The gallbladder was removed. The large purple grape-like gallbladder was cut out by Zhang Fan. The oily and smooth gallbladder is so beautiful in purple that it really makes people want to lick it.
"Bend plate!" Gallbladder put in the bend plate. Immediately afterwards, Zhang Fan said: "Enter the liver!"
As Zhang Fan's voice entered his heart, Professor Zhao Jingjin became even more focused, and success or failure could be determined in an instant. Although Zhang Fan and I have undergone this kind of surgery, no one can guarantee that it will be successful every time.
There are too many accidents during surgery, and maybe an abnormal blood vessel can cause an operation to fail.
Following Zhang Fan's words, the doctors at the Department of Science and Education straightened up involuntarily. Although Zhang Fan was very good and precise in the early stage of organizational cleaning, none of the directors present could not do this kind of cleaning well.
Therefore, everyone just agreed that Zhang Fan's level was not bad and that everyone could look at him on an equal footing. If you want Gao to take a look at it, it's impossible. The next thing is the focus. Whether you are a master or not will be the next step to show off your skills.
If there is a voiceover, say this: Now is the time to show off your technology! It should be more appropriate to the occasion.
Everyone who had been chatting stopped talking and looked at Zhang Fan's next operation with wide eyes.
Hepatobiliary and gallbladder surgery belongs to the general surgery department. Although it is also a relatively strenuous department, it is much easier than gastroenterology and brain surgery. If this were a doctor who only worked outside the brain, he would probably be half bald, like a master who has practiced Iron Head Kung Fu.
"Tell me which technique he plans to use." Some doctors in the back row of the Department of Science and Education, who had just graduated with Ph.D.s, were almost jealous to death when they looked at Zhang Fan on the monitor.
He is still young, but his surgery has already reached such a high level that there is no reason to speak of it.
"I don't know. There are no successful surgical methods for such a huge central liver tumor. Could it be that he created it himself?"
"No way, how old is he! Have you read the anatomy book ten times?" Another older doctor directly believed that Zhang Fan could not succeed.
"Look at his separation. Don't say it ten times, you can probably write down the anatomy silently."
The newly graduated Ph.D. in the back row looked at it, but it was still a little lacking. This thing can only be improved through time and the number of surgeries, not books alone.
After the gallbladder was removed, we began to search for the hepatic duct along the gallbladder, ligated it, and ligated it, and the area began to shrink little by little.
"What is he going to do! This is the middle lobe of the liver. Aren't you afraid of liver failure after such a large-scale resection?" The director in the front row of the Department of Science and Education was shocked. The area of the liver Zhang Fan was dealing with was too large.
"Crazy! Crazy! Go and inform the dean." Another director said directly to the doctor in his department behind him. Whatever the purpose, he informed the dean directly.
Tumor resection does not mean peeling off the walnut skin, nor does it resect close to the tumor.
It is necessary to carry three to four centimeters of normal liver tissue, because cancer cells will infiltrate and metastasize. Only by carrying three to four centimeters of liver tissue or even more normal tissue can the goal of tumor removal be achieved.
Why is it difficult to treat tumors in the middle lobe of the liver? Because this is the only way to pass through the porta hepatis. If too much is removed, the surrounding vasculature will be destroyed! Once the tumor is removed, the remaining liver tissue has no chance to survive.
Determine the scope and start excision. At this time, Zhang Fan's precise surgical method was revealed, and the scalpel accurately cut away the liver tissue.
Although he and Zhang Fan had undergone this kind of surgery several times, Lao Zhao was still nervous when he looked at Zhang Fan's hands. The tissue is gently cut with a sharp scalpel.
The distance here is not centimeters, but millimeters, or even micrometers. At such a small distance, not to mention shaking your fingers, just taking a deep breath, the scalpel may cut through the portal blood vessels.
One cut, one cut, one cut, one cut, as the liver tissue was separated bit by bit, Professor Zhao Jingjin did not even dare to take a satisfied breath. He was so aggrieved that he willingly held his breath. At this time, his scalp was numb. Starting to feel numb.
Zhang Fan started cutting around the oval tumor as big as a fist, just like peeling a carrot. The reason why tumors are scary is because they grow so fast.
Cell growth depends on nutrients in the blood, so the more malignant the tumor, the richer the blood supply. Tumors grow in areas of the liver with very rich blood supply.
Zhang Fan breathed slowly, took a shallow breath, and spit it out slowly, fearing that his hands would shake. He had done this technique countless times in his system, and he had already become very skilled at it.
