Chapter 449： Startled a gull heron (thanks the lord: Heart City Prisoner)

Chapter 449 Startled a gull heron (Thanks the leader: Heart City Prisoner)

After removing the gallbladder, the gallbladder like purple grapes was cut off by Zhang Fan. The luster of the shiny purple gallbladder really makes people want to lick it.

"Bend!" The gall bladder placed in the bend. Immediately afterwards, Zhang Fan said, "Into the liver!"

As Zhang Fan slammed into the liver, Professor Zhao Jingjin became more focused, and success or failure was instant. Although he had had this surgery with Zhang Fan, no one dared to guarantee success every time.

There are too many accidents during the operation, maybe a heterogeneous blood vessel can lead to the failure of a surgery.

With this ordinary voice, the doctors of the Science and Education Department could not help standing upright. In the early stage of tissue cleaning, although Zhang Fan did very well and was very precise, none of the directors here could do well.

So everyone just agrees that Zhang Fan's level is okay, so that everyone can look up. If you want to give a high glance, it is impossible. The next point is the focus. Is it a master? Then you can reflect it.

If there is a voiceover, here comes the sentence: Now is the time to show the technology! It should be more appropriate.

The people who had originally chatted did not speak, and their eyes widened to see Zhang Fan's next operation.

Hepatobiliary is a general surgery. Although it is a more difficult department, it is much easier than gastroenterology and brain surgery. If all the doctors here are out-of-brain doctors, it is estimated that it is the baldness of the half house, just like a master with iron head skills.

"You say, which technique he is going to use." Some doctors who have just graduated from the doctorate in the back of the Science and Education Department are looking at Zhang Fan in the monitor and are almost jealous of death.

The age is not large, the surgery has been so superb, there is no reason to say.

"I don't know. There is no such thing as a successful surgical procedure for such a huge central liver tumor. Did he create it himself?"

"No, how old is he! Have you read the anatomy book ten times?" Another relatively senior doctor thought that Zhang Fan could not succeed.

"Look at his separation, don't say it ten times, I guess I can write the anatomy silently."

The newly graduated doctor in the back row narrowed his eyes, and was still a little lacking. This thing can only be improved by the amount of time and the amount of surgery, but not by books alone.

After the gallbladder was cut off, he started to look for the liver tube along the gallbladder, ligated, and ligated, and the range began to narrow.

"What is he doing! This is the middle lobe of the liver, so wide-range resection, aren't you afraid of liver failure?" The director of the front row of the Science and Education Department was shocked. The area of ​​the liver handled by Zhang Fan was too large.

"Crazy! Crazy! Hurry up and notify the dean." Another director said directly to the doctor in his department behind him. For whatever purpose, he notified the Dean directly.

The tumor was removed, not by peeling off the walnut skin, not by the tumor.

It is necessary to bring normal three or four centimeters of liver tissue, because cancer cells will infiltrate and metastasize. Only with three or four centimeters of liver tissue or even more normal tissues can the tumor resection be achieved.

Why is the tumor in the middle lobe of the liver difficult? Because this is the only way for the hepatic hilum, if there is too much resection, it will destroy the surrounding vasculature! The tumor is removed and the remaining liver tissue has no chance to survive.

Determine the range and start resection. At this time, Zhang Fan's precise surgical method was revealed, and the scalpel accurately cut off the liver tissue.

Although he had had this kind of surgery several times with Zhang Fan, Lao Zhao looked nervous at Zhang Fan's hands. The tissue was gently cut with a sharp scalpel.

The distance here is not centimeters, but millimeters, or even micrometers. Such a small distance, not to mention finger shaking, is to take a deep breath, maybe the scalpel will cut through the hilar blood vessels.

With one stab, one stab, one slap, one stab, with the liver tissue being separated a little, Professor Zhao Jingjin didn't even dare to come to his mouth with a satisfied breath. Began tingling.

With a fist-shaped oval tumor, Zhang Fan began to cut around the tumor like a radish. The reason why tumors are scary is because they grow too fast.

Cell growth depends on nutrients in the blood, so the more malignant tumors, the more abundant blood flow. Tumors grow in areas where liver blood flow is very abundant.

