Surgical artist

Chapter 98
(ps: The spells in this book are all true.)
Yin Guanghai: "Let Dr. Zhao introduce the patient's condition first."

Dr. Zhao is the attending physician of the patient:

"This is a hepatoma in the caudate lobe of the liver."

"The main difficulty lies in the difficulty of entering the road!"

"Our examination found that the patient has a very complicated crossing of blood vessels at the caudate lobe of the liver and the three major ducts of the inferior vena cava, hepatic vein, and hepatic portal."

"Moreover, this patient had trauma to the liver ten years ago and underwent emergency surgery. We all know the surgical technique ten years ago. There were some sequelae, and some blood circulation was chaotic. I can’t make sense of it.”

"This overly complicated blood vessel distribution brings great difficulty to the approach..."

With these few words...

Everyone's brows were furrowed!
Not only the patient's own situation is complicated, but also has a history of trauma rescue!

And that rescue left sequelae!
This is even more difficult!
What they are most afraid of when they perform surgery is that the last surgery was not done well, leaving a mess of sequelae.

It is like laying a major minefield for the current surgery.

The mess that was not sorted out back then, the problems left over, if you want to get on the road now, you have to straighten out this "mess" first.

At this time, Yin Guanghai took out the patient's examination film.

"You see, according to Director Zhao's theory, we plan to approach from the left and right respectively, and use the method of 'joint flip' to solve the problem."

"But we found that even with Director Zhao's thinking, it might be very difficult..."

Yin Guanghai smiled apologetically at Zhao Peiru: "Of course, it is also possible that we are not skilled enough and have not learned the essence of 'combining multiple approaches'."

Everyone circulated the medical records and films, and immediately understood what Yin Guanghai meant.

What did not learn the essence...

It is basically using the idea of ​​"combining multiple approaches", and I am afraid that there is no way to solve it.

This kind of portal vascular area that has been destroyed has brought too many problems to the approach!
From the root, the feasibility of the "joint flipping method" has been cut off.

Everyone tried and deduced the way of approach.

In the end, everyone shook their heads and gradually revealed a sad face.

Everyone's eyes gradually focused on Zhao Peiru.

Yin Guanghai tentatively said, "Director Zhao, do you have any ideas?"

Zhao Peiru: "You are right in thinking about it. The special and complicated situation of this patient, there is really no way to reverse it with multiple approaches."

Even Director Zhao can't do anything about it?
A trace of disappointment flashed in everyone's eyes.

They came here to observe Zhao Peiru and learn his skills.

Especially when seeing such complicated and difficult cases, the more I want to know how to solve them, the more I want to learn "problem-solving ideas".

Yin Guanghai also sighed inwardly.

It seems that the selection of this patient was indeed too difficult.

If it doesn't work, the patient can only be transferred to the provincial hospital.

Now he also found that the patient's problem was too serious, and he might not even be able to complete the operation with their previous "all the way to the end" backward method.

At this time.

Zhao Peiru said with a faint smile: "Multi-entry combined flipping won't work."

"However, it is possible to separate and resect the three approaches alternately."

Everyone was stunned.

Alternate separation resection?What does it mean?
Zhao Peiru took the film and explained: "The most critical thing in this operation is to solve the problem of safe separation of the caudate lobe of the liver from the inferior vena cava, hepatic vein, and the piping system in the porta hepatis."

"In this case, we can do this by alternating the three approaches and dissecting back and forth."

Everyone was in a fog.

Yin Guanghai, who had the highest level, was buzzing in his head!
Suddenly, I understood something!
Zhao Peiru continued: "First free the ligaments around the liver so that the liver can be turned left and right, and then use the anterior approach to turn the tumor in the caudate lobe of the liver..."

Combining multiple approaches alternately...

To put it simply, the surgical approach is firstly established on the anterior approach of the liver and the left and right sides of the hepatic portal area.

Then according to the actual situation in the operation, flexibly alternately, and operate among the three approaches at the same time.

When everyone heard this idea, they were shocked immediately!

Not only do three approaches, but also alternately...

According to the rehearsal in Zhao Peiru's plan, whether the purpose is to flip the liver or lift the caudate lobe tumor...

It is simply to maximize all the advantages!
Everyone glanced at Zhao Peiru.

Can't help scalp numbness!

How did you come up with this idea of ​​surgery?

At this moment, Yin Guanghai also fully understood Zhao Peiru's thoughts, and his eyeballs almost fell from the same shock.

"Isn't this kind of thinking too advanced?"

"But at the same time, the difficulty of operation has also increased exponentially!"

The previous two-way combined flipping, after finishing one side and then doing the other side, is already very difficult.

But this time, Zhao Peiru has even played tricks on the road!
Not only should the three approaches be combined together, but also on this basis, alternate resection!

Who can take this kind of operation?
Of all the people present, except for Zhao Peiru, no one dared to stand up, right?
But having said that, if this method is not used, there is really no other way to deal with this complicated disease.

Yin Guanghai swallowed subconsciously.

If he is allowed to operate this operation, I am afraid that he is not sure at all.

He looked at the people in various hospitals sympathetically.

These doctors come here to learn technology.

But I didn't expect that this technology can only be seen, not learned...

It is estimated that everyone is already feeling uncomfortable.

Sure enough, when everyone heard this, they silently evaluated their own level...

Each one is a little helpless.

However, the excitement in everyone's eyes could not be concealed.

Even if you can't learn this new technique, but you will be lucky enough to observe this awesome operation later, it's not in vain!

And if you can understand a little bit of thinking and details from it, wouldn't it be a good thing?
Everyone looked at each other.

There will be another good show today!
After that, Zhao Peiru and Yin Guanghai "negotiated" the details of the operation plan.

Said it was agreed.

In fact, Zhao Peiru planned to let Yin Guanghai be his second assistant, so naturally he had to familiarize him with the operation process and precautions first.

At the beginning, Yin Guanghai also tried to make suggestions for the operation plan.

But after a few rounds, he found that what he was thinking was not on the same level as what Zhao Peiru brought out!

Every step that Zhao Peiru considers seems to be well thought out and quite mature!
So in the end, Zhao Peiru basically said it, and Yin Guanghai listened.

When all the preparations are done...

The patient is wheeled into the operating room.

Zhao Peiru, Yin Guanghai, Chai Baoshan... a group of white coats filed in.

The family woman watched helplessly. There were almost twenty white coats before and after this, right?All followed her husband into the operating room!

So many doctors? !

She couldn't help but start beating drums in her heart, panicking.

Fortunately, at this time, a female doctor, Mu Sisi, came to comfort her.

(End of this chapter)