After 100 Days Of Sign-In, The First Operation Shocked The World

"Doctor, is it dangerous?"

The parents turned pale with fright.

Lin Feng patiently said: "There must be risks, but for your daughter's current situation, this must be the most optimal solution and the safest."

"This liver cancer is so close to the hilar, it is easy to spread the cancer cells to other body parts through the blood vessels during the operation, which is troublesome at that time."

"In short, external resection is the best method!"

Why is it so detailed?

Because every operation is dangerous, even if Lin Feng is better, he thinks 100% is no problem, but it is still difficult to guarantee 100% no problem.

Therefore, it is necessary to talk to the patient’s family to prevent the family from making a fuss in the hospital afterwards.

Lin Feng: "Yes, there is one more point. Even if the tumor is removed from the liver, this is also the visible part of the tumor, and the invisible part may be distributed in other parts of the liver."

"Therefore, although resection 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, then it may be a complete recovery. If it recurs, then it is not clean..."

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

The parents are rural people, not very knowledgeable, and they trust Lin Feng very much. They don't have the ‘Baidu doctor’ problem of other patients.

The father soon: pay the fee, be admitted to the hospital, conduct further inspections...

Fasting and so on...

...

Lin Feng is holding an emergency meeting.

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

"what?"

"Removal of isolated liver tumor?"

When Lin Feng said the operation plan, he was shocked by a large group of emergency doctors.

"This is too difficult, right?"

"Liver resection is a four-level operation, and it needs to be external to the body, which is extremely difficult..."

08　 "Dr. Lin, would you like to invite people from liver surgery to come and operate together?"

"Yes, come for a consultation? It's okay for everyone to work together."

Before Lin Feng came to the internship, although the emergency department had performed a lot of operations, they were basically first-level and second-level operations, and sometimes third-level operations. When it came time for fourth-level operations, Director Zhou himself was on stage.

But Director Zhou was stabbed in the heart last time, and he was afraid that he did not have enough physical strength and energy to perform the operation of liver resection.

However, Dr. Zhang Yuan, faced with such an operation, he himself felt weak.

At this moment,

Director Zhou suddenly whispered to Zhang Yuan: "I will sign this operation..."

Zhang Yuan: "Huh? 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 license, he needed someone to take responsibility for him. He gave me this life. Naturally help him...you are still young..."

Zhang Yuan was silent for a while.

"is teacher!"

Passing on from generation to generation!

The older generation will always support the new generation!

...

...

soon,

Anesthesiology, imaging, liver surgery...

The more capable doctors in various departments were called to the emergency room.

The consultation meeting was held.

Emergency doctors and interns are retired...not qualified to listen.

Doctor Gui Pei, intern: "............"

MMP!

Shivering and cold!

When can we stand up!Although the various departments are very dissatisfied with the behavior of robbing patients in the emergency room, they will still give full assistance to patients when it comes to patients, and build a bridge of health for the patients.

When the meeting first started,

When they heard that the 7-year-old girl grew up eating instant noodles and ham for two years, she suffered from liver cancer, and they all yelled.

"How come there are such parents!"

"Too Damn it!"

Feeling sorry for the little girl, and angry at the parents' mischief.

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

"Surgical resection of liver tumors has three key central links: complete removal of the tumor, effective control of bleeding, and better protection of liver function. The three influence each other, but they restrict each other."

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

"At the hepatic portal? This operation is very troublesome, which means that there is no way to do endoscopy!"

"If surgery is performed in the body, the position of the tumor is just blocked by the liver above, which is difficult to deal with. Once the operation is not done, it is easy to touch the position of the blood vessel..."

"difficult!"

"This case is too troublesome."

Following Lin Feng's explanation, the doctors frowned and felt very troublesome.

Wu Zhengye, director of hepatobiliary surgery, stared at the enhanced ct chart: "Perhaps, we can try extracorporeal liver resection..."

"Extracorporeal liver resection?"

"This can indeed greatly reduce the risk of spreading cancer implantation and also reduce the risk of hemorrhage..."

"However, we have never done hepatobiliary surgery. The risk is too great."

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

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

In fact, he has been paying attention to Lin Feng, all of Lin Feng's surgery videos, he has watched them.

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 I can see Lin Feng's surgical strength. Wu Zhengye believes that he can't achieve Lin Feng's level.

Lin Feng is an evildoer and cannot be judged by common sense.

Therefore, Wu Zhengye has no negative attitude towards Lin Feng's operation.

Lin Feng is very confident and serious: "I can be sure of this. I will do the extracorporeal liver resection."

Director Wu Zhengye nodded: "If you are sure to do it, I will naturally not object... However, I want to remind you that if the liver is removed outside the body, the human body will have an "anhepatic period". The longer the time, the greater the harm to the body. "

Lin Feng nodded: "I have already thought about this. Use "extracorporeal venous bypass", use centrifugal pumps and pump heads, sleeve blood thermostats, cold and hot water circulating water tanks, blood storage and bypass pipes to transfer blood Link it up to ensure the blood flow and circulation throughout the body...it just so happens that I will do it too. "

Extracorporeal venous bypass?

Wu Zhengye was surprised secretly.

Lin Feng can even do this?

This seems to be a technology that has only been developed in the Imperial Capital, right?

Who is Lin Feng's disciple?

It's so powerful?

And the other doctors: "……………………"

Ten-faced dumbfounded!

What are the two big brothers, Director Wu and Doctor Lin, talking about?

I don't quite understand?

Are we here to make up this consultation?

Crying~~

...

