I'm a god of medicine
Chapter 780 Today's surgery, I'm afraid...
Chapter 780 Today's surgery, I'm afraid...
At 35:[-], the four representative teams of the four surgeries received instructions that the surgeries could begin.
The other three surgical teams immediately stood on the operating table and engaged in intense and orderly operations.
Only Lian Xiangdong has come up with a new trick.
Before taking the stage, this guy and his two teammates first saluted the anesthesiologist, then thanked the equipment nurse, including the patrol nurse, and received a shallow bow from Lian Xiangdong.
Is this he...
Could it be that you are about to retire?
possible!
After all, the surgery they got was too difficult, and it was better to retreat in spite of the difficulties than to hang on the stage.
In the academic lecture hall, there was a lot of noise.
Including those judges sitting in the front row, at least one-third couldn't help biting their neighbors' ears twice.
But immediately after, the three young doctors in the operating room stepped onto the operating table confidently.
Grass.
Is there something wrong with doing these tricks?
In this way, your operation time will be delayed by 2 minutes longer than others, and the judges' scores cannot be affected by the operation time!
but……
What is the ambition of the chick An Zhihong to tell?
We can't even compare with Young Master Xi in terms of surgery in this life, but even our old man can be in other aspects...
hey-hey……
No distractions!
Put all your energy into the surgery.
Lian Xiangdong took a deep breath and took the scalpel from the equipment nurse.
……
One knife to the end?
When was the last time you saw this quack stunt?
I remembered.
Before the Lunar New Year, on Xinglin Garden, Yang Xi live-streamed a breast cancer operation at East China Hospital.At that time, that Yang Xi revealed such a peerless skill.
Let's look at the chief swordsman of the second team in Shanghai.
The incision of the right lower costal margin arc incision is much simpler than the arc incision of breast cancer surgery, but...
The skill of this knife to the end is quite amazing!
Could it be that Yang Xi couldn't become possessed?
"Don't tell me, I recognized the chief surgeon. That's right, his surname is Lian, and he is a core member of Yang Xi's team. He used to live broadcast live surgery with Yang Xi."
"Yes, yes, after hearing what you said, I also remembered. In the past few months, the live broadcast of Yang Xi's team has basically been replaced by Director Gao and Director Lu. Even the doctors seldom appear on stage again. I thought something happened to him, but I didn't expect... I really didn't expect it!"
"Isn't the chief surgeon a student of Professor Chen of the Magic City? How did he get involved with Yang Xi?"
"You, the news is too closed! How about this, treat me to dinner tonight, and I will tell you the story of Yang Xi's team."
……
In the academic lecture hall, gossip spread quickly.
For a while, the reputation of Yang Xi's team was mentioned countless times.
Last row, in the corner.
After climbing the Great Wall, the little translation girl who returned to the lecture hall at some point couldn't help but sighed, "Ms. Ji's surgical skills have improved really fast. If this continues, he will dare to challenge Director Gao in less than three months." Oh!"
The young translator replied disapprovingly: "The old butt is still a little tender. After I go back, I will give Gao a small treatment. This old guy has been standing still for a long time. If you stimulate him a little, he will change easily."
The little girl who translated turned her head to look at the young guy who translated, and said sweetly, "Mr. Yang, I want to transform too."
The translator replied earnestly: "You are still a student, it is inconvenient. After you graduate, I will transform you right away."
The little translation girl blushed suddenly, and exhorted: "Mr. Yang, how are you!"
Back to the operating room.
Lian Xiangdong reminded the two teammates on the stage: "You both have been on stage with Xi Shao, you should know that the speed of the operation is not because of your fast operation, but because of your high effectiveness of the operation, that is, one Steady, so, we can't be impatient, take our time."
Lian Xiangdong's relaxed tone infected the two teammates, and four confident eyes swept towards Lian Xiangdong.
"Clamp the hepatic artery, prepare the suction device!"
……
Simply speaking, the difficulty of incision and removal of intrahepatic bile duct stones is not very difficult. Under normal circumstances, with three years of experience as an attending physician, it should be no problem to complete such an operation.
But it is different with portal hypertension. Liver tissue, especially the liver tissue in the hilum, will become more fragile and more prone to bleeding due to the compensatory mechanism of portal hypertension.
The difficulty of incision does not increase much, as long as the hepatic artery is clamped and the blood supply to the liver is cut off, then the conventional incision and stone removal will be enough.
The amount of bleeding will not be very high, and it will not take long.
