Chapter 536 Large Tumor

The same is cutting tumors, but the difficulty is completely different.

The simplest benign sarcoma on the body surface may be pinched off by someone, and disappear without dignity.

Benign tumors in the body are more complicated. For doctors, it is mainly a matter of location and size.

The worst location is the head. Many benign tumors in the brain can be fatal, and removal is even more dangerous. If some locations are too deep, there is basically no meaning of treatment.

However, size is actually more important than location.

Especially for tumors with a diameter of more than 10 cm, its invasion of the human body itself will cause countless problems, not to mention the risk factors such as arteriovenous vessels surrounding the tumor.

Guan Fei scratched the sarcoma as big as her own head with her hands, unable to cry even if she wanted to.

Right in front of her eyes, there was a blood vessel as thick as a thumb with a thin vessel wall, and the blood flow inside could almost be seen.

Guan Fei could imagine that if she accidentally slipped her hand and the sarcoma rolled down and broke such a large blood vessel, the patient's bleeding would probably exceed one or two thousand every minute.

Such a sense of tension made her speechless, unable to scold people, and her hands and feet were so weak that she didn't dare to move rashly.

"It feels like when I was in elementary school, I couldn't recite the text and was punished by the teacher." Zheng Jun was squeezed next to Guan Fei. He stood on tiptoe with great effort, speaking in a low voice. Two people deal with a tumor not only for safety, but also because the tumor is too big.

If you change to a smaller one, even if the chief surgeon wants to hit two people, he won't be able to hit it.

Guan Fei said "Oh", "It's so uncomfortable, you should try harder."

"It's been very hard, you should hold it steady, it will be bad if you miss it." Zheng Jun was in a bad mood. In order to show his demeanor, he chose a position that was even more difficult to use. Now, he regretted it.

Guan Fei stood closer to Ling Ran, so she could see more clearly, and she was not so crooked.

Zheng Jun was miserable. He had to stretch out one arm and stand on tiptoe a little. His posture was very uncomfortable.

However, Guan Fei obviously didn't mean to appreciate it.

Because her position is also uncomfortable,

Therefore, I'm afraid I can't feel Zheng Jun's more uncomfortable.

Zheng Jun snorted secretly.

For him, it was like being taught a lesson - there is a price to be paid for showing a gentleman's demeanor in the hospital. As for the price, as far as Zheng Jun is concerned, it is really painful.

Being forced to stand for one class and two classes will exhaust the child to death. Now he has to stand in a twisted posture for more than an hour, and he has to do his best to watch some operations, which is not to mention how uncomfortable it is.

"Grab it firmly. If you miss, the patient will die." He Yuanzheng took the time to glance at Guan Fei and Zheng Jun, and reminded them again.

Zheng Jun quickly responded.

Guan Fei said a little coquettishly: "It's too slippery, it's not easy to hug."

Hearing what she said, Ling Ran said without raising his head, "Xiang Xueming, you will replace Guan Fei."

Guan Fei said "Yeah" and hurriedly said: "No need, I can still hold on, I'm just..."

"There is no need to hold on." Ling Ran interrupted Guan Fei, and then said to He Yuanzheng: "I will block the left hepatic portal first, and then I will cut off the middle hepatic vein."

"Okay, the patient's condition is stable." He Yuanzheng looked back at the monitor and reported to the chief surgeon.

Just at a glance, it's not easy.

Another young assistant came up, and now he was either too busy or frightened, so he didn't dare to tilt his head to look at the monitor.

He Yuanzheng read it, and Ling Ran didn't need to read it. This not only saves time and energy, but also improves the continuity of the operation. Just like when playing games, if you look up at the direction of the door and monitor the teacher, it is easy to be beaten by others, and the chief surgeon is more willing to keep looking at the operation area.

While Ling Ran was playing with the first liver door silently, Xiang Xueming put on the surgical gown and stepped forward to replace Guan Fei.

Guan Fei whispered unwillingly: "I can still persist."

"You talk to Dr. Ling." Xiang Xueming said in a low voice, and then said: "Turn your back and change positions."

Guan Fei didn't dare to disturb Ling Ran now. There were doctors from various departments on the scene. If she shouted for such a trivial matter now, she would lose a lot of points. Furthermore, Ling Ran has never been fond of being coquettish, although this is also the high-cold fan that Guan Fei thinks is handsome, but at this time it affects her performance a bit.

Guan Fei had no choice but to change positions with Xiang Xueming back to back.

After peeling off the surgical gown and gloves in twos and twos, and standing on the open space, Guan Fei only felt relaxed. She didn't have to pick up the heavy tumor, and her position was also free, but Guan Fei felt a little empty in her heart.

It was so easy to win... No, it should be the chance to actually fight the huge liver tumor that fell from the sky, even if it was lost.

Guan Fei is very sure that a child like Xiang Xueming is probably willing to persist until his foot is broken in order to see the operation.

