Four Hundred and Ninety Second Doctors Are Like Immortals

Resection of benign liver tumors is not difficult. Compared with malignant tumors, this kind of surgery is like one in the sky and the other in the ground. And benign tumors look down on normal cells.

It is self-contained, and it is wrapped with a layer of clothing on the outside. To put it more simply, it is to press a hole in the normal tissue of the liver with a fist, and then put a plastic film, and a benign tumor is stretched inside the plastic film.

The operation is very simple. First, the surrounding blood vessels are ligated, and then peeled off little by little. After the wound is cleaned up, the bleeding is stopped, the abdomen is closed, and it is over.

Of course, speaking of it, everything is very simple. But doing it is not the case.

A doctor, the most common doctor, five years of undergraduate, three years of rotation, one year of retractor, one year of appendix, hernia and other simple operations without consumables.

If the doctor is skilled and good at being a human being, then at this time, the doctor who taught him will start to let go a little bit and let the doctor do peripheral surgery on the liver, that is, a simple gallstone and gallbladder removal operation. Note, here are laparotomy.

When you are proficient, you will start to do laparoscopy, continue the above rounds, and then do another round, first learn to make holes, then learn to use laparoscopy to do appendix, and then do gallbladder.

Some people may ask here, laparotomy is very harmful, and laparoscopy is advanced, so why learn laparotomy? In fact, the reason is very simple. For example, the appendix, not all appendicitis can be treated by laparoscopy, but all appendicitis can be treated by laparotomy, this is the reason.

A doctor who cannot open the abdominal cavity is not qualified to do laparoscopy. Waiting for this general surgery doctor to suffer from a bald head and age.

Back then, when the green young man became a greasy uncle, and when the director was about to retire and the countdown to retirement was approaching, he slowly started to get in touch with the liver.

That is to say, Zhang Fan has a system, but he doesn't have a system. He wants to have liver surgery at a young age, so let's endure it. Human life is a matter of life, and there is no fluke.

Sometimes, when you think about it, doctors want to rush to the top of the world class in their profession.

In fact, just like cultivating immortals, if you want to get ahead in this line of work, the excellence of your background (school), the reputation of your teacher (mentor), your own talent and hard work, and the size of your gang (hospital) are all indispensable. .

Zhang Fan is really lucky. Not to mention having a system, he came to a small place after graduation, had the opportunity to practice his skills, and met good leaders and teachers. It is really unlucky luck.

Benign tumors of the liver can actually be treated in municipal hospitals, let alone provincial hospitals, but Zhang Fan has to do it himself if they pay the knife fee.

When Zhang Fan entered the operating room, the patient was lying on the operating bed quietly with his upper body naked and a urinary catheter inserted underneath. No matter whether the rich or the common people, lying on the operating bed, they are not afraid, Zhang Fan has never seen it before.

The patient has not yet been anesthetized. When Zhang Fan entered the operating room, the patient forced a smile on his face. Sticking out his tongue, rolling his eyes.

After the patient was arranged by the anesthetist, the patient was disinfected and surgical drapes were laid. At first, Zhang Fan washed his hands and entered the operating room. The nurse quickly put on Zhang Fan's surgical gown with a smile.

As the nurse tied the belt behind Zhang Fan, Zhang Fan stood beside the equipment nurse's operating cart wearing gloves. And my mind is full of various examinations of the patient.

Imaging studies, such as CT, MRI, and PET examination results, report that the liver tumor is benign, and even laboratory tumor markers suggest that the patient's tumor is benign, but the results of these examinations can only be used as a reference and cannot be used as a diagnosis.

What is the gold standard for tumor diagnosis, which is to cut it out for pathology. Before there is no pathology, the patient's diagnosis is question mark, that is, the diagnosis of uncertainty.

Therefore, during the operation, it is necessary to reserve room for the operation to deteriorate according to the standard of nausea and tumor. In surgery, there is a very classic saying: God is unwilling to correct a wrong incision.

When the hand is raised and the knife is dropped, there is no way out, and there is no way out for the doctor to go back on his word. Therefore, when a doctor lifts a knife, he must have a clear mind. This brain is cultivated after years of experience from easy to difficult, and practice from childhood to adulthood.

The patient is ready. The surgical position is head high and feet low. Venous catheters have been implanted in the arms on both sides. Antibiotics are input on one side and energy is input on the other. Reserved for accidental need for blood transfusion.

For the incision, Zhang Fan chose the subcostal incision. Many doctors prefer the median incision, which is the incision from the xiphoid process to the navel. It has many advantages, because the incision is in the middle, and the operation plan can be adjusted at any time due to the condition. There are also many disadvantages, the biggest disadvantage is that the damage is too large.

As far as Zhang Fan is concerned, benign liver tumor surgery is too simple. Most of the well-known instruments in the operating room are matte, and the only thing that can reflect light is the blade of the scalpel.

When a little cold light reflected from the tip of the knife, Zhang Fan started. The skin was like tofu, gently drawn in a big arc by Zhang Fan.

The muscles were separated, the peritoneum was cut open, and the surgical forceps clicked with a sound! Click! With a clicking sound, Zhang Fan opened a big hole in his abdomen, revealing the liver in front of the doctors.

The liver, the liver with benign tumors, is very weird. A normal liver is like an irregular piece of blood tofu, flat and tender.

But the wine owner's liver is different. His liver with benign tumors has a completely different painting style, as if the liver has grown muscles, like digging a piece of meat from a Belgian blue cow.

Although it looks less uncomfortable than a malignant tumor, it is not as cute as a normal liver.

A normal liver is like a little Zhengtai, giving people a feeling of affection or closeness.

And a liver with benign tumors is like Dwayne Johnson. Looking at it, I can't wait to take a needle to release the Qi in his body.

"It looks benign." Zhang Fan looked at the bulge on the surface of the liver, and said to the two directors who were undergoing surgery, and before they could reply, Zhang Fan began to poke his hands into the patient's body to see. It's probing.

This is a necessary step in tumor surgery. Regardless of whether it is benign or malignant, the surgeon must use his own hands to make a diagnosis of the organs around the patient's liver.

This action was like shuffling the cards with both hands after a round of mahjong. Zhang Fan touched the organs around the liver with both hands, but found nothing abnormal.

Then, he said to the itinerant nurse, "Electric knife!"

"Electric knife?"

The itinerant nurse looked at Zhang Fan uncertainly, and then at the two directors of the hepatobiliary surgery department. The girl accompanied the doctors of the hepatobiliary surgery department to perform many operations on such benign tumors. None of them used electric knife, they were all separated by hand.

Before Zhang Fan wanted to see through, he would do this kind of surgery with bare hands, but since Zhang Fan wanted to see through, it can be said that there is no trick, how to do it with less damage, how to do it, how to do it quickly, how to do it .

"Give it to Zhang Yuan!" The director of the Fifth Hepatobiliary Department was rather impatient, and the nurse was a little hesitant, so he said anxiously.

"Hehe, it's okay, give it to me." Zhang Fan smiled. The little nurse was helpless, and handed the electric knife to Zhang Fan.

Then, there was a faint smoke rising, the electric knife was flying in Zhang Fan's hand, and there was no trace of blood in the liver tumor.

"Beautiful!" The director of the second liver and gallbladder department couldn't help saying.

Please remember the first domain name of this book: . Vertex Novels mobile version reading website: