Chapter 556

When the liver was separated from the upper tissue by Zhang Fan, the operation also entered the final scope, just like the final assault of the war of annihilation.

All right, it's a beautiful war of annihilation. If you can't play well, it will become a doctor's joke and a patient's accident.

With the separation of the tumor, Zhang Fan finally dissociated the liver to the portal system of the liver.

Here's a word. What exactly is the liver gate? Ben, a simple description, the liver is a big house, and the place where the vessels go in and out of the liver is called the gate, that is, the liver gate.

Human normal liver vessels are very beautiful and arranged very beautiful and scientific.

The thick and tough blue purple hepatic duct is on the far right, where bile flows from the gallbladder and liver. The liver and gallbladder are attached to each other.

Next to the bile duct is the thin but powerful hepatic artery. The artery doesn't look thick, but its strength is not small. Just like a woman who is always fit and healthy, she doesn't have meat, but once she gets angry, she will be covered with flesh pimples.

Next to the hepatic artery are hepatic lymphatic vessels and nerves, especially nerves. They are generally like a small white face, leaning against the big sister of the artery.

Next to the lymphatic vessels and nerves is the portal vein, which flows the venous blood recovered from the intestine and waiting for the detoxification of the liver.

These tissues are tied together like cables with clear veins, just like the wires arranged by a very experienced electrician. They are very beautiful.

After these pipes enter the liver, they begin to bifurcate, just like a big tree. All the bifurcations are the thickest near the trunk.

The middle lobe of the liver is where these ducts diverge. Therefore, the middle lobe of the liver is also called the restricted area of the liver.

In the marginal zone, even if the liver tissue with a big fist is cut off, it will hurt an end branch.

The middle lobe of the liver is different. If you are careless, you may hurt one or even half of the liver. The blood vessels of the liver after the tumor are like the wires arranged by a trainee electrician.

It's no exaggeration to use a mass of hemp as a metaphor. Therefore, if you want to do a good job of tumor surgery in the middle lobe of the liver, you don't have talent. Don't even think about it.

There are no more than ten doctors in the world who can enter the middle lobe of the liver at room temperature. This is where Wu Laoniu is forced. He not only entered, but also was the first to enter.

Although there are no more than ten doctors who can enter the middle stage, most people who understand the operation understand the existence of surgery.

This is the wonder of surgery. You can understand it and even make it clear. Give me a scalpel, it's all

"It's the last few knives. 2mm is life and death. When the operation is done here, I can pat my chest and say that Dr. Zhang Fan's team is very professional. Although they come from the grass-roots level, few teams in China's top hospitals can surpass them. "

Qin said passionately that the operation of the middle lobe of the liver had achieved this step, and there was no obvious bleeding or tumor rupture. The patient's life state was still stable. He really wanted to say that Zhang Fan was forced, but he was afraid to cause trouble for Zhang Fan, so he replaced Zhang Fan with Zhang Fan's team.

Director Zhao Quanping, Ma Yichen and Dr. Song insisted on biting their teeth at this time. A trace of shaking may be an accident.

During the operation, no matter the chief surgeon or assistant, no doctor is unimportant. Their muscles have changed from aerobic to anaerobic. Although their hands are sour, they are as stable as a rock.

Like the background wall, they create a good operating environment for the chief surgeon. Like an unsung hero, he silently propped up Zhang Fan with his shoulders.

"Change the handle! Change the handle! " Zhang Fan's master brother clenched his fist tightly and whispered to Zhang Fan on the big screen,

2mm away, only 2mm away from the great blood vessels. With a knife and a sharp blade, a slight carelessness is that people die and the light goes out.

Although it is safe to use the knife handle, there is a great chance to tear the tumor, and the broken tumor may form metastasis.

This is the doctor's dilemma. If the operation is safe, the operation will be flawed.

To be perfect, you have to take great risks.

If elder martial brother is an surgeon, maybe he will choose the scalpel, but off the court, he hopes that this younger martial brother who hasn't met for a few days will use the handle.

Although the operation is flawed, it will not let the patient die on the operating table.

For doctors, there is a great difference between patients dying in the ward and on the operating table.

But Zhang Fan didn't do what he wanted, Dao! In the cold light of the blade, Zhang Fan cut.

The cutting range with a length of about 10 cm is always close to the 2mm large blood vessel. Under the knife are the great arteries and veins. The sharpness of the scalpel is so terrible that people who know it dare not think about it.

With each knife, it deviates a little, maybe it's blood splashing.

Those who understand the operation have their hearts hanging in their throat.

