Chapter 699

When the strength is not enough, let alone people, even countries are very sensitive.

For example, in the early days of China, the current mountain white heads are very similar to these doctors in the operating room. They can only listen well, not bad.

Now China is much better. If you like to say it or not, I'll send some eloquent people to scold you. After scolding me for what I should do, there's a lot of meat anyway.

Therefore, we must think about how to strive for everything, whether it is a person or a country, when our strength is not enough.

When the director of the pancreatic Department asked about staffing, the doctors' eyes lit up.

Chen Hao was uneasy. Although he had made a lot of efforts and preparations, he knew that he was nothing in front of the big guys. Now he is counting on his paper that he stayed up late to play a role.

He didn't want to ridicule his opponent, nor did he want to provoke his opponent. His idea is that the meat is inside, not on the face.

Chen Hao's opponent is a little worse than Chen Hao in technology. He is usually very nervous, but today, he thinks he is sure and can wait. Therefore, when the director of the pancreatic department asks questions, he straightens his waist and squints at Chen Hao.

"Shibo, yesterday's operation team was very good. After all, it's a big hospital. What a tacit understanding.

Today you have to give me a stand again. I think I'll trouble director Li and Dr. Chen again! "

As soon as the old man listened and thought a little, he smiled and said to the director of the pancreatic department, "you are the director, you see what to do!"

"Hehe, let's listen to Zhang Yuan. I'll go with Chen Hao today. Others prepare! "

In a few words, Chen Hao tried to pinch his thigh, "you can't laugh, you must not laugh!"

Chen Hao's opponent, as if he were directly on the podium, put his head out. As a result, the awarder hung his card around someone else's neck.

"How can this happen? How can this happen? It's agreed that I can go, I can cooperate, and I can insist. Why don't you bother me!

You, you absolutely give... "He looked at Chen Hao and was furious, but the reason of his brain still kept him from saying it.

He didn't dare to question Zhang Fan, the director or Wu Lao, but he was really gnashing his teeth at Chen Hao.

"Chen Hao, wash your hands and get ready for surgery!" The director of the pancreatic Department said something to Chen Hao, and then went to wash his hands with Zhang Fan.

Chen Hao's opponent has a brain lawsuit. He thinks Chen Hao has given gifts, but he didn't expect Chen Hao's private efforts.

……

Wash hands and wear surgical clothes. Zhang Fan's surgical clothes were originally tied by the nurse. As a result, the old man stood behind Zhang Fan, "I'll take them!"

Then, he gently tied Zhang Fan's lace up at his waist, not loose or tight, and then gently pushed Zhang Fan's back waist, "go!"

This is definitely not what the old parents say when they give their children who work hard from a distant place. After finishing tidying up their collars, they are full of worry: "if you can't do outside, come back. Home will always be your backer."

The old man's meaning was obvious, "go, everything has me!" It's so arrogant and domineering, because the old man is qualified.

Zhang Fan, who struggled in the low-level life in his early years, was trained by the society to have a strong heart, not fragile, not proud, and a sense of responsibility.

With the system, he has no pride. This makes his road more smooth.

He is not arrogant and skilled. To tell the truth, all the days are protecting him. When quark snow closes the road and Batu's nephew is going to die in the hospital, Zhang Fan stands up.

When I entered the municipal hospital, I didn't despise everything with technology. The respect that should be respected and the compliance that should be observed are all aspects of maintenance.

After seeing Shifu and Shibo, Zhang Fan treated them with his heart and changed his heart. All these were bought by Zhang Fan with his own efforts.

The old man dressed Zhang Fan himself. The people in the operating room were not surprised. Darling, Lao Wu is self-sufficient and Zhang Fan wears clothes. My God! Who can believe it, who dares to think.

The directors of the pancreatic department are jealous to death, which also represents recognition and inheritance.

"Martial uncle, we started." Zhang Fan, standing on the operating table, said softly,

"OK, let's start!"

At the beginning of the operation, the patient suffering from the disease was thin and had no excess fat under his belly.

Almost a knife down, it is fascia, directly the sandwich biscuits sold by profiteers, and you can't see the yellow cream directly.

The first assistant of the director of the pancreatic department and the second assistant of Chen Hao. For this operation, Chen Hao poured a belly of red bull before the operation. If he shook his body, he could definitely hear the sound of clang. He also fought.

Cancer surgery can be roughly divided into two types: palliative surgery and radical surgery.

