Path of Medicine With a System

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The gallbladder was removed, and the gallbladder like a big purple grape was cut off by Zhang Fan. The glossy gallbladder purple is so beautiful that it really makes people want to lick it.

"Bending plate!" The gallbladder was put into the bending plate. Immediately afterwards, Zhang Fan said: "Into the liver!"

With the sound of Zhang Fan entering the liver, Professor Zhao Jingjin became more focused, and success or failure could be determined in an instant. Although Zhang Fan and Zhang Fan had undergone this kind of operation, no one dared to guarantee that it would be successful every time.

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

Following Zhang Fan's voice, the doctors in the Science and Education Hall straightened up involuntarily. Although Zhang Fan did a very good and precise job of cleaning up the organization in the early stage, none of the directors present couldn't do a good job in this kind of cleaning.

So everyone just agrees that Zhang Fan's level is not bad, and can make everyone look up to him. It's impossible to let Gao take a look, the next thing is the key point, whether you are a master or not, the next thing you can show, show your tricks.

If there is a voiceover, let me say this: Now is the time to show the technology! It should be more appropriate.

The people who were chatting stopped talking, their eyes widened as they watched Zhang Fan's next operation.

Hepatobiliary surgery belongs to the general surgery department. Although it is a relatively difficult department, it is much easier than gastroenterology and brain surgery. If the doctors here are all outside the brain, it is estimated that half of the house is bald, like a master who has practiced iron head skills.

"Tell me, which technique is he going to use?" Some doctors who had just graduated from the science and education hall looked at Zhang Fan on the monitor, almost dying of envy.

At such a young age, the operation has already been so sophisticated that there is no reason to speak of it.

"I don't know. There is no successful operation method for such a huge central liver tumor. Could it be that he created it himself?"

"No way, how old is he! Have you read the anatomy book ten times?" Another older doctor directly thought that it was impossible for Zhang Fan to succeed.

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

The doctor who just graduated in the back row raised his eyes, and there is still a little lack. This thing can only be improved by time and surgery volume, not by books alone.

After the gallbladder was removed, the hepatic duct was searched along the gallbladder, ligated, ligated, and the area began to shrink little by little.

"What is he going to do! This is the middle lobe of the liver. Isn't he afraid of liver failure after such a large-scale resection?" The directors in the front row of the Science and Education Department were astonished. The area of ​​the liver that Zhang Fan treated was too large.

"Crazy! Crazy! Go and inform the dean." Another director directly said to the doctor in his own department behind him. No matter what the purpose was, he notified the dean directly.

Tumor resection is not peeling off the walnut skin, not close to the tumor.

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

Why is the tumor in the middle lobe of the liver so difficult, because this is the only way to pass through the portal of the liver. If the resection area is too large, the surrounding vascular system will be completely destroyed! The tumor is removed, and the remaining liver tissue has no chance to live.

Determine the scope and start cutting. At this time, Zhang Fan's precise surgical method was revealed. The scalpel accurately cut away the liver tissue.

Although he and Zhang Fan had undergone this kind of operation several times, Lao Zhao was still very nervous when he looked at Zhang Fan's hands. The tissue is gently incised with a sharp scalpel.

The distance here is not centimeters, but millimeters, or even microns. With such a narrow distance, not to mention shaking fingers, just taking a deep breath may cause the scalpel to cut through the hilar blood vessels.

One cut, one cut, one stroke, one stroke, as the liver tissue was separated little by little, Professor Zhao Jingjin didn't even dare to take a satisfied breath, aggrieved, he held his breath willingly,

At this time, his scalp began to tingle.

An oval-shaped tumor the size of a fist, Zhang Fan started cutting around the tumor like peeling a carrot. The reason why tumors are scary is because they grow so fast.

Cell growth depends on the nutrients in the blood, so the more malignant the tumor, the richer the blood supply. Tumors grow in places with rich blood supply in the liver.

Zhang Fan breathed slowly, inhaled shallowly, and exhaled slowly, fearing that his hands would shake. This set of techniques had been done countless times in the system, and he was already very proficient.

Slightly across the tissue, like cutting sashimi, separating the liver tissue bit by bit.