"One, two, three!" Qin was absent-minded, just like children counting, and slowly followed Zhang Fan's scalpel to say the numbers.

There are great differences in the operation of abdominal organs, including gastrointestinal, hepatobiliary, pancreatic and spleen. The difficulties of each organ are different. Even the surgical difficulties of each segment of the same organ are different.

With the rapid development of science and technology after World War II, surgery seems to be more and more refined, especially in the European and American medical system.

But then, with the development of biomolecular technology, Frontier Medical Specialties began to integrate slowly.

And medicine is becoming more and more difficult. It's too difficult to make an operation to the extreme.

Therefore, when Zhang Fan lit his sword, old man Wu was really excited, just like the younger generation who dared to light his sword.

The old man clung to the handrail with both hands, firmly clutching the handrail, and stared at the big screen with his old eyes.

If Zhang fan used the back of the knife, the old man might be very disappointed, but Zhang Fan didn't.

He lit his sword, just like a swordsman who has passed through Yishui. Although there are thousands of people, I will go.

This is not showmanship, this is not recklessness, this is a real doctor's benevolence.

In the face of gains and losses, they will choose favorable patients and ignore hardships in the face of difficulties. It seems like a big talk. In fact, there are many doctors who can do it.

But

"Younger martial brother, your little disciple is amazing. Although his sword technique has the shadow of Qiu style, it is still very green.

How did you let him out? This boy has a good mind and talent, so he owes some heat and formal and systematic training. "

"Elder martial brother, this knife is dangerous. I'm so flustered." Mrs. Lu knew this kind of operation very well. It was also a pain in his old man's heart. Therefore, when Zhang Fan's knife was leaning against the blood vessel, the back of the old man's hand was in a cold sweat.

"It's all right. Although it's green and astringent, look at his first few knives. The knives are as flat as a line, just like a cross cut. They're not much. They're very accurate. To tell the truth, he's very powerful. You can rest assured that there will be no accident. "

After all, he is the founder of this kind of operation, and Wu's vision is much higher than others.

"Hey, this bastard, I said that when he took the postgraduate entrance examination, it turned out to be like a scattered erha. It would disappear.

If I hadn't come, I guess... "Lao Wu's words reassured Lao Lu, although he was in the mood to tell jokes. But the eyes had no intention to leave Zhang Fan's hands.

"Hehe, why, does he have other ideas?" Wu Lao means that Zhang Fan wants to emigrate abroad.

"Not really. Lu Ning told me that only he can understand Zhang Fan's spoken English."

"Oh, after his operation, talk to him." Old Wu relaxed. Zhang Fan's first few knives reassured the old man.

At this time, old Wu relaxed, lying on the sofa, holding a white porcelain cup and slowly drinking tea.

"This boy is a little like our teacher. Is he thirty this year? "

Several big disciples of Wu's old army looked at Zhang Fan on the big screen.

"No, I haven't graduated from college for a few years. Elder martial brother, how about a special move? " An administrative elder martial brother looked at him with a bad smile.

"Hehe, I'd like to. If you're not afraid of Uncle Lu looking for you desperately, you can try."

"Ha ha..."

The originally quiet venue, with Zhang Fan's knife towards the great blood vessel. The doctors in the audience also talked about it one after another.

"Shit! This guy's courage is iron. The blood vessel wall can be clearly seen when he cuts down. Why? With the handle of the knife, you will soon become famous all over the world. Don't finally die on the finish line. "

"This is the gap. It's called an art expert. He's bold. Do you understand it? I didn't listen to old Qin. Is this Qiu style Sabre?"

"It's as if you know. Old Qin himself can't use fur sabre. He said yes."

That's a challenge.

"Ask a foreign expert quickly. How can I listen? It seems that the master is too brave. I feel a little reckless. "

Qin Lao was whispering, and the explanation would not be an explanation. The general doctor was raising the bar. The instrument manufacturers in the last row of the venue took the time to collect Zhang Fan's confidence in the operation.

Some say good, some say bad, some say that skilled people are bold, and some say that Zhang Fan is stupid and bold.

So, these guys don't have a bottom in their hearts. Start asking big questions.

Device manufacturers looking for doctors is just like enterprises looking for star endorsements. They generally don't consider those who have bad hobbies and are too alternative.

The last ten centimeters of the operation cost Zhang Fan the most mental state.

The system is too rebellious. Zhang Fan's technique is practiced by himself. The system only pursues results. For the small skills, Zhang fan can't get from the system.

Therefore, although Zhang Fan did a beautiful operation, he spent more energy than Lu. This is the gap between making a car behind closed doors and having a master lead the way.