In the removal of insect sacs, there are three ways to study the papers in various countries around the world. There are three ways.

One is the internal pitch removal surgery. This is currently more commonly used in China.

One is the complete peeling of the outer capsule, peeling off the outer sac of the entire insect sac.

There is also a complete cutting of the outer capsule. This kind of outer capsule requires partial liver tissue. The benefits are naturally clean and clean. It is not easy to relapse.

After removing the insect sac, it does not mean that there will be no recurrence in the future, because in addition to these insects in the human body, there may be many undesired insect eggs.

In addition to the first, the second and third ways cannot simply analyze the advantages and disadvantages, but need to determine which one to decide according to the situation of the insect sac.

Wan Caimin looked at Zhang Yan's hand in shock. He didn't understand a bit. How did such a flexible finger practiced?

Such a young and can do such complicated surgery. The key is to be so skilled.

He feels like watching his teacher for surgery.

It's not just the degree of skill of technique, but the confidence of the body is more like.

Compared to the people, Zhao Pengcheng's shock is even more.

He knew that five days ago, Zhang Yan said himself that he would not have a insect -cutting surgery.

This is only five days in the past. This worm was removed and has been done so proficient.

No, there is no surgical surgery in the surgical type. The independent surgery is removed.

For insect pickers, it is very proficient in hepatobiliary surgery.

Zhao Pengcheng couldn't imagine how Zhang Yan did it. In just five days, he was proficient in hepatobiliary surgery.

Moreover, it is all complex hepatobiliary surgery.

Zhao Pengcheng finally understood why Zhang Yan refused to come to Xicheng Hospital, even if it was given to the director of the department.

At this level, even if it is going to Xiehe Hospital, it will be treated as a pillar, and the successor will be cultivated.

This kind of genius, don't look at the usual surface, but the heart is very proud.

Zhao Pengcheng thought in his heart, and did not affect his serious realization of Zhang Yan's surgery.

This time, I have made a big hair. If you can successfully understand the surgical type of liver and gallbladder, in the future, there will be a seat in general surgery in the country.

Zhao Pengcheng felt that his brain was never so clear. When his mind was 17 or eight years old, he was still sensitive.

He can understand what Zhang Yan said, not only to understand, but also understand the meaning.

"Like this patient, it is fully applicable to the outer sac peeling.

Note that the hepatoscopic hepatoscopy should be completely separated. "

"High -lying saline gauze!" After Zhang Yanyou left the liver peripheral ligament, he reached out.

Doctors need to report the surgical equipment they need, so that the equipment nurse can hand the surgical equipment to the main knife.

In that kind, as soon as the main knife reached out, the equipment nurse knew what the main knife wanted, very rare.

At least the nurses who can do this step must be the nursing division, and it is also necessary to have this level.

If you can be a supervisor, how can you continue to serve as an instrument nurse.

Of course, if it is later generations, such as some medical teams with a certain big doctor as the core, the instrumental nurse may be a nursing teacher.

After the past one minute, Zhang Yan's hand was very stable, very powerful and flexible.

This is a very complicated and tedious process, and it needs sufficient patience.

There are many blood vessels, bile ducts hidden in the liver tissue. Each person's blood vessels and bile duct distribution are not exactly the same. Be careful to separate to avoid hurting blood vessels and bile ducts.

Some small fine blood vessels, bile ducts can be ligated directly, cutting.

However, those thicker blood vessels, bile ducts need to be carefully detoured and retain as much as possible.

These blood vessels are the guarantee of the patient's postoperative survival level.

Finally, a insect with a diameter of 35 cm was completely peeled off.

Zhang Yan put the insects in the tray, took the test, and performed harmless treatment.

Then start ligating blood vessels, bile ducts, buried drain pipes.

This is the first worm sac. The patient's liver also has a insect sac that is almost the same volume. In addition, there is a worm sac in the gallbladder.

Such a large insect sac is enough to produce organ compression, causing patients to cause a general lesion.

This is also the cause of many patients with pain in the right upper abdomen.

Insect compression, invading the living space of the organs.

Over time, Zhang Yan's forehead could not help but see sweating.

The point is that this separation is too consumable.

Zhang Yan has to use it with one heart, and explain the process and attention of Zhao Pengcheng.

More consumed.

In terms of physical strength, it doesn't matter. The physical consumption of this intensity, Zhang Yan still suffers.

One worm sac, two worm sacs, three worm sacs, and four worm sacs, Zhang Yan removed four worm sacs from the patient's body, the largest one was 5.3 cm in size.

At this point, this surgery can be regarded as an end.

"Get off!"

With Zhang Yan's sentence, this operation completely ended.

Zhang Yan also withdrew from the position of the main knife of the operating table.

After taking off his gloves and sterile clothes, Zhang Yan came to the doctor's duty room.

This is a duty room, and also a lounge.

It is a place where a doctor is resting in the midfield.

It didn't take long after waiting, Zhao Shengli and Wan Qimin came in.

"Dr. Zhang, it is really amazing, amazing!" Wan Qimin said with emotion.

"Dr. Zhang, you have done this surgery too beautiful!" Zhao Pengcheng sincerely praised.

Zhang Yan's surgery was very successful.

This is not why Zhao Pengcheng praised Zhang Yan. The reason is that Zhang Yan's surgery, from beginning to end, is not tight or slow, the speed remains a constant speed.

It's too stable.

However, after doing it all the way, look at the total time, and it can't help but feel that the operation is done too fast.

Zhao Pengcheng followed the teacher to perform similar surgery, and it was almost an hour more than Zhang Yan.

You know, in the operation, every minute and every second are very valuable.

In surgery, although not absolute, most of the time, time represents life.

Doctors do surgery. For a minute, for patients, the chance of survival may be a bigger point.

"Oh, Director Zhao has passed the prize. I also did this operation for the first time, and there are many shortcomings." Zhang Yan stared at his system panel and said humblely.

"bite!

The host patiently tells the main points of the surgery of hepatic cholecoscopic width and insects.

Zhao Shengli successfully realized the complete removal of hepatitis, gallbladder, gallbladder, and pests, part of the hepatoscopic removal, complex liver and gallbladder stones surgery-entry.

Reward: Experience 2000

Cash 500

Liver transplantation surgery, various types of hepatoscopic removal, intrahepatic, outer biliary air intestine conformity, hepatobiliary plastic surgery, air -intestinal condensation, complex hepatobiliary stones surgery to expert level.
Chapter completed!