When it comes to surgery, not to mention that doctors from different schools of thought can produce different results. Even if two apprentices are trained by the same master, the results of surgery can be very different.
The simplest thing is that every year before and after the winter and summer vacations, you can often see the little devils crying and holding disposable paper cups in the hospital with crab steps.
And every year after the recovery season, young boys come to the hospital to look for secondary growth after seeing the world in the army.
Just this one circumcision operation has attracted a lot of attention from all major departments. Pediatric surgery, urology, and general surgery can all perform it. Even male doctors in the obstetrics and gynecology department can do it for you in their busy schedule.
For no other reason, because the cost of this surgery goes directly into the coffers of the department, so there are many departments rushing to do it, and the leaders turn a blind eye to this purely manual work, as long as it is not excessive...
However, this surgery is also very easy to get infected. The doctor's technique is good and the damage is small. After the operation, the wound surface can be said to be pink and tender, white with red, very cute, so the chance of infection is low.
Doctors with poor skills would use the electric knife as if they were giving people a criminal punishment. They would burn their vagina so violently that it would look like a carbon rod in a battery, making them look disgusting.
Can it be infected?
This is a minor surgery, and different doctors perform it very differently, let alone a major cancer surgery.
In some hospitals, patients can live longer after gastric cancer surgery. In some hospitals, after surgery, not long after the patient returns home...
There are two difficulties in gastric cancer. First, the reconstruction of the remnant stomach and intestines. Second, lymphatic dissection around the gastric body. These two obstacles are sometimes the threshold for a doctor's lifetime.
Putting aside whether it is done well or not, whether it can be done is another question.
…
After Zhang Fan changed the position of master, the speed of surgery has also improved a lot. After all, his age is here. Moreover, Zhang Fan did not have complex emotional factors towards Shan Lao in his heart, so he could make a better decision.
To be honest, the Chinese people have very complex senses about the country of meatballs, but when it comes to medical treatment, especially the treatment of the digestive tract, they are no match, not even a rival.
The five-year survival rate after gastric cancer surgery is most likely about 30% in China and slightly higher in Europe and the United States, but not much higher. In China, it was already 30% in the 1960s, and now it has exceeded 70%. %.
The ability of Wan Ziguo to do a dojo in a lion snail shell is really no joke, especially their gastric cancer diagnosis rate, which is almost 10% in the world, and they have already reached the 40% diagnosis rate early.
Teacher Lu learned completely traditional Western techniques from Qiu Zu, but after coming to Jade Bird, he also had a lot of contact with the medical community of Wanzi Country.
Although I am getting older now and my techniques cannot keep up with my ideas, my vision is still there.
"I think the thing on the greater omentum is very dangerous, do you want to cut it all off?"
Mr. Lu gave up his position as the surgeon, but he still couldn't completely rest assured.
"Everything! We can't afford to gamble, and old man Shan won't have a second chance for surgery."
In fact, when the stench came out when the abdominal cavity was opened, Zhang Fan had already decided on the surgical method in his heart.
"The damage caused by the full cut is not small. His physical foundation..." Mr. Lu said hesitantly.
This is because once the relationship between the surgeon and the patient is established, there are too many issues involved. After all, not everyone can give up the emotions and desires in life.
Zhang Fan paused slightly, then gently took out the old man Shan's abdomen with his bloody gloved hands, then raised his head and looked at Mr. Lu: "Master, now is not the time to hesitate.
It is better to survive incompletely than to have it spread after being discharged from the hospital. "
On the operating table, to be honest, Zhang Fan was alone and even more domineering, that is, Lu Lao. If it had been anyone else, Zhang Fan would have been unhappy.
Mr. Lu looked at Zhang Fan's firm eyes and sighed softly, "Okay, let's get started."
As he spoke, Zhang Fan lowered his head and started.
"Gauze!" Zhang Fan tried to pass the gauze with one hand and two fingers of the other hand, straight into the bottom of the stomach.
Regarding the clarity of the surgical field of vision, Zhang Fan's requirements reached an abnormal level.
Some doctors don’t know whether their operations are good or not, but looking at their surgical fields, they can barely see anything. There is bleeding everywhere and rivers of blood.
But Zhang Fan is different. Regardless of the size of the bleeding, he will consider it in advance. Even if he encounters a mutated blood vessel, he will have corresponding surgical measures.
The powerful system training made Zhang Fan's brain act like a slicer, cutting the human body's organs into pieces countless times, allowing Zhang Fan to learn over and over again.
Therefore, Zhang Fan's surgical field is very clean, just like performing surgery on a human model. There is no trace of bleeding. It's so awesome!
"It's clean and there are no unnecessary movements under the hands! The thinking is also very clear. It's a good idea."
In the electronics classroom, the mediocre director of the General Department of Foreign Affairs watched Zhang Fan's operation process carefully, and he couldn't help but praise softly.
“I don’t think we can say that he is just a seedling, he has become a big tree, and his techniques are self-contained.
Director Chen, have you noticed that Dr. Zhang never looks back, which shows that he is very confident in every step of his operation. "
After hearing what Director Zhongyong Chen said, the director of general surgery at 30x expressed his thoughts.
"Yes, you are right, and I also discovered something. His method is not very similar to Mr. Lu's. What do you think?"
"Well, I have the same feeling. Teacher Lu should have gone into refinement after learning from Qiu Zu.
However, Dr. Zhang's technique always gives me a feeling of infinite precision in the wide opening and closing.
It's a bit like taking advantage of others' strengths. It can be said that his technique is not like Mr. Lu but more like Mr. Wu! "
After saying that, he looked at the 30x general surgery director next to him in disbelief.
Both of them could see in each other's eyes that they felt like they had seen a ghost.
Doctors of their level, not to mention other things, have taken care of countless geniuses and passed through countless students.
