Chapter 1528

The patient's liver showed nodular cirrhosis, and the overall atrophy was obvious.

Zheng Ren reached out and a latex tube fell into his hand.

He wound the hepatoduodenal ligament with a latex tube through the small omental hole in order to block the blood flow into the liver.

Then lift the right liver and pad the abdominal towel under the right diaphragm to expose the right liver.

"Can you touch it?" Su Yun asked.

"Yes, the boundary is clear." Zheng Rendao.

With that, he left his liver and Su Yun stretched out his hand.

Gently touch the right liver and exert a little force, you can feel a relatively large mass in the liver.

After su Yun touched it, Professor Yang touched his body.

Touch... It's harder than the liver cancer lump in my impression, not a little bit.

Can it be said that there is such a big change after interventional embolization and tumor tissue necrosis? Professor Yang was puzzled.

Normally, the texture of tumor tissue is harder than the surrounding ordinary tissue, but it should never be so hard.

The liver capsule was made as the cutting edge with an electric knife about 2cm away from the mass, and the two sides of the cutting edge were locked with a large needle of No. 7 silk thread.

This operation is prepared for the assistant to lift the liver tissue and expose the field of vision. It depends on the lifting of line 7.

Su Yun and Professor Yang pulled a thread to expose the liver.

Zheng Ren looked at the operation area, stretched out his hand and gently patted the ultrasonic knife in his hand.

He began to use the forceps on the head of the ultrasonic knife for blunt separation.

The sound of slow coagulation kept ringing.

Small blood vessels, slow coagulation with low power, will have a popping sound. Larger blood vessels, with more powerful rapid coagulation, will make a snap sound.

The speed of the operation is not fast, but it can't be said to be slow.

In the background music of good luck, the sound of popping continues to ring out. In Professor Yang's opinion, Zheng Ren's hands seem to have a wonderful rhythm.

Small blood vessels and bile ducts were closed and cut off with ultrasonic scalpel. In case of more than 4-5mm, Zheng Ren did not use the high power of ultrasonic knife, but chose to use titanium clamp to clamp and cut off.

"Boss Zheng, the ultrasonic knife can cut 6mm blood vessels at most." Professor Yang warned.

"It is reported that vessels with a diameter of more than 4mm are cut off with an ultrasonic scalpel, and the possibility of rupture and bleeding after operation is 3-5%." Zheng Ren said while doing the operation: "although the pressure is relatively large after the operation, even the bleeding can be stopped, but it's not necessary."

Professor Yang thought for a moment. He hasn't seen similar reports.

But boss Zheng's operation is really clean. The liver has been split and there is not much blood in the operation field. He has been holding the attractor in his hand, and the hissing sound indicates that the attractor is ready to go.

However, there was only a few milliliters of blood in the pipeline of the aspirator, and there was almost no bleeding during the whole process of splitting the liver.

As the second assistant, Su Yun held a piece of gauze in his hand with hemostatic pliers and occasionally dipped it in blood to expose a clear operation field for the operator.

On the white gauze, there are red blood spots, like plum blossoms in the twelfth lunar month.

The amount of bleeding is unbelievable.

A black, hard tumor tissue appeared in the surgical field.

"It looks a little different from normal liver tumors." Su Yun whispered after seeing it.

"There's a big difference. You'll know when you're free." Zheng Rendao.

"Boss Zheng, is it because the blood supply artery was embolized?" Professor Yang asked.

"There are reasons in this regard, but it is more because of tumor tissue necrosis, which is very different from normal tissue. The operation is more accurate and simpler." Zheng Ren looked at the operation area and said.

This is the live broadcast of the operation. Zheng Ren learned the experience and lessons of the last operation and the winking of Xie Yi people. He didn't look up at all, and his vision always locked on the liver tumor in the operation area.

Start free tumor.

Zheng Ren used ultrasonic scalpel and titanium clip to fall on the upper part of the tumor. The free tissue is about 0.7cm away from the tumor tissue.

Soon, Professor Yang found a different place.

As Zheng Ren said, the operation seems to be much simpler and less bleeding than he expected.

Usually, hepatobiliary surgery also uses ultrasonic scalpel. Even the helium knife, a high-value consumable like a welding gun, is occasionally used when bleeding continues.

Surgery, it's the same surgery.

But under the hand of boss Zheng, it seems that it has suddenly become very simple.

The forceps on the head of the ultrasonic knife kept making blunt separation, and the sound of popping continued, and the operation was very smooth.

Bleeding?

Professor Yang took a look at the attractor in his hand and the gauze in Su Yun's hand.

No, that's bullshit.

But bits and pieces of bleeding... How to write the operation record? Bleeding 3ml?

MD！ It won't be regarded as a false medical record.

"Director Zhou, what the boss is about to cut off is the feeding vessel from the phrenic artery." Su Yun suddenly said.

Zhou Chunyong has kept silent and observed carefully since he got on the operating table.

This is the first time he has seen the anatomical structure of liver cancer after interventional embolization.

Branches of phrenic artery?

Zhou Chunyong still remembers that when he underwent interventional embolization, the artery was not found on the preoperative film.

Boss Zheng didn't see the process of over selection and embolization.

But... Where is it?

Pa Pa, the sound sounded, and Zheng Ren continued to drift downward. Zhou Chunyong looked a little confused and asked in a low voice, "where is Dr. Su?"

"That's what the ultrasonic knife cut just now." Su Yun said, "don't you see?"

"Oh, that's it." Zhou Chunyong said, pretending to see it.

He felt ashamed.

I'm not engaged in surgery. The anatomical structure is only learned from images and books.

If you really open it and see the actual situation with your own eyes, you will be stupid.

You can see a piece of wool! Except that there was no bleeding and the operation was clean, I couldn't see anything good.

But Zhou Chunyong knows that the operation is clean, which is good!

Professor Yang of 912 liver and gallbladder before operation also said to prepare blood. Now, it's completely unnecessary.

"Director Zhou, even if I do the ordinary liver splitting operation, the bleeding should be about 100ml now." Zheng Ren said: "less bleeding is due to the embolization of the tumor's supporting vessels."

Hearing Zheng Ren's hint, Zhou Chunyong felt an unspeakable emotion.

I've worked in my own work for 20 years. I have to tell boss Zheng what the effect is for the first time.

This... Alas.

Professor Yang felt even worse when he heard Zheng Ren's words.

Before the operation, there was no combined liver interventional embolization and ordinary liver splitting operation. If you do it yourself, the bleeding must be at least 500ml to the current level.

Well, it's all extraordinary.

Just in case, blood transfusion has been started at this time.

But according to boss Zheng, if he does, the bleeding is only 100ml now?

It should not be possible. Professor Yang comforted himself by boasting on the operating table and not taking it seriously.