Take the liver! !
Block the bleeding first, block the hepatic portal with a blocking tape,
Then use fine separation forceps and scissors to separate and cut the round ligament of the liver, the falciform ligament of the liver and many other connected ligaments, and then suture or ligate with No. 7 or No. 4 silk thread...
Use the S hook upward to fully expose the hepatic hilum, and then separate the hepatic hilum.
All the external dynamic and static branch veins at the site are cut off with fine separating forceps, the proximal end is ligated with the 7th line, the small needle is sutured with the 4th line, and the distal end is ligated with the 7th line.
At this time, only 20 minutes passed...
too fast!
...
Outside the operating room,
A group of doctors who were observing the study opened their eyes wide, for fear of missing any highlight.
"What a great speed!"
"What a delicate technique!"
"Unbelievable!"
"Every time I operate, I don't need to think about it, just operate it directly."
"My thinking can't keep up with Doctor Lin's speed!"
Breathtaking!
Absolutely in my heart!
...
Ten minutes passed.
The liver was successfully separated.
The first stage of the operation came to the last step,
Lin Feng stretched his hands into the abdominal cavity and hugged the liver out.
liver,
Be separated!
The eyes of all the doctors and nurses at this moment are closely following this liver.
Lin Feng carefully put it in the cryobox, and when the tumor is removed, it will be carried out here.
However, Lin Feng did not cut the tumor first, but first performed extracorporeal venous bypass for the "anhepatic stage".
In the anhepatic stage, because the intrahepatic arteries and veins are blocked, it causes serious physiological interference to the patient. A series of complications such as hypothermia, hypotension, metabolic acidosis, and hyperkalemia often occur during and after the operation.
And "extracorporeal venous bypass" can solve these problems well.
Put on the equipment that has already been prepared.
They are: Sarns Delphin centrifugal pumps and pump heads, sleeve blood thermostats, cold and hot water circulating water tanks, blood reservoirs and bypass pipelines...
Lin Feng started to do it.
It is still very skilled.
Stitches, connections...
In 20 minutes, all connections are completed.
Open to block, blood flow, venous bypass is drained by the portal vein and left femoral vein cannula, and enters the artery through the pipeline, centrifugal pump head, thermostat...
During bypass, mean arterial pressure, central venous pressure...etc. series of data are monitored, which is a good way to detect the patient's condition.
All signs of the patient are good...
No problems such as cardiac arrest, ventricular fibrillation, thrombosis, etc...
At this moment, all the doctors and nurses exhaled a long breath.
The first stage was successful!
very smooth!
Then all eyes looked at Lin Feng, his eyes full of admiration.
so amazing!
Have to serve!
Lin Feng didn't care about it. To put it bluntly, this operation was not difficult for him.
In Lin Feng's view, those surgeries that were regarded as infinitely thrilling by others just now are just simple surgeries.
Strength determines the horizon!
...
Next,
The second stage, start!
At this stage, what is to be done is tumor resection.
Lin Feng came to the operating table next to him. The whole liver of the little girl was placed in a low temperature environment to reduce its loss and damage.
Turn the liver upside down.
Expose the tumor site.
Lin Feng used an electrosurgical knife to make an incision from the periphery of the tumor to separate the normal part of the liver and the tumor part.
On the way, you will encounter various dynamic and static blood vessels and ligaments. After the incision, the liver needle and liver thread are lubricated with paraffin oil and sutured to stop the bleeding. Later, they will be reconnected and sutured.
30 minutes later……
The tumor was finally separated by the whole group...
The tumor was not injured, and the spread of cancer was avoided.
Because the little girl is young and the liver function is strong enough to be used, Lin Feng cut off all the surrounding tissues in order to avoid cancer cells in the surrounding tissues.
Therefore, the tumor is only the size of a table tennis ball, but Lin Feng cut out the size of a small fist.
The next step is to re-sut the missing part of the liver.