Slightly scratch the tissue, just like cutting sashimi, and separate the liver tissue bit by bit.
The director of the affiliated hospital also came to the Department of Science and Education. Although he is not an ordinary person, he is an expert in the brain, and he can see Zhang Fan's superb skills on the monitor.
He was originally angry, but the anger in his heart disappeared in an instant, and it did not affect other doctors in the Department of Science and Education. He stood quietly in the last row and watched Zhang Fan on the monitor performing surgery.
"Chasu, City Hospital, Zhang Fan, Zhao Jingjin." These terms kept swirling in his mind.
The directors in the front row of the Department of Science and Education, who were already noisy, slowly became quiet after seeing Zhang Fan's precise technique, and those who were chatting stopped talking.
He stared at those dexterous and steady hands with wide eyes, "It's too stable, too accurate. A little to the right is the right hepatic artery. How brave!" The director who called Lao Chang was dumbfounded. I was really dumbfounded.
"How did he practice it?" Cutting within a few millimeters might be possible with one or two cuts, but how many cuts would be needed to cut a fist-sized tumor?
Almost every time, they were on the verge of death. Not to mention the people who performed the surgery, even the unscrupulous directors began to tense up. The more I understand, the more I know how difficult this surgery is.
"No way, no way!"
"Why is it impossible? It's already half done."
"No, I mean, he can't be a doctor from the regional hospital! There are so many patients in the regional hospital, let him practice. This technique, this technique can be done at such a young age, it can't be from the regional hospital. Doctor. Lao Zhao is lying!"
Several directors were fascinated. From disbelief at first to actually seeing such a superb technique with their own eyes, it was beyond description to be shocked. And it was done by a little-known doctor. If it hadn't been during the day, and if they weren't all materialists, they would probably have thought they had seen a ghost.
"No matter where he comes from, Lao Zhao should not dominate it alone. This kind of surgery needs to be promoted." A director who was slightly older than the others said in a slightly louder voice.
"Yes! It must be promoted and cannot be allowed to be occupied by certain people. This is the behavior of academic tyrants and medical tyrants."
Listening to the excited and indignant voices of the directors, the dean felt relieved. He came quietly and left quietly. He didn't need to explain the rest. These directors would definitely figure it out.
This is like a toad entering a quagmire. If we all stay in the same quagmire, no problem. As long as one of us wants to climb out, the other toads will definitely start to hold back.
Lao Zhao wants to commandeer Zhang Fan to learn this kind of surgery. If others don't know about it, that's fine. Now I know, haha, everyone is not a fool.
As the operation progressed, Zhang Fan's sweat began to drop from a few drops, to one big drop, and then two big drops, which was too energy-consuming and energy-consuming.
With a scalpel that is as light as a feather, Zhang Fan has to spend a lot of effort to accurately control it to the millimeter range. This kind of surgery is no easier than moving bricks. And it consumes more energy. When you see it, your hand will be there, and when your hand is there, you have to take one or even three steps in advance in your mind to figure out the next position of the knife.
For tumors in the center of the liver, there are few surgical procedures that can be called textbook. Mr. Lu's senior brother, Academician Wu Mengchao, also successfully performed this kind of surgery.
However, just because the operation is too difficult, as the elderly get older, this operation has slowly begun to withdraw from the medical community, and it does not even appear in textbooks.
A surgery of this difficulty could lead to death if not performed well, so even the surgery published by Mr. Wu when he was old did not include this kind of surgery.
"He started using the handle of the knife! He wanted to completely remove the tumor! He started using the handle of the knife!" As Zhang Fan dissociated bit by bit, the surrounding areas of the fist-sized liver tumor were finally slowly dissociated. All that's left is the last bit at the bottom of the tumor.
Sweat has already soaked Professor Zhao Jingjin's hand-washing clothes. If he took off his surgical clothes, he would definitely look like he was fished out of the water. Even the gaps between his toes wearing slippers are filled with sweat.
To be strong without desire is not because Professor Zhao has experienced few things, but because he attaches too much importance to this operation.
With Zhang Fan's slight stroke with the handle of the knife, the tumor held by the liver forceps was pulled out.
"What are the blood pressure, heart rate, and the patient's vital signs?" Originally this was a question asked by the surgeon, but Professor Zhao Jingjin couldn't help it.