It's awkward to explain it in medical terms. Generally speaking, palliative surgery is to prolong the survival time of patients.

For example, you will die in two years. After the operation, it may be two and a half years, maybe three and a half years, or maybe half a year.

This kind of surgery is often a choice when it is impossible to completely remove cancer cells.

Radical surgery is an operation that can completely remove cancer cells. It's hard to say whether it will relapse!

Although the patient is an early pancreatic cancer, the effect after resection is directly related to the technique of the surgeon.

Therefore, this kind of operation must be carried out in an operation center with a lot of experience in pancreatectomy. Don't look at the small advertisements posted on the electric poles or toilets.

"The fat layer of abdominal cavity and mesentery is very clear!" After opening the abdominal cavity, Zhang Fan spoke. His heart was also happy and happy for the patient.

The fat layers in the abdominal cavity and mesentery are clear, which suggests that cancer cells are only in the pancreas and do not spread, so the survival rate after resection is countless times higher.

Most of human organs have open doors, which are the so-called approaches and outlets, such as the hilar of the liver, the gastric orifice and the pylorus.

Moreover, the more important the organs are, the thicker the clothes they wear, such as the greasy big kidney loved by middle-aged men and the fat oil around them.

This kind of fat is not only fat, but also a layer of slightly tough omentum, so it tastes both delicious and chewy.

The thickest clothes are the brain, with a hard skull and a large bag of phospholipids inside. The brain is actually a high phospholipid fat.

The organs in the abdominal cavity not only have body fat, but also have a large omentum like a veil on it.

The greater omentum has many functions. For example, the appendix is inflamed and swollen. The greater omentum gathers near the appendix like a fishing net. Wrap this thing to prevent the infection from spreading.

When infected, this function is very powerful, but when cancer, this collection function is fatal. Cancer cells spread to all parts of the body minute by minute through the cobweb like circuit of the great omentum.

Therefore, many cancer operations, open the stomach, transfer to the greater omentum and the surrounding fat, the doctor has no way, obediently how to open the abdominal cavity, how to sew it up, and dare not move.

The abdominal cavity was cut open and no metastasis was seen. None of the doctors who went to the operation was unhappy. Sometimes this thing is like shaking dice.

"Knife!" Changed the electric knife and went directly to the steel knife made in Germany. Pancreatic cancer surgery can not be crudely made, once it is cut off, it can not be transferred.

When the knife was applied, old Wu, who was originally sitting, stood up and began to pay attention behind Zhang Fan.

Zhang Fan's pancreatic knowledge has been mastered, and the old man has nothing to point out, but he is not at ease to let the old man sit aside. After all, it is a difficulty in general surgery.

Open the greater omentum, pull the transverse colon and pull open the posterior wall of the stomach. The pancreas is like a thick maggot, hiding behind human organs.

If we want to complete the removal of pancreatic cancer cells, we must reveal its full picture.

The human body seems not very thick, but once the abdominal cavity is opened, it is difficult to pull the intestines in the abdominal cavity to find a section of pancreas.

First of all, although the incision of the operation looks large, in fact, once it enters the abdominal cavity, it is a small hole. How to describe it.

In the past, during the Chinese new year, many families had to cook meat, and some families loved to eat fat intestines. At this time, a pot of very large and full fat intestines was cooked slowly.

Then you lie on the side of the pot and turn around with a pair of chopsticks to find a smaller piece of meat.

In fact, doing pancreatic surgery is similar to this. The fat on the red and white stomach is covered with blood, and the long and greasy intestines are crawling in Zhang Fan's hands.

Vaguely, you can also see the digestive matter that has not been discharged from the intestinal membrane, which is faintly yellow and blue.

None of the general surgery is tall. It's either disgusting to death or troublesome to death.

Such a difficult operation, only Zhang Fan and his assistant can see the organs inside. They can be said to be head to head looking for cancer cells from the fat nest.

Little by little, people are very different. Almost all of them are the most common in textbooks. As for the rare ones, they hardly say it, because they are afraid to affect the entry-level doctors.

Zhang Fan is doing the operation, and the director of the pancreatic department is making a comparison while assisting“ He does better and slightly better here than me. Well, it's better here. "

The pancreas was revealed. He was stunned that he didn't find a better place to do than Zhang Fan. He just pointed to the operation. Wu may not do better than Zhang Fan.

"Zhang Yuan, how many pancreas have you made. This level, tut! Tut! "

The director of the pancreas department can't do without admiration. He has operated on hundreds of pancreas in more than ten years, but he is not as good as the other party.

