Professor Shi also has a very bad temper. In his hospital, junior doctors are sometimes scolded to the point of being scolded.
A moment when conflict is about to break out.
"Professor Yang asked me to come on stage, right, Professor Yang!"
Director Fang was so anxious that he immediately turned to Professor Yang for help. Especially Zhang Lin, a pretentious boy who doesn't recognize his relatives. It's best not to mess with him, otherwise he will become a victim of his pretentiousness. If he scolds him in the operating room here, Lao Fang will be in the hospital in the future.
How can Sanbo Hospital survive when there are several doctors from the general surgery department watching over it?
Yang Ping looked up and saw that the person who had just been introduced was Professor Shi from the Cancer Hospital of Nandu Medical University, so he nodded: "Yes, I just asked Director Shi to come on stage."
When the big boss spoke, the pretentious boy had nothing to say, so he had to give up the idea of pretentiousness.
Director Fang breathed a sigh of relief. Zhang Lin had such a good reputation that no one dared to mess with him. Even the director of the medical department was afraid of him. Not to mention other people, he would fall out whenever he wanted. He had no human feelings at all. Still remember the past?
The patient's family member beat his wife, but he didn't care about anything and just fought hard with them. No one could stop him. In the end, the arrogant and domineering patient's family member had to bow his head and admit his mistake and beg to be let go. Director Fang felt that it was best to stay away from this kind of person.
"There can't be enough room for so many people on the stage, so don't come up again. Crowding will easily contaminate the surgery." Zhang Lin said coldly.
In fact, this is indeed the case. The operating table is such a big place, and it will definitely not work if there are too many people crowded in. If you move casually and touch arms, it is easy to contaminate the surgical area and disturb others.
There was no other way. Director Fang had no choice but to reluctantly lower his hands in front of his chest. He helplessly watched his senior brother having fun on the stage. Director Fang regretted inviting his senior brother to come over. It was so good to be alone. If he hadn't taken care of his senior brother, he would have been there long ago.
Stand on the stage and be a helper.
Director Shi adjusted the sterile gloves and immediately entered the first assistant state. He picked up two vascular forceps, gently clamped a bit of connective tissue and lifted it up so that the surgeon could separate the tumor and normal tissue.
"Come on, Professor Yang, continue!" Director Shi urged.
Yang Ping picked up a sharp knife and continued the operation.
"This vascular forceps should be raised a little higher."
"Oh! Here?"
''The one over there next to the portal blood vessels."
"is it here?"
"right!"
"Relax the other hand a little more, and then a little more."
"The pliers slipped, wait."
Just now, when the two vascular forceps were adjusted, one of them was not operated properly and slipped directly from the soft tissue of the forceps.
Director Shi has not been an assistant for many years, and he is very unaccustomed to it now. He has no sense of cooperation at all, and he and Yang Ping have never worked together on stage, so he must be confused and confused.
Now Yang Ping is preparing to separate a tumor in the porta hepatis area. The tumor here is growing around blood vessels. The blood vessels cannot be saved, so both the blood vessels and the tumor must be removed. During the resection process, hemostasis must be done, and the blood vessels must be protected and marked.
The remaining healthy blood vessels can be used for subsequent vascular reconstruction.
"Don't shake your hands randomly. This is a sharp knife. If you're not careful, you may accidentally injure yourself."
"Oh oh oh---"
"Stop shaking!"
"I didn't---"
The more he talked, the more Director Shi's hands shook, and he couldn't control them at all. Sweat was already oozing out from his forehead. Yang Ping was so fast. Director Shi was unfamiliar with the work of assistants, and he usually used tissue scissors to separate.
Now Yang Ping has a sharp knife in his hand. Director Shi feels scared when he looks at it. This assistant can't do it.
"I guess I haven't recovered from the cold in the past two days. I'm feeling dizzy now. Director Fang, come here!"
Director Shi finally couldn't hold it any longer. If he continued like this, he would definitely get into trouble.
"Okay!"
Director Fang responded immediately. He had been waiting for such an opportunity for a long time. He regretted that he should not have put down his hands just now, and now he had to brush his hands again.
Without stopping for a moment, Director Fang immediately prepared to go out and wash his hands. The door of the operating room opened and Song Zimo walked in with both hands raised. He had finished eating, and now it was Xu Zhiliang's turn to go out to eat.
Director Fang finished washing his hands, got dressed and went on stage: "Dr. Song, take a breath, I will help you for a while."
"Oh!" Seeing that Director Fang was so active, Song Zimo didn't say anything and made room for him. Director Fang happily stood at Yisuke's position, ready to fight.
A pile of organs were laid out on a special sterile operating table. Yang Ping continued to separate tumors. Director Shi couldn't keep up. How could Director Fang keep up?
