Back to the Republic of China as a doctor

Chapter 213 211. Intermittent blocking of the porta hepatis at room temperature to cut the liver (seeking subscription monthly ticket)

"Intermittent hepatic portal hepatectomy at normal temperature, that is, the hepatoduodenal ligament, including the hepatic artery, portal vein, and bile duct, is temporarily blocked in the portal area, each blocking time is 15-20 minutes, and the interval is 3 -5 minutes." Jiang Lai explained, after exposing his vision, he took a special small oval forceps with wet gauze on the tip from Xia Yu.

It is one of the main founders of Huaxia Hepatobiliary Surgery to cut the liver intermittently at room temperature... Mr. Wu first created it, and it will take another 20 years, so it is normal for Yu Wen and the others to not know.

Thinking of this, Jiang Lai remembered the old gentleman who insisted on seeing patients in person even in his 90s. In the history of medical development, Chinese doctors are also an inseparable part of modern medicine!

"Safety can be guaranteed?" Yu Wen had to ask, because this was different from his previous cognition, tissue ischemia, of course, would lose its activity, which is the death of ordinary people's cognition, not to mention, this kind of long-term A dozen or two 10-minute blocks.

"Yeah." Jiang Lai nodded, "Yes."

"This……"

"This method can remove as little normal liver tissue as possible." Jiang Lai used the gauze end to free the hilar area of ​​the liver, "Although the liver tissue can regenerate, if as much normal liver tissue as possible is kept, the recovery time he needs is Shorter, plus, he also did a stomach cut."

"Can liver tissue regenerate?!" Yu Wen hadn't recovered from the previous news, but heard another news that surprised him.

"Well, I've done animal experiments before." Jiang Lai was not guilty, "In a healthy mouse, even if 3/4 of the liver is cut off, it can regenerate, but not all of it."

The way Yu Wen looked at Jiang Lai changed again and again.

Even with another younger military doctor, he couldn't close his mouth in surprise.

Although Xia Yu heard it for the first time, she believed what Jiang Lai said.

Before Jiang Lai, no one thought that fingers could be attached back, and no one could challenge heart surgery... But Jiang Lai did it, Dr. Jiang, but he never talked nonsense.

"I suddenly felt that it was a great loss not to have anyone involved in this operation." Yu Wen smiled wryly, and exhaled, "You have surprised me more than once... What you said tonight, once spread, It will bring great convenience to surgeons! The prognosis of many patients can also be improved a lot!"

Jiang Lai smiled, "Okay, let's get to work."

"Okay." Yu Wen complied naturally, no matter how surprised he was, the work still had to be done.

He didn't know how a doctor could be proficient in so many surgical procedures. As far as he was concerned, he knew better about thoracoabdominal surgery and orthopedic surgery, and he had performed many surgeries.

But what about Jiang Lai?

Not to mention the replantation of severed fingers, there is also skin transplantation, and a few days ago, a knife was even performed on a person's heart.

And now...an innovative blocking method has been mentioned. Is there really an animal test behind Jiang Lai's firm tone?

Just like the first suspicion, Yu Wen became suspicious of Jiang Lai again.

The successful promotion of severed finger replantation made him clearly realize that it is not a new and undeveloped discipline, and Jiang Lai's current thoughts made him even more suspicious...whether it is foreign medicine Progress has reached a point where they are really hard to surpass?
It is clear that he also pays attention to foreign medical news from time to time... It hasn't reached that point yet!
Of course Jiang Lai knew that some people would be surprised and doubted when these out-of-date technologies were proposed, but so what?He is just a doctor, and no one would dislike his skills in curing diseases and saving lives.

What's more, he didn't come up with something that was too far ahead of this era.

Explanation is also understandable.

Of course he wasn't afraid.

The small pliers in his hand carefully separated the relevant tissues, as long as a small opening that could accommodate the passage of the blocking rope was basically enough.

Although Gu Tongen's liver has not yet reached the stage of cirrhosis, it has a tendency in this direction. At least, the liver's synthesis and regulation function is definitely worse than that of ordinary people, so Jiang Lai will remove as few livers as possible. , but... still need to remove the tumor, at least, the margin 2cm away from the tumor should be negative.

In the era without CT and MRI, Jiang Lai had to be cautious.

The harm of alcohol is actually far beyond the imagination of ordinary people. Of course, everyone's constitution is different and their tolerance to alcohol is also different, but there is no doubt that alcohol is not a good thing.

"Blocking rope." Jiang Lai took the pliers with the blocking rope, passed the blocking rope through the bottom of the hepatoduodenal ligament, and then pulled it out.

"That's... all right?"

"Almost." Jiang Lai nodded, "However, before blocking, we must make sure that what we are blocking is right."

"Need to confirm again?"

"Correct."

Yu Wen also understood that during the operation, no matter how cautious you are, it is not too much. If the block is wrong, it will cause a chain reaction in other organs, it will be bad.

So, he listened to Jiang Lai's report on the organizational structure of the Ganmen area, and leaned over his head, confirming with Jiang Lai one by one, they were all correct.

"Okay, Xia Yu, watch the time and remember to remind us in 15 minutes." Jiang Lai said immediately.

"Understood." Xia Yu took a deep breath and responded.

This operation... is also the first case in the world, the first case, the method of intermittently blocking the hilum of the liver at room temperature!

Even if she is just a nurse, she still knows the meaning.The development of medicine is nothing but to cure diseases and bring health to patients.

She always felt that she saw something different in Jiang Lai countless times.

"Blocking start time, March 3th at 8:1 am." Xia Yu looked at the clock on the wall and reported the time.

……

Outside the operating room, a group of people did not leave, and there were even a few more.

It was past 12 o'clock when Jiang Jikai and Gu Ya arrived.

Originally, Jiang Jikai wanted to arrange something with his father tonight, but there was no one in the whole family, his father was not there, and neither was Zhang Bo...

He remembered that his father was going to have dinner with Gu Tongen, so he called the Gu family again.

Only then did I know that Gu Tongen had been sent to the hospital.

My younger brother was also rushed to the hospital.

"Father..." Looking at such a group of people, Jiang Jikai really couldn't say the words to let his old father go back to rest, but he still handed over the coat in his hand, "Put on a coat, it's cold."

Jiang Yunting saw Jiang Jikai, "What are you doing here with your wife at such a late hour? Going to bed late is not good for pregnant women, didn't Jiang Lai say that?"

Jiang Jikai: ...

"Father, I'm fine. At most, it's Sunday tomorrow." Gu Ya smiled, "You should get dressed first."

Seeing his daughter-in-law talking, Jiang Yunting fell silent. He took the clothes, put them on, and looked at Uncle Zhang, "Old Zhang, send Yaya back to rest first."

"Yes, sir." Uncle Zhang agreed.

"Father, uncle, he..."

"Yaya...your cousin..." When Mrs. Gu saw Gu Ya, it was as if she had met a bosom friend.

Except for Ms. Sheng Qi, there was no woman present, but Ms. Sheng Qi was not the kind of person who could listen to her complaints. Seeing Gu Ya now...she couldn't bear it anymore.

"Aunt Tang..." Seeing Mrs. Gu's appearance, Gu Ya thought Gu Tongen was in a bad condition, "Uncle Tang..."

"Hey, it's undergoing surgery! Jiang said, your uncle has cancer... what kind of tumor, even he can't cure it, what should we do?"

　Chapter 2.

　　As the title~
　　good night ah.

　　
　
(End of this chapter)