Knight Story: Learning medicine can’t save the world!

Chapter 120: Everyone’s Doubts!!

The scalpel falls.

Lin Yu chose the most common opening method, that is, the incision in the middle of the upper abdomen.

“Accurate!”

Erjitang Hongmaru was a little surprised.

In general, in open surgery, the main knife will choose to cut the anterior sheath of the rectus abdominis muscle one centimeter on a horizontal line on the umbilical cord to determine the position and width of the abdominal white line, ~ to confirm the open incision.

Those who dare to operate directly like this belong to extreme confidence in their surgical level.

Lin Yu explained as he opened.

“Everyone’s organ position has some differences, I knew the patient’s organ position before the operation, and my hand is relatively stable, I have a good sense of direction, and I can do a knife to open the abdomen.”

Hideki Takano looked at Nijido Red Maru.

“Learned?”

Nijido Hongmaru nodded excitedly.

“Learned, but not!”

After a few minutes, the abdominal cavity opens and the stomach is exposed.

It can be seen that the stomach body has a large tumor, surrounded by a large number of colons, yellow, distributed with many small blood vessels.

At this point, Lin Yu’s face also became grim.

After the abdomen is opened, the organs in the abdominal cavity should be explored to confirm the metastasis of cancer cells.

This step requires adherence to the strict five-tumor operation principle, that is, not touching the tumor.

Once the tumor is cut, the cancer cells are likely to spread through the blood, but the patient cannot be saved even if the ghost comes.

Takano Hideki, Jukawa Shizuka and the others held their breath, and at this time, none of them dared to disturb Lin Yu out loud.

“Bending tweezers.”

In the process of exploration, the principle of far and near is followed.

Lin Yu carefully examined the rectal fossa of the bladder and found no tumor.

Then there is the liver, from the diaphragmatic surface, the visceral surface, to the hepatic hilus, the spleen to the tail of the pancreas.

“The tail of the pancreatic body needs to be removed.”

Lin Yu’s voice fell, and the Second Order Hall Red Pill immediately wrote it down.

This kind of surgery is difficult and rare, and doctors of his level have no chance.

Now that he had finally seen it once, even so closely, he didn’t dare to relax for a moment.

“Oval forceps.”

Lin Yudao.

Total gastrectomy is a major operation on the gastroenterology side, only the director dares to operate, the emergency department side is not to say that it is a total gastrectomy, and it is considered skilled to remove half of the stomach.

Therefore, except for Takano Xiuyi, who understood that Lin Yu was going to do his life next, everyone else was confused, and they needed Lin Yu to shout the equipment before they knew what to do, and after the second step hall red pill handed over the oval tongs, Lin Yu took the oval tongs, lifted the stomach, and then covered it with gauze to close it.

Next, the examination of the extent of invasion and mobility of the tumor is started.

“Adhesions occur in the pancreas, transverse mesangium, partial metastasis in lymph nodes.”

The Second Order Hall Red Pill immediately wrote it down.

After completing the first overall exploration, Lin Yu went from left to right, top to bottom, front to back, and after confirming the final excision range, Lin Yu put down the oval forceps.

Erjido Red Pill stared at the patient’s stomach and said.

“I have never seen such a good-looking stomach, both in shape and curvature, it is perfect, I really want to know how good it is when I don’t have stomach cancer!”

Lin Yu’s mouth twitched.

Beauty… From a medical point of view, Hongo’s stomach is indeed exactly the same as the textbook stomach.

“After the gastrectomy, how about I cut the tumor by the way and give it to you?”

Lin Yu said without looking back.

The Second Order Hall Red Pill was stunned, and immediately shook his head in madness.

“Director Takano, trouble to block the perigastric movement and venous blood circulation.”

Lin Yu picked up the oval forceps again and pulled his stomach forward and up, revealing several major blood vessels.

Director Takano nodded and made a quick move.

“Blocked.”

Lin Yu nodded.

“Director Juchuan, trouble to take the handle.”

“You’re going to… Suture the left and right arteries and veins of the stomach?? ”

Shizuka Jukawa was a little surprised.

That’s too fast, right?

Lin Yu did not speak, and after waiting for Shizuka Juchuan to produce oval forceps and adjust the posture of the stomach, he immediately picked up the needle forceps and used four hao threads to stitch the right arteriovenous of the gastric omentum.

“S-shaped pull hook.”

Lin Yu held the hook in his hand and carefully pulled the liver upward, while allowing Shizuka Jukawa to pull the stomach downward, exposing the liver-stomach ligaments.

“Tissue scissors.”

“Second-order doctor, help maintain the position of the liver.”

Erjitang Red Pill immediately ran over with joy.

Ma yes, major surgery is good!

In the past, I could only count gauze and play with the little nurse on the side, but now as a third assistant, I can actually observe the liver so closely!

Hideki Takano pouted next to him.

Is this still the exchange doctor you brought yourself?

Isn’t it just a liver? Excited to be like this?

It’s really out of nowhere!

At the same time, he was also happy that he could actually touch a vascular forceps when Lin Yu was the main knife.

Lin Yude moved quickly, and after fixing the position of the liver and stomach, he quickly found the vascular place of the liver and stomach ligaments.

Cut with tissue scissors, separate except for the right arteriovenous vein of the stomach, cut and ligate.

In the same way, Lin Yu sewed several arteries and veins on the left side.

“Then the omentum sac was removed.”

Lin Yudao.

He said it.

On the one hand, it is to tell the instrument nurse and the second order hall red pill what equipment they may use, so that they can prepare in advance.

On the other hand, it is also teaching.

In any case, he has an excision at this level, let alone in Kanna City, even in the whole country, few have mastered it, and being able to observe it more closely is beneficial to everyone present.

“Okay!”

The Second Order Hall Red Pill seemed to have experienced Lin Yu’s good intentions, and his heart was a little moved.

It is relatively easy to remove the gastric omentum, but it is a test to master the strength, especially when separated, a careless separation will fail to lead to the rupture of blood vessels or tissues.

After easily separating the omentum from the transverse colon, Lin Yu began to separate the transverse mesangium.

It is important to note here that transverse colonic cimus is easily divided.

“Electric knife, blunt separation.”

Lin Yudao.

The blunt separation caused everyone, including Hideki Takano, to frown.

However, because Lin Yu was concentrating on separation, no one said what doubts were in their hearts.