The human tissue was spread on the sterile table. It was soft and soft. Director Fang was a little at a loss. In the past, surgeries were done inside the human body. Now this pile of things is separated from the body. He didn't even think of it, so he acted like
The assistant's performance is not much better than that of the senior brother, the main difference lies in basic skills.
After all, the training methods of the people at the Institute of Surgery are different. They have a scientific basic skills training system, and they train one or two hours of basic skills every day, and then a lot of surgical training.
Director Fang followed the traditional surgical training. Traditional surgical training lacked a systematic and scientific training system. It was just sporadic and non-continuous training. Many hospitals even did not have basic skills training at all. It was just doctors who tried to explore and conduct self-training. Most of them
It's about learning from one thing on the operating table and exploring through practice.
This backward training method directly leads to the lack of basic skill training for surgeons. Many orthopedic surgeons do not recognize all professional orthopedic instruments. Slightly newer instruments require guidance from the manufacturer's engineers. Without engineers to follow the stage, the operation cannot be performed.
Many neurosurgeons do not have formal training in microsurgery, and even some short-term training is very sloppy. Only a few hospitals have systematic and formal microsurgery training. Most doctors go to the battlefield after a little training.
There is no basic laparoscopic training in general surgery, resulting in laparoscopy becoming a special skill for some doctors, rather than a basic skill mastered by all general surgeons.
From school to hospital, there is no awareness of skills training, let alone a department specifically responsible for skills training and evaluation. The so-called model of experienced people leading novices is in name only. It is much better in some top large hospitals. In ordinary hospitals, doctors basically grow wildly.
I completely relied on my own exploration and self-study.
This chapter is not over yet, please click the next page to continue reading! Therefore, many doctors have been deputy chief doctors for a few years after graduating, but they are not even able to perform knotting and cutting threads skillfully and standardly. They have published a lot of papers and performed surgeries.
Many of them can talk eloquently for an hour at academic conferences, but they still cannot recognize all the surgical instruments in this specialty.
"We are going to remove the left lobe of the liver. Director Fang, please pick out the round ligament!"
Yang Ping reminded Director Fang.
But Director Fang was completely confused. This pile of soft things, tumors and organs were mixed together. Where was the liver? Where was the round ligament? It was not clear at the moment.
"Professor Yang, I'm here to experience it---" Director Fang couldn't keep up with the rhythm, so he explained honestly.
When Yang Ping heard that Director Fang was here to experience life, he had no choice but to slow down and take care of Director Fang. This patient was admitted by Director Fang, and they had already communicated with him before the operation and asked him to be an assistant.
, everyone forgot about this when the operation started. Now that he has finally come to the stage, no matter what, we must take care of him and let him experience it. The dignified surgical institute cannot break its promise.
Anyway, there is no rush. When Xu Zhiliang comes back, Yang Ping will go to eat.
Yang Ping said to Director Fang: "Come on, Lao Fang, let's experience what it's like to be a surgeon."
Chief surgeon?
Director Fang shook his head, how could he dare to perform this kind of surgery? His senior brother is a nationally renowned expert in pancreatic tumor surgery, so he did not dare to say this. How could he, Old Fang, dare to perform such a surgery? He still knew how much he weighed.
Yang Ping gave up his position as the surgeon: "Old Fang, come here and experience it. This patient is still yours. It's okay. I'll be your assistant."
Director Fang saw that Yang Ping was not joking, but serious. Hearing that Yang Ping would be the first assistant, he felt a little eager to give it a try, and stood in the position of the chief surgeon. Anyway, if it didn't work, he would leave it to Yang Ping, and nothing would happen.
Director Fang would definitely not dare to play with sharp knives. It is still possible to try it with tissue scissors. Director Fang adjusted the tissue scissors in his hand to find out the feel.
Yang Ping's vascular forceps gently lifted up a bit of tissue, and the other tissue forceps pointed at a certain part: move slowly, start the scissors from here, use the tips of the scissors, open and close as small as possible, don't rush.
Director Fang followed Yang Ping's guidance and cut it bit by bit. After all, he is a senior doctor who has been working for more than ten years. His level is still good and not bad. However, when he meets Yang Ping, a non-human being, it would be difficult for anyone else to keep up.
Rhythm.
Under Yang Ping's guidance and protection, Director Fang followed Yang Ping's guidance and cut wherever Yang Ping's vascular forceps lifted the tissue in that area. As soon as Yang Ping's vascular forceps blocked it, he immediately stopped.
Whenever a blood vessel is encountered, Yang Ping will use the tip of a vascular forceps to separate the blood vessel, and then hand it over to Director Fang for electrocoagulation or ligation.
In this way, Director Fang advanced the operation bit by bit, and at a good speed.
Can you do it yourself? Director Fang has never performed such a smooth operation. The surgical area was clean and there was almost no bleeding.
The assistant helped him prepare every step in advance, and did a good job of guiding and revealing the work. He only had to follow the assistant's instructions. This surgery was truly a miracle, and Director Fang became more and more enthusiastic about it.
