Chapter 555

"Electric knife!" Zhang Fan put down the scalpel and replaced it with an electric knife. Tumors, especially malignant tumors, are too overbearing.

It can't be described in any disgusting words. It has various forms.

Once it breaks through the film covering and breaks from the inside out, it is the stinking Shrek directly.

On the rose colored or red wine colored liver, a gray and dark package grows, and the shape of the package is irregular.

It's like a stunted, giant potato with buds and hair falling on a ball of rose pancakes.

Very uncomfortable.

After receiving the electric knife, Zhang Fan gently touched the disgusting tumor on the liver with his left hand, as gently as touching Shuangfeng.

Although all kinds of preoperative data have been very perfect, Zhang Fan still needs to experience the tumor himself.

Touch it gently and feel its maturity. It's like picking a peach to see if it's completely rotten inside.

"Elder martial brother, after all, it's better to watch it here. Why don't we go into the operating room." With Zhang Fan's action, Lu was a little nervous.

The greater the hope, the more worried the disappointment.

"Don't worry, you and I can't help him with such a big tumor. The time when we took the knife has passed... "

"Dr. Zhang cut. It's starting to free the ligament. pretty The manipulation is light, the sickle ligament is broken, and the triangular ligament... "

There was only Qin Lao's voice“ Hang up! " Zhang Fan said to the nurse. The removal of malignant tumor is not only to remove the tumor, but also to remove a certain range of normal tissue around the tumor.

The liver is like a pack of blood cells. A large amount of blood will be ejected after each knife. This kind of blood loss is unavoidable for ordinary doctors. The larger the tumor, the bleeding can kill the patient, which is its difficulty.

Therefore, it is necessary to suture the surrounding normal liver tissue in advance and ligate the blood before removing the liver.

Just like packing a siege, you have to make a pocket before you can annihilate it.

The difficulty here is to make a pocket on the unopened liver. Where is the big artery? Where is bold tube? If you don't have a very, very skilled anatomical knowledge of liver tissue, this step will block out 89% of doctors in the world.

Zhang Fan's liver knowledge is transparent, and the real sublimation is transparent. Today, even if Zhang Fan had an orthopedic operation, he didn't have a liver operation.

Although the training in the system is the basis, his own perception has improved Zhang Fan's liver surgery by several heights.

"Look! Dr. Zhang Fan ligated the tumor and began to ligate it parallel to the tumor.

Oh, my God! No bleeding. Look, there's no bleeding here. That's great. " With Zhang Fan's ligation, old Qin's eyes stared round. He thought there would be a lot of blood. As a result, under Zhang Fan's operation, there was no blood.

Zhang Fan perfectly achieved bloodless ligation. This is the ability, this is the ability of the liver. Cattle, not out of words, but out of liver.

Zhang Fan did well. Director Zhao Quanping and Ma Yichen cooperated comfortably. With Zhang Fan's rhythm, several people did the pocket of siege slowly.

"It's amazing! It's amazing! " Zhang Fan's master brother looked at the big screen and couldn't help saying.

He started with liver tumor, but Zhang Fan surprised him too much.

"Director Zhao, pull the strings! Ma Yichen leads the line. " After the ligation around the tumor was completed, Zhang Fan gave an order.

Lao Zhao and Ma Yichen mentioned the catgut left outside the liver. At this time, look down from above the shadowless lamp.

Tumors and sutures are like parachutes in the sky. The tumor, including the liver tissue around the tumor, was suspended.

Zhang Fan didn't say much. At the moment they mentioned it, Zhang Fan moved his knife, stabbed and stabbed, and Zhang Fan's electric knife entered the liver.

Smoke curled up, holding a knife like a pen. Zhang Fan made a perfect picture of his heart on his liver.

"Oh, my God! Look, look, Qiu knife technique. Look, look. This is the method of Qiu Dao! "

Old Qin was excited. Zhang Fan made the old man's eyes red. Since old Qiu died and old Wu gradually disappeared, Qiu style knife technique slowly seemed to disappear in the field of liver.

Today, after many years, he finally saw the familiar knife technique. It contains the most reasonable resection method of liver tumor.

Not only was Qin excited, but old Lu, especially old Wu, who took a knife all his life, couldn't help trembling slightly.

Yes, this is the fur knife technique. It is the most perfect and difficult knife technique in liver resection. There is no one but the only one.

"Cool!" Even ordinary doctors saw the mystery of Zhang Fan's technique, which was like embroidery on a condom full of water.

Zhang Fan avoided blood vessels and bile ducts, but so did paoding jieniu.

This is the fear of the leaders of the Qiu sect. Zhang Fan has been in the system for two years. Without his later understanding, he would never be so amazing.

The system training and the daily super liver can only reach the level of old Qiu and old Wu. Therefore, it is not too much to say that one ancestor and one ancestor of Qiu school came from the open.

Under Zhang Fan's circumcision, the tumor gradually separated from the liver. The tumor doesn't hang on the branch like an apple.

But buried in the ground like a potato, because it is too big and then half of it comes out on the ground.

Therefore, the most difficult part of the resection of liver tumors is not the resection of the surface of the liver, but the section buried deep in the liver.

The more you go inside the liver, the more complex the vascular system is. The vessels inside the liver are like broken bread, full of vesicles.

Is it regular? Yes, Mr. Wu defined the liver vessels of Chinese people in those years.

With a definition, it should be easy to do. In fact, it is not. Like relativity, knowing and understanding are two things.

Understanding and application are two things. Therefore, with Zhang Fan's little removal of the surface liver tissue, the operation slowly entered the most difficult part.

Is it difficult? It's very difficult. Even if Zhang Fan wants to penetrate the liver, it's also very difficult. It's not difficult. It's been promoted long ago.

Not only Zhang Fan, but also the forehead of several surgical participants exuded sweat slightly.

Success or failure is at this moment.

Lu Lao secretly squeezed his fist. Wu Lao stared at Zhang Fan's hands tightly. Zhang Fan's operation was like copying his operation in that year. No, it was more accurate than that in that year. Zhang Fan did better than him in controlling bleeding.

"Elder martial brother, how did you practice your skills?" The fourth asked the elder master who was too nervous to support himself.

"Talent, this is talent. Practice is not enough." Master, I didn't look back.

The suspended tumor is like a big mushroom, suspended by Zhao Quanping and Ma Yichen.

They are holding on with their teeth. They must not tremble or exert too much force. The hanging arm is sore and numb, but we must insist.

At this time, if you use a little force gently, there is no need to do the operation.

Therefore, when the operation reaches the extreme, there must be a qualified team. It's like a team that can give its back to its comrades in arms on the battlefield.

Zhang Fan spent two years. Along the way, when he grew up again, he continued to attract the people around him like a magnet.

"Knife!" Zhang Fan turned his head gently. The itinerant nurse had a tacit understanding and quickly wiped the sweat off Zhang Fan's forehead.

The gentle itinerant nurse wiped the Pearl like sweat off Zhang Fan's forehead, nervous, super nervous, tired, super tired, this is their nerve, just like the bow string of the full moon.

The electric knife was exchanged for a scalpel. Inside the liver, an electric knife is not appropriate.

There are too many vessels here. If you cut them off with an electric knife, the bleeding may be temporarily covered up, but this coagulation is not reliable. Once you are careless, closing the abdomen is a common nightmare for patients and doctors.

Therefore, Zhang Fan must use a knife. Even if he bleeds, he also needs to know where he bleeds and how much he bleeds.