"Everything is normal. Director Zhao, do you need to lower your blood pressure now?" After the anesthesiologist answered the question, he asked again. At this time, the center of the liver became a big hole.
Although the upper and lower blood vessels were ligated, the remaining blood in the liver began to leak out. After a while, the gap was filled with blood.
"Uh!" Professor Zhao Jingjin realized that he seemed a little anxious, so he didn't say anything, but looked at Zhang Fan.
"Lower your blood pressure, don't lower it too fast, slow it down." Zhang Fan didn't care.
At this time, not only the anesthesiologist, but also the circulating nurse during the operation began to become polite.
"Doctor Zhang, please wait a moment and I will change a towel for you."
"Thank you, gelatin sponge." How Zhang Fan spoke before was how he spoke now. It did not change because of the change in the other party's attitude.
Gelfoam was used to stop the bleeding, and the obvious bleeding around the incision around the liver was ligated little by little by Zhang Fan.
Zhang Fan started to finish the work and said to Professor Zhao: "Pay close attention to the changes in liver function after the operation. Although the operation is completed, the postoperative care must be kept up.
Prophylactic intravenous infusion of antibiotics is given for three days, and the use time can be extended if necessary. After the disease is detected, it will be decided whether the patient will undergo later radiotherapy and chemotherapy. "
Just like a superior doctor explaining precautions to a subordinate doctor, Zhang Fan said that Professor Zhao agreed, and Lao Zhao was not angry at all, but excited.
The anesthesiologist, equipment nurse, and circulating nurse looked at their Director Zhao in surprise, "Is this still the same professor? Is this still the same Director Zhao?"
"Okay! Don't worry, Dr. Zhang, our department has done a very good job in this regard."
In the Department of Science and Education, there were only some doctors and ordinary doctors left. When the directors of the department saw Zhang Fan taking out the tumor, they scattered one by two as if they were on fire.
"Old Zhao, is there a Zhang Fan in your hospital?" This was a director calling the director of Cha Su Pu Surgery.
"Yeah, what's wrong?" Zhao Ping was completely puzzled. Why did the director of the third department of hepatobiliary surgery at the Bird City Affiliated Hospital take the initiative to call him? He was such an arrogant person normally.
"How's your relationship with him? Help me set up a line and let me get to know him." The director didn't say what he wanted to do. He wanted to go to a lower-level hospital and learn from a hospital he had never seen before. He couldn't say it.
"Very good. It's simple. I'll call him later."
"Okay, make an appointment for me and I'll treat him to dinner."
At the same time, none of the directors were left behind, and each of the Eight Immortals across the sea started to contact Zhang Fan to inquire about him.
"Unreliable Lao Chang, why is the phone number empty?" Lao Chang was really scared, and this was all a haze.
"What, he is a doctor in the orthopedics department of your hospital?"
"Don't be kidding, I'm talking about Zhang Fan, how many Zhang Fans do you have in your hospital?"
"What a world, mother! An orthopedic surgeon is so good at treating liver tumors. Can I have some face?"
"Circulating nurse, help me scratch my left ear. Why is it itchy?" Zhang Fan was confused, who was scolding me?
"In recent times, everyone has paid attention. As long as there is a huge tumor in the liver center, please let me know. If you accept such a patient, the department will reward you with 300 yuan." After contacting Zhang Fan, the directors of the department began to rush for patient numbers. .
Everyone has the same idea: He can do this surgery. As long as I learn it a few times, won’t I be able to learn it? Fake, I am also the director of the hepatobiliary surgery department at a provincial hospital!
The originally uneasy affiliated hospital had an undercurrent.
"Last time, didn't your relative find a huge tumor in the center of his liver?"
"Yes what's the matter?"
"Let him come to the hospital quickly. Our department can perform an operation on him." A doctor in the hospital had a relative who also had the same disease. He went to several doctors with a check list.
"Last time your relatives..."
"The Department of Hepatobiliary Surgery said they can do it! They just called me." A doctor from another department also called.
"How is our relationship?"
After the surgery, Zhang Fan came quietly. At this time, not only the family members were waiting for Zhang Fan outside the operating room, but even the leaders of the hospital office were waiting for Zhang Fan.
"The operation is complete, complete resection. If you recover well in the later period, there should be no recurrence." Zhang Fan looked at the excited family members of the patients, took off his mask, smiled gently, and told him calmly. .
"Thank you, thank you." The family members almost fainted with happiness. They originally wanted to take a gamble and put their father on the operating table, but they all won!
