Therefore, it is not advisable to repeatedly use unnecessary forceps to pull the stool. Other techniques of staying still should be used, such as pushing, pressing, and turning. It is like doing Tai Chi. Only by relying on the peristaltic power of the patient's own organs to move can the patient move in the best possible way.
It is possible to do so without damaging the patient's organs.
It once again tests how deeply the doctor understands the anatomy of the patient's body.
Because he was constrained by the special conditions in the patient's abdominal cavity, He Jiuliang was unable to conduct eye exploration first with the laparoscope in his hand, and could only follow the chief surgeon and first assistant.
Unexpectedly, the surgeon's condition was not much better than his. He still relied on his help to clear the way through the patient's body.
The operation seemed to be getting more difficult. He Jiuliang felt a little anxious, but when he looked back, Tao Zhijie was very calm.
Pancreatic surgery is inherently the most difficult thing to do. The pancreas is located too deep and is hidden behind various organs. It is difficult to perform an open surgery, let alone a laparoscopy. The actual situation is that there have not been many successful surgeries like the one we are going to do today in China.
Including their doctors from the National Association, it was definitely the first time to do it. Because this time it was necessary to cut off the metastasized peritoneum, which was more difficult than simply removing the pancreatic tail and preserving the spleen. He Jiuliang didn't understand Tao Zhijie's attitude toward these two things.
Where is human confidence?
As seen during the operation, the splenic artery and splenic vein were indeed adhered to the retroperitoneum.
Ichisuke's separation forceps and the surgeon's knife were dissecting layer by layer, and they couldn't be more careful. Then they arrived at the critical pancreatic tail. The pancreatic tail artery branches from the splenic artery. It can be seen that there are many layers of the pancreatic tail, splenic artery, and splenic vein.
Close and closely connected.
At this point, the pancreatic tail and splenic artery are almost glued together, making it even more difficult.
The surgeon's ultrasonic scalpel hesitated twice.
It won't work. If you just tear and scratch it, it will definitely break. If you use an ultrasonic scalpel, it is equivalent to cutting the blood vessel. Is it useful to use electric scissors? It seems not. He Jiuliang thought in his heart.
When he wanted to cut his head and didn't know what method to use to solve the problem, the surgeon's ultrasonic scalpel and the first assistant's separation forceps were used together. This scene shocked everyone present. Such an operation requires very skilled cooperation.
Team, can these two people do it? Besides, how are these two people going to separate with these two things?
I saw the separation forceps grabbed it, very gently, but because it was too tight and pulled, it inevitably tore a little and caused blood spots. The ultrasonic scalpel immediately repaired it and used electrocoagulation to stop the bleeding.
As they watched, He Jiuliang and Tao Zhijie's eyes lit up: the two of them actually matched well. It was the first time they officially collaborated on stage and they had such an idea of cooperation. It was very rare.
The operations continued one after another. The two of them seemed to be getting more and more accustomed to working together in this way, because it seemed to go more smoothly. After all, scratching caused less damage than simple sharp separation of cutting.
The tail pancreatic artery was about to be ligated. The sutures were inserted and there were some adhesions around it. Ichigo immediately made a decision and flushed it with water.
Other doctors and nurses looked at the monitor screen with their eyes fixed, probably because they thought it was more exciting and beautiful than watching a movie, as if they were watching a kaleidoscope.
All kinds of separation methods were performed. It shows how flexible the brain of the surgeon is. To put it more appropriately, it may be that the surgeon seems to have a perceptual knowledge of the nature of the patient's tissues and organs, and knows where to push and it will fall apart.
, you have to scratch it somewhere to get it to fall away.
The most important thing is that this is the result of the cooperation of two doctors. Just like the solo trapeze and the double trapeze, the double trapeze performance is definitely more complex and exciting.