"Hehe, this is the second one! I do more orthopedic operations! "

"Ah!" The director of the pancreatic Department almost opened Zhang Fan's mouth with a retractor, "isn't this bullying!"

Chen Hao was silly. He thought Zhang Fan was mainly attacking the pancreas“ Well, are you an orthopedic doctor? "

Before Zhang Fan spoke, old Wu stood behind Zhang Fan and said, "he's in a grass-roots hospital. The surgery is very complicated. Don't mention the pancreas. He can do surgery outside his brain."

"Oh, oh, oh!" The director of the pancreatic Department looked at Zhang Fan strangely. He saw that there was collagen in the corners of his eyes without a trace of wrinkles. "It's too TN bullying! Not only is he an all-round player, but also he is young and envious! ".

And Chen Hao's face was confused and forced, "Mom, it's white. Can I change it now?"

At this time, Mr. Wu said again, "this has both advantages and disadvantages, but I only see the overall situation in him. His pay is estimated to be unimaginable."

Zhang Fan is embarrassed to be praised by the old man. He has no system. It is estimated that he is still looking at the nail steel plate.

The pancreas was exposed, like a blistered tongue scalded by boiling water, lying on the bottom of the stomach and intestines moaning.

In the stomach of the pancreas, a swollen vesicle can be clearly seen, showing such arrogance.

Zhang Fan pulled the pancreas over and looked at it again, "lucky! There is only one tumor in the tail of the pancreas. "

"Ready to cut!" Zhang Fan issued the order of general attack.

"Yes!"

After the knife was put into the clamp and the pancreas was cut, Zhang Fan's flexible finger was inserted into the pancreas.

"Catheter! The smallest catheter! "

The instrument nurse immediately took the smallest catheter out of the tray soaked in disinfectant and handed it to Zhang Fan.

"No, this is too big!" Don't try. Zhang Fan saw at a glance that the catheter was too thick to plug into the passage of the pancreas.

"This is the smallest!" The instrument nurse was worried, and even the head nurse on one side came together“ Did you not prepare all the equipment? "

"No, no, head nurse, I counted it six times and everything that should be prepared is ready!" Middle aged nurses are about to cry. If they are really unprepared, they will be ruined by accidents, medical accidents and rice bowls on the spot.

The battle is about to start, and the shells are not suitable! Zhang Fan is going to be angry. To tell the truth, he has no temper on weekdays. He is directly angry.

Mr. Wu was experienced. He looked at the patient and stretched his neck behind Zhang Fan.

"His pancreas is abnormal, one size smaller than that of ordinary patients. Pancreatic instruments are made according to European and American people, so instruments smaller than normal people can't be used. "

Zhang Fan held the pancreas in one hand and the cancer cells to be cut off in the other, "come on, find it!" He ignored it and gave orders directly.

"Our hospital can't find anything smaller than this." The director of the pancreas Department looked at the instruments and thought about the inventory.

"What? What do you say?" Zhang Fan is hairy. If there is no suitable instrument, the operation will fail. The original perfect operation must be transferred.

It's true that there are tigers before and wolves after“ Quickly, contact all the equipment manufacturers in magic capital and ask them to bring equipment smaller than this model to the hospital immediately. " Old Wu spoke.

This kind of thing is to eat the loss that our country has no patent. There is no patent and no one studies it. Everything is made according to the body shape of Europeans and Americans.

The simplest one, orthopedic steel plate, is used on European and American people. It fits perfectly, but it is used on Asians, especially some thin people.

The doctor is like a fitter, trying to use the strength of (a) milk to correct, and trying to make the steel plate fit.

Zhang Fan didn't expect that he finally met a joke in the medical industry today. It was too rough to make a cut.

Sweating and brushing began to flow. The operation was difficult. Zhang Fan was not afraid and couldn't do it. Then go to the liver in the system and take it down one day.

But the equipment is not right. No matter how high the technology is, you can't make a no on the spot.

Sweat splashed down Zhang Fan's neck. He was nervous and scared to death. This is human life, not pig intestines.

The old man's order, like a military order, rolled up a huge wave in the medical circle of mordu.

Johnson & Johnson, Aetna, Pfizer and Meibo are one by one. The top medical companies in the world began to race. Joking, as long as they win the supply of instruments for this operation, the road will be smooth in the future.

Magic capital Fangdong is a hospital that they dream of monopolizing supply. None of them doesn't work hard.