Chapter 676 [676] Liver

Due to time constraints, there were no opportunities for students to ask questions and discuss in the ward. The attending doctor patrolled around and went to the operating room for surgery without discussing it like the second general surgeon. In this regard, surgeons work much harder than physicians.

Half an hour of ward rounds, for a medical student like Xie Wanying who came to this department on the first day, it was just a matter of time. The faces of many patients cannot be recognized completely, and they have no idea what's going on. The teacher assigned her a task and had to wait until after the afternoon, so there was no rush. After such a comparison, it seems that it is a good thing that she was left out in the ward in the Second General Hospital.

Going down to the operating room, Xie Wanying is very familiar with the operating room environment. It's just that this time it's hepatobiliary surgery, not general surgery. Keep in mind Senior Sister Jiang's words, wherever you go to study with the teacher, you must concentrate and not be distracted, and don't miss your ex. She didn't meet Teacher Tan and the others, so she stood directly in the operating room of the hepatobiliary surgery to observe.

The operation this morning was a laparoscopy for a patient with primary liver cancer.

All surgical departments are leaning towards minimally invasive surgery. Laparoscopic surgery for liver cancer has been promoted a lot, but the threshold of what can be done is much higher than that of laparoscopic surgery for gastrointestinal tract. Like today's surgery, the seniors held a meeting and discussed it for a long time that night.

Specifically, Xie Wanying did not participate in the group meeting that night, so she didn't know the content, so she could only stand in the operating room and observe.

Senior Brother Tao is the chief surgeon, I heard about it before.

The first assistant is Dr. He.

The hand holding the mirror is not Dr. Qiu. Dr. Qiu went to another operation to help. It is another resident named Gong Xiangbin, who is one year older than Dr. Qiu, shorter and fatter than Dr. Qiu, not as handsome as Dr. Qiu, gentle and stable of a doctor.

Song Xuelin, who was called to try his hands, put on a surgical gown and stood behind Yisuke and the chief surgeon as if waiting for orders. It was not clear what operation he would be asked to do at that time.

She has graduated, but she is not, just an intern. So it is reasonable for the teacher to tell her to just watch. Xie Wanying watched intently. Teacher Tan has always worked as a mirror holder. She has more experience as a mirror holder. It is the first time for her to come to the Department of Hepatobiliary Surgery to see laparoscopy for liver surgery. It is inevitable that she carefully observe Dr. Gong's operation first.

Dr. Gong's hand seemed to be motionless, and he had to look at it like a magnifying glass to notice the slight amplitude. Unlike the gastrointestinal tract, the liver is a substantial organ that is fixed in one area. Surgery around the liver is basically performed in this area, requiring considerable stability and meticulousness. The gastrointestinal tract is a hollow organ, and the many twists and turns require more dexterity.

The hand holding the mirror has already paid attention to caution, not to mention the first assistant and the main surgeon, as Doctor He said, they are like deminers, who penetrate little by little, and dare not make large-scale operations at all.

After all, the liver is full of very, very rich blood vessels. When removing a tumor, the liver must be cut. As long as the incision position is slightly off, it is easy to hit various blood vessels in the liver, and the blood will bubble all over the wound of the liver. .

If there is massive bleeding in a parenchymal organ, the surgeon is anxious to directly press the liver wound with his hands to stop the bleeding during laparotomy. During laparoscopic surgery, the doctor's hand cannot get in, so he can only use hemostatic gauze to press. If you can't suppress it, and you can't find the bleeding point if you have heavy bleeding, you can only turn the abdomen open. It can be seen that the difficulty of hemostasis is a major defect of laparoscopy in liver surgery, which seriously restricts the size of liver tumors in laparoscopic surgery, the location of tumors cannot involve the portal vein, and there is a high requirement for the patient's liver function level.