Chapter 1527： Rivers and lakes status
“How much do you estimate to use?”
"No blood transfusion." Zheng Ren said with certainty.
"..." Professor Yang gave a slight glimpse.
Generally, the liver is cut and the blood may not be transfused. After all, the anatomy is clearer.
But this time it is the liver, and the tumor tissue is removed from it.
Tumor tissue! Surrounded by abnormally proliferating blood vessels, only cutting the tumor and retaining the liver will inevitably cause a lot of bleeding during the operation.
Therefore, doctors in many provincial and municipal hospitals are still accustomed to directly removing the left lobe of the liver or the right lobe of the liver.
This surgery is relatively simple. Of course, the trauma to the patient is relatively large.
Hepatitis, don't need blood transfusion? Isn't that nonsense? Professor Yang sneered at it.
But he didn't say it, but he was not optimistic about the results of the live broadcast.
Zheng boss, this is the smooth operation of the surgery, began to float.
"Boss, the effect of embolization is good." Su Yun said while watching the film.
"Well, it is expected." Zheng Renping replied.
"How to do it?"
"Hey liver, free with an ultrasonic knife, cut it off." Zheng Ren answered very simple, very relaxed.
"Boss, the next time you have an operation, can you not put good luck?" Su Yun glanced at the film, and he began to complain about background music.
Zheng Ren did not speak, his right hand squatted, and looked at the film seriously.
The film looks very simple, and a bright silver irregular ball can be seen at the back of the right liver, with a spot in the middle.
That is the imaging findings of liver cancer tissue that has been involved in postoperative lipiodol deposition.
But such a large liver cancer, in order to completely inactivate, at least 3-5 times liver cancer interventional embolization.
Zheng Ren grasped the time before surgery, doing 64-slice CT three-dimensional reconstruction in his mind, honing the surgical approach and simulating the surgical procedure again.
Su Yun saw Zheng Ren become a wood, looked at him with contempt, and turned back and said that he said: "The next surgery, dare not change the background music."
"Dr. Su, I really don't dare." Lao He said with a smile.
Su Yun was helpless. Seeing that he was busy, he and Professor Yang put their positions on the patient and then went to brush their hands.
Brush your hands, disinfect, and come to the instrument table.
The Shay people have already dressed and checked the equipment. She handed the curved plate and the oval pliers to Su Yun, and grabbed a piece of sterile gauze and placed it in the curved plate.
"Iraine, next time your family, Zheng Ren, if you want to do surgery like an appendix, and then don't call you, just turn his face." Su Yun said.
The Xie Yi smiled and narrowed his eyes.
The eyes are like crescents, shimmering with a bright glow.
“啥?腔阑阑阑?” Professor Lao He and Professor Yang both heard what Su Yun said, and they brushed it.
"Yes." Su Yun held the iodine gauze with the oval pliers and began to disinfect. He said: "The end of the cavity is the appendix, or the ectopic appendix in the cavity, 12 cm above the ileocecal part. This operation only cares Do it yourself. Lao He, do you say that this is still something people do."
Professor Yang agrees with Su Yun’s words.
In the cavity, the appendix is known as the surgeon of Bermuda.
I have a good luck, but I have never encountered it during the appendectomy. Didn't expect these days to encounter the gastrointestinal?
“How did you find it?” Professor Yang asked strangely.
"It is said to be a colonoscopy."
"Hey."
"Boss, quickly eliminate the poison, brush your hand." Su Yun said.
"Okay." Zheng Ren finally switched out from the state of the wood and went to brush his hand.
"Yang Ge, nervous?" Su Yun began to lay a sterile single, asked.
"A little."
"Habit is just fine." Su Yun said with a smile: "The ultrasonic knife is Johnson & Johnson?"
"Ok."
"There is no ultrasonic knife in the long wind, or a small company." Su Yun said with a feeling.
After surgery, I can't see Feng Xuhui and his two big boxes. I always feel the shortcomings.
Professor Yang began to wear clothes and smiled and said: "Two ultrasonic knives have been prepared."
"It's too wasteful." Su Yundao.
"This is not afraid of bleeding." Professor Yang said: "Hey liver, about 8cm of tumor, it is estimated that a blood of about 1000ml."
Professor Yang put on his clothes and stood in a helping position, and began to play with ultrasonic knives, electric burning and other equipment.
"You still said that you are not nervous. Two ultrasonic knives are prepared for the boss to have noticed. You can't check it out." Su Yun laughed.
Professor Yang was broken and thought, but did not say anything, just smiled.
Prepare something for the surgery to avoid accidents. Isn't this a normal thing?
