemptuous look on his face, which began to shake people's hearts.
His words were like a flood gate opening, and the people's hearts that had been so hard to gather were instantly wiped out.
Bai Moyan looked at his colleagues who were gradually thinking of retreating, and then glanced with interest at Xia Xingran, who was at the center of the storm.
Xia Xingran felt countless pairs of eyes glaring at her unceremoniously. She nodded in response, without saying much or timidly. She returned everyone's gazes calmly, her elegant and fair face was calm and generous, and her eyes hid the firmness of Songzhu.
She felt that there was a powerful force supporting her, and her heart was filled with fearless passion. Read the book
That was the courage given to her by the more than 300 people in the orphanage who were waiting for food, and Feng Nan who was waiting for dialysis to save her life. Even though she was extremely scared in her heart, with this courage she could be stable and self-possessed.
"I can control the operation time to within 4 hours and the blood loss to less than 1,000 ml to complete the operation."
Xia Xingran raised her chin, still looking bright and gentle, with a bit of firmness in her eyes.
There was an uproar in the operating room, and everyone looked suspicious.
"This is the operation report. I will fill in my name as the surgeon. As long as you do your best to cooperate with me, I will be the first responsible person for anything that happens. It has nothing to do with any of you."
What shocked everyone was not only Xia Xingran's medical skills, but also the aura she exuded. Such a powerful aura actually appeared in a fledgling little girl.
Bai Moyan lowered his head and let out a few chuckles, then looked at everyone and said, "I will also sign my name behind Dr. Xia. In this way, can everyone start with peace of mind?"
Xia Xingran smiled gratefully at Bai Moyan, feeling warm in her heart. No matter when and where, as long as he is by your side, you will never be alone. .
With Bai Moyan's blessing and Xia Xingran's guarantee, everyone had no choice but to bite the bullet and the operation was finally able to continue.
Xia Xingran first drained the blood from the inferior vena cava into the superior vena cava, blocked the suprahepatic inferior vena cava and infrahepatic inferior vena cava, and severed the left hepatic vein.
"Brother Mo Yan, hemostatic forceps." Bai Moyan nodded and quickly applied hemostatic forceps to both veins.
"Cold perfusion solution." Chen Lan handed it over immediately. Xia Xingran immediately perfused the left portal vein. The faster the time, the better the quality of the left liver can be guaranteed.
Xia Xingran then began to cut off the retrohepatic inferior vena cava and resected the right half of the liver together with the tumor thrombus.
Chen Lan immediately took the surgical tray to catch the huge right liver that had been removed, and ordered other nurses to send it out for examination immediately.
"Artificial blood vessel." As soon as it was delivered, Xia Xingran had already entered the next step. The speed was so fast that even Chen Lan, who had experienced thousands of surgeries, was caught off guard.
After getting the artificial blood vessel
, Xia Xingran began to use it to replace the retrohepatic inferior vena cava, and then reconstructed the blood flow of the portal vein and left hepatic vein.
Xia Xingran's hands moved quickly, but every step was never careless. Everyone knows that the faster the operation, the smaller the damage caused.
This is the most difficult step in the operation, suturing the artificial blood vessel to the still-beating portal vein.
Everyone held their breath and did not dare to move for fear of disturbing Xia Xingran and causing the operation to fail.
With the help of Bai Moyan and Zhong Lin as first and second assistants respectively, Xia Xingran used side-to-side anastomosis to suture the blood vessels. This is an advanced version of microvascular suturing, which is mostly used in portacaval shunt surgery to ensure a firm anastomosis.
Most of the doctors present had never expected to see such an advanced suturing method here, and they couldn't help but lean in front of the screen.
"Not only does she dare to use it, she knows how to use it, but she also sews it so perfectly. It's really brave of a skilled person."
Everyone looked at Xia Xingran, who was holding a needle and thread on the portal vein, which was only 0.7 centimeters in diameter, as freely as a butterfly fluttering. It seems that the eyes are not a thrilling operation, but a beautiful art exhibition.
After the suturing was completed, Xia Xingran took a look and said, "It doesn't seem like there's much bleeding." Bai Moyan and Zhong Lin nodded and said, "Yeah, no."
After finishing the suction, Xia Xingran took a deep breath and said, "Let's open it and take a look." After saying that, Bai Moyan and Zhong Lin slowly released the side wall clamp, and the blood vessels bulged instantly.
A suppressed cheer instantly erupted in the operating room.
"Start blood supply." Xia Xingran didn't have time to be happy, she didn't dare to relax at all, and closely watched the changes in the blood vessels after the blood supply.
After discovering that the blood flow was smooth, the anastomosis was not narrow, and there was no blood leakage, Xia Xingran's heart finally relaxed. This means that the main part of the surgery has been successfully completed.
At 12:24, less than four hours later, the amount of bleeding was only 600 ml. This marks that the surgical team headed by Xia Xingran has once again created a new medical miracle in many aspects!
Bai Moyan bumped Xia Xingran with his elbow and said in a somewhat anxious tone: "Just take a break and I will do the next suturing of your abdomen."
Xia Xingran relaxed at this moment, already feeling exhausted and in danger. Bai Moyan nodded gratefully, dragged his tired body out of the operating room, and reported the situation to Director Shen who was waiting outside. .
"This operation is basically completed. The tumor, tumor thrombus and right liver were removed smoothly. You saw it just after it was taken out. The artificial blood vessel and portal vein anastomosis were successful and the blood was running smoothly. I came out to tell you so that you don't have to worry. "
Director Shen held Xia Xingran's hands tightly with tears in his eyes and said repeatedly: "Thank you so much for your hard work. Thank you so much, Dr. Xia." He kept bowing as he spoke.
Xia Xingran suddenly felt that all the fatigue in his body was gone. Everything was worth it, and he hurriedly helped Director Shen up.
After re-entering the operating room, Bai Moyan had completed the operation.
Everyone was pointing at the anastomosis blood vessels flowing under the perspective on the screen and marveling: "How well the blood vessels are stitched." While talking, they all took out their mobile phones to take pictures.
Xia Xingran could no longer suppress her happiness, and hugged Bai Moyan on tiptoe. She instantly turned into a little crybaby, crying on his shoulder: "Brother Mo Yan, I didn't disgrace my father's reputation. I did it. I really did it!"
In order to highlight the hospital's outstanding medical skills, Bai Zhengqian once again posted the surgical recording video on the hospital's official website and external website. Of course, this time he obtained the consent of the patient and his family.
Thousands of miles away - located in Bei City, the top brass of the Huaguo Health System were sitting in front of the computer, rubbing their chins and watching Xia Xingran's operations attentively.
As he watched, a meaningful smile gradually appeared on his face.
After settling Director Shen's mother, Xia Xingran lay sprawled in the lounge, beating her limbs and back.
"It's so beautiful in front of others, but suffers behind others." After standing still for more than three hours, I was highly concentrated and it was impossible to say I wasn't tired.
Just when she was drowsy, she heard the rapid sound of the 120 siren downstairs in the emergency room.
She instinctively opened her eyes immediately. Just as she was about to get up, she thought that she was resting now and there were doctors in the emergency department. She couldn't afford to choke and offend others, so she simply closed her eyes and continued to sleep soundly.
Not even a few minutes later, I heard the sound of messy footsteps. Out of breath, the visitor held the door and shouted to Xia Xingran: "Doctor Xia, Dr. Xia, there is a patient in the emergency room. Please name him." I’m here to find you!”
Xia Xingran immediately sat up and asked, "What's your name?"
"Feng Nan!" the little nurse said eagerly.
