A hundred days after signing in, the first surgery shocked the world!

"Doctor, will it be dangerous?"

The parents turned white with fright.

Lin Feng said patiently: "There are definitely risks, but in your daughter's current situation, this is definitely the most optimal plan and the safest." "

"This liver cancer is so close to the liver door, it is easy to spread the cancer cells through the blood vessels to other parts of the body during surgery, and then it is troublesome." "

"In short, in vitro excision is the best method!"

Why go into so much detail?

Because every operation has dangers, even if Lin Feng is powerful, he feels that 100% is fine, but it is still difficult to guarantee that 100% is fine.

Therefore, it is necessary to talk to the patient's family to avoid the family making a big fuss in the hospital afterwards.

Lin Feng: "By the way, there is another point, even if the liver has removed the tumor part, this is also the part of the tumor that can be seen, and the invisible part may be distributed in other parts of the liver." "

"Therefore, although resection surgery is the most effective method in the world, it does not mean that it will be cured, if there is no recurrence after a few years, it may be a complete recovery, if it recurs, it is not removed..."

"However, as doctors, we will do our best to remove as clean as possible..."

This parent, who is from a rural area, has little knowledge, and also trusts Lin Feng, and does not have the 'Baidu doctor' problems of other patients.

The father was quick: payment, admission to the hospital, further examinations...

Fasting and so on...

......

Lin Feng's side is holding an emergency meeting.

Lin Feng spread out all the reports, introduced the little girl's condition, and said his thoughts on the surgical plan.

"What?"

"Excision of an ex vivo liver tumor?"

When Lin Feng said this surgical plan, he shocked a large number of doctors in the emergency department.

"That's too difficult, isn't it?"

"Liver resection, it is a fourth-level operation, but also in vitro, the difficulty is skyrocketing..."

"Dr. Lin, do you want to invite someone from the liver surgeon to come and operate together?"

"Yes, let's have a consultation? "

Before Lin Feng came to the internship, although many surgeries were performed in the emergency department, they were basically first-level and second-level operations, sometimes tertiary operations, and when it came to fourth-level surgery, Director Zhou personally took the stage.

But Director Zhou's heart was stabbed last time, and I am afraid that he does not have enough physical strength and spirit to carry out this operation.

And, Dr. Zhang Yuan, in the face of such an operation, he himself is a little weak.

At this time,

Director Zhou suddenly whispered to Zhang Yuan: "This operation, let me sign it..."

Zhang Yuan: "Ah, teacher, you?"

Director Zhou pressed Zhang Yuan's shoulder and said solemnly: "Lin Feng is undoubtedly a genius, but when he did not obtain a practicing certificate, he needed someone to take responsibility for him. I gave this life by him, so naturally I want to help him... You're young..."

Zhang Yuan was silent for a while.

"Yes, teacher!"

The torch is passed on and the life continues!

The older generation will always support the new generation!

......

......

soon

Anesthesiology, imaging, liver surgery...

Doctors who are more powerful in various departments are invited to the emergency room.

Consultation meetings were held.

Emergency training doctors, interns retreat... Not eligible to audit.

Regulated doctors, interns: ".................."

MMP！

Chill the air!

When will we be able to stand up!

Although the departments are very dissatisfied with the behavior of rushing patients in the emergency room, they will still fully assist and build a bridge of health for patients when it comes to patients.

At the beginning of the meeting,

When they heard that the little girl was 7 years old and grew up eating instant noodles and ham for 2 years, resulting in liver cancer, they cursed angrily.

"How can there be such parents!"

"It's abominable!"

I feel sorry for the little girl, and I am angry with my parents' fooling.

After finally calming everyone's anger, Lin Feng began to explain the specific condition of the little girl.

"The surgical resection of hepatoma has three key central links: complete resection of the tumor, effective control of bleeding, and better protection of liver function, which affect each other but restrict each other. "

"The size of a ping-pong ball means that there is no way to intervene and radiofrequency ablation. "

This operation is very troublesome, which means that there is no way to do laparoscopy!"

"If the operation is performed in vivo, the location of the tumor is just blocked by the liver above, which is difficult to deal with, and once it is not operated well, it is easy to touch the position of the blood vessel..."

