Chapter 1162 【1162】Arrived in the Triangle
Gao Zhaocheng covered his forehead with his hand: Is my junior sister showing off her skills at this critical moment? What I have to say is that the little junior sister's skill is really beautiful.
There was a light in Zhang Huayao's deep gray eyes.
Good doctor skills undoubtedly gave everyone at the scene a shot in the arm.
The confidence of the two chief surgeons also increased greatly.
The scalpel fell behind the pancreas, and the portal vein and the superior mesenteric vein were separated, but the portal vein was not invaded by cancer cells. Fortunately, the doctors are the luckiest of misfortunes.
Hearing everyone's breathing, Zhang Huayao's complexion was different, it was more dignified, and a wolf's light flashed vaguely: cut, continue to cut, and kill the cancer cells.
The boss's gaze was on the backs of the young doctors on the operating table.
Tan Kelin and Tao Zhijie's eyes sank: This man deserves to be called Zhang Yanluo by Guozhi's emergency department, his eyes became fierce, like a dragon-slaying sword.
Without Zhang Huayao's urging, they must have cut it clean without reservation, otherwise the meaning of surgery would be lost.
To evaluate the result of a surgeon's operation is to see whether the cut is clean enough, which will determine the patient's survival period.
To be clear, cutting cleanly does not mean cutting everything that should not be cut. The surgeon's eyes need to be fully focused at this time.
The primary task falls on the shoulders of the hand holding the mirror again. It is necessary to continue the separation with the chief knife. Only when each layer is clearly separated can it be possible to use the knife accurately.
Zhang Tinghai suddenly looked at the clock on the wall subconsciously. The operation had been going on for almost an hour.
According to this progress, the operation may be completed in two to three hours. If it ends at such a time, it can be said that a new record in the hospital has been created.
Traditional laparotomy takes more than three hours. I have never heard of laparoscopic surgery that can achieve this speed.
Zhang Tinghai stood up.
Liu Jingyun, who was closest to him, noticed his nervousness: What's wrong?
"Prepare the medicine." Zhang Tinghai didn't tell her, but talked to himself, while taking the first aid product ephedrine with his own hands.
Seeing him taking ephedrine, Liu Jingyun knew that the operation had reached a terrible place, which was the gallbladder triangle.
Gallbladder triangle, also known as Carlo's triangle. It can be called a triangle because it has three sides. In the three-dimensional world of the human body, the three sides are not accurate enough, they should be called the three sides.
Which three sides, hepatic cystic duct surface, common hepatic duct surface, and liver liver surface.
The reason why the cholecystectomy needs to touch this place is that there is a cystic artery passing through here. Before removing the gallbladder, find the cystic artery and tie it here. The cystic artery originates from the right hepatic artery, if it is not tightened, the right hemi-liver will be ischemic.
The triangle is narrow and difficult to operate. If the surgeon does not have enough experience here, he will often injure the bile duct by mistake. Worst of all, since many patients have chronic cholecystitis and other diseases, the gallbladder is seriously adhered to the surrounding tissues, the triangle cannot be fully exposed, and it is even more difficult for doctors to find the cystic artery.
Judging from the picture of the operation now, it happened to be such a difficult situation.
Teacher Lu went to see his old classmate Fang Xueqing for digestive tract diseases. He had cholecystitis, and the adhesions here were serious.
The separation forceps of the main knife dare not enter the danger zone at will.
A hard blunt dissection can result in damage to healthy tissue in that part of the body. The only option for the chief surgeon is to change the plan and take another path to enter the triangle, commonly known as retrograde gallbladder removal.