Surgical artist

Chapter 131

operating room.

Ma Lin, Wu Shan and others felt a sense of pride in their hearts.

Fortunately, Director Zhao belonged to their fourth hospital, so they were lucky enough to observe this "difficult project" level surgery.

Near the water tower first get the month!
This is where the expert directors of other hospitals are not as good as them.

While proud and joyful, they were also a little nervous.

Director Zhao's current success or failure is a loss to them, so every operation of Zhao Peiru affects their emotions.

They were also curious about how Zhao Peiru would use the knife and cut it off.

"The operation is about to begin!"

All the people watching held their breaths!

On the operating table, Zhao Peiru made a "herringbone"-shaped incision and entered the way.

Dissociated, disconnected, gradually exposing the operative field.

Using direct vision under the operative field microscope and assisting with ultrasound positioning, locate the location, number, and anatomical relationship of the lesion...

"The lesion is about to be revealed!"

Everyone couldn't help swallowing a mouthful of saliva.

Before the operation, they had seen the scan of the lesion.

Just like the "starry sky", the lesions are dotted all over the surface of the liver!

It looks very infiltrating!
At this moment, they were about to see the true face of the lesion, and everyone couldn't help breathing faster.

The next moment, with Meng Xiang lightly pulling the hook, Zhao Peiru blocked the first portal of the liver, ligated the broken blood vessels and bile ducts...

The liver, which looks like "stars all over the sky", or more like "mouldy spotted steamed buns", is completely revealed!

"hiss……"

Everyone took a deep breath!
"This liver is almost useless, isn't it?"

Moldy, speckled, stained everywhere.

At first glance, the area of ​​the lesion is even larger than the area of ​​the liver!

To be honest, everyone present, including Xiang Tan outside, and liver experts such as Yin Guanghai who didn't come...

I have never seen the liver of this "multiple hepatocellular carcinoma" directly like today!

Because they used chemoembolization and palliative therapy before, it was only interventional treatment outside the body, and there was no substantive approach dissection at all.

"Gudong!"

Marin swallowed uncontrollably:

"This lesion is completely spread over the entire surface of the liver, and even the inner parenchyma is estimated to be full of lesions... How to remove it?"

He was completely dumbfounded.

If it were him to do it, there might not be any remnant liver left, and the whole liver would be removed in the end.

In that way, the patient would not have to live.

At this moment, behind everyone, the door of the observation room opened, and Professor Jiang and Director Deng walked in.

"How far has the surgery progressed?" Professor Jiang asked as soon as he came in.

Marin said intently: "We're going to start removing the lesion...huh?"

He suddenly felt that the voice was familiar.

Much like some authority figure in mind.

When Marin raised his head subconsciously, he was startled!
"Jiang, Professor Jiang! Also... are you Director Deng?"

These two are both industry leaders in the province, and they are famous!They are all people who can only be seen on the news!

Especially Director Deng at the back, who is the vice president of the Provincial Anti-Cancer Association and the director of the Provincial Anti-Cancer Research Institute, with a lot of title halo!Respected status!
Wu Shan, Peng Bin and others next to him were also shocked!I dare not speak anymore.

Professor Jiang looked at it and breathed a sigh of relief: "Finally, there is no delay. It seems that I have just entered the core operation part."

Director Deng also nodded: "It's fine if there is no delay."

After the two finished speaking, they concentrated on watching the operation.Ma Lin, Wu Shan and the others, seeing that the two big bosses were silent, they didn't dare to talk to them anymore, so it was time to see the operation quickly.

"This lesion is indeed serious!"

Professor Jiang and Director Deng also frowned when they saw the "mouldy white flour steamed bun"-like liver!
"Now, can this liver be brought back to life..."

"It all depends on Director Zhao's operation!"

The two had seen Zhao Peiru's surgery plan, although they were confident about it...

But theory is one thing, practice is another.

Just like a marathon robe, the theory is simple, maintain physical strength, uniform speed, endurance, persistence, and so on.

But in practice, there are very few that can really do it and complete it perfectly.

So at this moment, the two couldn't help but sweat for Zhao Peiru's actual operation.

Next, Zhao Peiru needs to pick out the liver tissue that can be used normally from the "mildewed steamed buns", and remove those "mildewed parts" bit by bit.

During this process, the normal compensatory function of the remnant liver must be ensured, and the cut cannot be too fragmented.

This creates a contradiction.

If too many cuts are made, the patient will have too little remnant liver to live a normal life. In severe cases, the liver will fail, and even his life will not be saved.

Less cuts, as long as one lesion is not cut clean, then there is no "cure" and the cancer will recur again.

How to grasp this speed is something that Zhao Peiru needs to consider.

This speed, in the eyes of everyone, is as difficult as reaching the sky!

Under the watchful eyes of the crowd.

Zhao Peiru, who was on the operating table, was not panicking at all.

At the specialization level...

When he looks at this liver, it is like looking at a pile of building blocks that have been put together. He only needs to remove the "bad" building blocks.

It's easy and simple, but it takes a little time.

Under the knife!

Zhao Peiru first started from the surface of the liver, and performed an anatomical resection of those "mildew" lesions with margins greater than [-] mm.

His knife is extremely fine, even if the lesions are close to each other, Zhao Peiru will carefully divide and peel off, preserving the remnant liver as much as possible.

Each lesion should be resected separately as much as possible.

Ultrasound positioning and rich experience were used to resect the lesion in the liver parenchyma.

Pieces of lesions were peeled off and the parenchyma separated.

Looking at the smaller and smaller remnant liver, Marin subconsciously said nervously: "Half of the liver will be cut soon, right?"

Director Deng said softly: "Yes."

"But it's okay. According to the data of our institute's laboratory, even if 75% of the liver tissue is cut off, as long as safety protection measures are taken, the remaining residual liver can perform normal compensation."

Marin was startled, he really didn't know the research data!
It is estimated that it is Director Deng's latest research results.

As time goes by……

The scalpel in Zhao Peiru's hand was like a carving knife, carving back and forth on the diseased liver, and he would cut off a small piece of the disease each time.

This is a job that tests patience and physical fitness!
You need to maintain a high level of concentration throughout the process!
two hours...

four hours...

five hours...

"Director Zhao's physical fitness is really good! Because I was so fascinated by watching, I didn't move my feet for a long time, and my feet felt numb!"

"It's been more than five hours, and the movements in Director Zhao's hands still haven't slowed down!"

Everyone couldn't help but nodded, and they were secretly speechless.

I secretly admire Zhao Peiru's physical fitness.

(End of this chapter)