Chapter 1032 【1032】Another Important Anatomical Location

When it comes to the liver, this is the key point, because the patient's clinical symptoms are basically related to the liver.

It was written in the medical records that the patient had cirrhosis of the liver from the very beginning. In most advanced stages of cirrhosis, the liver shrinks. On the contrary, this patient is a rare case of hepatomegaly, which does not seem to be an early stage.

The reason is that Budd-Chiari syndrome causes hepatic parenchymal congestion and enlargement. Doctors have grounds to suspect that the cirrhosis of the liver may be caused by Budd-Chiari syndrome, which is not the same as most cases.

Hepatic vein and superior inferior vena cava obstruction is the main cause of Budd-Chiari syndrome.

Laparoscopic observation of the outline and outer surface of the liver, combined with preoperative CT and other examination results, can temporarily determine that there is no tumor growing inside the liver.

No doctor was relieved by this.

Because the preoperative examination has shown that the main lesion of this patient is not in the liver but in the inferior vena cava. This operation screen display is equivalent to confirming that there is cancer in the patient's body.

The real-time breath of the operating room was conveyed to the site of the exchange meeting.

The noisy noise just now disappeared, and the low air pressure permeated.

Every surgeon would like to be slapped in the face after opening the abdominal cavity. As long as it is not cancerous, everything is fine, but now they have to adjust their mentality and continue.

Jiang Mingzhu grabbed the collar of her clothes and exhaled to adjust her breathing. She was about to sweat. At this moment, she admired her junior sister Xie Wanying who died in the operating room. You know, it's unimaginable for a medical student to be so calm.

She clearly knew that she was doing a live broadcast, but Xie Wanying's hands in the screen were always as steady as Mount Tai, even if some bad results came out, she would definitely not be able to control herself, and her hands would shake.

The previous operation is about to enter the deep water area, and it is necessary to find out all the conditions of the inferior vena cava. At this time, an important anatomical structure called the hepatic hilum is touched. The portal of the liver, like the hilum of the spleen and the renal pedicle, is an important part where various blood vessels, nerves, lymphatic vessels and other important tissues enter and exit the liver. Therefore, only specialists have a deep understanding of the importance of the portal of the liver in hepatobiliary surgery. If one is not careful, it can cause severe hemorrhage. Among them, the hepatic vein has a very thin wall and less surrounding connective tissue, which leads to common hepatic vein injury in hepatobiliary surgery.

Before reaching important anatomical sites, the separating forceps are separating the peritoneum around the liver. Improper operation and instability may tear the inferior vena cava, left hepatic vein or left inferior phrenic vein. Such results often lead to the formation of terrible air embolism other than massive hemorrhage .

An air embolism is an air embolism. When it comes to the hazards of air embolism, ordinary people who have received injections know that air in the infusion tube entering the blood vessels of the human body will kill people. In this operation, since the inferior vena cava is connected to the right atrium, the patient may die sooner if the air reaches the right atrium.

The breath that everyone held was to see the meticulous and meticulous movements of the separating forceps.

This is the difference between the team of star doctors and ordinary doctors.

Look at the previous surgery for liver tumors, which also involved the separation of the hepatic hilum. But what people make is not as good-looking as this.

Where is the reason?

Even amateur photographers could feel it, and fixed the live broadcast directly on the laparoscopic monitor and did not move. Because the angle of view of laparoscopic surgery given by the mirror holder is already very good, if the amateur photographer randomly cuts the focal length of the lens, it will not be as good as the expert surgeon.

"The light source of this mirror arm is very slippery."