Zheng Ren brushed his hand in, wearing sterile gloves, wearing a surgical gown, and Xiaoyi people looked at each other and smiled.
Came to the position of the surgeon, Hu Yanhui put on live glasses, connected signals, made a starting gesture.
The operation officially began.
Take the right upper abdomen as the right inferior rib margin incision, from the left side of the xiphoid process to the 12th costal margin, and cut the skin, subcutaneous and muscle layer by layer.
Professor Yang is a little nervous and his hands are slightly stiff.
But it is only open, it does not affect anything, Zheng Ren does not seem to notice.
"Touring, go to take blood." Professor Yang said when he was treating subcutaneous capillaries in Zhengren Hao, Professor Yang. "The tour nurse asked: "How much? ”
"Red blood cells, take 10 units first."
"Wait a look, don't need it." Zheng Rentou did not lift, seriously looked at the field said.
The roving nurse was at a loss.
Who is listening to?
Normally, it is necessary to listen to the surgeon, but Professor Yang has another saying.
Most hate this situation, no matter how you do it, you offend people.
"Zheng boss, really sure?" Professor Yang did not expect the dispute to appear at the beginning.
Recalling Director Li and what he said, he decided to firmly grasp the rhythm of the operation. Everything that Zheng boss has done seems to be too aggressive.
"Fortunately, give it a try."
"Zheng boss, first prepare some blood, what if you want to use it?" Professor Yang insisted.
"Well, take a few units and prepare it." Zheng Ren unexpectedly did not exercise the authority of the surgeon. Professor Yang insisted, and he agreed.
The patrolling nurse gave a sigh of relief and the plywood was uncomfortable.
A few words of effort, this side has been done with peritoneal protection, into the abdominal cavity.
Professor Yang glanced at the operation area and immediately began to get nervous.
How to do it so fast! I have to concentrate on the match, this is the live broadcast!
After breaking the round ligament of the liver, Zheng Ren's hand reached in.
Subsequently, he skillfully separated the liver ligament, right coronary ligament, right triangular ligament, liver and kidney ligament and bluntly separated the bare area of the liver to the inferior vena cava and continued to dissociate the right liver.
This is the preparatory work in the early stage. Although it is simple, but Zheng boss is skilled, it has done more than a thousand cases. I don’t see any big moves, most of them are moving constantly, and it looks really pleasing to the eye. Professor Yang thinks.
"No blood transfusion." Zheng Ren said with certainty.
"..." Professor Yang gave a slight glimpse.
Generally, the liver is cut and the blood may not be transfused. After all, the anatomy is clearer.
But this time it is the liver, and the tumor tissue is removed from it.
Tumor tissue! Surrounded by abnormally proliferating blood vessels, only cutting the tumor and retaining the liver will inevitably cause a lot of bleeding during the operation.
Therefore, doctors in many provincial and municipal hospitals are still accustomed to directly removing the left lobe of the liver or the right lobe of the liver.
This surgery is relatively simple. Of course, the trauma to the patient is relatively large.
Hepatitis, don't need blood transfusion? Isn't that nonsense? Professor Yang sneered at it.
But he didn't say it, but he was not optimistic about the results of the live broadcast.
Zheng boss, this is the smooth operation of the surgery, began to float.
"Boss, the effect of embolization is good." Su Yun said while watching the film.
"Well, it is expected." Zheng Renping replied.
"How to do it?"
"Hey liver, free with an ultrasonic knife, cut it off." Zheng Ren answered very simple, very relaxed.
"Boss, the next time you have an operation, can you not put good luck?" Su Yun glanced at the film, and he began to complain about background music.
Zheng Ren did not speak, his right hand squatted, and looked at the film seriously.
The film looks very simple, and a bright silver irregular ball can be seen at the back of the right liver, with a spot in the middle.
That is the imaging findings of liver cancer tissue that has been involved in postoperative lipiodol deposition.
But such a large liver cancer, in order to completely inactivate, at least 3-5 times liver cancer interventional embolization.
Zheng Ren grasped the time before surgery, doing 64-slice CT three-dimensional reconstruction in his mind, honing the surgical approach and simulating the surgical procedure again.
Su Yun saw Zheng Ren become a wood, looked at him with contempt, and turned back and said that he said: "The next surgery, dare not change the background music."
"Dr. Su, I really don't dare." Lao He said with a smile.
Su Yun was helpless. Seeing that he was busy, he and Professor Yang put their positions on the patient and then went to brush their hands.
Brush your hands, disinfect, and come to the instrument table.
The Shay people have already dressed and checked the equipment. She handed the curved plate and the oval pliers to Su Yun, and grabbed a piece of sterile gauze and placed it in the curved plate.
