"He's entered the liver. He's entered the liver!" Mr. Qin's voice was hoarse. He was so excited that Zhang Fan dissected the liver hilus cleanly.
The surgery seemed very comfortable, without any unnecessary steps or hesitation.
Step by step, very clear. There were many knowledgeable people in the venue.
"This guy has very solid basic skills, and his skills are really good. When I was his age, I was much worse than him. Even now, I feel like I can't do this kind of surgery as cleanly as this guy. !" Zhang Fan's senior brother said to Zhang Fan's fourth senior brother.
"Well! Have you noticed that there are no extra steps in his surgery? This is very amazing. Not all human structures are the same. But he doesn't even have to think about it. The knife and knife are coherent. It's amazing! "Fourth Senior Brother looked at the big screen and nodded.
Mr. Wu, who was sitting in the front row, watched Zhang Fan's surgery quietly without saying a word, but his eyes were fixed on Zhang Fan's hands.
"Strong! Really strong. This guy suddenly appeared out of nowhere. Why have you never heard of his name before?"
The director of Yaxiang's liver and gallbladder department asked the director of Sanchuan Xihua in surprise. They are both standing committee members of the Society for Hepatobiliary Surgery.
"I don't know. It seems like he's really capable. He's not just a walking character."
"It's probably impossible to ask Mr. Lu to walk." These are some masters who understand surgery.
At this time, the masters all recognized Zhang Fan. Although the surgery had not yet entered the most important part, Zhang Fan's anatomy was already amazing to them.
Some of the doctors who couldn't understand were not so shocked, especially those who were brought to the world by their masters or directors.
He was confused, "I think it's just like that, but his surgical instruments are quite beautiful. I don't know what brand they are. Do you know, I want to buy a set too."
"Well, it's pretty good, but his ability to stop bleeding is quite good. I think my practice is about the same as him."
The quality of half-talking a lot and being unconvinced is not bad. Only by being unconvinced can you be motivated.
The major equipment dealers in the last row are suffering at this time. Look, I can’t understand, listen, I can’t understand. I just know that the surgeon is very good.
Because Mr. Qin is excited! Everyone is not stupid either. I really don’t dare to ask or tell!
"Xiao Wang, ask if this person has any hobbies, such as tobacco, wine, tea, etc."
"OK!"
Zhang Fan's system gives Zhang Fan a sufficient platform to practice. Although orthopedics was opened earlier than general surgery. But in terms of his professional understanding, Zhang Fan is currently the strongest at liver and gallbladder.
Because in the subject of liver and gallbladder, Zhang Fan has sublimated and made a breakthrough. To put it simply, it means quantitative change to qualitative change.
The liver has been thoroughly thought out in Zhang Fan's mind. It can be said that Zhang Fan is already able to create his own things with ease in terms of liver and gallbladder.
In terms of Jianghu Kungfu, although he has not reached the level of being undefeated, he is almost at the level of Feng Qingyang through upright training.
Several major organs in the body are very weird. Those that want to play with blood vessels should not play with blood vessels, but with muscles, such as the heart.
Those who want to play with muscles don’t play with muscles, but with mucous membranes, such as the stomach. The most important thing about gastric tissue is actually the hydrocarbon mucosa in the stomach. Without this layer of mucosa, no matter how thick the muscles are, they cannot withstand the strong acid.
As for the liver, it is supposed to play secretion and biochemistry, but it has manipulated the blood vessels and twisted them to play martial arts with you and be unreasonable.
All venous return of the human digestive tract passes through the liver, and everything from the esophagus to the chrysanthemum passes through the liver.
This place is more important than the thoroughfare of nine provinces. Once the portal vein of the liver is blocked, the veins in the upper and lower digestive tracts begin to become clogged.
In layman's terms, the area above the duodenum and stomach is the upper gastrointestinal tract, and the area below it is the lower gastrointestinal tract.
After the veins in the upper and lower gastrointestinal tract are blocked, they will go through the canals instead of the liver. Let’s not talk about the diseases that occur here, let’s talk about the changes in blood vessels.
The veins that were originally hidden in the digestive tract have become thicker and thinner, leaking out like blue earthworms, and are still lying on the surface of the esophagus and intestines.
The food that enters the lower digestive tract is a chylo-like paste, which doesn't matter unless it's forced to go through the valley.
The same cannot be said for the upper gastrointestinal tract. Once the portal system of the liver is blocked, the veins of the esophagus will be a bomb.
I took a bite of the biscuit without chewing it into pieces. As a result, when I lightly scratched the biscuit across my esophagus, the already very thin vein was torn.
Then, the patient will vomit blood in large amounts. Vomiting blood can kill someone.
The conventional treatment is ligation, performed under gastroscopy. What Zhang Fan is doing now is to unblock the blocked arteries.
