Chapter 843： 【843】Must be cut clean

Chapter 843 [843] Must be cut clean

"I don't know." He Jiuliang had reservations when he reported to him, "They think the tumor can be removed, and prepare for intraoperative pathological analysis to further determine the surgical method."

The two newcomers are very confident.

He Jiuliang continued: "They suspect a borderline tumor. However, there is metastasis in the peritoneum, so it is not easy to clean it."

Cancer is cancer, whether it is a low-grade cancer or not, if it is not cleaned and left unchecked, it will recur and cause death.

"Do you think you can cut cleanly?" Tao Zhijie asked the two newcomers personally.

Song Xuelin, who was holding a laparoscope, glanced at Xie Wanying who was on the opposite side with his eyebrows outside the mask.

What does his look mean? Tao Zhijie and He Jiuliang thought.

The main knife thinks that it is up to a help instead of himself to make a clean cut?

He Jiuliang directly asked the chief knife again, but he was reminding the chief knife: "If you want to cut cleanly, should you remove the spleen in one piece?"

As long as the doctor thinks that there is a chance, the cancer cells should be thoroughly cleaned and killed.

Removal of the spleen alone does not have a great impact on the survival of the patient. On the contrary, if there are cancer cells left, it will have a fatal impact on the patient's survival. Moreover, the position of the tail of the pancreas is next to the spleen, and spleen metastasis is inevitable.

It’s just that if it is a low-grade tumor, the doctor can try to preserve the spleen as much as possible. The spleen is the largest immune organ in the human body. It has the functions of anti-infection and anti-tumor.

If spleen preservation is considered, surgery is estimated to be more difficult than spleen incision, which involves the separation of large blood vessels such as the splenic artery and splenic vein.

It is best to keep the arteries and veins of the spleen together, otherwise it is very likely to cause spleen infarction, and it is better not to protect the spleen at the beginning if a second operation is needed to remove the spleen.

The most important thing is to see the skill and judgment of the surgeon.

For this question, Song Xuelin glanced at the opposite side again.

He Jiuliang caught his look again and criticized him: "You are the chief swordsman, what do you do as a helper? Do you think she can't cooperate with you? You can speak, and Teacher Tao can make a substitution."

This guy should have just graduated. He may have seen similar operations in Beidu, but he is not familiar with it, so he is timid. He Jiuliang thought. The question is what an intern does. Xie Wanying is just an intern, with less surgical experience, she should have never participated in this type of surgery, and she doesn't know how to help.

Looking at Tao Zhijie again, standing next to Xie Wanying, he looked at Junior Sister Fan's hands with warm eyes: the left hand grasped the separation pliers and the right hand grasped the suction tube, as if acting as a helper and a bit sophisticated, and the performance on the mirror-holding hand was roughly the same as last time. She doesn't look like a young girl who doesn't know anything at all.

However, the mirror hand can follow the main knife. A help is different, at a critical moment, it is necessary to top certain positions of the main knife. For example, at the moment of heavy bleeding, the main swordsman is too busy, and Yisuke must play the role of divine assist at the fatal moment.

Picking an easy-to-use and reliable assistant has always been one of the factors in the surgeon's mind to calculate whether various operations can be performed.

Song Xuelin's thought to look for help again and again is understandable.

Is it okay to make a substitution? Tao Zhijie and He Jiuliang considered different directions, and the conclusion was that it was not possible.

The surgical diagram drawn by Song Xuelin, Qiu Ruiyun couldn't understand, and passed it to He Jiuliang, who couldn't understand it either. Otherwise, He Jiuliang would not be able to perform the operation of direct injection soon after the exploration started. Xie Wanying insisted on standing in the main sword camp.

(end of this chapter)