However, the clamping time of the hepatic artery should not exceed 15 minutes. The best solution is to restore the blood supply to the liver every ten to twelve minutes and last for about 5 minutes.
At this time, the cut liver must not be sutured in time, so the liver incision can only be filled with hemostatic gauze to reduce bleeding.
When the hepatic artery is clamped for the second time, suturing begins.
If there is no portal hypertension and the tissue characteristics of a normal liver, an experienced surgeon may complete the suture during the second clipping of the hepatic artery.
But today's surgery, I'm afraid...
No matter how many times the hepatic artery was clamped, as long as the three young doctors on the stage could complete the suture, it would be considered quite successful.
In the academic lecture hall, whether it was the judges in the front row or the peer audience behind, the conclusions in their minds were completely consistent.
but……
It only took a little over 5 minutes before the chief surgeon instructed Kazusuke to loosen the clamp that clamped the hepatic artery?
This……
What is intended?
Actually completed the operation process of incision of the liver and removal of the granulomatous tissue wrapped in a large stone?
How hot so fast?
I just said a few gossips to the people next to me?
Lao Tzu strongly requests to replay the operation video!
On the stage.
Lian Xiangdong's gaze was deep and firm.
If he was changed to Xi Da Shao, the custody would be done in one round, cut and stitched.
I don't even dare to compare myself to that bad bird, let's use two rounds to resolve the battle, is it feasible?
The time to cut off the blood supply to the liver by clamping the hepatic artery is only a little over 5 minutes, so the time to restore the blood supply can also be shortened accordingly.
Watching the minute hand of the wall clock on the wall rotate two and a half times, Lian Xiangdong gave another command.
"Withdraw the suction device and clamp the hepatic artery!"
In the academic lecture hall, in the middle of the first row, Professor Daniel whispered to Professor Larson and Professor Butler on the left and right: "I bet five meters gold, this hardcore assistant of West can finish the suture in 10 minutes, And it was a success."
Professor Larson shook his head slightly, and said, "Impossible, you should be talking about West's surgical level."
Professor Daniel said with a smile: "I now hope to increase the stakes, ten meters gold."
Professor Butlein followed: "Larson, don't be fooled. I think that with West's surgical skills, he can completely incision and suture at the same time when he clamps the hepatic artery for the first time."
(End of this chapter)
At 35:[-], the four representative teams of the four surgeries received instructions that the surgeries could begin.
The other three surgical teams immediately stood on the operating table and engaged in intense and orderly operations.
Only Lian Xiangdong has come up with a new trick.
Before taking the stage, this guy and his two teammates first saluted the anesthesiologist, then thanked the equipment nurse, including the patrol nurse, and received a shallow bow from Lian Xiangdong.
Is this he...
Could it be that you are about to retire?
possible!
After all, the surgery they got was too difficult, and it was better to retreat in spite of the difficulties than to hang on the stage.
In the academic lecture hall, there was a lot of noise.
Including those judges sitting in the front row, at least one-third couldn't help biting their neighbors' ears twice.
But immediately after, the three young doctors in the operating room stepped onto the operating table confidently.
Grass.
Is there something wrong with doing these tricks?
In this way, your operation time will be delayed by 2 minutes longer than others, and the judges' scores cannot be affected by the operation time!
but……
What is the ambition of the chick An Zhihong to tell?
We can't even compare with Young Master Xi in terms of surgery in this life, but even our old man can be in other aspects...
hey-hey……
No distractions!
Put all your energy into the surgery.
Lian Xiangdong took a deep breath and took the scalpel from the equipment nurse.
……
One knife to the end?
When was the last time you saw this quack stunt?
I remembered.
Before the Lunar New Year, on Xinglin Garden, Yang Xi live-streamed a breast cancer operation at East China Hospital.At that time, that Yang Xi revealed such a peerless skill.
Let's look at the chief swordsman of the second team in Shanghai.
The incision of the right lower costal margin arc incision is much simpler than the arc incision of breast cancer surgery, but...
The skill of this knife to the end is quite amazing!
Could it be that Yang Xi couldn't become possessed?
"Don't tell me, I recognized the chief surgeon. That's right, his surname is Lian, and he is a core member of Yang Xi's team. He used to live broadcast live surgery with Yang Xi."
"Yes, yes, after hearing what you said, I also remembered. In the past few months, the live broadcast of Yang Xi's team has basically been replaced by Director Gao and Director Lu. Even the doctors seldom appear on stage again. I thought something happened to him, but I didn't expect... I really didn't expect it!"
