Chapter 536： Large tumor

It's the same for cutting tumors, the difficulty is quite different.

The simplest benign sarcoma on the surface can be swept away by people without any dignity.

Benign tumors in the body are more complicated. For doctors, it is mainly a matter of location and size.

The worst place is the head. Many benign tumors in the brain can also cause death. Resection is even more dangerous. If some positions are too long, there is basically no sense of treatment.

But size is more important than location.

Especially for tumors with a diameter of more than 10 cm, its invasion of the human body itself will cause numerous problems, not to mention the risk factors such as arteriovenous blood vessels surrounding the tumor.

Guan Fei picked up a sarcoma the size of his head with his hand, and couldn't even cry if he wanted to cry.

Right in front of her eyes, there was a blood vessel with a thick thumb and a thin blood vessel wall, and almost all of the blood flow could be seen.

Guan Fei can imagine that if he accidentally slips his hands and rolls the sarcoma in the falling position to break such a large blood vessel, the patient's bleeding volume may exceed one to two thousand minutes.

This kind of tension made her speechless and insulting, and she was flabby and afraid to move.

"It feels like when I was in elementary school, my back was not punished by the teacher." Zheng Jun was crowded beside Guan Fei. He stomped hard and whispered. Two people deal with a tumor both for safety and because the tumor is too big.

For a smaller size, the main knife can't get on two people.

Guan Fei said with a gurgling sound: "It's uncomfortable to die, you work harder."

"It's already very hard, you can hold on a bit, it will be bad if you miss it." Zheng Jun's mood was a little unhappy. In order to show his grace, he chose a more difficult position, and now he regrets it.

Guan Fei Station is closer to Ling Ran and can see more clearly, and the station is not so crooked.

Zheng Jun was miserable. He had to stretch one hand long and his feet to slump slightly. His posture was very uncomfortable.

However, Guan Fei apparently did not have the appreciative meaning.

Because her position is also uncomfortable, I'm afraid I can't appreciate Zheng Jun's even more uncomfortable.

Zheng Jun snorted secretly.

For him, it was also a lesson-showing gentlemanliness in the hospital has to pay a price. As for the cost, as far as Zheng Jun is concerned, it is really painful.

One penalty class and two lessons will exhaust the child. Now it is more than an hour to stand in a distorted posture, and every effort is made to see a little surgery, which is even more uncomfortable.

"Hold on, if you miss, the patient will die." He Yuanzheng took a look at Guan Fei and Zheng Jun and reminded them.

Zheng Jun should be hastily.

Guan Fei said a little bit coquettishly: "It's too slippery to hold."

Ling Ran heard her say this, without looking up, "Xiang Xueming, you'll replace Guan Fei."

Guan Fei said "Yeah" and said busyly: "No, I can hold it, I just ..."

"There is no need to hold on." Ling Ran interrupted Guan Fei, and then said to He Yuan: "I will now block the left hepatic portal and then cut off the middle hepatic vein."

"Okay, the patient's physical signs are stable." He Yuanzheng looked back at the monitor and reported to the main knife.

At this glance, it is quite difficult.

Come up with a young assistant, and now either busy or frightened, where can I dare to tilt my head to look at the monitor.

He Yuanzheng saw it, but Ling Ran didn't need to watch it. This not only saves time and energy, but also continuity of the operation. It's like when watching a game, looking up at the direction of the eye door, the monitoring teacher is easily blasted, and the surgeon doctor is more willing to continuously look at the operating area.

During Ling Ran's silent play with the first liver, Xiang Xueming wore surgical gowns and stepped forward to replace Guan Fei.

Guan Fei reluctantly whispered, "I can still insist."

"You and Dr. Ling." Xiang Xueming whispered, and then said, "Replace your body with your back."

Guan Fei didn't dare to disturb Ling Ran at the scene. I didn't know how many doctors there were at the scene. If she called for such a trivial matter, she said she must not lose too many points. Moreover, Ling Ran always does not eat coquettish, although this is also Gao Lengfan that Guan Fei thinks handsome, but at this time it has a little impact on her performance.

Guan Fei had to change positions with Xiang Xueming back to back.

Guan Fei took off the surgical clothes and gloves three or two times, and stood on the open ground. Guan Fei just felt relaxed. He didn't have to pick the heavy tumor, and his position was free, but Guan Fei was a bit empty.

It was easy to win ... No, it should be the actual opportunity for a huge liver tumor that fell from the sky, even if it was lost.

Guan Fei is very sure that Xiang Xueming, such a child, is likely to persist until the foot breaks in order to see the operation.