"Hard!"

"This case is too troublesome. "

With Lin Feng's explanation, one doctor after another frowned, feeling very tricky.

Wu Zhengye, director of hepatobiliary surgery, stared at the enhanced CT picture: "Perhaps, you can try in vitro liver resection..."

"In vitro liver resection?"

"This can indeed greatly reduce the risk of spreading cancer implantation, and also reduce the risk of heavy bleeding..."

"However, we have not done it in hepatobiliary surgery, and the risk is too great. "

Lin Feng at this time: "I can do this operation." "

Wu Zhengye glanced at Lin Feng: "Are you sure you can?"

In fact, he has always paid attention to Lin Feng, and he has seen all the surgical videos of Lin Feng.

Wu Zhengye's strength is actually very strong, and the imperial capital hospital was hired here with a high salary. The stronger the strength, the more you can see Lin Feng's surgical strength, and Wu Zhengye thinks that he can't do this level of Lin Feng.

Lin Feng is a demon and cannot be judged by common sense.

Therefore, Wu Zhengye did not have a negative attitude towards Lin Feng's ability to perform this operation.

Lin Feng is very confident and serious: "I can determine this, in vitro liver resection, I will." "

Director Wu Zhengye nodded: "If you are sure to do it, I naturally will not object... However, I want to remind you that when the liver is removed from the body, the human body will have a "liver-free period", and the longer the time, the greater the harm to the body. "

Lin Feng nodded: "I have already thought about this, using "extracorporeal venous sewerage", using centrifugal pumps and pump heads, sleeve-type blood thermostats, hot and cold water circulating tanks, blood reservoirs and diversion pipes to link blood and ensure smooth blood circulation throughout the body... It just so happens that this one I will too. "

External venous diversion?

Wu Zhengye was secretly surprised.

Lin Feng even knows this?

This seems to be the technology that the imperial capital has not long since it came out, right?

Which big man's disciple is this Lin Feng?

So powerful?

And the other doctors: "..........................."

Ten faces confused!

What are the two bigwigs Director Wu and Dr. Lin talking about?

I don't understand a little?

Could it be that we are here to make up the numbers for this consultation?

Crying chirp~~

......

Next, Lin Feng explained his "ex vivo liver tumor resection" plan to all doctors in detail.

It also comes with a variety of methods, including but not limited to the top secret surgical techniques at home and abroad, and even in the world, which are secret weapons that many laboratories and hospitals treasure and refuse to tell the outside world.

And now, they were all spoken by Lin Feng.

At this moment, the faces of all the doctors changed.

From "I am an experienced consultant" to "I am a new student".

From trying to come up with ideas, to listening carefully, to listening enthusiastically.

Concentrate on study·JPG

I only have one thing in my mind, and that is to study·jpg

I love learning and learning makes me happy·jpg

Don't bother me, I just love to learn ·jpg

Experience +100+100+100+100+100~~

Every time, every doctor feels that he has improved!

However, there were still many things that Lin Feng said, and they couldn't understand them.

In the end, they had to start picking up pen and paper, trying to write down Lin Feng's words, and slowly pondering them later.

Half an hour...

An hour...

Two hours......

Lin Feng is talking, they are listening...

Time passed imperceptibly for a long time, and everyone did not feel it...

Four hours later...

Tuk tuk ~~~

The nurse knocked on the door: "After work, dinner..."

Lin Feng woke up and looked at the clock on the wall, it was already five o'clock in the afternoon.

"Oh, let's go eat, the consultation is over..."

Other doctors listened,

"Don't!"

"I want to keep learning!"

"Is it okay not to eat..."

Reach out and hold Lin Feng.

As a result, Lin Feng had already run out the door, leaving more than a dozen pairs of reserved hands, as well as endless pity.

Doctors of all disciplines feel that this trip has gained a lot, and it has made a wave of progress!

A lot of things have come to light.

Look at the knowledge written down in the notebook, digest it later, and it is estimated that there will be a wave of improvement.

"Doctor Lin, awesome!"

All the attending doctors, even the deputy chief doctor, worshipped Lin Feng in their hearts.

......

......

Next

One day......

Two days...

Three days......

