Chapter 640 First liver surgery

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 The operation is scheduled for the evening.

Two.

One case was liver hemangioma.

One case was liver cancer.

In liver surgery, these two surgeries are generally slightly more difficult, and can usually be performed by professors with more than five years of experience.

Academician He is not asking Liu Muchiao to demonstrate his profound surgical skills, but to be normative and standard.

Besides, Academician He couldn't find a more difficult operation for a while, so liver transplantation became even more unrealistic. Where to find a liver source?

After Liu Miqiao had the "Encyclopedia of Liver Surgery", liver transplantation was no longer a problem. Liver transplantation is considered the most difficult operation in liver surgery.

Liu Muqiao searched and found that among his cases, 3,000 were liver transplants.

There is no expert who has performed 3,000 liver transplants in China.

So, Liu Muqiao made a lot of money this time, he has a great skill!

Liver transplantation is the most difficult of the most commonly used transplantation techniques.

Not the biggest.

There are also heart transplants and lung transplants.

Heart transplantation is more about theory and animal experiments, but in practice, heart transplantation is uncommon because heartbeat is the difference between life and death. Where does the heart source for heart transplantation come from?

Lung transplantation is rare and very difficult. Clinically, there are not many cases.

The most difficult and common transplant is the liver.

Mastering liver transplantation is basically mastering the most difficult surgical skill.

Pancreatic head cancer, liver transplantation and heart surgery are all the Everests of surgery.

Liu Muqiao has mastered two. Liu Muqiao's harvest this time is really big.

Liu Muqiao started his first operation with great joy.

There were four assistants participating in the operation, and other liver surgeons, led by Academician He, watched the live broadcast in the demonstration classroom.

The surgical live broadcast room of Luqi Hospital is not very big and can only seat more than 60 people. This is related to the fact that they started this thing relatively early.

The classroom is full of people.

Academician He was full of energy and sat in the middle, watching and explaining at the same time.

Indeed, Liu Muqiao's surgery was very standardized and textbook-like.

His surgery speed is faster than other professors, and he seems to be too skilled, making him feel like he is flying.

However, he stopped from time to time to wait for help.

Issuke is the deputy director and chief physician of the liver surgery department. He has a surgical knife, and his actual ability exceeds that of their director.

The cooperation between him and Liu Muqiao is not a tacit understanding, and the speed cannot keep up with Liu Muqiao.

However, it was not bad, at least Liu Miqiao only stopped occasionally.

It only took Liu Miqiao 3 minutes to go from a novice in liver surgery to a master level. Now, every detail of the liver is clear in his mind.

Especially the partitions and blood vessels of the liver.

The liver is supplied with blood by two sets of blood vessels, one is the portal vein and the other is the hepatic artery.

The hepatic artery is not very important. It only provides 15% of the oxygen to the liver, while the portal vein provides 85% of the nutrients.

However, when performing surgery, both systems must be taken into consideration.

The blood supply system of the liver is dendritic, and its partitions are determined based on the distribution of blood vessels.

Liver atmosphere zone 8.

Liver surgery will not be difficult if you master the partitions and the distribution of blood vessels. Once the blood vessels are ligated, there will be no bleeding problems in the areas where they are distributed.

Liu Miqiao quickly ligated the branches of the two systems, and then removed the liver tissue and hemangioma along the border.

The operation time was one-third faster than usual, and the operation was over in just 50 minutes.

Academician He calculated silently and found that the approximate blood loss was 50 ml.

It was not considered a minor operation. Only 50 ml of blood was produced. It can be said that the operation was perfect.

"Well, why do I need you to come to see the operation late at night? Do you understand my intention now?" Academician He said to the doctor in the live broadcast room as the abdomen was closed in the operating room.

"Teacher, you have good intentions, and we have gained a lot today." The director said quickly.

"Yes, teachers have always been concerned about the growth of our young people."

"Today's surgery on this young man showed the glory of Mr. He back then."

"Yes, this young man is very skilled in surgery, his technique is standard, every step and every detail is so exquisite and inspiring."

"I feel very ashamed. In the past, I was a little complacent and thought that my level was good. After seeing Dr. Liu's surgery, I feel very ashamed. I must work hard to catch up in the future."

"I feel the same way."

……

Academician He said: "That's right. A young man's surgery is so exquisite. Many of you are now professors. Tell yourselves, where is the gap between you and how big is it?"

There was a lot of discussion again.

Academician He said: "There is another surgery below, which you have to do every day. Compare it to see where there are any gaps and shortcomings. You must learn from it."

"Okay, teacher, it's already late at night. You can go back to sleep. We will take it seriously. Don't worry, there is such a good learning opportunity, even if you don't ask for it, we will seize it."

Academician He smiled slightly and said: "Why am I worried that you won't learn? I also know that if you have such an opportunity, you will not miss it. I will watch it for a while, but you don't know, after seeing such a delicate operation, I

How could I be willing to leave? I don’t mind saying that in my heyday, my surgery was not as good as his.”

Next, there was another echo, but they all said, "Teacher is so humble, your surgery is the best. Dr. Liu is indeed good, but he is not higher than you, teacher."

At least half of the people who watch surgeries here have seen Mr. He's surgeries. His surgeries are indeed good, but I have to admit that they are not up to the level of Liu Miqiao.

The professors here are all experts, and they all know that Liu Miqiao is not in the best condition now, because he does not have a satisfactory assistant.

If there was an assistant brought by him personally, the operation time could be reduced by 10% or 20%.

Surgery is a team effort.

Among them, the cooperation between the chief surgeon and the first assistant, and the first assistant and the second assistant is very important. Even the hook puller is a member of the team.

To achieve team harmony and tacit understanding, it cannot be achieved by a few experts working together temporarily.

With a temporary team, Liu Miqiao's surgery was able to reach this level, which is very remarkable.

Indeed, what Mr. He said is right. With such an exquisite operation, you would not want to leave.

The second operation lasted for 1:40 minutes.

The surgery was very clean.

Based on my feeling, this liver cancer patient does not need chemotherapy at all after surgery.

The blood loss during this operation was slightly larger, about 75 ml.

Liver cancer surgery focuses on dissection. About one centimeter of normal tissue must be removed from the liver itself, and part of the corresponding lymph nodes in the abdominal cavity must be removed.

"The operation is over, Mr. He, you can go back."

"No, I have to shake hands with Liu Muqiao, and I want to thank him."

"It's enough for us to stay, why do you have to stay here yourself?"

"You don't understand. For such an operation, we should respect him extremely. In the future, it will be difficult to have such a learning opportunity. Today, you have all gained a lot, and so have I. How can I not thank him?"
Academician He stayed.

If he hasn’t left, who dares to leave?

Soon, Liu Muqiao appeared in the live broadcast room.

"Ding, ding, ding..."

Hey, Liu Muqiao was surprised to find that there are talents here, because he got 7 intermediate treasure boxes.


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