I can see the status bar

Chapter 1183 Alveoli?

Tumors with rich blood supply must be resected with great care.

On the monitor, it is actually very difficult for the surgeon to distinguish whether the blood vessel he sees is an artery or a vein.Especially on the monitor screen, which is not very clear, it is even more difficult to distinguish through the color of the blood vessels.

By inflating Liu Hui's abdomen, man-made pneumoperitoneum to obtain operating space, and laying a polymer membrane into the abdomen to prevent the possible spread of tumors, the formal surgical resection began.

In the field of identifying blood vessels, Director Wu has rich experience.Just touch the blood vessel slightly with the forceps, and feel the feedback fluctuations from your hand, and you can determine whether it is an artery or a vein—this is a great help for the operation.

Under the laparoscope, the electric knife scalded the connective tissue outside the tumor a little bit.After fully exposing the blood vessels, Director Wu quickly ligated the blood vessels on the outside with surgical sutures.

The rich blood supply of this tumor is really extraordinary.It took Director Wu almost an hour just to ligate the blood vessels.After repeated incisions, exposure of blood vessels and then ligation, Rachel, who was a little swollen from standing in the operating room, finally received the good news, "The ligation is complete."

Director Wu verbally announced that the ligation was completed, but the movements of his hands did not stop at all.He was still checking the blood supply of the tumor under the microscope, until he finally ensured that every blood vessel had been properly ligated, and then he was slightly relieved.

The mass itself is large and unlikely to be removed through the laparoscope's operating port.Therefore, the next step is a bit bloody - another operation port has to be opened on the patient, and then the laid membrane is folded up and taken out directly through the opened operation port.

All in all, we must minimize the contact between this suspected "tumor" and other parts.During the surgical incision, no one knows how many cancer cells will be peeled off from the tumor, and then stick to other parts around the tumor.This kind of man-made dissemination and transfer may cause very serious consequences later.

Although during the operation, the doctors are already trying their best to be careful.However, the spread of tumors is something that cannot be prevented. It is always impossible for human eyes to identify whether one or two cancer cells have fallen on other tissues during the operation.

Even if Sun Lien didn't think it was a tumor, Rachel didn't think it was a tumor, and Director Wu, who was the chief surgeon, didn't think it was a tumor... The protective measures that should be taken are still to be taken.Doctors can be wrong in their guesses, but patients cannot afford to be wrong.

"Okay, send it to the pathologist." After taking out the tumor, Director Wu ordered the nurse to quickly send the tumor to the pathology room, and found a stool to rest.He decided not to deal with the wound for the time being, and waited for the results of the pathological examination before making plans—if it was indeed a tumor, no matter what the patient thought at the beginning, he planned to do a lymph node dissection as much as possible after laparoscopy.

This is of course an illegal operation, but relatively speaking... the nature of the violation is not that serious.After all, it is not without precedent that doctors "smoothly" treat patients in order to protect the lives and health of patients when unexpected situations are discovered during the operation.

Besides, isn't Mr. Wang and Mr. Sun standing in front of this?
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In order to obtain the relevant examination results as soon as possible, and take the data back to comfort his nervous mother who was about to die, Sun Lien decisively chose to use his "identity" and began to squat in the pathology department.

The doctors in the pathology department are obviously not used to working with people staring at them. Anyway, just by watching the dyeing reagent bottle opened two or three times without unscrewing it, Sun Lien can guess it without the status bar prompting. ——The doctor in the pathology department is very nervous.

He quietly took a few steps back, trying to minimize the impact on these homeboys squatting in the laboratory all day long.While concentrating on their inspection operations.

The operation of pathology is actually not difficult-a part of the excised mass is quickly frozen, then sectioned and stained, and then placed under a microscope for observation.That's all the inspection of frozen section samples goes through.The difficulty lies in the step of "observation".

If the experience is not rich enough, the observation is not careful enough, or the staining is not in place, and the sample parts taken are not representative enough...they may get inaccurate or even completely wrong pathological examination results.

Pathological examination, on the one hand, depends on the personal ability of the doctors, on the other hand...it also depends on luck.

Fortunately, Liu Hui was lucky.

"This...Director Liang, come and take a look." The doctor in charge of the examination quickly discovered something strange, he said "Huh?" Currently in charge of the Director of the Pathology Department.

Director Liang was originally the deputy director of the Pathology Department of Ningyuan Fourth Central Hospital.Because I am from Changning, I took on the task of coming to Changning to support Zhongfu Hospital.In the pathology department of Zhongfu Hospital, Director Liang is definitely the one with the highest professional level.

"You still can't understand such an obvious structure?" Director Liang leaned in front of the microscope to take a look, and then glared dissatisfiedly at the pathologist who called him over, "Such a simple and direct structure, do you need to ask me? "

The pathologist looked up nervously at Sun Lien who was approaching, then turned to Director Liang and said, "But this sample...was...taken from the adrenal gland area."

"And then?" Director Liang was still very dissatisfied, "You don't care which area it was taken down from, just report what you see, why hesitate?"

Sun Li'en was made more nervous by the conversation between the two, and he kept reconsidering the prompts he saw on the status bar.It doesn't make sense... The prompt in the status bar really can't deduce anything related to the tumor.But these two people are playing charades for a while...the tumor itself must have a problem, and I'm afraid the problem is not small.

"You continue." Director Liang stepped aside to allow the pathologist to continue the examination, and then said to Sun Lien, "Director Sun, don't worry too much, it's not a serious problem."

This is not serious?Sun Li'en widened his eyes, and then asked, "What did you see?"

"Gland cavity-like structure, alveolar structure can be seen locally." Director Liang said succinctly, "I didn't look at the specifics, but...it's not a tumor."

Glandular structures...alveolar structures?Sun Lien's eyes suddenly widened.

The alveolar structure, as the name suggests - that is the main structure that makes up the lungs.They are small vacuolar structures one after another. Air passes through the alveoli and exchanges gas with the red blood cells outside the alveoli.Red blood cells expel carbon dioxide and then take in oxygen.It then travels to the heart, where it delivers oxygen to organs throughout the body and reabsorbs carbon dioxide.Then enter the alveoli again, completing a cycle.

But...the alveoli don't appear on the kidneys.

Cell structures that shouldn't appear in other organs appeared, and Sun Lien's first reaction was teratoma.The horror news of teeth and hair in a certain cyst in the body is actually not very rare in clinical practice.

But the alveolar... is a bit outrageous.

"The specific test results will be announced after he has finished his report." Director Liang said in a low voice, "But I think this should be a relatively rare case of extralobar pulmonary sequestration."

(End of this chapter)