The dean of the affiliated hospital also came to the Science and Education Hall. Although he is not from a foreigner, he is an expert outside the brain, watching Zhang Fan's superb skills on the monitor.

He was originally furious, but the anger in his heart disappeared in an instant, and it did not affect the other doctors in the Science and Education Hall. He stood quietly in the last row and watched Zhang Fan on the monitor performing the operation.

"Tea Su, City Hospital, Zhang Fan, Zhao Jingjin." These words kept circling and circling in his mind.

The directors in the front row of the Science and Education Hall, who had already started to make noise, gradually quieted down after seeing Zhang Fan's precise technique, and those who were chatting stopped talking.

He widened his eyes and looked at those nimble and steady hands, "It's too steady, too accurate, a little bit to the right is the right hepatic artery. It's too courageous!" The director who called Lao Chang was dumbfounded, Really look silly.

"How did he do it?" With a knife within a few millimeters, maybe one or two cuts can do it, but how many cuts does it take to cut a tumor the size of a fist.

Almost every time they are on the verge of death, not to mention the people who perform the surgery, even these melon-eating directors start to tense up. The more you understand, the more you know the difficulty of this operation.

"Impossible, impossible!"

"It's impossible, it's half done."

"No, I mean, he can't be a doctor in the district hospital! There are so many patients in the district hospital, let him practice. This technique, which can be done at such a young age, cannot be the doctor of the district hospital Doctor, Lao Zhao is lying!"

Several directors were fascinated. From disbelief at the beginning to seeing such a superb technique with their own eyes, it is not a bit shocking to describe. And it was done by a little-known doctor. If it weren't for the daytime, if they weren't all materialists, they probably thought they had seen a ghost.

"No matter where he comes from, Lao Zhao should not occupy it alone. This kind of surgery needs to be promoted." A director who is slightly older than the others said with a slightly raised voice.

"Yes! It must be promoted, and some people cannot be allowed to occupy it. This is the behavior of a school bully, and this is the behavior of a doctor bully."

Hearing the excited and indignant voices of the directors, the dean was relieved, came and left quietly, and the rest of the things, without him talking, these directors will definitely show their wisdom.

This is like a toad in a quagmire. Everyone stays in the same quagmire. No problem. As long as one of them wants to climb out, the other toads will definitely start to drag their legs.

Lao Zhao wants to occupy Zhang Fan to learn this kind of operation method, if other people don't know it, no problem. Now I know, huh, huh, everyone is not a fool.

With the progress of the operation, Zhang Fan's sweat began to gather from one to two small ones to one big one, two big ones, which took too much energy and energy.

With a scalpel that is as light as a feather, Zhang Fan needs to spend a lot of effort to precisely control it to the millimeter range. This kind of surgery is no easier than moving a brick. And it takes more energy. When the eye arrives, the hand is about to arrive, and the hand arrives, and the mind has to take one or even three steps in advance to figure out where to cut the knife next.

For tumors in the center of the liver, there are almost no textbook surgical methods. Mr. Lu's elder brother, Academician Wu Mengchao, also successfully performed this kind of operation.

However, because the operation is too difficult, as the elderly grow older, this operation has gradually withdrawn from the medical field, and it will not even appear in textbooks.

This kind of difficult operation, if it is not done well, it will kill people, so even the surgical surgery published by Mr. Wu when he was old did not include this kind of operation.

"He started to use the handle of the knife! The tumor is going to be completely removed! He started to use the handle of the knife!" As Zhang Fan freed bit by bit, the area around the fist-sized liver tumor was finally freed. All that remains is the last point at the base of the tumor.

Sweat has already soaked Professor Zhao Jingjin's hand washing gown. If he took off his surgical gown, he would definitely look like he was fished out of the water now, and even the toes of the slippers were covered with sweat.

It's not that Professor Zhao has experienced few things, but that he attaches too much importance to this operation.

With Zhang Fan's gentle swipe with the handle of the knife, the tumor held by the liver forceps was pulled out.

"Blood pressure, heart rate, how is the patient's vital signs?" It was originally a question asked by the surgeon, but Professor Zhao Jingjin couldn't help it.