"Hmm." The itinerant nurse came over and raised her chin to Guan Fei.

"Immediately." Guan Fei quickly stood back a few steps and rushed to the viewing area.

On her left are two deputy directors of general surgery, and on the right is a deputy director of urology. Everyone stood neatly behind the drawn red line to watch the operation. Naturally, Guan Fei could only obediently stretch her head to watch. .

However, while others were watching Ling Ran's operations, Guan Fei looked at Xiang Xueming with displeasure.

I saw Xiang Xueming taking over the tumor, still facing Zheng Jun sideways, but the position of the two was narrower.

Xiang Xueming's floor area is more than two circles larger than Guan Fei's. With the limited position on the operating table, his body can only be twisted even more.

Xiang Xueming didn't care.

From his perspective, he can see almost all the operations of the chief surgeon, and also some operations of the assistant, which can be said to be a golden position.

In surgery, talk a long sentence, watch a case, learn from a case, and do a case.

It can be said that for most of the minor operations, one surgeon can perform three cases by himself.

Nowadays, hospitals tend to be more cautious, coupled with the shortage of surgical resources, small doctors often do not have surgery, rather than unable to do surgery. Of course, the specific effect of the operation depends on the perception of the doctor.

Xiang Xueming pretended to shake his neck, and took a peek at Ling Ran.

Ling Ran, a classmate who graduated in the same year as him, was currently waving a scalpel with ease under the care of the director of hepatobiliary surgery at Yunyi.

"Now deal with the second porta hepatis." Ling Ran asked his assistant to pull the liver downward, revealing the second porta hepatis from the septum of the liver, and then began to separate the superior and inferior vena cava.

The most troublesome part of liver surgery is that it has a rich blood supply, and the blood vessels are thick and thick, and they cannot be cut off casually. When cutting, they have to be ligated separately.

In liver surgery, the most troublesome thing is the treatment of the hepatic hilum.

In a department like hepatobiliary surgery, as long as the portal of the liver is involved, the starting price is a sub-high one. General Zheng Gao would not dare to take over such a huge tumor that invaded the two hilar systems.

For example, He Yuanzheng was hesitating again and again before being taken away by Ling Ran.

In fact, if he persisted enough, Ling Ran would not be able to grab his operation. After Zuo Cidian communicated, most likely he would persuade Ling Ran to give up.

However, He Yuanzheng really didn't have the confidence to do this operation.

At this moment, he paid more attention to Ling Ran's operations.

I saw that Ling Ran separated a vein, and another vein, all the way down, and separated the root of the vein in the right liver...

He Yuanzheng looked at it, and suddenly realized that the second portal of the liver was separated?

He Yuanzheng couldn't help but look up at Ling Ran.

"Wipe the sweat." Ling Ran was also a little tired, and then tilted his neck upwards.

Su Mengxue quickly wiped off the fine sweat on Ling Ran's head with gauze.

"Let's continue." Ling Ran rested for half a minute, and re-entered the separation process.

For him, this operation is difficult.

But that's just the right amount of difficulty.

Compared with ordinary liver resection surgery, Ling Ran needs extra thinking and carefulness.

However, the operation itself was ultimately below his upper limit.

As long as Ling Ran works hard, the sense of accomplishment he will gain is endless.

Moreover, there is basically no real stuck place.

It is Ling Ran's habit to do a lot of preparatory work.

Master-level liver resection skills, coupled with complete preparations, may be an even heavier burden for a single huge liver tumor.

Even if it looks like a sirloin, it won't be treated tenderly for that.

The tumor gradually separated.

At the last moment, it was Xiang Xueming and Zheng Jun who held the big shuttle-shaped tumor and put it into the basin.

"It's so heavy." Xiang Xueming smirked twice, he was really tired.

"21 and a half catties." Lu Wenbin was also tired and his arms were sleepy, but he still came up with a number by visual inspection.

Xiang Xueming smiled, and then carried it onto the electronic scale with Zheng Jun.

"11140 grams." Xiang Xueming read the number, clicked his tongue twice, and said, "It's so heavy! Doctor Lu's guess is quite accurate."

"You didn't go to the hospital just now." Lu Wenbin smiled lightly.

Xiang Xueming was stunned for a moment, but he didn't really weigh the basin.

Kakaka.

The little officer in the medical department was already flushed with excitement, and frantically started taking pictures.

"This is the largest liver tumor that our hospital has cut in the past few years." The officer couldn't tell how many years it had been. Anyway, it's good to record such a big event first.

Ling Ran is still operating on the operating table. There is still a lot of follow-up finishing work for such an operation.

The little officers of the medical department came around to take pictures, and finally caught Ling Ran and took pictures.

Ling Ran in the circle of light is as dazzling as the sun, as cool as Jupiter, and as cold as the starry sky.

.. m.