Five Hundred and Fifty Soldiers in Danger

"It's in the liver. He's in the liver!" Elder Qin's voice was hoarse. So excited, Zhang Fan dissected the liver portal cleanly.

The operation seemed very comfortable, without any extra steps or hesitation.

Step by step, very clear. There are quite a few big names in the venue who understand it.

"This kid's basic skills are very solid, and his skills are really good. When I was his age, I was much worse than him. Even now, I don't think I can do this kind of surgery as cleanly as this kid. !" Zhang Fan's senior brother said to Zhang Fan's fourth senior brother.

"Hmm! Have you noticed that there is no redundant step in his operation? This is very powerful. Not all human structures are the same. But he doesn't even need to think about it, the knife is coherent, really amazing! "The fourth brother looked at the big screen and nodded.

Sitting in the front row, Mr. Wu quietly watched Zhang Fan's operation without saying a word, but his eyes were fixed on Zhang Fan's hand.

"Strong! Really strong, where did this guy suddenly appear from? Why have I never heard of his name before?"

The liver and gall director of Yaxiang asked the director of Sanchuan Xihua in surprise. They are both members of the Standing Committee of the Hepatobiliary Surgery Association.

"I don't know, it seems that he is really capable, not a character who just walks."

"It's probably impossible to ask Mr. Lu to walk." These are some masters who understand surgery.

At this time, all the masters recognized Zhang Fan. Although the operation hadn't entered the most important place, Zhang Fan's dissection had already amazed them.

And some doctors who don't understand in the middle are not so shocked, especially the doctors brought by the master or the director to see the world.

He looked confused, "I think that's the same, but his surgical instruments are quite beautiful. I don't know what brand they are. You know, I want to buy one too."

"Well, it's pretty good, but his hemostasis is still relatively good. I think my practice is similar to him."

Half a bottle talks a lot, and the quality of unconvinced is not bad. Motivation comes from being unconvinced.

The major equipment manufacturers in the last row are suffering at this time. Look, don't understand, listen, don't understand. I knew the surgery was awesome.

Because Elder Qin is excited! Everyone is not stupid. I really dare not ask or tell!

"Xiao Wang, ask if this person has any hobbies, such as smoking, drinking and tea."

"OK!"

Zhang Fan's system gave Zhang Fan a platform to fully practice his skills. Although orthopedics was opened earlier than general surgery. But when it comes to the degree of understanding of the profession, Zhang Fan's courage is currently the strongest.

Because in the subject of liver and gallbladder, Zhang Fan has sublimated and made a breakthrough. In layman's terms, it is a quantitative change to a qualitative change.

The liver is in Zhang Fan's mind, and he has already figured it out. It can be said that in terms of liver and gallbladder, Zhang Fan has been able to create his own things with ease.

According to Jianghu Kungfu, although he has not reached the level of invincibility, but relying on dignified tempering, he is almost at the level of Feng Qingyang.

Several major organs of the body are very strange,

Those who want to play with blood vessels don't play with blood vessels, but with muscles, such as the heart.

Those who want to play with muscles do not play with muscles, but with mucous membranes, such as the stomach. The most important part of the gastric tissue is actually the hydrocarbon mucous membrane of the stomach. Without this mucous membrane, no matter how thick the muscles are, they cannot withstand the strong acid.

As for the liver, it was supposed to play secretion and biochemistry, but it played with blood vessels and blood vessels to play martial arts with you, which is unreasonable.

The venous return of the human digestive tract all passes through the liver, from the esophagus to the chrysanthemum, all must pass through the liver.

This place is more important than the thoroughfare of nine provinces. Once the portal vein of the liver is blocked, the veins of the upper and lower digestive tracts begin to block.

In layman's terms, above the duodenum and stomach is the upper gastrointestinal tract, and below is the lower gastrointestinal tract.

After the veins of the upper and lower digestive tracts are blocked, they will make excuses instead of going to the liver. Let alone the diseases that occur here, let’s talk about the changes in blood vessels.

The veins that were originally hidden in the digestive tract have become thicker and thinner, leaking out like blue earthworms, lying on the surface of the esophagus and intestines.

The food that enters the lower digestive tract is all chyle-like paste, and it doesn't matter, unless you forcefully go out of your way.

But the upper gastrointestinal tract is not good. Once the portal system of the liver is blocked, the veins of the esophagus are bombs.

I ate a biscuit, but didn't chew it into pieces. As a result, when it passed through the esophagus lightly, the already very thin vein was cut.

Then, the patient will vomit blood profusely. Vomiting blood can vomit death.

The conventional treatment is ligation, which is performed under gastroscopy. What Zhang Fan is doing now is to unblock the blocked vessels.

