Chapter 843 【843】Must Be Cut Clean

"I don't know." He Jiuliang had some reservations when he reported to him, "They think the tumor can be resected, and they are going to do a pathological analysis during the operation to further determine the operation method."

The two rookies are very confident.

He Jiuliang continued: "They suspected it was a borderline tumor. However, the peritoneum has metastasized, so it is not easy to cut it clean."

Cancer is cancer, whether it is low-grade cancer or not, if it is not cut clean and left alone, it will recur and cause death.

"Do you think it can be cut clean?" Tao Zhijie asked the two newcomers again.

Song Xuelin, who held a laparoscope in his hand, glanced at Xie Wanying who was facing him from the outside of the mask.

What does his look mean? Tao Zhijie and He Jiuliang thought.

The chief surgeon thinks whether it can be cut clean depends on one's help instead of oneself?

He Jiuliang directly asked the chief surgeon again, in fact to remind the chief surgeon: "If you want to cut it clean, should you remove the spleen as well?"

As long as it is a doctor, it is believed that there should be a thorough cleaning and killing of cancer cells.

Removing the spleen alone does not have a great impact on the patient's survival. On the contrary, if there are cancer cells left, it will have a fatal impact on the survival of the patient. Moreover, the tail of the pancreas is next to the spleen, and spleen metastasis is inevitable.

It’s just that if it’s a low-grade tumor, doctors can try to keep the spleen as much as possible. The spleen is the largest immune organ in the human body. It has the functions of anti-infection and anti-tumor. It plays a great role in the postoperative recovery and continued anti-cancer of patients.

Considering the preservation of the spleen, surgery is probably more difficult than splenectomy, as it involves the separation of large blood vessels such as the splenic artery and splenic vein.

The best way to protect the spleen is to preserve the arteries and veins of the spleen, otherwise the possibility of splenic infarction is very high. If a second surgery is needed to remove the spleen in the end, it is better not to preserve it at the beginning.

The most important thing is to see the skill and judgment of the surgeon.

Regarding this question, Song Xuelin glanced at the opposite side again.

He Jiuliang caught his gaze again and criticized him: "You are the chief surgeon, what do you think Kazusuke is doing? Do you think she can't cooperate with you because she can't do it? You can say something, Teacher Tao can let someone change."

This guy should have just graduated. He may have seen similar operations in Beijing, but he is not familiar with them, so he is timid. He Jiuliang thought. The question depends on what an intern does. Xie Wanying is just an intern, with less surgical experience, she should have never participated in this type of surgery, and she can't figure out how to help with the surgical steps.

Look at Tao Zhijie again, standing next to Xie Wanying, looking at Junior Sister Fan's hands with gentle eyes: the left hand is grasping the separation forceps and the right hand is grasping the suction tube, as if he is a bit experienced as a helper. She doesn't look like a young girl who doesn't understand anything at all.

However, the mirror hand can follow the main knife. The first aid is different. At critical moments, it is necessary to support certain positions of the chief surgeon. For example, at the moment of heavy bleeding, the chief surgeon is too busy, and the first assist must play the role of a divine assist at the fatal moment.

Picking an easy-to-use and reliable first aid has always been one of the elements in the chief surgeon's mind to calculate whether various operations can be performed.

It is understandable for Song Xuelin to look at Yizhu again and again.

Can a substitution be made? Tao Zhijie and He Jiuliang considered in different directions, and concluded: probably not.

Qiu Ruiyun couldn't understand Song Xuelin's operation diagram, and he passed it on to He Jiuliang, who also couldn't understand it. Otherwise, He Jiuliang would not have said that the operation could not be done shortly after the investigation started. Xie Wanying insisted on standing in the chief surgeon camp.