Chapter 553

"It's in the liver door. He's in the liver! " Old Qin's voice was a little hoarse. I was so excited that Zhang Fan dissected the liver portal cleanly.

The operation looks very comfortable without any extra steps or hesitation.

Step by step, very clear. There were a lot of people at the meeting.

"This boy has solid basic skills. His kung fu is really great. When I was his age, I was much worse than him. Even now, I don't think I can do this kind of surgery as clean as this boy! " Zhang Fan's master brother said to Zhang Fan's fourth martial brother.

"Well! Did you find any extra steps in his operation. This is very powerful. Human structure is not all the same. But he doesn't have to think about it. The knife is coherent. It's really powerful! " Fourth elder martial brother looked at the big screen and nodded.

Sitting in the front row, old Wu quietly watched Zhang Fan's operation and said nothing, but his eyes were staring at Zhang Fan's hand.

"Strong! It's really strong. Where did this guy come from. Why haven't you heard of his name before? "

Yaxiang's liver and gallbladder director asked the director of Sanchuan Xihua in surprise. They are members of the Standing Committee of the hepatobiliary surgery association.

"I don't know. It seems to be really capable. It's not a special role."

"It's impossible to invite old Lu to walk." These are some big masters who understand surgery.

At this time, the Grand Masters recognized Zhang Fan. Although the operation has not entered the most important place, the anatomy of Zhang Fan's hand has surprised them.

The middle doctors who can't understand are not so shocked, especially the doctors who are brought to the world by the master or director.

I think so, but his surgical instruments are very beautiful. I don't know what brand it is. You know, I also want to buy one. "

"Well, it's very good, but his hemostasis is quite powerful. I think my practice is similar to him."

Half a bottle talks a lot, and the unconvinced quality is not bad. Unconvinced people have power.

The major equipment manufacturers in the last row are suffering at this time. Look, don't understand, listen, don't understand. I knew the operation was awesome.

Because old Qin is excited! Everyone is not stupid. I really dare not ask or say!

"Xiao Wang, ask if this man has any hobbies, such as tobacco, wine and tea."

"OK!"

Zhang Fan's system gives Zhang Fan a full platform to practice. Although orthopedics opened earlier than general surgery. But in terms of professional understanding, at present, liver and gall are Zhang Fan's strongest.

Because in the subject of liver and gallbladder, Zhang Fan has sublimated and made a breakthrough. To put it more popularly, it is quantitative change to qualitative change.

In Zhang Fan's mind, the liver has been thought through by him. It can be said that in terms of liver and gallbladder, Zhang Fan has been able to create his own things with ease.

In terms of Jianghu Kung Fu, although it has not reached the level of invincibility, it is almost up to the level of elegance through honest training.

Several major organs of the body are very strange. Those who want to play with blood vessels do not play with blood vessels, but with muscles, such as the heart.

Those who want to play with muscles do not play with muscles, but with mucous membranes, such as the stomach. In fact, the most important gastric tissue is the layer of hydrocarbon mucosa in the stomach. Without this layer of mucosa, no matter how thick the muscle is, it can't withstand strong acid.

The liver should have played with secretion and biochemistry, but it manipulated the blood vessels, swung up the blood vessels and played unreasonable with you.

The venous reflux of the human digestive tract all passes through the liver, from the esophagus to chrysanthemum, all pass through the liver.

This place is more important than the thoroughfare of the nine provinces. Once the portal vein of the liver is blocked, the veins of the upper and lower digestive tract begin to block.

Generally speaking, the upper digestive tract is above the duodenum and stomach, and the lower digestive tract is below.

After the veins of the upper and lower digestive tract are blocked, they will take the road instead of the liver. The diseases here are not mentioned first, but the changes of blood vessels.

The veins originally hidden in the digestive tract have become thick and thin. They leak out like blue earthworms and lie on the surface of the esophagus and intestines.

The food entering the lower digestive tract is a chylous paste, which doesn't matter, unless you go through the Valley Road.

The upper gastrointestinal tract is not good. Once the portal system of the liver is blocked, the vein of the esophagus is a bomb.

I ate a biscuit and didn't chew it. As a result, when I gently crossed the esophagus, my very thin vein was cut.

Then, the patient will spit blood in a big mouth. Spitting blood can spit dead people.

The conventional treatment is ligation, ligation under gastroscope. What Zhang Fan is doing now is to make the blocked vessels unobstructed.

Although it can not completely cure the primary disease, it can at least delay the patient's life.