Although it cannot completely cure the original disease, it can at least delay the patient's life.
Sometimes it seems like living an extra day or an extra year is of no use. In fact, this is very important to patients and their families.
"Knife!" The dissected liver vessels were clearly displayed on the big screen.
When Zhang Fan picked up the scalpel, the entire audience was silent. Even Mr. Qin, who was doing the commentary, stopped talking.
It seems that the fluctuations in the varicose vessels can be clearly seen. "Pah!" Zhang Fan steadily took the luminous scalpel.
"Divide the artery! Prepare the microscope."
"yes!"
After ligating the distal end, Zhang Fan performed the operation without any hesitation. There was no way he would regret this operation.
God will not let the blood vessels open and let the doctors come.
If the tunnel is unsuccessful, the patient will not even be able to get off the operating table. The venue was quiet except for the sound of breathing.
When the scalpel cuts across it, a little dark red blood remaining in the blood vessels leaks out slightly, like the mouth of a rubber tube. Under the microscope, the veins are magnified.
Through the passage, Zhang Fan directly connected the vessels of the portal system to the inferior vena cava across the hepatic portal artery.
When Zhang Fan clamped the inferior vena cava with a vascular forceps, the masters who understood it made a sound: Hiss!
Especially Mr. Qin, with the blessing of the loudspeaker, the air-conditioning he breathed was particularly loud and elegant.
"Damn! He must be too brave. Directly operate the inferior vena cava. Oh my God! If you are not careful, the patient will die immediately."
Although some ordinary doctors cannot understand surgery, at this time, they still understand the dangers of surgery.
"Stop making noise!" The other doctor was unhappy.
In layman's terms, blood vessels are divided into three layers: outer layer, muscle layer, and inner layer. Zhang Fan relied on his super steady hands to first connect the coat of the hepatic portal vein and the coat of the inferior vena cava, leaving a small opening.
"Buck!"
"yes!"
"The blood pressure is at the bottom!" the anesthesiologist loudly reported the patient's condition.
At this moment, Zhang Fan's scissors entered the muscle layer of the inferior vena cava.
"Click!" There was a sound, and there was no obvious bleeding during the entire operation. At this time, there was bleeding.
It came out like spring water. It came out with a roar, and all the doctors in the room couldn't help but stand upright and clasped their hands.
Blood vessel openings, especially large blood vessel openings, just kidding! No matter how skilled this kind of surgery is, there are huge risks. One mistake can lead to death from massive bleeding.
The blood vessels magnified by the microscope were like a broken dam, blood roared out, and the magnified picture looked even more terrifying.
"Hang it! Hang it! This person can't be saved!" Some ordinary doctors muttered to themselves as they stared at the big screen.
In the operating room, doctors and nurses move skillfully and maintain stable connections. Urgent without panic.
The moment the blood spurted out, Zhang Fan moved, and the ophthalmic forceps flew in his hands. In one or two strokes, the muscles of the blood vessels were stitched together visibly.
One and two shots, the dam closes and the blood stops.
"Boost~!" When Zhang Fan retracted the pliers, the words came out of his mouth without hesitation at all.
As his blood pressure slowly increased, Zhang Fan began to sew up the blood vessels.
"Beautiful!" When the blood pressure rose to normal, there was no trace of bleeding from the blood vessels used for suturing.
Mr. Qin shouted loudly, and the old man's face turned red.
"Beautiful! A textbook-like operation, even more beautiful than textbooks.
Although this kind of surgery is not widely used in liver diseases, this idea and this technology are very valuable. "
Mr. Qin said as if he was drunk, with a trace of regret or perhaps a trace of aftertaste.
"The army is in danger! This kid is too courageous." At this time, Mr. Wu said to Mr. Lu with a smile.
Before Mr. Lu could speak, Mr. Wu added: "However, this makes me look forward to his surgery in the afternoon even more. Let's see if he can enter the middle lobe of the liver openly."
"Haha!" Mr. Lu smiled very comfortably with a hint of pride and satisfaction.
The eyes of the elder brother are higher than those of the younger generation. Even in their generation, there are few who can catch the eye of the elder brother.
It's amazing that Zhang Fan can let his senior brother express his expectations!
Mr. Qin continued to explain the operation. When the blood pressure rose, the borrowed blood vessel seemed to have grown on the inferior vena cava, and no trace of bleeding was seen.
"It's useless. I'm afraid this patient will need dialysis every two days! He probably practices suturing with pig blood vessels every day!"
A doctor from the frontier said something with envy and hatred in a slightly loud voice. As a result, all he got in exchange was looks at SB! ~
People are like this. If Zhang Fan were an expert in the capital, no one would say this. It would probably all be praise.
But who told him to be a doctor in a grassroots hospital?
A smooth road to medicine
A smooth road to medicine