Zhang Fan breathed slowly, took a shallow breath, and spit it out slowly, fearing that the hands would shake. This set of methods, I don't know how many times I have done it in the system, has already been very skilled.

Slightly scratch the tissue, just like cutting sashimi, separating the liver tissue little by little.

The director of the affiliated hospital also went to the Science and Education Department. Although he is not of ordinary origin, he is an expert outside his head and looks at Zhang Fan's superb technique in the display.

He was so angry that the anger in his heart disappeared in an instant, and it did not affect other doctors in the Science and Education Department. He stood quietly in the last row watching Zhang Fan in the monitor for surgery.

"Chasu, Municipal Hospital, Zhang Fan, Zhao Jingjin." These terms hovered and hovered in his mind.

The directors of the front row of the Science and Education Department had begun to be noisy. Looking at Zhang Fan's precise methods, they slowly quieted down, and those who had originally chatted stopped talking.

His eyes widened and looked at the dexterous and stable hands, "Too stable, too accurate, right to the right is the right hepatic artery. The courage is too big!" The director who called the old often, looked silly, It really looks silly.

"How did he get it?" The knife was cut within a few millimeters, and one or two might be able to do it, but how many knives need to be separated to cut a large fist tumor.

Almost every time I walked on the brink of death, not to mention the people who performed the operation, even these melon eating directors began to tighten their nerves. The more you understand, the more you will understand the difficulty of this operation.

"Impossible, impossible!"

"How impossible, it's half done."

"No, I mean, he can't be a doctor in a district hospital! There are so many sick numbers there, let him practice his skills. This technique, this technique can be done at such a young age, it cannot be the district hospital's Doctor. Old Zhao is lying! "

Several directors were fascinated. From the beginning of disbelief to seeing such exquisite techniques with their own eyes, it is not a shock to describe. And it was done by a little-known doctor. If it were not during the day, or if they were all materialists, they would have thought that they had seen a ghost.

"No matter where he comes from, Lao Zhao should not occupy it alone, this operation needs to be promoted." A director who was slightly older than others said with a slight increase in voice.

"Yes! It must be promoted and not allowed to be occupied by some people. This is a hegemonic behavior. This is a medical hegemonic behavior."

Listening to the excited and indignant voices of the directors, the dean was at ease, came quietly, and walked quietly. The rest of the matter, without him, these directors will definitely be well-informed.

This is like a toad entering a quagmire. Everyone stays together in a quagmire. No problem. As long as one of them wants to crawl out, the other toads will definitely start to pull their hind legs.

Lao Zhao wanted to occupy Zhang Fanxue's surgical method. Others would be fine if he didn't know. Now I know, huh, no one is a fool.

With the progress of the surgery, Zhang Fan's sweat began to gather from one to two, slowly converging into one large, two large, which took too much energy and energy.

As light as a scalpel, Zhang Fan needs a lot of effort to accurately control to the millimeter range. This operation is not as easy as moving a brick. And it takes more energy. When you see it, your hand is coming, when you are there, you have to go one step or even three steps in your mind.

There are few tumors in the center of the liver that can be called textbook surgery. Lu's elder brother, Academician Wu Mengchao, also successfully performed this operation.

However, it is because the operation is too difficult. As the elderly get older, this operation also slowly withdraws from the medical profession, even in textbooks.

Surgery of this difficulty is killing if it is not done well, so even the surgery and surgery published after Lao Wu's older age did not include this kind of surgery.

"He started using the hilt! To completely remove the tumor! He opened it with a hilt!" With Zhang Fan's dissociation little by little, the liver tumor with a big fist was slowly dissociated and finally cleaned up. The last point at the bottom of the tumor is left.

Sweat has soaked Prof. Zhao Jingjin's hand-washing clothes. If he took off his surgical gown, he would definitely get it out of the water now, even in the gap between his toes wearing slippers.

No desire is just, it is not that Professor Zhao has passed through few things, but that he attaches great importance to this operation.

As Zhang Fan stroked gently with the handle, the tumor held by the liver clamp was pulled out.

"Blood pressure, heart rate, what are the vital signs of the patient?" It was originally a question of the surgeon, Professor Zhao Jingjin couldn't help it.