Sewing the cross-sections together with needle No. 7 thread.
After 43 minutes...
The liver suture is over.
"Hoo~~~~"Throughout the operating room, everyone took a long breath.
Because they are too neat, they are very loud when gathered together.
Lin Feng: "………………"
Calm down!
This is all from the base!
No cows, all sit down!
However, in the eyes of those doctors, his ‘basic exercise’ is a trick.
Because these "basic exercises" are the brainchild of many world-class surgical experts, and many of them are even "killer tricks" and "tricks". The realm level itself is not something that doctors like them can contact.
They watched the whole process and studied hard, and naturally felt that they had gained a lot and made continuous progress.
I yelled from time to time: "Fuck, I can still do it like this", "This is a trick", "The technique at the bottom of the box", "Wow, I learned what I learned", "I feel my level has improved a lot." "Now", "666", "See Dr. Lin for surgery in the future"...
The reason for this situation is that they are on the 10th floor.
And Lin Feng is on the 100th floor!
Next is the third stage.
...
The third stage, start!
At this stage, the liver is sutured back into the body again.
Lin Feng needs to replant the liver into the little girl's body and maintain the little girl's vital signs.
Once successful, it means that the operation has been successful.
certainly,
For Lin Feng, this is even less difficult than the first and second stages!
Rinse and disinfect...
Block the blood vessels, and then withdraw the extracorporeal venous bypass device...
Put the liver back into the abdominal cavity, suture the moving and static branches, vessels, ligaments...
15 minutes later...
All stitched up!
It's still super fast!
All the doctors onlookers exclaimed in their hearts-"Super God-level fast!"
The third stage is over.
...
Next step,
The fourth stage, the operation is over!
This section is the easiest, and it is also the key to test the success of the operation.
Everyone was nervous and looked at Lin Feng's hand.
Lin Feng loosened the blocking tape, and blood began to flow back into the "long-missing" liver.
Observe the bleeding.
The instrument nurse was ready to go early, condensed his mind, holding the suction device, and was always ready to attract bleeding.
result……
One minute……
Two minutes...
"???"
"No bleeding?"
That big incision, so many sutures...
No blood came out at all?
The equipment nurse looked at Lin Feng, her eyes blooming: "Male god! That's amazing!"
I can't wait to pounce on it and kiss...Well, it's definitely not coveting Lin Feng's appearance, definitely not!
No bleeding...
Then the various physical sign detection instruments in the operating room also showed that the physical signs of the patient's little girl were stable, and there were no twists and turns...
Next, it's much simpler.
Drainage tube is placed on the liver surface under the diaphragm...
Inventory of equipment, dressings, articles...
Close the abdomen...
13 minutes...
The total time is 3 hours and 40 minutes...
The clock is 13:40:23...
The operation is over! !
"Wow!~~~~~"
At this time, all the doctors and nurses applauded Lin Feng convincingly, including Wu Zhengye, the director of Hepatobiliary Surgery.
"Doctor Lin, super god!"
"Medical skills, absolutely!"
"666~~~"
"A lot of gains!"
"Learned a lot, thank you Dr. Lin!"
One by one stood in awe and gave Lin Feng convincing flattery.
...
...
Outside the operating room,
The little girl's parents, grandparents, and grandparents are waiting anxiously.
And those relatives and friends felt that the operation time should take six or seven or eight hours. Doctors, as Baidu said, so they all went out for dinner.
As for the parents, grandparents, and grandparents who didn't go, they didn't go because they were nervous and couldn't eat.
"Bless the child to come out safely..."
The six people kept praying, and they asked all the Buddha and the Jade Emperor.
at this time……
The door rang!
The door of the emergency room opened slowly on both sides!
A group of doctors came out.
The six parents, grandparents, and grandparents ran over quickly.
"Doctor, how is my daughter?"
"My granddaughter..."
Lin Feng smiled and waved his hand to press: "Uncles and aunts, don't worry, the operation was a success!"
