Surgical artist

Chapter 158 This Is Simply a "Dimensionality Reduction Strike"

As he was on the operating table, Zhao Peiru freed the duodenal ligament and began to explore the portal vein.

Marks the second part of the operation!

Everyone started to get nervous again!
Although the first part of the operation is very exciting.

But the real difficulty of this operation lies in how to remove the tumor thrombus from the portal vein!
Everyone opened their eyes wide, staring at the operating table.

Zhao Peiru reached out and pinched the distal end of the portal vein with two fingers.

Then he told Meng Xiang: "Xiao Meng, prepare to squeeze the proximal end of the portal vein, don't use force yet, wait for my order."

Meng Xiang nodded, ready to strike.

"Director Zhao is... controlling the blood flow?"

"Control the blood flow through the strength of finger pressure, what exactly is this going to do?"

Everyone is full of curiosity!
At this time, Zhao Peiru explained without haste:

"I am using the principle of blood supply. The blood supply of tumor embolus mainly comes from portal vein blood and blood vessel wall nourishing vessel holes."

"So, the combination of tumor thrombus and blood vessel wall is actually relatively loose."

"As long as the operation is done properly, the entire tumor thrombus can be completely removed...Xiao Meng, now the blood supply is completely cut off."

Xiaomeng hasten to execute!

For Zhao Peiru and Xiao Meng, under the control of blood flow by finger pressure on both sides, the blood flow of the main portal vein was completely blocked.

I saw that Zhao Peiru used vascular forceps to penetrate into the main portal vein from the cross section very delicately, gradually clamping the "strip-shaped" portal vein tumor thrombus inside!

In this step, the two sides need to fit perfectly, clamping on one side and squeezing with your fingers at the proximal end!

With the cooperation of the two sides, the internal tumor thrombus, like a "worm" hidden in the blood vessel, was "clamped" out of the main portal vein by Zhao Peiru's exquisite manipulation technique!
When everyone saw that the complete, cord-shaped tumor thrombus was completely taken out by Zhao Peiru, their faces were all shocked!

It's so complete!

Such a whole piece was pulled out directly!

Even after removing the tumor thrombus, the vessel wall inside the main portal vein is extremely "smooth!"

This shows that Zhao Peiru's method can not only "remove tumor thrombus", but also remove it completely!Take it clean!

Exhaustion means to take it completely without breaking, so as not to increase the difficulty of taking out the tumor thrombus, and just take it all at once!
Clean, it is taken clean without residue.Effectively guarantee the non-recurrence of cancer after surgery!

The most important thing to fight cancer and remove tumors is to clean and remove them completely, so that no trace of recurrence can remain.So when Zhao Peiru completed the removal of the entire tumor thrombus, the surprise in everyone's hearts can be imagined!

"Xiao Meng, let go of the blocking."

As soon as Zhao Peiru finished speaking, with Meng Xiang's cooperation, blood flowed out immediately!

Zhao Peiru nodded slightly, quite satisfied.

"Suction with a small suction device."

After that, flush with blood again!

In this step, a small amount of fresh blood is used to flush the trunk of the portal vein to prevent debris and small thrombi from remaining.

"This... is it done?"

Everyone was shocked beyond measure!
The "portal vein thrombus removal", which made them extremely difficult, ended up in Zhao Peiru's hands, but it ended so soon?
The whole process was indeed as Zhao Peiru said...

No hilar block was performed and no hilar dissection!This also means that the patient will not suffer from liver failure or hepatorenal syndrome due to hepatic portal blockage!
Safety can be greatly improved!

Du Rong from the Port No. [-] Hospital: "Did you find out? Director Zhao took the bolt directly from the section!"

"That is to say, from the very beginning, when he performed the irregular liver cut in the first part, he planned the section in advance! He prepared the groundwork for the second part!"

When everyone heard it, they suddenly realized!

The cross-section takes into account both the first part of cancer removal and the second part of thrombectomy.

What a detail!
This "drop-in" operation reduces the repetitive operations originally planned, reduces the operation time, and is more patient-friendly.

"Director Zhao still has a lot of details, and each of them is in place!"

Jia Yanjun from Jiren Hospital looked admiringly:
"Just like finger pressure to control the blood flow just now, the two sides cooperate to better 'squeeze' out the tumor thrombus."

"This is the extreme use of the force of the blood supply trend on the portal vein."

"There is also the use of normal saline to flush the portal vein cavity and blood vessels, all to flush away small thrombus cancer fragments that may be missed."

"As well as many small details in the second part, in fact, the foundation has been laid in the first part, such as the location planning selection of the section just now."

After watching the operation at this moment, everyone suddenly recalled it, and gradually figured out the deep meaning contained in those incomprehensible details just now.

It's like a puzzle with the answer unraveled.

They couldn't understand the many operations just now.But now seeing the results, the usefulness of those details gradually became clear.

Everyone said in their hearts that the details are in place, and the plan is well-conceived!
Yue Qianyi's breathing became short of breath.

Because he saw a new direction of "removing tumor embolus" in the industry, a brand-new choice completely different from the previous surgical methods!

"This technique is really good!"

"There is no need to block the hepatic hilum, and it can make it shine! And it can also extract the tumor thrombus completely, and the one that can be extracted is cleaner and more complete..."

"The superposition of these two advantages may directly eliminate the previous portal vein thrombectomy, bypass surgery, and end-to-end anastomosis, right?"

Everyone nodded.

The advantage of this technique is indeed too obvious.Compared with the previous several tumor thrombus extraction techniques, it is simply a "dimensionality reduction blow"!
Jia Yanjun nodded, and said with emotion: "The comparative advantage is great! The previous operations, even for young patients with good physique, still have liver damage."

"And this new technique basically doesn't cause much damage!"

"If this technology is easy to popularize, hospitals will definitely set off a surgical revolution and eliminate the old surgical methods."

"But unfortunately..."

"This technique is not easy to popularize!"

Jia Yanjun sighed regretfully: "If you want to master Director Zhao's technique, you must first be proficient in the difficult operation of squeezing and pinching the tumor thrombus."

"You have to make the best use of the blood flow, and you have to master the speed of the force very well, so that the tumor thrombus can be completely removed!"

"It's too difficult to master this kind of operation without using any equipment at all, but relying on the excellent operation of the chief surgeon!"

At this moment, he fully understood what Zhao Peiru meant by "a little difficult to operate".

This is more than a little difficult!The difficulty is simply too high!He even estimated that in provincial hospitals, only a few well-known doctors in large comprehensive hospitals can practice this technique through continuous clinical experiments!
After hearing Jia Yanjun's analysis, everyone seemed to have been poured a basin of cold water.

They all reacted accordingly.

Although this technique has great advantages and few disadvantages, the operation requirements are indeed too abnormal, and not everyone can master it.

Many old directors who can clearly recognize their own strength sigh secretly.

(End of this chapter)