Take the liver!!
First block hemostasis, block the liver portal with a blocking band,
Then use fine separation forceps and scissors to separate and cut the liver round ligament, the hepatic sickle ligament and many other hooked ligaments, No. 7 or No. 4 silk thread suture or ligation...
Pull open the fully exposed liver portal with an S hook upwards, and then separate the liver portal.
All external dynamic static branches are clamped and cut off with fine separation forceps, ligated proximal line 7, small needle line 4 suture, and distal line 7 ligation.
At this point, only 20 minutes have passed...
Too fast!
......
external operating room,
The group of doctors watching and learning widened their eyes at this time, afraid that they would miss any of the highlights.
"What a speed!"
"What a delicate technique!"
"Incredible!"
"Every time I operate, I feel like I don't have to think about it, and I can operate it directly. "
"My thinking can't keep up with Dr. Lin's speed!"
Amazing!
Heart-screaming!
......
Another ten minutes passed.
The liver was successfully isolated.
The first stage of surgery comes to the final step,
Lin Feng reached into his abdominal cavity with both hands and hugged his liver out.
liver
Separated out!
All the doctors and nurses followed this liver at this moment.
Lin Feng carefully put it in the cryogenic box, and when the tumor was removed, it would be carried out here.
However, Lin Feng did not cut the tumor first, but first carried out extracorporeal venous transfer connection to the "liver-free phase".
In the absence of hepatic stage, because of the blockade of intrahepatic arteriovenous and venous, serious physiological disturbance to patients, a series of complications such as hypothermia, hypotension, metabolic acidosis, and hyperkalemia often occur during and after surgery.
And "extracorporeal venous flow" can solve these problems well.
Put on the equipment that has already been prepared.
They are: SarnsDelphin type centrifugal pump and pump head, sleeve blood thermostat, hot and cold water circulating tank, blood reservoir and transfer pipeline...
Lin Feng began to move.
Still very skillful operation.
Stitches, connections...
In 20 minutes, all connections are completed.
Open blockade, blood flow, venous diversion route drained by portal vein, left femoral vein cannula, through the pipeline, centrifugal pump head, thermoconverter... Into the artery...
Monitoring mean arterial pressure, central venous pressure... And so on a series of data, good detection of the patient's condition.
The patient is well in all his signs...
There were no problems such as cardiac arrest, ventricular fibrillation, blood clots...
At this moment, all the doctors and nurses in the audience exhaled a long breath.
The first stage, it worked!
It went well!
Then all eyes looked at Lin Feng, and their eyes were full of admiration.
That's awesome!
Had to serve!
Lin Feng didn't care about this, to put it bluntly, this operation was not difficult for him.
Those surgeries that others thought were infinitely thrilling, in Lin Feng's opinion, were simple surgeries.
Strength determines vision!
......
Next
The second stage, begin!
At this stage, the tumor is removed.
Lin Feng came to the operating table next to it, and the entire liver of the little girl was placed in a low-temperature environment to reduce its loss and destruction.
Turn the liver upside down.
Expose the tumor site.
Lin Feng used an electric knife to start making an incision from around the tumor to separate the normal parts of the liver and the tumor sites.
On the way, you will encounter various dynamic and static branch blood vessels and ligaments, all of which are opened, and after cutting, they are lubricated with liver needles and liver thread dipped in paraffin oil while cutting and sutured to stop bleeding, and they are reconnected and sutured later.
30 minutes later...
The tumor was finally isolated by the whole ...
No injury to the tumor, avoiding the spread of cancer implantation.
Because the little girl is young, the liver function is strong, and it is enough, so Lin Feng cut off the surrounding circle in order to avoid cancer cells in the surrounding tissues.
Therefore, the tumor was only the size of a soldier's tennis ball, but Lin Feng cut out a small fist size.
Next, the missing part of the liver is re-sutured.
With needle seven, the sections are stitched together.
After 43 minutes...
