Chapter 497： Physician like a fairy

Chapter 497: Physician Like An Immortal Master

Removal of benign liver tumors is not difficult. Compared with malignant tumors, this operation is like one in the sky and one in the ground. And benign tumors, they look down on normal cells.

It was self-contained and wrapped in a layer of clothing on the outermost side. To put it plainly, press a hole in the normal tissue of the liver with a fist, and then put a plastic film with a benign tumor inside.

The operation is very simple. First, the surrounding blood vessels are ligated. Then, they are peeled off a little bit, the peeling is clean, and then the wound is hemostatic, the abdomen is closed, and the end.

Of course, when it comes to talking, everything is simple. But this is not the case.

A doctor, the most ordinary doctor, five years of undergraduate education, three years of rotation, one year of hooks, one year of simple consumables such as appendix and hernia.

If the doctor is technically competent and can also be a human, then at this time, the doctor in charge will let go and let the doctor perform peripheral surgery of the liver, which is a simple gallstone gallbladder removal operation. Note that this is an open surgery.

After the hands are trained, I start to do laparoscopy, continue the above round, and then another round, first learn to make holes, then learn to use the laparoscope to make the appendix, and then the gallbladder.

Someone will ask here, open laparoscopic injury is large, advanced laparoscopy, why do you still learn to open laparotomy. The truth is simple. For example, appendix, not all appendicitis can be done with laparoscopy, but all appendicitis can be done with open abdomen, which is such a reason.

Doctors who cannot open the abdominal cavity are not eligible for laparoscopy. Waiting for this general doctor, bald head, old age.

When the young onion turned into a greasy uncle, when the director retired was approaching the countdown to retirement, he slowly began to touch the liver.

In other words, Zhang Fan has a system, no system. The age of the dog wants to have liver surgery, and keep it up. There is no luck in life.

Sometimes, when you think about it, doctors want to reach the top of the world in the industry.

In fact, it ’s like cultivating immortals. I want to start in this industry, the degree of excellence (school), the reputation of the teacher (mentor), my talent and hard work, and the size of the gang (hospital). These conditions are indispensable. .

Zhang Fan really had good luck. With the system in mind, he came to a small place when he graduated that year. He had the opportunity to practice his skills and encountered good leaders and teachers. It was really bad luck.

A benign tumor of the liver can actually be done in a municipal hospital, not to mention in a provincial hospital, but Zhang Fan will have to do it in person if they have a flying knife fee.

When Zhang Fan entered the operating room, the patient was naked on the upper body, with a urinary tube inserted underneath, and was lying quietly on the operating table. Regardless of the rich, ordinary people, lying on the operating bed, not afraid, Zhang Fan has never seen.

The patient has not been anesthetized. After seeing Zhang Fan entering the operating room, the patient forced a smile on his face and had not spoken. I just wanted to speak. As a result, the anesthesiologist gave the medicine and the patient was numbed. I stuck my tongue and rolled my eyes.

After the patient was arranged by the anesthesiologist, he disinfected and spread surgical towels. At the beginning, Zhang Fan washed his hands. After entering the operating room, the nurse quickly smiled and put on Zhang Fan's surgical gown.

With the nurse wearing a belt of clothing behind Zhang Fan, Zhang Fan stood by the operating nurse of the instrument nurse wearing gloves. The mind is full of various examinations of patients.

Imaging, such as CT, MRI, and PET examination results report that liver tumors are benign, and even laboratory tumor markers suggest that patients' tumors are benign, but the results of these examinations can only be referenced and cannot be used as a confirmed diagnosis.

What is the gold standard for definite diagnosis of tumors? Until there is no pathology, the diagnosis of patients is question mark, that is, the diagnosis of uncertainty.

Therefore, during the operation, it is necessary to reserve operating space for worsening conditions in accordance with the criteria for nausea tumors. In surgery, there is a very classic saying: God is unwilling to correct a wrong cut.

When the knife is pulled down, there is no way back, and there is no way back for the doctor to regret it. Therefore, when a doctor raises a knife, he must have a clear mind. This brain has been cultivated through years of experience ranging from easy to difficult.

The patient is ready. The operation position is high head and low feet, venous catheters have been implanted on both sides of the arm, antibiotics are input on one side, and energy is input on one side. These two channels are actually used once the operation occurs. Reserved for accidental blood transfusion.

For the incision, Zhang Fan chose a subcostal incision. Many doctors like a midline incision, that is, the incision from the xiphoid to the navel. The benefits are many, because the incision is in the middle, and the surgical plan can be adjusted at any time due to the condition. There are also many disadvantages, the biggest disadvantage is that the damage is too large.

For benign liver tumor surgery, as far as Zhang Fan is concerned, it is too simple. Most of the slightly well-known instruments in the operating room are matte, and the only thing that can reflect is the blade of the scalpel.

When a bit of cold light reflected from the blade, Zhang Fan started. The skin is like tofu, and was gently drawn by Zhang Fan into a large arc.

Separate the muscles, cut open the peritoneum, and follow the sound of the surgical bending forceps! Click! With the sound of a click, the abdomen was opened by Zhang Fan, and the liver was exposed in front of the doctors.

The liver, the liver with benign tumors, is weird. A normal liver is like an irregularly shaped piece of blood tofu, flat and tender.

The liver of the wine owner is different. His liver painting style with benign tumors is completely different, like the liver has muscles, just like digging a piece of meat from Belgian blue cattle.

It doesn't look as uncomfortable as a malignant tumor, but it's not as lovely as a normal liver.

A normal liver is just like Xiao Zhengtai, which makes people feel kind or loving.

The liver with benign tumors is like Boulder Johnson. Looking at it, he can't wait to take a needle to let out the anger in his body.

"It looks like it's benign." Zhang Fan looked at the swollen flesh on the surface of the liver, and said to the two directors of the operation, without waiting for their reply, Zhang Fan began to look into the patient's body with both hands. It's exploration.

This is a necessary step for tumor surgery. Regardless of benign and malignant, the surgeon must use his own hands to make a diagnosis of the organs around the patient's liver.

This action is like the action of shuffling hands after the end of a game of mahjong. Zhang Fanshuang touched the organs around the liver and found no abnormalities.

Then he said to the itinerant nurse: "Electron!"

"Electric knife?"

The visiting nurse looked uncertainly at Zhang Fan, and then looked at the two directors of hepatobiliary surgery. The girl accompanying the doctor of the liver and gallbladder surgery underwent a lot of operations for this benign tumor. None of them used an electric knife and they were separated by hand.

Before Zhang Fan did not want to be transparent, this operation would also be separated with bare hands, but since Zhang Fan wanted to be transparent, it can be said that there are tricks and no moves. .

"To Zhang Yuan!" The director of the fifth department of liver and gallbladder was anxious, and he was hesitant to see the nurse, so he said anxiously.

"Oh, it's okay, give it to me." Zhang Fan smiled. The little nurse was helpless, and handed the electric knife to Zhang Fan.

Then, a faint smoky smoke rose, and the electric knife flew in the hands of Zhang Fan, but no trace of blood could be seen in the liver tumor.

"Pretty!" The director of the second department of liver and gallbladder said uncontrollably.

There ~~!

I also worked!

Fear of households

(End of this chapter)