"Huh? Really!"
"Really? My granddaughter is all right?"
"Hahaha~~ Thank you, thank you, my poor daughter, thank you!"
The six people thanked again and again, some bowed, some wept, some knelt...
There was a mess.
That is joy, happiness, happiness...
Lin Feng urged: "She is still in the anesthesia stage, at least until tomorrow to remove the anesthesia, so you will not be able to see her at night...Of course, you can also see her now, but she still can't wake up, so try not to Just disturb her..."
The mother cried and said, "I listen to the doctor, and listen to the doctor."
At this time, Lin Feng is their savior, and they listen to Lin Feng's words 100%. ...
night,
The little girl woke up.
All the vital signs were good, and some minor symptoms appeared, all of which were suppressed by Lin Feng's medication.
Then I reviewed the abdominal ct, and it was in good condition.
At this point, you can announce the official success of this operation!
"Doctor, thank you!!"
The father cried and knelt down again, to kowtow to Lin Feng.
"Get up quickly, why is this happening again..."
Lin Feng is so helpless.
"Next, listen carefully!"
"Well, you said the doctor."
"Patients should stay in bed these days and avoid strenuous exercise. In addition, the liver cancer surgery has a large trauma, the diaphragm is raised, and the breathing movement is restricted. If the patient has a cough and sputum, he can be aerosolized and inhaled frequently. Turn over and pat your back, take a deep breath, and encourage the patient to cough up the sputum..."
Lin Feng explained various points in detail,
"Okay, okay... I must do it!"
The parents nodded repeatedly.
Lin Feng: "By the way, don't give me instant noodles and ham in the future!"
The father gritted his teeth and said: "Don't dare! If you are eating instant noodles for your daughter, I will kill myself!"
Lin Feng sighed.
...
the next day,
The news of the success of this operation spread throughout the hospital through the internal group.
Many internal groups are boiling.
"Doctor Lin is awesome!"
"Level 4 surgery, and it's not an ordinary level 4 surgery!"
"I checked, this should be the first operation of this kind in our city, breaking the record!"
"Male god wow wow wow~~~!"
This kind of surgery, for many doctors, is the pinnacle of their lives.
Therefore, Lin Feng successfully completed this operation, which gave many doctors a deep shock!
This morning,
Lin Feng stepped into the hospital.
Then greeted many doctors and nurses.
"Dr. Lin, good morning!"
"Dr. Lin, great~ (thumb)~!"
Lin Feng clearly felt that the attitude of doctors and nurses towards him had begun to become respectful.
This is a kind of respect for the tech tycoons!
Lin Feng nodded all the way, responded to others' greetings, and returned to the emergency department.
There is another wave of greetings.
...
Enter the consulting room.
Turn on the call machine.
"Please Zhang Jinhu to the No. 5 consultation room..."
Soon, a fat man walked into the consulting room and sat down.
The fat patient's complexion is normal, and he coughs twice from time to time.
Lin Feng views medical records.
Zhang Jinhu, 28 years old...
"Zhang Jinhu, right? Tell me about the situation..."
"Doctor, me, I have often coughed and can't breathe for the past three months. In addition, I sometimes have tinnitus and buzzing~"The fat man panted.
After talking like this for a while, he was already coughing.
"` "Cough cough cough~~"
Lin Feng stroked his chin.
Cough is a very common symptom. Coughs can be caused by colds, influenza A, upper respiratory tract infections, bronchial allergies...numerous diseases.
"Have you caught a cold recently?"
"No, I came to the hospital because I didn't have a cold but I always wanted to cough."
The fat man said with difficulty: "I can't keep up with my breathing."
Lin Feng nodded and opened the checklist: "Let's go check first. Urine routine, blood routine, neck MRI, and electrocardiogram. Let's take a chest X-ray."
These inspections are all part inspections that are highly related to coughing.
