In the operating room, as Fang Le opened the abdominal cavity and gradually exposed the liver, the operation officially entered a critical moment.
Fang Le, Xiao Conglin, and Zhu Hongquan formed three groups and echelons to cooperate with each other.
"Pay attention to the bleeding points and block the portal of liver!"
Fang Le began to complete the complete anatomical separation of the first and second porta hepatis of the liver.
Others cooperate with lymph node dissection…
"Pay attention to the suspension and pay attention to the field of vision."
Fang Le reminded him from time to time, and with the cooperation of others, he gradually began to freely suspend the suprahepatic and subhepatic inferior vena cava, and began to peel off the liver...
"Fang Le has a deep understanding of the structure of the liver."
Liu Wenyuan and others were watching the operation and communicating while watching.
"Yes, the difficulty of semi-detachment actually does not lie in this aspect, but this aspect is not so easy to complete."
As the operation progressed for an hour, the processed film was also sent to the demonstration classroom over there and began to be played. After all, Xijing Hospital is the first hospital in Qinzhou Province, and there is great support from military doctors behind it. This operation, Huo Zhenping,
Bian was very well prepared.
In terms of cost and staffing, some of the crews at this time did not have as much investment as Xijing Hospital. In addition to the post-editing and scene switching cycles, the ten hours of surgical recording and processing, these, the small crew still
I really can't keep up.
"The difficulties in the semi-isolated resection surgery are mainly the cooling treatment in the later stage, the resection after isolation, the reconstruction of the inferior vena cava and the reconstruction and replantation of the left hepatic vein. Now it is just dissection, and it is not the critical time of the operation yet. However,
The operation at this time is also very important, and Fang Le has perfect control in all aspects."
In the demonstration classroom, a group of people were watching the surgery video, and several experts such as Guan Liangshan also gave explanations from time to time.
In the surgery scene, Fang Le is wearing a mask and the operation is very smooth. The most important thing is that Fang Le has to control and worry about the entire surgical team. It is a team that does not cooperate well and is participating in similar surgeries for the first time.
The surgeon in charge has many issues to worry about.
Fortunately, Xiao Conglin and Zhu Hongquan are top experts in this field, and Le gave detailed preoperative explanations and preoperative analysis before the operation. At this stage of the operation, the whole process is quite smooth.
After nearly three hours, the liver was finally peeled off.
Bright red and plump
"Fortunately, liver cirrhosis is not too serious and the risk is much smaller."
Xiao Conglin said with emotion.
"yes."
Zhu Hongquan said: "But Dr. Fang's technique is also very unique. He chose the location very well during the separation and grasped the timing very well. As for the second porta of the liver just now, if I were to come, I might bleed."
The biggest disadvantage of liver cirrhosis is that some parts of the liver are very fragile. A small cardiovascular risk may rupture, causing new bleeding points. With today's surgery, if new bleeding points occur and the amount of bleeding is excessive, the risk of the operation will increase.
Much bigger.
The enlarged liver was turned over from the abdominal cavity by Fang Le and then taken out. The doctor next to him immediately performed cooling treatment according to the procedures planned before the operation.
“Cold irrigation treatment!”
"Pay attention to the protection of meridians."
In the operating room, in the small space, many doctors are leaning sideways. Even if this person finishes the work at hand, he will immediately give up a suitable position to the person next to him, and then wait for his own opportunity.
The space was small, and the doctors all stood sideways, and some even stood on tiptoe. This situation had lasted for more than three hours without even realizing it.
Such an operation is very taxing on the doctor's physical strength and endurance.
During the ten-hour or so surgery, you have to maintain such operations and postures. In the later stages, it's not just physical strength, but perseverance.
"Doctor Fang, drink some water."
Taking advantage of the temporary gap, the circulating nurse fed some doctors water, and some simply took a few sips, and then continued the operation.
Glucose water can properly replenish physical strength and water consumption, but it is not delicious. If it were not for such a special time and limited conditions, few doctors would be willing to drink such unpalatable glucose water.
"The liver has been peeled off, and the next step is to cool it down and remove the tumor outside the body."
In the classroom, everyone is watching the surgery.
"The operation room is nearly an hour faster than ours. It seems that the operation should go smoothly so far."
While watching the operation, Guan Liangshan and others also watched the time.
After all, the pictures here are not synchronized. By the time we see the liver dissection here, nearly an hour has passed in the operating room, and at this time, the classroom has not received any news. This is a very good situation.
.
The difference from watching a synchronized video is that although everyone is still worried when watching it, they also know that they are only watching the past tense, not the present tense.
In the operating room, in a semi-isolated state, Fang Le carefully separated the hepatic vein, umbilical fissure vein, inferior vena cava, and middle hepatic vein in vitro. Three tumors in the lower lobe of Hou Chengyang's liver were carefully removed by Fang Le, but there was no
Remove any excess tissue.
"Snapped!"
A piece of tumor about 6mm was thrown on the tray by Fang Le, and then another small piece of tumor.
When the extracorporeal dissection was performed, Xiao Conglin and Zhu Hongquan were completely unable to help. They could only watch Fang Le perform the operation with fascination and shock in their eyes.
Semi-isolated liver resection is very risky and difficult, but even with such an operation, Fang Le still doesn't seem to have any excessive changes in his expression.
"How much bleeding?"
After cutting out the last piece of tumor, Fang Le asked subconsciously.
"The amount of bleeding was 800 ml."
The anesthesiologist answered immediately.
"The amount of bleeding was 800, and Dr. Fang controlled it very well."
Xiao Conglin couldn't help but sigh.
"Yes, the control is great."
Zhu Hongquan and others couldn't help but feel a little energetic.
Forty-five minutes outside the body, the operation has now entered its fifth hour. At this point, it means that more than half of the operation has been completed. The only thing left is to reconstruct the channel and return the liver to the body again.
If there is no problem in the last link, then this operation can be declared a success.
Although the operation has lasted for more than five hours, at this moment, every doctor is somewhat energetic and high-spirited. After all, this is the first of its kind.
Show classroom.
It was almost ten o'clock in the evening now. The operation started at four o'clock in the afternoon, and it was already close to ten o'clock in the evening.
A nurse brought food to the leaders in the demonstration classroom, and a group of people ate and watched.
"If there are no accidents in the follow-up, then this operation will be considered a success."
Guan Liangshan was in a good mood and watched the surgery while eating.
"Yes, the first case of semi-isolated liver tumor resection."
At this moment, in the classroom, the leaders of the Military Medical University and the hospital, everyone is worried. Only the most critical step is left. Whether the liver can be returned to the body smoothly is the final difficulty of this operation.