Signing in at the hospital, the first operation shocked the whole country!

The first operation shocked the whole country!Section 30

Chapter 23 The operation is completed, ten million medical funds

At this moment, there are two or three times more equipment in the operating room than usual.

Almost all the advanced equipment of internal medicine were moved here, just for this operation.

Extracorporeal meridian circulation equipment, centrifugal pumps, etc...

After the little girl fell into a deep sleep under general anesthesia, a temperature-changing blanket was placed under her body, her lower limbs were wrapped in plastic sheets to keep them warm, her upper limbs were wrapped and pressed to her side, and hand guards were fixed.

The first step is intubation catheterization, external precision urine bag.

First Assistant Director Sun Sheng took the initiative to puncture the girl's left hand artery for invasive monitoring.

Then the right femoral vein was punctured for intraoperative lower extremity vein detection.

The artery is externally connected with a tee, which is convenient for blood pumping during the operation.

......

Afterwards, Qin Feng picked up the electric knife and opened his abdomen.

An electric knife is a needle used to cut skin and flesh tissue while reducing bleeding and sterilizing the wound during surgical operations.

I saw that he skillfully pierced the electric knife into the lower right abdomen, followed the position of the rectus abdominis to slowly cut open, and extended to the lower left rib.

It looks quite like a veteran who has been doing surgery for decades!

As soon as the experts make a move, they will know if there is any.

Qin Feng did not hesitate to start, and the incision was precise and beautiful, without any excess.

The eyes of the directors watching in the operating room suddenly lit up, and they couldn't help but sigh inwardly.

'pretty! '

Even the attending doctors outside the operating room were stunned for a moment, the stop of the operation was simply too precise.

Afterwards, each layer of the subcutaneous and abdominal wall was incised one point at a time.

Start to install the suspension hook, open the abdominal cavity, fully expose the surgical field of view, and explore the abdominal cavity.

The stomach and intestines are then pushed down and to the left with a wet gauze pad, and the entire liver comes into view.

Seen from above, the whole liver is intact, without any changes, and it looks as if there is no disease.

But when Qin Feng stretched out his hands, he gently lifted the liver and turned it over to the side.

An obvious lesion tumor appeared at the bottom of the back of the liver. According to MRI, this tumor was about the size of a ping-pong ball.

Next, is the most important operation.

Separate the whole liver!

......

"Big blocking pliers."

Qin Feng stretched out his hand and said in a low voice.

Director Sun Sheng on the side had already handed the device to him, and the next second the blocking forceps quickly and accurately clamped the hilum of the liver and successfully blocked it.

From now on, the real race against time begins.

Then the round ligament of the liver was cut with fine separating forceps and surgical scissors, followed by the falciform ligament of the liver and many intertwined and intertwined ligaments.

Then suture and fix it with silk thread, pull it upward with S hook, and fully expose the porta hepatis.

Continue to switch back to the scalpel, and block the external veins one by one with the left-hand blocking forceps, incise, ligate the proximal end, and block the distal end.

This operation alone took nearly 20 minutes...

It can be seen how many veins there are above the portal of the liver, and all of them are connected to other important organs.

But even so, in the eyes of everyone in the operating room and outside, they were shocked.

Especially the attending physicians who came to watch the whole operation from the Department of Internal Medicine opened their mouths wide in disbelief.

too fast!

It's so fast!

The other doctors also stared wide-eyed, not daring to let go of any wonderful details.

"Doctor Qin is amazing, the speed is terrifying!"

"And look at the technique of blocking the ligation, it's so delicate and beautiful!"

"It's unimaginable. When I was serving as Director Sun's second assistant, Director Sun didn't have such tricks."

"And every operation is just right, as if it comes at hand."

"Yes, yes, yes! I also feel this way, as if I have been doing it all my life."

"It's over, it's over, I can't keep up with Dr. Qin's operation speed, what should I do?"

......

In the monitoring room, a group of doctors couldn't help being amazed and flustered. They only wrote two or three sentences in the small notebook and gave up.

Because there is no time to record the details, it has already reached the next step.

"Okay, I'm going to separate the liver next."

Qin Feng paused and said lightly.

Director Sun beside him nodded immediately, and pushed the instrument from the side.

As Qin Feng raised and lowered the knife, his hands slowly penetrated into the abdominal cavity, and took out the warm and intact liver.

