Chapter 645

Xun Teng's old Lu, mixed with disinfectant and odor, looked at Zhang Fan. His eyes were full of desolation!

Now many industries pay attention to an avoidance system. Although the medical industry does not emphasize it very much, generally speaking, the chief surgeon will not operate on his relatives and friends as much as possible.

Because many times, if the trade-offs are mixed with various factors, it is not a good thing for medical treatment, especially surgery.

Surgery is a traumatic treatment. It is a kind of traumatic treatment and protection for the body. It has a premise that only after removing the disease can we protect the body organs to the greatest extent.

Old Lu's eyes were desolate, and his heart was like falling into a hole in ice water. Goose bumps all played a role in the hot environment.

Old man Shan was too stubborn. He had a physical problem. He still drank recklessly and refused treatment. As a result, when he opened the abdominal cavity, cancer had been seen on his stomach. Even suspected cancer tissue was found on the greater omentum.

Originally, the operation went smoothly and the operation was done smoothly. Lu's mood and mentality were very peaceful. When he saw that cancer might transfer, Lu's mentality fell from the peak to the trough like a roller coaster.

If old Lu is ten years younger, or old Shan is ten years younger, old Lu will not be so depressed and helpless.

Old Lu was ten years younger. He was sure to let old man Shan do the operation without losing his life. If old man Shan is ten years younger, his body may be able to withstand a bigger blow.

But now, they are old!

Old Lu looked at Zhang Fan. Zhang Fan surprised old Lu again and again in liver and gallbladder surgery, orthopedic surgery, and even extracerebral surgery.

Now, there are not many people Lu can count on. He looked at Zhang Fan, "do you dabble in gastrointestinal tract?"

Voice is so timid, so no confidence.

He was deeply afraid that Zhang Fan would say a negative word.

Zhang Fan didn't let the old man down“ Shifu, we are a family from the general public. How can we not dabble in it? Old man Shan, this lesion looks terrible. I think it should be able to cut! "

In this sentence, in this ordinary sentence, Lu Lao's heart is directly filled with a feeling like the warm sun in winter. It's too warm.

"Come on, change position!" Old Lu wants to give the position of the main knife to Zhang Fan.

At this time, their voices were not loud. Although they could not reach the electric classroom, the anesthesiologists and itinerant nurses around them listened clearly.

They know that Zhang Fan's level is high. They also know that according to the way Zhang Fan came to study at the beginning, there is no super Hao father, so they can become disciples of Lu Yuan, which is definitely not inferior.

But what they didn't expect was that Lu hospital was not sure of the operation, and would even ask him, the little doctor from the frontier!

It may not be possible to scare off their big teeth, but people with poor temporomandibular joints can definitely be shocked off their chin by this scene.

It's incredible!

"Hehe, master, don't change. My left and right hands are the same. I'm used to it!" Zhang Fan narrowed his eyes and smiled.

Lu Lao looked at the closing disciple in front of him and the disciple with a smile between his eyebrows. He was both pleased and moved.

He understood that Zhang Fan was taking care of his face and other people's views, and wanted him to finish the last operation face to face!

But Lu is always someone, "you, be honest. Sometimes you are smart. Sometimes people want to knock your head open for me to have a look.

All right, I'm not ready for you to protect me from the wind and rain. Come on! While my old bone still has some weight, let you step on it! Change position! "

The last sentence of the old man was decisive. The old man firmly gave the position of the main knife to Zhang Fan for the sake of the patient and Zhang Fan, regardless of the reputation he had fought for half his life.

Back to back, back to back. Zhang Fan didn't know whether he was smoked by the smell or what. His eyes were sour. He squeezed his eyes hard.

What is moving, this is moving.

"Change position!"

"Changed position."

"Lu Yuan gave the position of the master knife to his little disciple!"

This was surprised by the experts and doctors who were not present. The operation pays attention to one from beginning to end.

Unless there is a special accident, the master knife is like the master general on the battlefield. The soldiers of both sides are close to each other. To tell the truth, it is a big taboo. Unless the master replaces the apprentice!