End of liver suture.
"Phew~~~~"
Throughout the operating room, everyone exhaled a long breath.
Because it is too neat, it gathers together, and it seems particularly loud.
Lin Feng: ".................."
Calm down!
It's all from the basics!
Don't cow, sit!
However, his 'basic exercise' is a trick in the eyes of those doctors.
Because these 'basic exercises' are the brainchild of many world-class surgical experts, and even many are 'killer skills' and 'tricks', the realm level itself is not something that these doctors can touch.
They observed the whole process, studied carefully, and naturally felt that they had gained a lot and made continuous progress.
From time to time, he shouted in his heart: "Lying groove, you can still operate like this", "This is a trick", "The technique of pressing the bottom of the box", "Wow, I learned and learned", "I feel that my level has greatly improved", "666", "See Dr. Lin more in the future"...
The reason for this is that they are on the 10th floor.
And Lin Feng is on the 100th floor!
Next comes the third stage.
......
Stage 3, begin!
At this stage, the liver reverts to the body and is sutured.
Lin Feng needs to plant the liver back into the little girl's body and maintain the little girl's vital signs.
Once successful, it means that the surgery has been successful.
Of course
This is less difficult for Lin Feng than the first and second stages!
Rinse and disinfect...
Block the blood vessels, then evacuate the extracorporeal venous diversion device...
Put the liver back into the abdominal cavity, suture the dynamic and static branch blood vessels, ligaments...
15 minutes later...
All stitched up!
It's still super fast!
All the onlookers exclaimed one word in their hearts - "Super god-level fast!"
The third stage, the end.
......
Next
Stage 4, end the operation!
This section is the easiest and the key to the success of the operation.
Everyone was nervous and looked at Lin Feng's hand.
Lin Feng loosened the blockade band, and blood began to flow back into the 'long-missing' liver.
Observe bleeding.
The instrument nurse was ready to go early, concentrated, and held the suction device, ready to attract bleeding at all times.
Outcome......
One minute......
Two minutes......
“???"
"No bleeding?"
So big incisions, so many vascular sutures...
Not a single blood came out?
The instrument nurse looked at Lin Feng, and her eyes blossomed: "Male god!
I can't wait to pounce on it and kiss it... Well, it's definitely not coveting the appearance of Lin Feng, absolutely not!
No bleeding...
Then the various signs detection instruments in the operating room also showed that the patient's little girl's signs were all stable, and there were no twists and turns...
Next, it's much simpler.
Drainage tubes are placed on the liver surface under the diaphrenic ...
Count instruments, dressings, supplies...
Shut the belly...
Time 13 minutes...
Total time: 3 hours and 40 minutes...
The clock 13:40:23...
End of surgery!!
"Boom~~~~~~"
At this time, all the doctors and nurses applauded Lin Feng with joy and sincerity, including Wu Zhengye, the director of the Department of Hepatobiliary Surgery.
"Doctor Lin, Supergod!"
"Medical skills, absolute!"
“666~~~"
"What a harvest!"
"Learned a lot, thanks Dr. Lin!"
One by one, they were awe-inspiring, and gave Lin Feng a convincing.
......
......
Outside the operating room,
The little girl's parents, grandparents, grandparents, and grandparents are anxiously waiting.
And those relatives and friends, think that the operation time should take six or seven or eight hours doctor, Baidu said so, so they all went out to eat.
As for the parents, grandparents, grandparents, grandparents did not go, it was because they were nervous and could not eat, so they did not go.
"Bless the child to come out safely..."
The six people kept praying, and they asked for all the Buddha and the Jade Emperor.
Just then...
The sound of the gate is ringing!
The door to the emergency room is slowly opening on both sides!
A group of doctors came out.
Parents, grandparents, grandparents, and six people ran over.
"Doctor, how is my daughter?"
"My granddaughter she..."
Lin Feng smiled and waved his hand to suppress: "Uncle and aunt, don't worry, the operation was successful!"
