Chapter 654 Lymphatic Sweep

Lymph node dissection is the most energy-consuming part of various cancer operations.

Lymph nodes are part of the lymphatic system of the human body. Specifically around different organs, lymph nodes are about the size of rice grains, loosely distributed, in different numbers, and in different locations.

In the natural world where some people's heart grows on the right side, it is conceivable that completely cleaning the lymph nodes is like playing hide-and-seek in the human body.

What is more troublesome than hide-and-seek is that the human body is not a simple plane. When a doctor operates in the human body, not only the upper, middle and lower positions must be considered, but also the inner space of the inner space. For example, the inside of an organ, or other closed spaces enclosed by tissues such as organs, muscles, and fat.

The doctor should not only clean the exposed lymph, but also clean the lymph in the enclosed space.

At this time, it is very important to pay attention to anatomical skills. A person’s abdominal cavity is actually not that big. Look down at your belly, and then imagine its state when it has six-pack abs. When you can’t imagine it, imagine the size of your abdominal cavity when you are 14 years old, and then imagine that you have liver, gallbladder, pancreas, and spleen. The intestines, stomach, kidneys and other organs are crowded, and the room for fault tolerance is actually very small.

Especially when it comes to cleaning the lymph, if you are not careful, you will sweep the lymph of other organs by mistake.

When the patient's body is so weak, the risk of sweeping the wrong lymph is self-evident.

Although Feng Zhixiang allowed Ling Ran to clean the lymph, he still carefully observed Ling Ran's operation. Dare to let go, even because of Feng Zhixiang's usual way of doing things, but also because he has seen Ling Ran clean the lymph around the liver.

According to Feng Zhixiang's idea, Ling Ran could at least help clean up the lymph around the liver. After doing this job, he would also be able to relax a lot.

Of course, if you can sweep the lymph in the liver, there must be no problem in sweeping the lymph in other parts. To put it bluntly, after you are familiar with the anatomy, the step of sweeping the lymph itself lacks technical content.

However, lymphatic sweeping is a very skillful job, and if one is not careful, it is easy to miss it. However, the purpose of cleaning the lymph is to take precautions against the cancer cells in the lymph. If it is missed, it is not only irresponsible to the patient, but also irresponsible to your own labor—if the cancer cells can easily expand , The operation is tantamount to being done in vain.

While sweeping the lymph by himself, Feng Zhixiang watched Ling Ran sweep the lymph, and said: "Sweeping the lymph is not afraid of being slow, not afraid of mistakes, but afraid of not paying attention, so don't worry. There is no need to rush to perform surgery."

This has always been his philosophy, Ling Ran said "En" when he heard it, and the movements of his hands did not change.

The perfect level of lymphatic dissection allows Ling Ran to have a very clear judgment during the operation. In contrast, Feng Zhixiang's reminder is a bit general, and it is not the most suitable choice for the moment.

Feng Zhixiang took another look and saw that Ling Ran was familiar with lymphatic sweeping, so he stopped forcing it and focused more on himself, and said with a smile: "Lymphatic sweeping is not very good for doctors. Friendly, the amount is too large, and the requirements are delicate. It is very difficult for a doctor like me to do it, but a doctor who is too young is also prone to mistakes..."

Xu Wen saw that Ling Ran was not interested in chatting, so he could only continue to push forward, and licked it by the way: "Professor Feng, you are too modest. I have seen your surgery before. The lymph nodes were very clean, and the patient's prognosis is also good."

"Right, a good prognosis is very important. We perform surgery for the patient's good prognosis, isn't it the purpose? The surgery is clean and beautiful, isn't it the purpose. What I despise the most is the one with the scraper. Separation It’s just scraping, hemostasis is scalding, after an operation, I saw him scratching there, scalding, scalding, those who didn’t know thought he was a cook.” Professor Feng snorted twice, and said, “I’ll take care of whoever it is. Needless to say, the patient is bleeding heavily after surgery, if they act like this, something will happen sooner or later!"

Xu Wen's belly button trembled, and he didn't know how to lick it.

Feng Zhixiang said "I won't talk about anyone", but the circle is so big,

Those who like to use scraping and washing knives, and those who stop bleeding rely on scalding. Who doesn't know the senior doctors present...

Xu Wen thought hard, and finally licked out a sentence: "Doctor Ling's stitches are really beautiful."

It was Ling Ran who encountered a suture point and made a quick suture.

Feng Zhixiang looked at it, and nodded with satisfaction: "Is it right, if there is bleeding, suture it, what is there not to understand. Some doctors now scald the bleeding, put the electric knife on it, and the deep scalding lasts for more than ten seconds. Some were scalded for tens of seconds, and all the tissues were burned out. Yes, there was no bleeding during the operation. What about after the operation? The tissues were destroyed, and the damage caused was much greater than sutures..."

"Doctor Ling is really proficient in suturing, and has solid basic skills." Xu Wen didn't dare to follow Feng Zhixiang's words, and he couldn't deviate from it, so he was heartbroken.

Feng Zhixiang said "En", and continued to operate slowly. He felt that the chat was quite pleasant-although Xu Wenping was good, after all, he didn't stick close enough, and he was not familiar with Professor Feng's itches. In contrast, Feng Zhixiang In my general surgery center, there are better licking ones, but I didn't bring them out this time when I went out.

"Professor Feng, I also swept away the head of the pancreas?" Ling Ran straightened his neck, relaxed the muscles of his shoulders and neck, and waited for Director Feng Zhixiang to make room for him.

Feng Zhixiang was stunned for a moment, then looked down, and said in surprise, "Did you clean the liver?"

"yes."

"Sweeping so quickly?" Feng Zhixiang felt that he just didn't pay attention to Ling Ran for a while, but now he looked through it again, and it was indeed completely cleaned.

After the lymph is cleaned, there will be lymph fluid retention after the operation, but the human body will soon establish a new return channel, so the cleaner the lymph is swept, the better the effect of the operation.

"Professor Feng?" Ling Ran reminded again.

Feng Zhixiang followed Ling Ran's gaze, and found that the position of his equipment slightly blocked Ling Ran.

Although it is said that Ling Ran is currently the first assistant, but if everyone sweeps the lymph together, they can't be so fussy.

Feng Zhixiang then moved a little to make room.

"I'll continue." Ling Ran explained, and began to sweep the lymph again, and the speed was still fast.

Feng Zhixiang lowered his head and scanned for a while, then turned his head to look, and found that Ling Ran had finished a large area again. The speed comparison between the two was like a snail and a cow comparing who eats grass and eats faster...

"Leave the rest to you." Feng Zhixiang blushed a little. Hei Lao couldn't tell, so he simply exercised the power of the chief knife and handed over the rest of the work to Ling Ran.

Ling Ran responded with a "yes" and continued to work.

In the patient's abdominal cavity, there were less and less heretical tissues, which were uncomfortable to look at, and gradually disappeared.

Feng Zhixiang put his hands on his chest, feeling comfortable just looking at it.

"It's a blessing in misfortune." Feng Zhixiang suddenly thought of the middle-aged woman who kept kowtowing, feeling a little emotional in his heart.

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