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

It also includes various methods, including but not limited to the top secret surgical techniques at home and abroad, and even in the world. These are secret weapons that many laboratories and hospitals cherish and refuse to tell the outside world.

And now, it was all said by Lin Feng.

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

From "I am an experienced consulting doctor" to "I am a new student."

From working hard to come up with ideas, to earnestly listening to the class, and then to enthusiastically listening to the class.

Attentive to study·jpg

There is only one thing in my heart, and that is learning·jpg

I love learning, learning makes me happy·jpg

Don't bother me, I just like learning·jpg

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

Every time, every doctor feels that he has made some progress!

However, there are still a lot of words that Lin Feng said, they do not understand.

In the end, they had to start picking up paper and pen, trying hard to write down Lin Feng's words, and then slowly figure out.

Half an hour...

One hour……

Two hours...

Lin Feng is talking, they are listening...

Time passed without knowing it for a long, long time, and everyone didn't feel it...

Four hours later...

Tuk tuk~~~

The nurse knocked on the door: "It's off work, it's dinner..."

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

"Oh, go to dinner, the consultation is over..."

When other doctors listened,

"No!"

"I still want to continue studying!"

"Can I not eat..."

Reach out to keep Lin Feng.

As a result, Lin Feng has already ran out of the house, leaving more than a dozen pairs of holding hands, and an endless pity.

All the doctors felt that this trip was very rewarding and made great progress!

Many things suddenly became clear.

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

"Doctor Lin, awesome!"

The attending-level doctors, even the deputy chief doctors, worship Lin Feng in their hearts.

...

...

Next,

one day……

Two days...

Three days...

The little girl’s examination was completed step by step, and the details of her body data gradually became clear, providing data support for the operation.

At this time, this operation has become a conversational resource for doctors in the entire city's first hospital.

"Have you heard? The emergency department requires an "external liver tumor resection". The liver is cut out and placed outside, the tumor is cut off, and then put back in. "

"Hiss~~~So bold in emergency?"

"I heard that it was Dr. Lin Feng's proposal, and he would be the chief surgeon..."

"Dr. Lin Feng? It seems that there is a possibility of success. After all, he is a big man who has undergone black tiger heart surgery."

"I heard that at the time of the consultation, Mr. Wu, the director of Hepatobiliary Surgery, was persuaded by Lin Feng and agreed with the operation."

"It's more than that. Last night, many doctors in hepatobiliary surgery wanted to be one assistant and two assistants, and even the deputy chief physician wanted to be on the operating table."

"So awesome?"

"I just hope that this operation can be recorded in a video, and then I can watch it slowly."

"I hope so too."

The doctors talked a lot, but the smarter doctors have rushed to the emergency room to find Director Zhou, wanting to join the onlookers of the operation.

What video to watch?

It's cooler to watch the surgery directly on the spot!

What a group of iron and hanhan!

...

On the 4th day,

All preparations for surgery, everything is ready.

Location: Operating room of emergency department.

Time: 10 o'clock in the morning.

Surgery staff: Chief surgeon Lin Feng, anesthetist, Wang Jiahua, deputy chief physician of 833 Biliary Surgery Department of First Help, Zhang Yuan of Second Help Emergency Department, and 4 nurses of anesthesia, itinerant nurse of Hepatobiliary Surgery, and instrument nurse.

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

People are here.

Strong onlookers!

All of them have watched Lin Feng's surgery videos and know Lin Feng's surgery level. Naturally, I know that if this operation is successful, I will definitely learn a lot from the crowd.

As for interns?

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

(Interns: ￥%#￥·MMP!!!)

Item preparation: extracorporeal venous bypass equipment, centrifugal pump and pump head, liver transplantation equipment, 1 film, exploration bag, surgical dressing, abdominal cavity automatic retractor, vascular equipment, electrosurgical unit, aspirator, blocking tube, various types of silk thread, 11X34 Liver needle...

The little girl was pushed into the operating room nervously but pretending to be strong.

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

...

The operation begins.

The patient girl is lying on her back, with a temperature-changing blanket and anti-decubitus cushion under her body. The lower limbs are wrapped with plastic sheet for heat preservation, and the upper limbs are wrapped and pressed on the side of the body, protected by hand guards.

Then, the anesthesiologist started anesthesia and intubated general anesthesia...

After general anesthesia, Lin Feng began to direct.

Urinary catheterization, external precision urine bag.

Invasive monitoring of left radial artery puncture.

The right femoral vein puncture was used to monitor the venous pressure of the lower extremities during the operation.

The arterial circumscribed tee facilitates blood drawing during the operation.

...

Next, a formal laparotomy was performed.

First, lay the towels and disinfect.

Choose the electrosurgical knife, which is a needle used to cut skin and flesh in surgical operations and at the same time can automatically sterilize the wound.

Then Lin Feng picked up the electric knife and incised the right upper abdomen through the rectus abdominis, while extending it under the left costal margin.

Very skilled!

Experts will know if there is any.

Lin Feng didn't hesitate to start, as if he was full of confidence, and the cut was very beautiful.

The doctors who watched the live broadcast all had their eyes brightened.

The electric knife cuts the subcutaneous and abdominal wall layers in turn...

Install the suspension hook to fully expose the surgical field and explore the abdominal cavity...

Use a wet gauze pad to push the stomach and intestines to the lower left, fully exposing a whole liver...

The liver that can be seen in the surgical field is intact, and it looks fine.

When Lin Feng gently opened the liver, he could see a tumor at the bottom. According to the scan, the tumor was the size of a ping-pong ball.

...

The next step is the highlight.

Separate the whole liver! !

. .

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