"Huh? Really!"
"Really, is her granddaughter all right?"
"Hahaha~~ Thank you, thank you, my poor daughter, thank you!"
Six people thanked one after another, some bowed, some cried, some knelt...
Mess.
It was joy, joy, happiness...
Lin Feng instructed: "Now she is still in the stage of anesthesia, at least until tomorrow to remove the anesthesia, so you will not see her until night... Of course, you can see it now, but she can't wake up yet, so just try not to disturb her..."
The mother cried, "All listen to the doctor, all listen to you." "
At this time, Lin Feng was their lifesaver, and Lin Feng's words were 100% listened to. ......
At night
The little girl woke up.
The vital signs were good, and some small symptoms appeared, all of which were suppressed by Lin Feng's medication.
I then reviewed the abdominal CT and it was in good condition.
At this point, the official success of this operation can be declared!
"Doctor, thank you!!"
The father cried again and knelt down, wanting to kowtow to Lin Feng.
"Hurry up, what's the matter again..."
Lin Feng is so helpless.
"Next, listen carefully!"
"Well, doctor, you say. "
"Patients should stay on bed rest these days and avoid strenuous exercise. Also, the surgical trauma of this liver cancer is greater, the diaphragm is raised, the breathing movement is restricted, if the patient coughs and coughs up sputum, it can be given atomized inhalation, often turn over and pat the back, breathe deeply, and encourage the patient to cough up the sputum..."
Lin Feng explained various points in detail,
"Okay, okay... Be sure to do it!"
The parents nodded repeatedly.
Lin Feng: "By the way, don't give any instant noodle ham in the future!"
The father gritted his teeth and said, "Don't dare, if you are giving it to my daughter with instant noodles, I will beat myself to death!"
Lin Feng sighed.
......
The next day,
The news of the successful operation spread throughout the hospital through the internal group.
A lot of internal groups are boiling.
"Dr. Lin is awesome!"
"Fourth-level surgery, and it's not an ordinary fourth-level surgery!"
"I checked, this should be the first such operation in our city, breaking the record!"
"Male god wow wow wow~~~!"
This kind of surgery, for many doctors, is the pinnacle of a lifetime of admiration.
Therefore, Lin Feng's successful completion of this operation brought a deep shock to many doctors!
Early this morning,
Lin Feng stepped into the hospital.
Then greeted by many doctors and nurses.
"Doctor Lin, good morning!"
"Doctor Lin, awesome~(thumb)~!"
Lin Feng obviously felt that the attitude of the doctors and nurses towards him began to become respectful.
This is a kind of respect for the big guys of technology!
Lin Feng nodded all the way, responded to others' greetings, and returned to the emergency department.
Another wave of greetings.
......
Enter the consultation room.
Turn on the call machine.
"Please Zhang Jinhu to Clinic No. 5..."
Soon, a fat man walked into the consultation room and sat down.
The fat patient's face was normal, and he coughed twice from time to time.
Lin Feng checked the medical records.
Zhang Jinhu, 28 years old...
"Zhang Jinhu, tell me about the situation..."
"Doctor, I, I, for the past three months, I have been coughing a lot, and I can't breathe. Also I sometimes have a little tinnitus, buzzing ~~"
The fat man panted.
After talking like this for a while, he was already coughing.
"Ahem~~"
Lin Feng touched his chin.
Cough, a very common symptom, cold, flu, upper respiratory tract infection, bronchial allergy ... Countless diseases can cause coughing.
"Have you had a cold lately?"
"No, I came to the hospital because I didn't have a cold but always wanted to cough. "
The fat man said with difficulty: "I can't keep up with my breathing." "
Lin Feng nodded and opened the inspection list: "Let's go and check first." Urinalysis, blood routine, neck MRI, and electrocardiogram, and take a chest x-ray. "
These tests are all tests of areas that are highly related to cough.