But now, a doctor at the level of academician, a doctor with an honorary reputation of half the medical profession, has given up the position of the main knife at the critical moment, which can not be suspected or thought by others.

"He wants to make his disciples famous? No, this is the last time he washed his hands in a golden basin. It's not right to compare heart to heart! "

Looking at Lu Lao and Zhang Fan in the display screen, people's hearts are full of question marks.

"Look, look how this boy is. Let old man Lu be a stepping stone willingly."

After changing his position, when standing in front of the patient's abdominal cavity, Zhang Fan cleaned up his mood and abandoned all his thoughts.

"Start!" The operation of changing the main knife began.

"Knife!" Zhang Fan's operation is different from Lu hospital. Although assisted by Zhang Fan, as the main knife, Zhang Fan's speed is faster and the age gap is sometimes really irreparable.

Knife, PA! Hold firmly in your hand and enter laterally. The knife is too big for the omentum!

"Cut!"

Pop! Pop! Pop! The speed of the operation increased a lot. The temperament of the chief surgeon will affect an operation and the whole operation team.

Zhang Fan is so fast that nurses of surgical instruments are quick enough to be absorbed in their cooperation.

The operation is fast and there are many changes. The anesthesiologist has no time to observe the operation process, because he should always pay attention to the patient's vital signs.

"Depressurize!" A cold voice came out of Zhang Fan's mouth.

"Lowering the patient's blood pressure again may lead to thrombosis! Insufficient perfusion. " The anesthesiologist said in embarrassment.

"There's no way. If you don't reduce blood pressure, the bleeding will increase, which may lead to cancer cell metastasis. You can think of a way. Come on! "

The anesthesiologist was about to pull up the sparse hair under his hat.

Anesthesiologists and surgical nurses are sometimes very contradictory. They like to operate with highly skilled doctors, and they don't like to operate with highly skilled doctors.

And highly skilled doctors can get off work in advance, complete the operation in advance, reduce surgical accidents and complete the operation smoothly.

But sometimes I don't like to have surgery with highly skilled doctors, because they ask too much, too much, and sometimes even unreasonable.

But all this is for the patient.

Zhang Fan needs to reduce blood pressure. Did the anesthesiologist drop his hat and quit? No, the anesthesiologist at this time, pulling up the three hairs on his head, racked his brains thinking about the ratio of drugs.

The operation of gastric cancer is very simple. First, all venous arteries around the gastric body are ligated and cut off, then the stomach is cut off according to the area and depth of the cancer, and then connected with the intestinal tract, and then the nearby lymph nodes are cleaned around the gastric body.

It's such a simple thing to say clearly in three or two sentences, but it's quite difficult to do.

The stomach is also a connecting organ in the digestive tract. The upper part is connected to the esophagus and the lower part to the intestines. And there are switch valves at the upper and lower ends of the stomach.

Therefore, even if you eat upside down, the grains of rice will not flow back. Of course, the contents of the intestine will not be ejected from the mouth. This is the gate keeping function of the stomach.

Moreover, people are different. In fact, the appearance of the stomach is also different. Fat people, especially those who feel fat at first sight, have a stomach that looks like a big curved moon. If they are full, they can almost look like an oval sphere.

And thin people, thin people with the same stature as bamboo poles, have a thin and curved stomach, just like the waning moon.

The stomach is different, and the blood vessels near the stomach are also different.

Generally speaking, the stomach is actually a muscle pimple. This thing needs to work very hard on weekdays, so it consumes a lot.

The consumption is large, and there are many peripheral blood vessels supplying energy. And this endurance muscle is different from explosive tissue.

Endurance muscles, surrounding blood vessels, arteries and veins are integrated into a spider web like group.

The explosive is often single, relying on the switch of blood vessels to make it congested.

Therefore, drinking and smoking for a long time will make the micro blood vessels stiff. Once the blood vessels are stiff, the switch attached to the blood vessels will not work well. This is why smoking and drinking can make men not lift.

Because there are many large blood vessels and more mutated blood vessels in the stomach, the operation of the stomach is not easy to do.

In the electric classroom, everyone quietly looked at the two people who had changed their positions.