"Hmm." The itinerant nurse came over and lifted his chin to Guan Fei.

"Immediately." Guan Fei hurried to the viewing area after a few steps.

On the left side are two general deputy highs, and on the right is a urinary deputy high. Everyone is standing behind the red line to see the operation. Guan Fei naturally can only look up obediently. .

However, others were watching Ling Ran's operation, and Guan Fei looked at Xiang Xueming uneasily.

I saw Xiang Xueming taking over the tumor and still facing Zheng Jun sideways, but the positions of the two were narrower.

Xiang Xueming's footprint is more than two laps larger than Guan Fei. With the limited position of the operating table, his body can only be more distorted.

Xiang Xueming doesn't matter.

From his perspective, he can see almost all the operations of the main knife, and also some assistance operations, which can be said to be a golden place.

In surgery, speak a long sentence, see a case, learn a case, and do a case.

It can be said that for most minor operations, one surgeon and three cases can try it by themselves.

Today's hospitals are becoming more cautious, and due to the scarcity of surgical resources, small doctors often do not have surgery, not surgery. Of course, the specific surgical effect depends on the doctor's perception.

Xiang Xueming pretended to shake his neck and peeped at Ling Ran.

Ling Ran, a schoolmate who graduated with him the same year, was waving the scalpel with ease at the service of the director of Yunyi Hepatobiliary Surgery.

"Now handle the second hilum." Ling Ran asked the assistant to pull the liver down, revealing the second hilum from the liver septum, and then began to separate the superior and inferior vena cava.

The most troublesome part of liver surgery is that it has a rich blood supply, thick blood vessels, and it can not be easily cut off. When it is cut, it must be ligated separately.

In liver surgery, the most troublesome is the treatment of the hilum.

In a department such as hepatobiliary surgery, as long as the hilar is involved, the starting price is a vice high. Like this huge tumor that invades the two hilar systems, the general director Zheng Gao dare not take over.

Like He Yuanzheng, it was only after hesitating again and again that Ling Ran took away the power of the sword.

In fact, if he insists enough, Ling Ran can't rush into his surgery. After Zuo Cidian communicated, most of them would persuade Ling Ran to give up.

However, He Yuanzheng really did not have the confidence to perform this operation.

At this point, he also paid more attention to Ling Ran's operation.

I saw that Ling Ran separated a vein, and then a vein, all the way down, the root of the vein of the right liver was separated ...

He Yuanzheng looked at it, and suddenly realized that the second hilum was separated?

He Yuanzheng could not help looking up at Ling Ran.

"Wipe sweat." Ling Ran was also slightly tired, and then raised his neck upwards.

Su Mengxue quickly dipped Ling Ran's fine sweat with gauze.

"Let's continue." Ling Ran took a rest for half a minute and re-entered the separation process.

For him, the difficulty of this operation is somewhat.

But that's exactly the difficulty.

Compared with ordinary liver resection, Ling Ran needs extra thought and carefulness.

However, the operation itself was below his upper limit.

As long as Ling Ran earnestly does it, the sense of accomplishment gained is not young.

Moreover, there is almost no place for real jamming.

Ling Ran's habit has always been to do a lot of preparation.

Master-level liver resection skills, coupled with complete preparation work, may be a heavier burden for a single large liver tumor.

Even if it looks like a beef tenderloin, it won't be treated gently.

The tumor gradually separated.

At the last moment, it was Xiang Xueming and Zheng Jun who held this big shuttle-like tumor and put it into the basin.

"Heavy." Xiang Xueming smirked twice, he was really tired and miserable.

"21 and a half pounds." Lu Wenbin's tired arms were sleepy, but he still visually checked a number.

Xiang Xueming smiled, and then carried Zheng Jun on the electronic scale.

"11,140 grams." Xiang Xueming read the number ~ www.novelhall.com ~ and said twice: "Heavy! Dr. Lu guessed it quite accurately."

"You didn't go to the basin just now." Lu Wenbin smiled slightly.

Xiang Xueming was stunned, but he did not really weigh the pots.

Click, click.

The little officer in the medical department was flushed with excitement and took pictures crazy.

"This is the largest liver tumor we have cut in our hospital in recent years." The little clerk also couldn't tell for a few years. In short, it would be good to record such a large incident first.

Ling Ran is still operating on the operating table. For such operations, there is still a lot of follow-up work.

The junior medical officer took a lap to shoot, and finally caught Ling Ran madly.

Ling Ran in the aperture is as bright as the sun, Jupiter is cool, and the starry sky is cold.

.. m.