Don't think it's troublesome for doctors to write checklists, doctors are not immortals, without examinations as a basis, they can't judge what is wrong with your body.
The fat man nodded and went.
......
Lin Feng saw three or four more patients.
Half an hour later, I saw the fat man come back with the inspection report.
Urine routine, blood routine, neck MRI, electrocardiogram, chest x-ray results are out.
Lin Feng took the results, and the previous examinations did not find anything abnormal, but the neck MRI was somewhat clueless.
Combined with the chest radiograph, Lin Feng has already predicted in his heart: thyroid cancer!!
But for further confirmation, continue to open the order.
"Further checks are needed. You go about another ultrasound. "
Lin Feng ordered.
The fat man was a little impatient: "Doctor, do you need to be so troublesome? I have to go back to playing games! Isn't it just a small cold?
Lin Feng said coldly: "Little cold? Who told you?"
"Oh, is it possible, can it still be as serious as cancer?"
The fat man said happily.
Lin Feng's next sentence directly let him spray!
"Maybe?"
The fat man was petrified at that time!
"You, don't scare me, Doctor! "
"So, I'll let you go for a check-up." "
Lin Feng said in a deep voice: "It is necessary to synthesize the results of all aspects of the examination in order to make an accurate judgment." "
"Oh oh~~"
That fat man is also a person who is afraid of death, and even climbed to about B ultrasound.
However, the B ultrasound of the first hospital in the city is generally overcrowded and can only be booked until the next day.
......
The next morning, Lin Feng was seeing a doctor, and the fat man ran over panting with the results of B-ultrasound.
"Dr. Lin, can you show me again? I haven't slept well this night." Look at my big eye bags~~"
The fat man looked distressed and muttered to Lin Feng.
Lin Feng smiled: "You are so strong, it's okay if you don't sleep all night, let me see~~"
Lin Feng looked at it for a few minutes, and his face gradually became serious: "You still need to do two more checks." One is magnetic resonance and the other is PET-CT. After these two test results come out, you are ready to be hospitalized!"
"What?"
The fat man jumped up in shock: "What the hell is wrong with me, doctor?
Lin Feng said lightly: "A good news, a bad news, which one do you listen to first?"
The fat man pondered for a long time: "Let me listen to the bad news first." "
"Congratulations, you have cancer!" said Lin Feng lightly.
"Poof!"
The fat man stumbled, his legs and feet were soft, and he fell directly to the ground!
Tragic~~
In an instant, the fat man's eyes were filled with tears of fear.
A fat face full of collagen, full of fear!
"I, do I really have cancer? How long can I live? God, why do you do this to me? Don't I usually like to watch some romance movies? If I die, what will happen to my beloved dolls?"
The fat man has fallen into self-pity, collapse and run away.
Lin Feng: "..."
Speechless!
This goods, really think that they are dead, and say all the words in their hearts?
"Stop, stop!"
Lin Feng didn't have the good temper to stop the fat man: "You stop first, okay? I said you might have cancer, but I didn't say that you would definitely die! Right?"
"Cancer, isn't it going to die?"
The fat man looked broken.
"Not all cancers die. "
Lin Feng comforted the fat man: "There are more than 200 kinds of cancer." Congratulations, the good news is that even if you determine that it is cancer, it happens to be the most lifeless and harmless one!
"Thyroid cancer?"
The fat man was confused, it is estimated that he has never heard of this disease.
"Yes, it's very unlucky to have cancer. But if you have to choose one type of cancer in this world, choose thyroid cancer. "
Lin Feng patiently explained to him and popularized science, but he was also afraid that this fat man who was afraid of death turned around and went directly to the rooftop of a hospital, and then he still had the responsibility to be a doctor.
In these years, doctors should not only be skilled in medicine and responsible for saving people's lives, but also be good at doctor-patient communication and responsible for broadening people's hearts.
Lin Feng: I'm too difficult~
。
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