Sometimes it's like living one more day and one more year. It doesn't seem to be of any use. In fact, this is very important for patients and their families.

"Knife!" The dissected hepatic vessels are clearly displayed on the large screen.

When Zhang Fan picked up the scalpel, the whole audience was silent. Even the commentator Qin stopped talking.

Varicose vessel fluctuations seem to be visible“ PA! " Zhang Fan steadily took over the glowing scalpel.

"Separate the arteries! Prepare the microscope. "

"Yes!"

Ligation, after distal ligation, Zhang Fan cut without a trace of hesitation. There will be no way to regret this knife.

God won't let the blood vessels of the mouth open and let the doctor never.

If the passage is not successful, the patient can't even get down the operating table. The venue was quiet, only breathing.

When the scalpel crossed, a little dark red blood left in the blood vessel gently exuded, just like the rubber orifice. Under the microscope, the vein was enlarged.

By way, the vessels of the portal system were directly connected to the inferior vena cava by Zhang Fan across the hepatic portal artery.

When Zhang Fan clamped the inferior vena cava with vascular forceps, the understood magnates shouted: hiss!

Especially the old Qin, with the blessing of the loudspeaker, the air-conditioner is particularly loud and elegant.

"Shit! He's too brave. Direct inferior vena cava. Oh, My God! This one was careless, and the patient just hung up. "

Although some ordinary doctors can't understand surgery, they still understand the danger of surgery at this time.

"Keep quiet!" The other doctor didn't like it.

Generally speaking, blood vessels are divided into three layers: coat, muscle and underwear. With his super steady hands, Zhang Fan first connected the coat of hepatic portal vein and the coat of inferior vena cava, leaving a small opening.

"Depressurize!"

"Yes!"

"The blood pressure has reached the end!" The anesthesiologist reported the patient loudly.

At this moment, Zhang Fan's scissors entered the muscle layer of the inferior vena cava.

"Ka!" There was no obvious bleeding in the whole process. At this time, there was bleeding.

It came out like a spring. Cheering and cheering, the doctors in the audience couldn't help standing upright and pinching their hands.

Vascular openings, especially large vascular openings, are kidding! No matter how skilled this kind of operation is, there is a huge risk. If you are careless, you will die of massive bleeding.

The blood vessels magnified by the microscope are like a broken dam. The blood roars out. The magnified picture looks more terrible.

"Hang up! Hang up! This man is hopeless! " Some ordinary doctors stare at the big screen and mutter to themselves.

In the operating room, doctors and nurses are skilled and connected stably. Hurry without panic.

When the blood spewed out, Zhang Fan moved and the ophthalmic forceps flew in his hands. Once or twice, the muscles of the blood vessels were visible to the naked eye.

One needle and two, the dam closes, and the blood stops.

"Boost ~!" When Zhang Fan took back his pliers, words came out of his mouth without hesitation.

With the blood pressure slowly rising, Zhang Fan began to sew the coat of blood vessels.

"Beautiful!" When the blood pressure rose to normal, there was no trace of bleeding in the sutured blood vessels.

Old Qin shouted loudly. The old man's face turned red.

"Beautiful! Textbook like operation, even better than textbooks.

Although this kind of operation is not widely used in liver diseases, this idea and technology are very valuable. "

Old Qin said as if he was drunk, with a trace of regret or aftertaste.

"The soldiers are in danger! The boy is too brave. " At this time, old Wu smiled and said to old Lu.

Before Mr. Lu spoke, Mr. Wu said, "but in this way, I look forward to his operation in the afternoon. See if he can enter the middle lobe of the liver. "

"Ha ha!" Lu Lao smiled with a trace of pride and satisfaction.

Master brother's eyes are higher than the top, not to mention the younger generation. Even in their generation, few can enter master brother's eyes.

It's amazing that Zhang fan can let elder martial brother say expectation!

Old Qin continued to explain the operation. When the blood pressure rose, the blood vessels borrowed from the road were as long as they had been on the inferior vena cava. There was no trace of bleeding.

"It's no use. I'm afraid the patient needs dialysis in two days! It is estimated that he practices suturing pig blood vessels every day! "

A frontier doctor said with a little envy, jealousy and hatred. His voice was a little loud. As a result, all he got was the eyes of sb~

People are like this. If Zhang Fan is an expert in the capital, it is estimated that no one will say this. It is estimated that it is all praise.

But who made him a doctor in a grass-roots hospital.