The examination of the little girl was completed step by step, and the details of her body data were gradually clear, providing data support for the operation to be carried out.

At this time, this operation has become the talk of doctors in the entire city's first hospital.

The emergency department will do an "ex vivo liver tumor resection operation", in which the liver is cut out and put outside, the tumor is cut off, and then installed back. "

"Hiss~~~ Emergency so bold?"

"I heard that it was Dr. Lin Feng who proposed the plan, and he carried out the main knife..."

"Doctor Lin Feng, that seems to have the possibility of success, after all, he is a big guy who has undergone the Black Tiger heart-draining surgery. "

"When I heard about the consultation, the director of the hepatobiliary surgery department, Wu Dagang, was persuaded by Lin Feng and agreed to the operation. "

"This is not all, last night, many doctors in the hepatobiliary surgery department wanted to be a helper, and even the deputy chief physician wanted to go to the operating table. "

"So awesome?"

"I just wanted to record a video of the operation and I could watch it slowly. "

"That's what I hope too. "

The doctors were talking about it, but smarter doctors had already run to the emergency room to find Director Zhou and wanted to join the onlookers of the operation.

What video to watch?

It's even cooler to see the surgery directly on the spot!

What a bunch of iron-!

......

Day 4,

All surgical preparation, everything is ready.

Location: Emergency Department Operating Room.

Time: 10 a.m.

Surgical staff: Lin Feng, anesthesiologist, Wang Jiahua, deputy chief physician of the first assistant hepatobiliary surgery, Zhang Yuan of the second assistant emergency department, and 4 anesthesia nurses, hepatobiliary surgery itinerant nurses and instrument nurses.

Onlookers: Director Zhou Guoxiang of the Emergency Department, Hepatobiliary Surgery, Cardiovascular Surgery, Urology, Orthopedics...

It's all coming.

Strong onlookers!

They have all seen Lin Feng's surgery video and know Lin Feng's surgical level. Naturally, if this operation is successful, then I can definitely learn a lot of things by watching it.

As for interns?

Sorry, you guys wait outside the door, don't come in and make trouble.

(Intern: ¥%#¥· MMP！！）

Item preparation: extracorporeal venous bypass equipment, centrifugal pump and pump head, liver transplantation equipment, 1 film, exploration bag, surgical dressing, abdominal automatic hook, vascular instruments, electric knife, suction device, blocking tube, various types of silk thread, 11X34 liver needle...

The little girl was pushed into the operating room nervously but strongly.

Parents, grandparents, relatives and friends were waiting outside the operating room, nervously waiting.

......

Surgery begins.

The patient's little girl lay flat and lying down, with a temperature blanket and anti-bedsore pad under her body, both lower limbs wrapped in plastic cloth for heat preservation, both upper limbs wrapped and pressed to the side of the body, and hand guards protected.

Then, the anesthesiologist starts anesthesia, intubates the general anesthesia ...

After general anesthesia, Lin Feng began to command.

Catheterization, external precision urine bag.

Left hand radial artery puncture is monitored invasively.

Right femoral venous puncture with intraoperative venous pressure monitoring of the lower extremities.

External arterial tees facilitate intraoperative blood draw.

......

The next step is to officially open the laparotomy.

First, spread the towel and disinfect.

Electric knife is a needle used in surgery to cut flesh and skin and at the same time automatically disinfect the wound edge.

Then Lin Feng took the electric knife and made an incision in the right upper abdomen through the rectus abdominis muscle, while extending it under the left costal margin.

Very skilled!

As soon as the connoisseur makes a move, he will know whether there is one or not.

Lin Feng did not hesitate to make a move, as if full of confidence, and the incision was very beautiful.

The doctors who watched the live broadcast were all bright.

The electric knife cuts through the layers of the subcutaneous and abdominal walls in turn...

Install a suspension hook to fully expose the surgical field, probe the abdominal cavity...

Push the gastrointestinal tract to the lower left with a wet gauze pad to fully expose a whole liver...

The liver that can be seen in the field of operation is an intact liver and looks fine.

When Lin Feng gently turned the liver to one side, he could see that there was a tumor part at the bottom, and according to the scan, the tumor was the size of a ping-pong ball.

......

Next, the big play comes.

Isolate the entire liver!!

。