But there has never been a student like Zhang Fan. At Zhang Fan's age, most of them are still studying for a master's degree, and the better ones are still studying for a doctorate. That is to say, most of them have not yet jumped out of the category of student apprenticeship.
But Zhang Fan, he gave others the impression that he had already obtained a master's degree, jumped out of the Ph.D., and already had the attitude of being an independent person with his own temperament.
The two people's surprise was not over yet. Then, Zhang Fan brought them an even bigger surprise.
Because the surgery has reached the first conventional difficulty, gastrointestinal reconstruction.
Gastric cancer, what exactly should be done and how should it be done?
In fact, it means cutting off the stomach, and then directly connecting the esophagus or stomach remnant to the intestines, so that the food can smoothly enter the intestines from the mouth for digestion and then be excreted. This is what it means.
Everything, once it involves reinvention, is not easy.
The reconstruction of the stomach is much more difficult.
The esophagus is a meat channel, and the intestine is also a meat channel. The diameters between them are almost the same.
The stomach is like a round ball hanging on two meat channels.
It can be said that if the food eaten from the mouth can come out of the stomach, it can be excreted from the anus (a). For example, if a monkey eats nuts, it must first be stuffed into the anus (a) to try. Try it. As long as it doesn't hurt, it will stuff it into its mouth. If it hurts a little, it will never eat.
why? Many careless parents watch their children, and accidentally, the child swallows a foreign object, such as a glass ball, a small iron ball, or even other foreign objects.
At this time, the child's parents were anxious and took their child to the hospital. The doctor would ask the child to drink a slimy liquid like lime water, and then he would see through it.
At this time, it is not the doctor who is tormenting the parents. If the iron ball or foreign body can pass the connection between the stomach and the intestines, then it is no big deal. Just stare at the toilet, and the parents will definitely hear a clang.
If you can't get past the stomach barrier, then this is a big deal. Don't underestimate this matter. Once a foreign object is stuck here, the next step is to cut open the stomach and take it out, so especially those with children at home, be careful.
For gastric cancer resection, as the name suggests, the stomach must be cut out first, and then the intestines must be connected to the esophagus.
This is the difficulty. If doctors with poor skills perform this reconstruction, the patients will really suffer.
You eat a little too much, or you feel a little uncomfortable, and then you start vomiting!
If you encounter a patient with a special infarction, wait until the pressure of the digestive tract breaks through the infarction.
My dear, the state of vomiting is very scary.
It's just like a spray gun, it's not puff, puff, it's bang! Bang! of vomiting.
Bile, food residue, and intestinal contents emerge directly from the mouth, green-purple-black bile, green-white food residue, plus intestinal...
Really, this kind of surgical reconstruction is quite particular.
Zhang Fan put gauze in his hand, then grasped the omentum and tied off the blood vessels bit by bit.
The greater omentum is actually a pearl curtain of fat particles strung together. The yellow fat particles cover the stomach and are very slippery.
Many people like to eat fatty meat, and also like to eat so-called pork suet and pork neck meat. In fact, you should eat less of the suet and neck meat on the intestines, because the suet is actually the omentum.
There is not only fat in it, but also a lot of lymph! Glands, if there is any disease, this may be the focus, so...
Zhang Fan's eyes were like a fluoroscope. Every large blood vessel and every mutated blood vessel had been processed by him early.
The rich blood vessel network has never seen any blood flowing out. The electric knife passed by and lit up the smoke, and the omentum was separated bit by bit by Zhang Fan.
"Clever~!"
Mr. Lu's mentality had also adjusted a lot at this time. After seeing Zhang Fan separate the omentum very skillfully and accurately, the old man couldn't help but praise in his heart.
Experts can tell that Zhang Fan's separation of hands is so clever, just like a child tearing paper, the clicking sound can give people a crisp feeling.
Mr. Lu originally wanted to give Zhang Fan a heads up, but he didn't expect that Zhang Fan's technique was so skillful, even better than the professors from Rice University in Maranzi Country he had seen.
Separating the omentum, Zhang Fan said without raising his head, "Knife, cut!"
After separating the omentum and ligating the blood vessels around the stomach, Zhang Fan took a sharp instrument and struck at the stomach.
"Hiss!" There was a sound of air-conditioning in the electronic classroom because they saw Zhang Fan's operation.
"Old Chen, do you think the scope of his surgery was a bit too large? He didn't even open the stomach, so he did such a large resection? Isn't it a bit too reckless?"
The director of Zhongyong asked the director of 30x beside him softly.
"Probably not. With his skills and level, such a mistake would not happen. But how could he be so sure that the cancer in the stomach is so extensive?"
The director of 30x was also puzzled.
Zhang Fan did not hesitate and directly cut the knife into the system. The biggest advantage of Zhang Fan's system is that it allows him to practice and hone his skills without restrictions, and it can also classify various recorded events of human beings over the past hundreds of years. Type of surgery.
Therefore, Zhang Fan is just like an old doctor with a hundred years of experience. Regarding the prediction of this kind of surgery, Zhang Fan can say that he has too much experience to refer to.
With one cut, just like cutting into a pig's belly, Old Shan's stomach was neatly cut open by Zhang Fan.
Just like taking a child during a caesarean section, Zhang Fan took Old Shan's stomach out of his abdominal cavity with both hands.
Mr. Lu immediately opened the stomach he took out, just like opening a bag, and the shadowless lamp shone directly into the stomach.
In the remaining stomach, Zhang Fan's knife completely removed the gastric cancer.
"Accurate! It's so accurate. Oh my God, how did he judge it? Even if Old Man Lu cuts it himself, he can't be so accurate!"
In the electronic classroom, some people who were qualified to call Mr. Lu "Old Man Lu" had their eyes widened!