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

Although the upper and lower blood vessels were ligated, the remaining blood in the liver began to ooze out, and after a while, the gap was filled with blood.

"Eh!" Professor Zhao Jingjin realized that he was a little anxious, so he didn't speak, but looked at Zhang Fan.

"Let's lower the blood pressure, don't lower it too fast, slow it down." Zhang Fan didn't care.

At this time, not only the anesthetist, but even the itinerant nurse who performed the operation became more polite.

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

"Thank you, Gelatin Sponge." Zhang Fan said what he said before, and he still talks now, without changing because of the change in the other party's attitude.

Gelatin sponge was used to stop the bleeding, and the obvious bleeding from the incision around the liver was treated by Zhang Fan's little ligation.

Zhang Fan said to Professor Zhao while starting to finish the work: "Pay close attention to the changes in liver function after the operation, even though the operation is completed, the post-operative care must keep up.

Antibiotic prophylactic intravenous infusion for three days, if necessary, the use time can be extended, and after the disease is detected, it will be decided whether the patient will undergo radiotherapy and chemotherapy in the later stage. "

Like a doctor at a higher level explaining precautions to a doctor at a lower level, Zhang Fan said that when Professor Zhao agreed, Lao Zhao was not angry at all, but excited.

The anesthesiologist, equipment nurse, and itinerant nurse looked at their Director Zhao in surprise, "Is this still a professor? Is this still that Director Zhao?"

"Okay! Don't worry, Doctor Zhang, our department is still doing a very good job in this regard."

In the science and education hall, there were only some doctors and ordinary doctors left. When the directors of the departments saw Zhang Fan taking out the tumor, one by two, they scattered away as if they were on fire.

"Old Zhao, is there a Zhang Fan in your hospital?" This is a director calling the director of Cha Su General Surgery.

"Yeah, what's the matter?" Zhao Ping was all puzzled. Why did the director of the third liver and gallbladder department of the Bird City Affiliated Hospital take the initiative to call him? He is usually so proud.

"How is your relationship with him? Help me set up a line and let me get to know him." The director didn't say what he was going to do, but for the lower level hospital, he could learn from a hospital that he had never seen before. He couldn't say it.

"Very good, it's simple, I'll call him later."

"Okay, make an appointment for me, and I'll treat him to dinner."

At the same time, none of these directors was left behind, and the Eight Immortals Crossing the Sea each showed their magical powers and began to contact Zhang Fan to inquire.

"You unreliable old Chang, how come the phone number is empty!" Old Chang was really scared, it was all a haze.

"What, he is a doctor in the orthopedics department of your hospital?"

"Don't be kidding, I'm talking about Zhang Fan, how many Zhang Fans are there in your hospital!"

"What's wrong with the world, mother! An orthopedic doctor, he can do liver tumors. Can you show some face!"

"Itinerant nurse, help me scratch my left ear, why is it itchy!" Zhang Fan wondered, who is scolding me?

"Recently, everyone has noticed that as long as there is a huge tumor in the liver center, please tell me that if you accept such a patient number, the department will reward you with 300 yuan." After contacting Zhang Fan, the directors of the department began to grab the patient number up.

Everyone has the same idea, he can do this operation, as long as I learn it a few times, will I not be able to learn it? False, I am also the director of the Hepatobiliary Surgery Department of a provincial hospital!

There was an undercurrent in the affiliated hospital, which was originally not peaceful.

"Didn't your relatives discover a huge tumor in the center of the liver last time?"

"Yes what's the matter?"

"Let him come to the hospital quickly, our department can perform an operation on him." A doctor in the hospital had a relative who also had the same disease, and he went to several doctors with the checklist.

"Last time your relatives..."

"Hepatobiliary department, they said they can do it! Just called me." A doctor from another department also called.

"How is our relationship?"

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

"The operation is complete, and the complete resection is complete. If the recovery is good later, there should be no recurrence." Zhang Fan looked at the excited family members of the patient, took off his mask and gently smiled, and told him calmly .

"Thank you, thank you." The family members almost fainted from happiness. Originally, with the mentality of taking a gamble, they let their father go to the operating table, and the result was a complete victory!