"Everything is normal. Director Zhao needs to lower blood pressure now." After the anesthesiologist answered the question, he asked again. At this time the center of the liver became a large hole.

Although the upper and lower blood vessels were ligated, the original remaining blood of the liver began to leak out. After a while, the gap was filled with blood.

"Eh!" Professor Zhao Jingjin was conscious of himself and seemed to be anxious. He didn't speak, but looked at Zhang Fan.

"Down the pressure, don't drop too fast, slowly." Zhang Fan didn't care.

At this time, not only the anesthesiologist, but also the visiting nurses of the operation, became polite.

"Doctor Zhang, wait a minute, I'll change a towel for you."

"Thank you, gelatin sponge." Zhang Fan used to say something, but he still says it now. It didn't change because of the change in the attitude of the other party.

Gelatin sponge stopped bleeding, and the obvious bleeding at the incision around the liver was treated with a little ligation by Zhang Fan.

Fan Fan said to Professor Zhao as he closed the end: "The liver function is closely monitored after the operation. Although the operation is completed, the postoperative care must keep up.

Antibiotic prophylaxis is given for three days, and the use time can be extended if necessary. After the disease is detected, the patient can decide whether to undergo later chemoradiotherapy. "

Just as the superior doctor explained the precautions to the lower doctor, Zhang Fan said that Professor Zhao promised that the old Zhao was not angry, but excited.

The anesthesiologist, instrument nurse, and itinerant nurse looked at their director Zhao in amazement. "Is this still a professor? Is this still the director Zhao?"

"OK! Dr. Zhang rest assured that our department is still doing very well."

In the Science and Education Hall, there are only a few doctors and ordinary doctors left. When the directors of the department saw Zhang Fan removing the tumor, one or two of them were scattered like a fire.

"Lao Zhao, does your hospital have a Zhang Fan?" This director called the director outside Chasu Pu.

"Yeah, what's wrong?" Zhao Ping was all wondering. Why was the director of the third department of liver and gallbladder of the bird hospital affiliated with the hospital actively calling him?

"How is your relationship with him? Help me get a line and let me know him." The director didn't say what to do. He gave it to the lower hospital and learned from a hospital he had never seen before.

"Very good, this is simple, I will call him later."

"Okay, help me make an appointment. I invite him to dinner."

At the same time, none of these directors fell, and the Eight Immortals began to contact Zhang Fan to show their magical powers.

"Unreliable old man, how can a phone call become empty!" Old man is really scared, it's all hazy.

"What, he is a doctor in orthopedics at your hospital?"

"Don't be kidding, I said Zhang Fan, there are several Zhang Fans in your hospital!"

"What world, mother! A doctor of orthopedics, flying up as a liver tumor. Want to make a face!"

"Itinerant nurse, help me scratch the ear on the left side, why is it a little itchy!" Zhang Fan wondered, who was scolding me?

"Recently, everyone has noticed that as long as there is a huge tumor in the center of the liver, please tell me that if you receive such a disease number, the department rewards 300." After contacting Zhang Fan, the directors of the department started to grab the disease number Already.

Everyone is thinking that he can do this operation. As long as I study a few times, can't I learn it? I am also the director of hepatobiliary surgery at the provincial hospital!

There was an undercurrent in the originally restless hospital.

"Last time, did your relatives find a huge tumor in the center of the liver?"

"Yes what's the matter?"

"Let him come to the hospital soon, our department can perform the operation for him." A doctor inside the hospital had a relative who also had the disease. He had checked several doctors with checklists.

"Last time your relative ..."

"Four departments of liver and gallbladder said they could do it! I just called me." The doctor from another department also called.

"What's our relationship?"

After the operation, Zhang Fan came quietly when he came. At this time, not only the family members are waiting for Zhang Fan outside the operating room, but even the leaders of the hospital office are waiting for Zhang Fan.

"After the operation is completed, the complete resection is completed. If the recovery is good in the later stage, it should not recur." Zhang Fan looked at the excited patient's family members, took off the mask, smiled slightly, and told him calmly. .

"Thank you, thank you." The family members fainted happily. Originally, they had a gambling attitude and let their father go to the operating table. The result was a complete victory!

(End of this chapter)