Liver, separated successfully!

now,

The hearts of all the directors and deputy directors in the operating room were lifted to their throats, and they were really out of body!

Qin Feng carefully put the liver into the low temperature box, and the tumor resection will be completed in this box.

However, tumor resection is a later matter. The most important thing now is that the little girl is already in the anhepatic stage, and the extracorporeal meridian bypass should be performed immediately.

Because blocking all the arteries and veins in the liver will cause serious physiological disturbance to the patient, especially damage to other organs.

Hypothermia is prone to occur during and after surgery, resulting in a series of complications such as hypotension, metabolic acidosis, and hyperkalemia.

Accidental venous bypass can completely solve this problem without causing prolonged ischemia.

"Director Sun."

Qin Feng stretched out his hand and shouted, and Sun Sheng next to him immediately handed all the prepared access tubes to him one by one.

Qin Feng is still very skilled in his movements, butt jointing, suturing, splicing, and releasing blood vessels.

In just half an hour, more than a dozen pathways were all connected!

Remove the blockages of all the blood vessels one by one, and the blood enters the meridian circulation instrument along the passage, and is drained from the wrist artery and ancient vein through catheterization, and then flows back to the artery through the pipeline, centrifugal pump, and thermostat...

Everyone is staring at the data on the monitoring equipment, looking at arterial pressure, central venous pressure, blood pressure and so on.

I saw that the number on the instrument only jumped down once, and then returned to normal indicators again.

The patient's physical condition is good!

"Whoo~"

For a moment, everyone breathed a sigh of relief almost at the same time, and a heavy exhalation sounded in the operating room.

Looking at each other, you can see the relief in each other's eyes.

At the same time, I have to admire Qin Feng's surgical ability, it is too strong!

In just one hour, the two difficult movements of liver isolation and whole body circulation were completed.

No shock!

No blood clots!

No organ abnormalities!

No matter who they are, even if they are capable of performing such an operation, they will not be able to reach such a level in less than two or three hours.

Cattle!

At this time, everyone looked at Qin Feng with admiration and curiosity.

Why is this 25-year-old intern able to perform extremely difficult operations that none of them know?

So unscientific!

Didn't they all learn from dogs?

However, Qin Feng didn't care about the gazes around him at all, because this kind of operation was not difficult for him.

In the eyes of others, the operation is dangerous, but he has the world's top experience.

This is strength!

.......

And the next part is what he thinks is the most important part.

Tumor removal!

Surgical operations can be controlled artificially, but the development of the disease is uncontrolled.

What Qin Feng has to do is to remove the tumor as completely and completely as possible!

Eliminate the slightest chance of recurrence!

"I'm starting to remove the tumor now."

Qin Feng glanced at Director Sun and said in a low voice.

Immediately, he walked to the operating table next to him. The liver had been placed in a low-temperature environment to minimize its damage and loss.

After the words fell, he turned the liver over, exposing the tumor.

Pick up the electric knife, start to dissociate the liver tissue near the tumor, cut gently, and separate the normal and diseased parts.

There are also various blood vessels and ligaments of arteries and veins in the liver. They are cut open and then sutured with liver-specific needles and threads dipped in paraffin oil, so as to stop bleeding to the maximum extent.

After all, after the liver is isolated, blood circulation cannot be carried out. If too much blood is lost, it will cause damage to the liver.

It will have to be reconnected later to minimize damage as much as possible.

As he raised the knife and moved freely, the nearly round tumor was gradually peeled off from the liver body and completely separated.

The tumor was not injured, avoiding the possibility of spreading cancer seeding.

Moreover, the area he cut was 1.5 mm longer than the tumor, because the little girl is young, her liver function is strong, and it is sufficient.

After two years, the liver will gradually grow up and return to its normal size. In order to avoid residual cancer cells in the surrounding tissues, a circle was cut directly.

The excised tumor and liver were as big as a child's fist.

The tumor was placed in a tray, the needle and thread were replaced, and the missing part of the liver was re-sewed up.

"Line 7."

Qin Feng took the needle and thread, and sutured the section and the internal arteriovenous branch just cut off one by one.

After 40 minutes, the liver stitching is over.

"Whoo~"

At this time, there was another sound of exhalation inside and outside the operating room.

Because it was too tidy, the sound suddenly seemed very loud!

(--).......

Qin Feng paused, as for?

Be calm!

It's all basics!

Don't 6, all sit down!