This doctor is very stable

Chapter 147 Difficulty of Liver Cancer Resection

After all, Li Zifeng was just the director of the logistics department of a hospital in a top three city.

After Li Zifeng got liver cancer, his usual connections and connections seemed very pale.

…………

In the operating room, the operation is still going on intensely.

Sweeping away the lymphatic conjunctiva around the hepatic arteries and veins, Lin Ran reached out, "Non-invasive forceps, blocking forceps."

At this time, Lin Ran's forehead was already covered with sweat. You must not be reckless on the operating table. Before the hepatic vein and artery were not blocked, almost every bit of lymphatic membrane was swiped on the tip of a knife, for fear of accidental injury. May cause profuse bleeding.

Lin Ran held the tweezers and blocking forceps, and Xu Hong also held the tweezers and electric hook in his hand to cooperate with Lin Ran's operation.

"Be careful……"

Chen Qiufeng recited silently in a super low voice, not daring to blink, for fear that blinking would affect Lin Ran's operation.

Hepatic artery occlusion, stable.

Hepatic vein occlusion, or stable.

"sharp……"

"This hand is steady..."

After Lin Ran blocked the two blood vessels supplying the liver, Juan couldn't help admiring.

However, Lin Ran did not relax, but directly said: "Blocking belt."

The hepatic portal vein is relatively large, so clamps cannot be used for blocking, and blocking tape should be used instead.

"Lin Ran, are you going to get out the lesion of the hepatic portal vein first?"

Generally speaking, as long as the hepatic vein and artery are blocked and the liver is cut, there will be no risk of massive bleeding.

Now that Lin Ran wanted to block the hepatic portal vein, it was obvious that he had to give priority to treating the lesion of the hepatic portal vein.

"Well, if you don't deal with the hepatic portal vein first, you won't feel at ease if you cut the liver cancer into a liver block!"

Others did not object, Chen Qiufeng nodded and reminded, "The hepatic portal vein should not be blocked for a long time, we must hurry up."

"Understood." Lin Ran was very confident in his advanced blood vessel suture.

After the blocking band is applied, the hepatic portal vein is blocked.

Lin Ran continued without stopping: "Tweezers, fine scissors."

After receiving the tweezers and scissors, Lin Ran began to peel off the adhesion between the hepatic portal vein and the right lobe of the liver.

The surrounding lymph membrane was cleaned.

The blood vessel was being blocked, and Lin Ran's operation also sped up.

Of course, the completion of blocking does not mean that it can be reckless.

If the blood vessel is broken by improper operation, it will still be troublesome even if there is no bleeding.

The blockage of blood vessels has a time limit, and the blocking forceps must be loosened every short time to restore the blood supply to the liver, otherwise the patient's liver may be necrotic, and the patient will still die even after the operation is completed.

Lin Ran is now on full fire. After cleaning up the surrounding area, he immediately began to peel off the adhesion between the hepatic portal vein and the right lobe of the liver.

This step must be done carefully, otherwise the hepatic portal vein will be torn if one is not careful, and it will take time to repair it!
"Stay steady..."

Everyone breathed a sigh of relief.

Lin Ran operated the fine scissors to peel off the infiltrated and adhered parts bit by bit.

"It became..."

After the peeling was successful, Lin Ran quickly put down the fine scissors in his right hand, "Long scissors."

When trimming the hepatic portal vein, Lin Ran trimmed it completely along the red and green prompts of the system's diagnostic assistance function.

"Vascular Stapler."

Originally, Lin Ran planned to sew it up manually, but unfortunately there was not enough time, so he had to use a stapler to do it, it's better to be steady!Otherwise, the operating table will make a wrong step.

The electronic clock on the wall of the operating room flickered and flickered, and the time passed bit by bit.

"hurry up……"

Lin Ran shouted in his heart.

Chen Qiufeng looked up at the electronic clock on the wall, "Hepatic portal vein anastomosis is completed, four minutes and 20 seconds."

"sharp……"

Juan's heart was beating like thunder now.

It only took Lin Ran more than four minutes to clean the lymphatic membrane, peel off the infiltrating adhesions, and anastomose blood vessels!

No wonder Lin Ran dared to perform this operation!
Without any hesitation, Lin Ran put down the instrument in his hand, and quickly untied the hepatic portal vein.

"Fortunately, there is no leakage."

Lin Ran secretly rejoiced in his heart.

At the same time, the work in his hands did not fall.

Also loosen the hepatic vein and arteries.

He just finished the untie operation, Chen Qiufeng immediately said: "Lin Ran, not bad."

Lin Rantai raised his head, the sweat on his forehead fell like a snowball, "tick tock" onto the floor of the operating room.

"Wipe your sweat."

5 minutes.

