Surgeon: I can hear the cells

61.

In the operating room, Ye Feng and many doctors looked at the detailed report.

Male, 45 years old, married

The patient was found to have a liver mass for more than 20 days.

Tumor marker: AFP1210.00ng/ml

Liver function: ChildA grade

Preoperative diagnosis: hepatic caudate lobe liver cancer

With sufficient time, Ye Feng will still make sufficient preoperative preparations.

ICG fluorescence guided excision line.

“Doctor Ye, this is really difficult.”

“The caudate lobe of the liver is located deep in the abdominal cavity, which is not easily exposed and adjacent to important anatomical structures such as the hilus of the liver and the inferior vena cava, where tumor resection has been challenging.”

Dr. Liu couldn’t help but say.

“In the difficult operation, also face it, don’t you?” Ye Feng asked the nurse to help him put on the surgical gown, surgical cap and gloves, and then disinfect it.

This time it was again laparoscopic surgery.

Laparoscopic minimally invasive surgery has a good recovery effect on patients.

Anesthesia, pneumoperitoneum, setting up the operating hole, putting in the laparoscope!

These are under a series of prerequisites.

Ye Feng began the operation.

It is still Dr. Lau holding the mirror.

After entering the abdomen, the first step is to free the perihepatic ligament and cut the round ligament and sickle ligament.

Set up the abdominal hook and place the hilar blockade band.

Then cut off the right delta ligament, right coronary ligament, liver and kidney ligament, hepatocolon ligament, left delta ligament, left coronary ligament and hepatogastric ligament in turn, so that the entire liver is completely free, and then the dissection of the liver portal begins.

This first step is already cumbersome operation.

It is enough to see how difficult this operation is.

Ye Feng also felt the pressure like never before.

The eyes are sharp, and the operation is more and more delicate, carefully separating the gallbladder triangle, ligating and cutting the cystic duct, dissecting the common hepatic duct, cutting it at the confluence of the left and right liver ducts.

Confirm the hepatic artery, carefully separate until the left and right hepatic arteries branch, ligate separately, and cut the hepatic artery near the hilar of the liver.

Gently pull the hepatic artery to reveal the portal vein, separate the portal vein from the surrounding lymphoid tissue, and distach the portal vein at the height of the hepatic portal, at this time, turn on the venous diversion pump.

When the venous diversion pump is turned on, the inferior vena cava begins to be revealed and dissected.

Because of the numerous collateral vessels in the peritoneum on the surface of the inferior vena cava, all of these vessels must be sutured.

“Xin’s Pliers!” Ye Feng said.

The instrument nurse immediately cooperated to pick it up.

Ye Feng quickly clamped the inferior vena cava above the renal vein with Xin’s forceps and severed the inferior hepatic vena cava.

The Arantius tube, also known as the umbilical vein catheter, is then separated.

The liver is then flipped to the right and ICG fluorescence stained on the dorsal side of the left coccygeal lobe tumor, freeing the ligament around the left coccygeal lobe.

Ye Feng did not stop and continued to separate and ligate the Arantius tube.

At this time, the first hepatic portal blocking band needs to be preset.

Next, the liver parenchyma is severed along the proposed resection line.

Ye Feng, then used the well-known, extrathecal dissection method to separate ligation G1.

The whole operation was very smooth.

In such a difficult operation, Ye Feng still did not have any stagnation.

Although it was not the first time they had cooperated with Ye Feng for surgery.

But still can’t resist, their shock.

The next operation is faster.

Ye Feng took a breath and blocked the first liver gate.

Multiple short hepatic veins in the left coccygeal lobe were separated and ligated, and gradually succeeded.

Subsequently, the inferior vena cava ligament is separated and ligated.

Continue to cut off the liver parenchyma, then block the first liver gate, and then break the liver parenchyma….

It’s a matter of iteration here.

If the truthful layman sees it, he must be stupid.

The doctors and nurses were amazed at the precision and accuracy of this knife technique.

Dr. Liu has already recognized it, isn’t this Dr. Ye Feng’s small step and fast walking knife technique?

It’s really good!

Fast and accurate!

Liver plane is shown under ICG fluorescence staining.

Ye Feng controlled the ultrasound knife and cut it in one go.

I saw many doctors and nurses, and I was happy.

There is a feeling of battlefield combat.

The cheerfulness of the moment of removing the head of the enemy.

Ye Feng continued to loosen the first hepatic portal blocking band.

“Liver section bipolar electrocoagulation to stop bleeding!” Ye Feng immediately ordered.

Other doctors immediately cooperated.

The cross-section of the liver resection is then shown under ICG fluorescence staining.

Put the hemostatic material, place the abdominal drainage tube, bag the specimen, and complete it like a cloud.

After taking care of the remaining finishing touches.

Ye Feng turned around and dropped a sentence: “Finish work!” ”

“What’s the time?”

“Two hours and fifty minutes! Dr. Ye, you broke the record again! The nurse said with admiration.

“Hey, it’s still slower than expected.” Ye Feng sighed.

“？？？？？” Surgical members.

“I suspect that you are in Versailles, and there is evidence.” Dr. Lau.

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