Don't think it is troublesome for the doctor to issue the check-up list. The doctor is not a god, and without the check-up as a basis, they can't judge what's wrong with your body.
The fat man nodded and went.
...
Lin Feng looked at three or four patients again.
Half an hour later, I saw the fat man come back with the inspection report.
The results of urine test, blood test, neck MRI, electrocardiogram, and chest X-ray came out.
Lin Feng took the results. The previous examinations did not reveal any abnormalities, but the neck MRI showed some clues.
Combined with the chest radiograph, Lin Feng has already predicted in his heart: thyroid cancer! !
But in order to further confirm, continue to open the order.
"Further examination is needed. You go to have another B-ultrasound appointment."
Lin Feng ordered.
The fat man became a little impatient: "Doctor, does it need to be so troublesome? I have to go back to play games! Isn't it just a small cold? Give me some medicine, why not take it?"
Lin Feng said coldly: "Small cold? Who told you?"
"Haha, is it possible that cancer is so serious?"
The fat man said cheerfully.
Lin Feng's next sentence, let him spray it directly!
"Maybe?"
Fatty was petrified at that time!
"You, don't scare me, doctor! I'm timid."
"So, I'm asking you to do an inspection."
Lin Feng said solemnly: "It is necessary to synthesize the results of all inspections in order to make accurate judgments."
"Oh oh~~"
That fat man was also a person who was afraid of death and cherish his life, so he crawled to get a B-scan.
However, the B-ultrasound in the No. 1 Hospital of the city is generally overcrowded and can only be scheduled until the next day.
...
The next morning, Lin Feng was seeing a doctor, and the fat man ran over with a B-ultrasound result out of breath.
"Doctor Lin, will you show me again? I haven't slept well this night. Look at my big bags under my eyes~~"
The fat man muttered to Lin Feng with a distressed look.
Lin Feng smiled: "Your body is so strong, it's okay if you don't sleep all night, let me see~ (for money)~"
Lin Feng watched for a few minutes, and his face gradually became serious: "You still need to have two tests. One is MRI and the other is pet-ct. After the results of these two tests come out, you are ready to be hospitalized!"
"what?"
The fat man jumped up in shock: "What's the matter with me? Doctor? Tell me the truth!"
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 hear the bad news first."
"Congratulations, you have cancer!" Lin Feng said lightly.
"Puff!"
The fat man staggered, his legs became soft, and he fell directly to the ground!
Tragic~~
In an instant the fat man's eyes were filled with tears of fear.
The fat face full of collagen is full of fear!
"I, I really have cancer? How long can I live? God, why do you treat me this way? Don't I usually like to watch romance movies? Am I just a bit of a dead house? I like figurines and dolls. ··If I die, what about my beloved dolls?"
The fat man was already on the verge of self-pity and collapse.
Lin Feng: "..."
Speechless!
This guy, really thought he was dead, and said everything in his heart?
"Stop it!"
Lin Feng didn't get angry and stopped the fat man: "You can stop first, okay? I said you might have cancer, but I didn't say you will die! Right?"
"Cancer, isn't it about to die?"
The fat man collapsed.
"Not all cancers will die."
Lin Feng comforted the fat man: "There are more than 200 kinds of cancers. Congratulations. The good news is that even if you decide to be cancer, you are also the most lifeless and harmless one! Thyroid cancer!"
"Thyroid cancer straight?"
The fat man was dumbfounded, probably he had never heard of this disease.
"Yes, it is very unlucky to have cancer. But if you have to choose a cancer in this world, then choose thyroid cancer."
Lin Feng patiently explained to him and popularized science, but also for fear that the fat man who was afraid of death turned around and went directly to the rooftop of a hospital. When the time comes, he will still be responsible for being a doctor.
In these years, doctors should not only be good at medical skills and be responsible for saving lives, but also be good at communicating with doctors and patients and be responsible for peace of mind.
Lin Feng: I'm too difficult~
. .
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