"Isn't the chief surgeon a student of Professor Chen of the Magic City? How did he get involved with Yang Xi?"
"You, the news is too closed! How about this, treat me to dinner tonight, and I will tell you the story of Yang Xi's team."
……
In the academic lecture hall, gossip spread quickly.
For a while, the reputation of Yang Xi's team was mentioned countless times.
Last row, in the corner.
After climbing the Great Wall, the little translation girl who returned to the lecture hall at some point couldn't help but sighed, "Ms. Ji's surgical skills have improved really fast. If this continues, he will dare to challenge Director Gao in less than three months." Oh!"
The young translator replied disapprovingly: "The old butt is still a little tender. After I go back, I will give Gao a small treatment. This old guy has been standing still for a long time. If you stimulate him a little, he will change easily."
The little girl who translated turned her head to look at the young guy who translated, and said sweetly, "Mr. Yang, I want to transform too."
The translator replied earnestly: "You are still a student, it is inconvenient. After you graduate, I will transform you right away."
The little translation girl blushed suddenly, and exhorted: "Mr. Yang, how are you!"
Back to the operating room.
Lian Xiangdong reminded the two teammates on the stage: "You both have been on stage with Xi Shao, you should know that the speed of the operation is not because of your fast operation, but because of your high effectiveness of the operation, that is, one Steady, so, we can't be impatient, take our time."
Lian Xiangdong's relaxed tone infected the two teammates, and four confident eyes swept towards Lian Xiangdong.
"Clamp the hepatic artery, prepare the suction device!"
……
Simply speaking, the difficulty of incision and removal of intrahepatic bile duct stones is not very difficult. Under normal circumstances, with three years of experience as an attending physician, it should be no problem to complete such an operation.
But it is different with portal hypertension. Liver tissue, especially the liver tissue in the hilum, will become more fragile and more prone to bleeding due to the compensatory mechanism of portal hypertension.
The difficulty of incision does not increase much, as long as the hepatic artery is clamped and the blood supply to the liver is cut off, then the conventional incision and stone removal will be enough.
The amount of bleeding will not be very high, and it will not take long.
However, the clamping time of the hepatic artery should not exceed 15 minutes. The best solution is to restore the blood supply to the liver every ten to twelve minutes and last for about 5 minutes.
At this time, the cut liver must not be sutured in time, so the liver incision can only be filled with hemostatic gauze to reduce bleeding.
When the hepatic artery is clamped for the second time, suturing begins.
If there is no portal hypertension and the tissue characteristics of a normal liver, an experienced surgeon may complete the suture during the second clipping of the hepatic artery.
But today's surgery, I'm afraid...
No matter how many times the hepatic artery was clamped, as long as the three young doctors on the stage could complete the suture, it would be considered quite successful.
In the academic lecture hall, whether it was the judges in the front row or the peer audience behind, the conclusions in their minds were completely consistent.
but……
It only took a little over 5 minutes before the chief surgeon instructed Kazusuke to loosen the clamp that clamped the hepatic artery?
This……
What is intended?
Actually completed the operation process of incision of the liver and removal of the granulomatous tissue wrapped in a large stone?
How hot so fast?
I just said a few gossips to the people next to me?
Lao Tzu strongly requests to replay the operation video!
On the stage.
Lian Xiangdong's gaze was deep and firm.
If he was changed to Xi Da Shao, the custody would be done in one round, cut and stitched.
I don't even dare to compare myself to that bad bird, let's use two rounds to resolve the battle, is it feasible?
The time to cut off the blood supply to the liver by clamping the hepatic artery is only a little over 5 minutes, so the time to restore the blood supply can also be shortened accordingly.
Watching the minute hand of the wall clock on the wall rotate two and a half times, Lian Xiangdong gave another command.
"Withdraw the suction device and clamp the hepatic artery!"
In the academic lecture hall, in the middle of the first row, Professor Daniel whispered to Professor Larson and Professor Butler on the left and right: "I bet five meters gold, this hardcore assistant of West can finish the suture in 10 minutes, And it was a success."
Professor Larson shook his head slightly, and said, "Impossible, you should be talking about West's surgical level."
Professor Daniel said with a smile: "I now hope to increase the stakes, ten meters gold."
Professor Butlein followed: "Larson, don't be fooled. I think that with West's surgical skills, he can completely incision and suture at the same time when he clamps the hepatic artery for the first time."
(End of this chapter)
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