Chapter 845 【845】Double Force
Repeated redundant pincer pulling is therefore not advisable, and other immobile techniques such as pushing, pressing, and turning are used. It's like playing Tai Chi, relying on the peristaltic power of the patient's own organs to move, so as not to damage the patient's organs as much as possible.
This is another test of how deeply the doctor understands the internal anatomy of the patient.
Due to the special situation in the patient's abdominal cavity, He Jiuliang could not do eye detection first with the laparoscope in his hand, so he could only follow behind the chief surgeon and Yisuke.
Unexpectedly, the situation of the chief surgeon is not much better than him, and he also relies on his help to overcome obstacles to open a way in the patient's body.
The operation seemed to be difficult. He Jiuliang was a little anxious, but when he turned around to see Tao Zhijie, he was very calm.
Pancreatic surgery is the hardest thing to do. The location of the pancreas is too deep, hidden behind various organs, it is difficult to do laparotomy, let alone laparoscopy. The actual situation is that there seem to be few cases of success in China for the operation to be performed today. Including their doctors from the National Association of China, it is definitely the first time to do it. Because this time it is necessary to cut off the transferred peritoneum, which is more difficult than simply removing the tail of the pancreas and protecting the spleen. He Jiuliang didn't understand Tao Zhijie's confidence in these two people.
As can be seen during the operation, the splenic artery and splenic vein are indeed glued together with the retroperitoneum.
Kazusuke's splitting pliers and the chief knife's knife were being separated layer by layer, and he couldn't be more careful. Then to the critical tail of the pancreas. The tail of the pancreas is branched from the splenic artery, showing how close and closely connected the tail of the pancreas is to the splenic artery and the splenic vein.
At this point, the pancreatic tail and splenic artery are almost glued together like glue, which is even more difficult.
The chief surgeon's ultrasonic knife hesitated for a few moments.
no more. It must be broken if you tear it directly. Using an ultrasonic scalpel is equivalent to cutting blood vessels. Is there any use for electric scissors? It doesn't seem to work. He Jiuliang thought to himself.
When he was wondering what method to use to solve the problem, the chief surgeon's ultrasonic scalpel and Kazusuke's separating forceps were applied together. This scene shocked the people present. This kind of operation requires a highly skilled team. Can these two people do it? Besides, how do these two people plan to separate these two instruments?
I saw that the separating forceps grasped it very gently, but due to the tight adhesion, it was inevitable that it would tear and cause bleeding spots, so the ultrasonic scalpel was immediately repaired and electrocoagulated to stop the bleeding.
Looking at it, He Jiuliang and Tao Zhijie's eyes lighted up a little: these two people actually match well, it's the first time they officially cooperate on stage, and it's very rare to have such an idea of cooperation.
Operations continued. The two seem to be getting more and more used to cooperating in this way, because it seems to be smoother. After all, the simple sharp separation damage of grasping is less than that of cutting.
The pancreatic tail artery was ligated. The sutures went in, and there was a bit of adhesion all around again. The first assistant immediately rushed with water.
The other doctors and nurses stared at the monitor screen intently, probably thinking it was more exciting and beautiful than watching a movie, like watching a kaleidoscope.
All kinds of separation methods are staged in all kinds of ways. It can be seen how flexible the brain of the surgeon is. More precisely, it may be that the surgeon seems to have perceptual knowledge of the nature of these tissues and organs of the patient. He knows where to push them and they will fall apart, and where to grasp them to fall apart. .
Most importantly, this is the result of the cooperation of two doctors. Just like solo trapeze and double trapeze, the double trapeze performance must be more complicated and exciting.
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