Although the primary disease cannot be completely cured, it can at least delay the life of the patient.

Sometimes it seems to live an extra day, and an extra year seems useless. In fact, this is very important to patients and their families.

"Knife!" The dissected liver vessels were clearly displayed on the big screen.

When Zhang Fan picked up the scalpel, the audience was silent. Even Mr. Qin, who was doing the commentary, stopped talking.

The fluctuations of the varicose vessels seem to be clearly visible. "Snap!" Zhang Fan took the coldly glowing scalpel steadily.

"Divide the artery! Prepare the microscope."

"yes!"

Ligation, after the distal ligation, Zhang Fan cut the knife without any hesitation, and there is no way to regret it.

God will not let the open blood vessel let the doctor come.

If the borrowing fails, the patient will not even be able to get off the operating table. There was silence in the venue, only the sound of breathing.

When the scalpel was cut across, a bit of dark red blood remaining in the blood vessel leaked slightly, like the mouth of a rubber tube. Under the microscope, the vein was magnified.

By means, the vessels of the portal system were directly connected to the inferior vena cava by Zhang Fan across the hepatic portal artery.

When Zhang Fan clamped the inferior vena cava with a vascular clamp, those who understood said: Hiss!

Especially Qin Lao, with the blessing of the loudspeaker, the air-conditioning breath was extraordinarily loud and elegant.

"Damn! He must be too courageous. Directly operate the inferior vena cava. Oh my God! If you are not careful, the patient will die immediately."

Although some general doctors do not understand surgery, they still understand the dangers of surgery at this time.

"Don't make noise!" The other doctor was not happy.

In layman's terms, blood vessels are divided into three layers, coat, muscle, and underwear. Relying on super steady hands, Zhang Fan first connected the coat of the hepatic portal vein and the coat of the inferior vena cava, leaving a small opening.

"Buck!"

"yes!"

"The blood pressure has reached the bottom!" The anesthesiologist reported the patient's condition loudly.

At this moment, Zhang Fan's scissors entered the muscle layer of the inferior vena cava.

There was a sound of "click!", and there was no obvious bleeding during the operation. At this time, there was bleeding.

It came out like a spring. Hurrah popped up, and all the doctors in the audience couldn't help standing upright and clenched their hands.

Vascular openings, especially large ones, just kidding! No matter how skilled this kind of operation is, there are huge risks. If one is not careful, he will die from hemorrhage directly.

The blood vessels magnified by the microscope are like a collapsing dam, with blood roaring out, and the magnified picture looks even more terrifying.

"It's dead! It's dead! This man is hopeless!" Some ordinary doctors muttered to themselves while staring at the big screen.

In the operating room, doctors and nurses are skilled in movement and stable in connection. Hasty but not flustered.

The moment the blood spurted out, Zhang Fan moved, and the ophthalmic forceps fluttered in his hands. With one click or two, the muscles of the blood vessels were sutured together visibly with the naked eye.

One injection and two injections, the dam closes and the blood stops.

"Boost~!" When Zhang Fan retracted the pliers, the words came out of his mouth without any hesitation.

As the blood pressure slowly increased, Zhang Fan began to sew up the coat of the blood vessels.

"Beautiful!" When the blood pressure rose to normal, there was no trace of bleeding from the blood vessels through which the sutures were made.

Old Qin shouted loudly, his face flushed red.

"Beautiful! The operation is like a textbook, even more beautiful than the textbook.

Although this kind of operation is not widely used in liver diseases, this kind of thinking and technology is very valuable. "

Elder Qin said as if he was drunk, with a trace of regret or aftertaste.

"Soldiers are dangerous! This kid is too courageous." At this time, Mr. Wu smiled and said to Mr. Lu.

Before Mr. Lu could speak, Mr. Wu said again: "However, in this way, I am looking forward to his operation in the afternoon even more. Let's see if he can enter the middle lobe of the liver dignifiedly."

"Hehe!" Elder Lu smiled very comfortably with a hint of pride and satisfaction.

Big Brother's eyes are too high, not to mention the younger generation, even their generation, there are not many who can catch the eyes of Big Brother.

It's amazing that Zhang Fan can make his senior brother say he's looking forward to it!

Mr. Qin continued to explain the operation. When the blood pressure rose, the borrowed blood vessels seemed to grow on the inferior vena cava, and there was no trace of bleeding.

"It's useless. This patient may need dialysis every two days! I guess he uses pig blood vessels to practice suturing every day!"

A doctor from the frontier said something with envy and hatred, his voice was a little louder, but in the end, all he got was looking at SB! ~

That's how people are. If Zhang Fan were an expert in the capital, no one would say this, and they would all be praises.

But who made him a doctor in a primary hospital.