Surgeon: I can hear the cells

57.

“Everything is ready.” The instrument nurse responded from the side.

Laparoscopic splenectomy involves eight steps.

1. Take the improved stone cutting position.

2. Build a pneumoperitoneum.

3. Establish the operation hole.

4. Free spleen.

5. Deal with the spleen.

6. Remove the spleen.

7. Suture fixation.

8. Close the pneumoperitoneum and suture the puncture hole.

Ye Feng’s thoughts in his heart were very clear.

The injured person is placed in a lithotomy position, and then a pneumoperitoneum is established.

The doctors and nurses are also very well coordinated, they have already had several previous operations, and with Ye Feng’s experience, this time, they are familiar with the road and full of confidence in Ye Feng’s technique.

Ye Feng established two operating holes.

Main hole one, and main hole two.

Laparoscopic surgery has gradually replaced open surgery.

However, the technical difficulty is high, and there are many doctors, who are still not qualified to operate.

The operator should have rich laparoscopic operation skills, only with rich laparoscopic operation skills, can change the previous fixed thinking, establish a new sense of laparoscopic position, sense of space, and master the skills of spleen resection under laparoscopic.

After the operable hole is established, the laparoscope is inserted into the spleen.

The surrounding doctors and nurses immediately saw the situation inside.

“The center of the spleen ruptures and needs to stop the bleeding immediately.”

Ye Feng analyzed the symptoms at a glance.

The spleen is a key immune organ in the body.

It can be completely removed, but the problem is that it is easy to get sick later on.

However, if it is not removed, then there is no life.

Both can be chosen without much thought.

And this operation, controlling bleeding, is the key to ensuring the success or failure of the operation!

Ye Feng, controlling the ultrasound free splenic ligament, is very easy and skillful in the eyes of others, and in such a narrow and limited space, Ye Feng’s hand is very stable.

The spleen is suspended after the free perisplen ligament, and the spleen pedicle is directly separated with a straight line closure!

After complete dissociation of the blood vessels.

Ye Feng uses tissue closure clamps, and the ends are clipped and then cut.

“The blood vessels here are a little twisted and difficult to handle.” Dr. Liu manipulated the laparoscope and said quickly.

“It’s not difficult, Ultherapy!” Ye Fengyun was light and breezy, stretching out his hand.

The instrument nurse immediately handed over the ultrasound knife.

Ye Feng adopted the ultrasonic knife clamping method.

The clamping method can actively detect small blood vessels in the splenic parenchyma, reduce the number of broken blood vessels in the splenic portal and maintain the residual spleen blood supply.

The injured person is currently experiencing active bleeding in the cross-section, and it is not possible to directly coagulate to stop the bleeding.

At present, it is the wisest choice to block the tertiary vascular branches near the section at the spleen portal to achieve the purpose of reducing bleeding.

But right now, what Ye Feng needed to deal with was the twisting of blood vessels.

His train of thought is often already able to think of the next step, so he can perform the operation without stopping and extremely silky in the middle.

The blood vessels are tortuous, and Ye Feng can completely use the ultrasonic knife or electrode hook to free and penetrate the blood vessels.

This is also why it cannot be forcibly free, because it is easy to cause blood vessel tearing and heavy bleeding.

“Titanium clip with a length of 1.2cm!” Ye Feng continued to demand.

Instrument nurse, continue to cooperate.

Ye Feng controlled the stepped clamps at both ends of the titanium clamp, clamping and cutting on the side.

This silky operation came down.

Dr. Liu’s tiger body trembled, it was too smooth.

It turns out that it can still be solved like this?

In this way, it can indeed ensure that the splenic blood vessels do not suffer from uncontrollable bleeding due to excessive separation.

This technology is really a masterpiece!

Dr. Lau, admiration comes from the bottom of his heart.

The rest of the nurses were also deeply impressed.

In the past, when they had surgery, they were very nervous and worried.

But for some reason, as long as he participated in Ye Feng’s operation, he didn’t feel this way.

There seems to be no pressure, and in the absence of pressure, their cooperation is smoother and less prone to mistakes.

The success rate of surgery will also be greatly improved.

Ye Feng still didn’t dare to relax.

When pulling the stomach, use laparoscopic non-invasive intestinal forceps to clamp and then pull to ensure that the stomach is not damaged and bleeding due to clamping.

Then the laparoscopic gastrointestinal fan blade is used to pluck, lift and press the spleen, which can fully expose the perispleen without causing spleen bleeding.

Then comes the spleen!

Ye Feng should be as close to the spleen as possible to avoid the occurrence of pancreatic fistula due to damage to the tail of the pancreas when the spleen pedicle is cut by the straight cutting closer.

Therefore, when dealing with organs, the factors to consider are very many and complex.

According to the branch of the splenic artery, the spleen can be divided into 2~3 lobes and two segments: the upper pole segment and the lower pole segment.

There is less arteriovenous anastomosis between adjacent splenic segments, forming a plane that is nearly vascular.

And Ye Feng’s resection operation has this characteristic.

This feature constitutes an important key to partial splenectomy, and dissecting the splenic parenchyma along the vascular plane can not only reduce intraoperative and postoperative bleeding, but also reduce the possibility of residual ischemic necrotic spleen.

“Doctor Ye, do you need to take a break?”

Dr. Lau is worried, is there really no need to pause so silky?

Nothing went wrong?

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