Director Shi watched with envy in the audience. The junior surgeons were doing so smoothly. Why couldn't I keep up with the rhythm just now? Maybe I was not used to it. I will try it again when I have the opportunity.
Director Fang's operation became smoother and smoother, and I felt great. The metastatic tumor had been mixed with part of the left liver. If we wanted to completely remove the tumor, we could only resect the left liver lobe, and some blood vessels in the porta hepatis also had to be cut off.
So the difficulty of the operation is still very high.
Director Fang wears fluorescent glasses, is serious, and makes steady progress with Yang Ping's strong cooperation, which is very typical of everyone.
"Xiao Chen, help me take some photos, take a few more photos from different angles, and videotape them, hurry up!"
Director Fang suddenly remembered about taking pictures and immediately ordered his graduate students to take pictures immediately. Now that he was the chief surgeon, he would take out these photos to brag in the future. How could he miss such a rare opportunity?
Yang Ping used two pairs of vascular forceps to gently lift the tissue on both sides, so that the tissue in the middle of the two vascular forceps was exactly where the scissors could be inserted. Director Fang's scissors cut shallowly every time, so it was very safe.
Now we have to cut through the liver parenchyma and perform liver lobectomy. Director Fang becomes more and more confident as he does it.
Cutting the liver parenchyma will cut off some small blood vessels, but the vascular forceps in the assistant's hands are too powerful and do not give these blood vessels the slightest chance. As long as the blood vessels are cut, the assistant's vascular forceps will immediately clamp the broken ends of the blood vessels. Director Fang
Simply touch the electrosurgical tip to the tip of the vascular forceps easily to perform electrocoagulation on the severed end of the blood vessel.
Even if the blood vessels are slightly thicker, it doesn't matter. At worst, Director Fang will ligate them.
Moreover, there seems to be an endless supply of vascular forceps in the assistant's hands, one by one appearing in time without any hesitation.
Yang Ping's vascular forceps clamped the severed round ligament of the liver and gently lifted it. The other blood vessel had already guided Director Fang forward. Director Fang used the round ligament of the liver as a symbol to carefully cut the front lobe of the left coronary ligament.
, Yang Ping pulled away the left outer lobe of the liver, exposing the posterior lobe of the left coronary ligament for Director Fang to remove. Under the guidance of Director Fang, he gradually separated the left outer lobe laterally and separated the left deltoid ligament.
Director Fang is experienced and confident in ordinary liver lobectomy. However, this case is too special and the tumor is very tricky to grow. Now Yang Ping has prepared everything for him. To Director Fang, this operation is a fool's errand.
For surgery, as long as you don't want to die, just take the scissors and cut randomly.
Many general surgeons in the operating room were staring at the screen at this time. Director Fang puffed up his chest and looked like a real boss. Everyone has a pretentious heart, and Director Fang was no exception.
The tissue scissors continue to separate. In addition to blood vessels, some small intrahepatic bile ducts will also be cut when the liver parenchyma is cut, and their broken ends will retract.
This chapter is not finished yet. Please click on the next page to continue reading the exciting content! But don’t worry, the assistant is very powerful. The vascular forceps will clamp their stumps in time and firmly, whether it is a blood vessel or an intrahepatic bile duct.
He will not let it go. When the assistant lifts the stump, the clamping wire has already been given to him. Director Fang only needs to wind the wire and tie the knot in a generous manner.
Finally, the left lobe of the liver and the tumor that invaded it were completely separated, and the whole process was clear and clean.
"Anesthesiologist, I need to remove the left lobe of the liver!"
Director Fang announced loudly that at every critical moment of the operation, the surgeon in charge should remind the anesthetist to report vital signs. This was also Director Fang's declaration of his status as surgeon.
Although it is removed from the body, each organ is still connected to the patient's blood circulation, so it is actually only separated from the body in a spatial position, but not physiologically. After removing the left lobe of the liver, if the bleeding fails to stop somewhere,
Once done, if massive bleeding occurs, the anesthesiologist will be caught off guard if he is not mentally prepared, so it is necessary to alert the anesthesiologist.
The doctors, masters, doctors, and trainees in the general surgery department all focused their eyes on Director Fang from the screen. They were all in awe of Director Fang. Director Fang performed such a major operation in a decent manner, and there was no accidental injury so far.
One blood vessel, the surgical area is clean. When did Director Fang become so powerful and master the "bloodless surgery" of the Institute of Surgery without revealing his true identity?
"How's it going? Director Fang, are you tired? Do you want to take a break?"
By this time Xu Zhiliang had finished eating, and it was Yang Ping's turn to eat. Yang Ping asked with concern.
Director Fang was immersed in it and couldn't extricate himself: "It's okay, continue, I will cut out all the tumors and then let you do autologous transplantation, so that you can take a breather."