After the liver is loosened, there is 5 minutes for blood circulation.

Lin Ran also had a 5-minute break.

However, after treating the invasive lesion from the hepatic portal vein, the resection of the liver cancer becomes much easier.

Five minutes later, Lin Ran blocked the hepatic vein again.

"Atraumatic tweezers, fine scissors."

There is also a certain difference between the lymphatic membrane removal of liver cancer and the removal of benign tumors of the liver.

Benign tumors do not metastasize through lymph nodes, so it is not necessary to sweep them so cleanly.

But liver cancer can transfer through the lymphatic system, so the lymphatic sweep of liver cancer must be cleaned delicately to avoid future troubles.

The work of sweeping the lymph is cumbersome, and it must be cleaned thoroughly.

So naturally it takes more time.

In the operating room, Chen Qiufeng watched Lin Ran steadily and meticulously clean up, and couldn't help but smile.

"Old Hu, have you seen it! If this operation allows you to undergo the surgery, can you achieve the effect that Lin Ran did?"

Juan slapped Boss Chen fiercely, "Aren't you blind? Is this operation dared to be performed by me, a small director of hepatobiliary surgery? I dare say that even those experts from the province would dare to do it when they come. It's too extreme to operate like Lin Ran, and you might make a wrong step!"

At this moment, Li Canghai glanced at Chen Qiufeng, then at his little bench, feeling a little tangled.

To sit or not to sit?
sit down!It would be shameless for Chen Laogui to come to snatch it again later.

don't sit down!Feet are a little sore!

Damn Old Ghost Chen.

From an old narcotic bench grudge.

…………

outside the operating room.

"Sister, it's been almost two hours, why hasn't the operation been done yet?"

Li Xiaogan was so anxious that his face was sweating profusely, and he kept circling around the side of the operation, like a headless fly.

Seeing this, Li Xiaoran was also very anxious!But she still reprimanded: "What are you in a hurry for? The operation is still in progress, which means it's going well. Dad must be fine."

…………

In the operating room, after spending an hour and a half, Lin Ran finally finished the work of sweeping the lymphatic membrane.

After careful and repeated inspections, Lin Ran raised his head and breathed a sigh of relief: "Wipe your sweat, and prepare for the electric knife?"

When Lin Ran was sweeping his lymph, the little nurse next to him kept staring at the sweat on his forehead.

[The sweat on Dr. Lin's forehead has dripped 38 times in total, and he can finally wipe it off once!What a pity. 】

At this moment, Lin Ran felt that his body was soaked through, and this was the result of his many titles.

It was hard for Lin Ran to imagine how much effort other doctors had to perform such a difficult and delicate operation.

The armed nurse turns on the high-frequency electrosurgical unit.

Why use a high-frequency electric knife to remove the liver?

Because the high-frequency electric knife can coagulate most capillaries on the hepatectomy surface.

Of course, the electric knife will definitely cause some damage to the liver.

However, if an ordinary scalpel is used to remove these capillary sections, all of these capillary sections need to be manually processed one by one.

This will greatly increase the operation time, which is undoubtedly fatal damage to a liver whose blood supply has been blocked for a long time.

The lesser of two evils.

Therefore, in most operations, doctors will choose to use electric knife.

Removing the liver was not too difficult for Lin Ran.

Soon the cancerous part on the right lobe of the patient's liver was removed by Lin Ran.

The patient's entire liver was cut off by Lin Ran, no more than one-third of it was examined.

When Lin Ran withdrew the electric knife, Xu Hong quickly took out the liver without saying a word.

They have all seen Lin Ran's magical ability to cut livers across the board, so naturally they didn't ask some stupid words.

Xu Hong put the fist-sized liver block into the tray prepared by the nurse.

"Send it for inspection immediately."

The nurse led the way.

Outside the operating room, the family members of the patients saw the door of the operating room open.

I just wanted to come up to ask a question, but I didn't expect the little nurse to ignore them at all, and ran away with a tray.

But they also saw the liver on the nurse's tray. Li Xiaogan was not afraid but said excitedly: "Sister, did the nurse carry the liver that was cut out by my father? I remember seeing it when I was playing in the hospital when I was young. "

"Stop guessing."

Li Xiaoran said so, but Li Xiaoran also stood up, looked at the red light above the operating room, and said: "But what you said is also reasonable, so Dad's operation should go smoothly!"

The worry on Li Xiaogan's face was a little less, "That's right, that's how it is."

"Well, if the operation is really successful, we have to thank Dr. Lin well."

"What are you sisters muttering about!"

The uncle of the Li family sisters asked suspiciously.

"No, uncle, we pray that Dad's operation goes well!"

The two sisters of the Li family did not express their guesses either.

(End of this chapter)