"Iraine, next time your family, Zheng Ren, if you want to do surgery like an appendix, and then don't call you, just turn his face." Su Yun said.
The Xie Yi smiled and narrowed his eyes.
The eyes are like crescents, shimmering with a bright glow.
“啥?腔阑阑阑?” Professor Lao He and Professor Yang both heard what Su Yun said, and they brushed it.
"Yes." Su Yun held the iodine gauze with the oval pliers and began to disinfect. He said: "The end of the cavity is the appendix, or the ectopic appendix in the cavity, 12 cm above the ileocecal part. This operation only cares Do it yourself. Lao He, do you say that this is still something people do."
Professor Yang agrees with Su Yun’s words.
In the cavity, the appendix is known as the surgeon of Bermuda.
I have a good luck, but I have never encountered it during the appendectomy. Didn't expect these days to encounter the gastrointestinal?
“How did you find it?” Professor Yang asked strangely.
"It is said to be a colonoscopy."
"Hey."
"Boss, quickly eliminate the poison, brush your hand." Su Yun said.
"Okay." Zheng Ren finally switched out from the state of the wood and went to brush his hand.
"Yang Ge, nervous?" Su Yun began to lay a sterile single, asked.
"A little."
"Habit is just fine." Su Yun said with a smile: "The ultrasonic knife is Johnson & Johnson?"
"Ok."
"There is no ultrasonic knife in the long wind, or a small company." Su Yun said with a feeling.
After surgery, I can't see Feng Xuhui and his two big boxes. I always feel the shortcomings.
Professor Yang began to wear clothes and smiled and said: "Two ultrasonic knives have been prepared."
"It's too wasteful." Su Yundao.
"This is not afraid of bleeding." Professor Yang said: "Hey liver, about 8cm of tumor, it is estimated that a blood of about 1000ml."
Professor Yang put on his clothes and stood in a helping position, and began to play with ultrasonic knives, electric burning and other equipment.
"You still said that you are not nervous. Two ultrasonic knives are prepared for the boss to have noticed. You can't check it out." Su Yun laughed.
Professor Yang was broken and thought, but did not say anything, just smiled.
Prepare something for the surgery to avoid accidents. Isn't this a normal thing?
Zheng Ren brushed his hand in, wearing sterile gloves, wearing a surgical gown, and Xiaoyi people looked at each other and smiled.
Came to the position of the surgeon, Hu Yanhui put on live glasses, connected signals, made a starting gesture.
The operation officially began.
Take the right upper abdomen as the right inferior rib margin incision, from the left side of the xiphoid process to the 12th costal margin, and cut the skin, subcutaneous and muscle layer by layer.
Professor Yang is a little nervous and his hands are slightly stiff.
But it is only open, it does not affect anything, Zheng Ren does not seem to notice.
"Touring, go to take blood." Professor Yang said when he was treating subcutaneous capillaries in Zhengren Hao, Professor Yang. "The tour nurse asked: "How much? ”
"Red blood cells, take 10 units first."
"Wait a look, don't need it." Zheng Rentou did not lift, seriously looked at the field said.
The roving nurse was at a loss.
Who is listening to?
Normally, it is necessary to listen to the surgeon, but Professor Yang has another saying.
Most hate this situation, no matter how you do it, you offend people.
"Zheng boss, really sure?" Professor Yang did not expect the dispute to appear at the beginning.
Recalling Director Li and what he said, he decided to firmly grasp the rhythm of the operation. Everything that Zheng boss has done seems to be too aggressive.
"Fortunately, give it a try."
"Zheng boss, first prepare some blood, what if you want to use it?" Professor Yang insisted.
"Well, take a few units and prepare it." Zheng Ren unexpectedly did not exercise the authority of the surgeon. Professor Yang insisted, and he agreed.
The patrolling nurse gave a sigh of relief and the plywood was uncomfortable.
A few words of effort, this side has been done with peritoneal protection, into the abdominal cavity.
Professor Yang glanced at the operation area and immediately began to get nervous.
How to do it so fast! I have to concentrate on the match, this is the live broadcast!
After breaking the round ligament of the liver, Zheng Ren's hand reached in.
Subsequently, he skillfully separated the liver ligament, right coronary ligament, right triangular ligament, liver and kidney ligament and bluntly separated the bare area of the liver to the inferior vena cava and continued to dissociate the right liver.
This is the preparatory work in the early stage. Although it is simple, but Zheng boss is skilled, it has done more than a thousand cases. I don’t see any big moves, most of them are moving constantly, and it looks really pleasing to the eye. Professor Yang thinks.
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