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

This is a good thing for doctors. After all, only patients have hope if their families believe in the hospital.

But when it comes to money, the woman's family is the herdsman of NMG.

"Our family is an ordinary herdsman. There are more than 3000 cattle and more than 1 sheep at home. If we don't have enough money, I will go home and sell it immediately."

......

When Qin Feng heard this, he understood why he could be so desperate for his husband.

A cow is worth 3000 to 6000 yuan, and more than [-] cows are worth [-] to [-] million yuan!

There are so many sheep, there is no shortage of money!

Although there is an old saying that if a family is rich, people with hair are not counted, but now they are definitely a big farmer.

In this case, he also decided to find a way to treat the man to see if there was any chance of surgery.

If we wait for the liver source, we may not have so much time once the cyst ruptures.

That being the case, can it be operated on by itself?

Qin Feng has already understood the patient's situation in detail. The operation is very difficult and requires a multidisciplinary operation.

The entire operation is divided into at least 5 to 6 aspects, such as autologous surgery, extracorporeal liver resection, inferior vena cava reconstruction, remnant liver transplantation, and renal venous vessel reconstruction.

The relatively simple ones are partial heart cyst removal, kidney segmental resection, partial lung resection, etc., as long as it is more precise, it will be fine.

In vitro liver resection and inferior vena cava reconstruction are extremely difficult.

What is even more difficult is the reconstruction of the portal vein and autologous liver transplantation. If you are not careful, you will die on the operating table.

Even Qin Feng is not fully sure...

quickly,

The court also issued the results and passed the court trial and filing.

In other words, all follow-up treatment of this patient will be undertaken by the hospital, and will not involve individual doctors and departments.

After receiving this news, Qin Feng also breathed a sigh of relief.

If that is the case, then he is willing to give it a try, and there is only one way to this opportunity.

Simulate an operating room!

Autologous liver transplantation is the ultimate clinical goal of all hepatobiliary surgeons, and it is also known as the last pinnacle of hepatobiliary surgery.

Isolated liver resection combined with autologous liver transplantation is an organic combination of complex liver resection technology, organ hypothermia perfusion technology, venous bypass technology, and liver transplantation technology.

Autologous liver transplantation requires resection of the lesion while the liver is isolated, and repair and reconstruction of related blood vessels and biliary tract at the same time. The long anhepatic period adds a lot of uncertainty to the anesthesia and surgical procedures.

And the biggest advantage of this kind of operation is that, once successful, there will be no risk of rejection.

There are only a handful of hepatobiliary surgeons in the country who can complete autologous liver transplantation, and now they are all experts.

The Hepatobiliary Surgery Department of Xiehe Hospital is not the strongest in the country, so it is a pity that there is no such a big cow.

......

"System, start the simulated operating room."

In the villa, after Qin Feng got home from get off work and took care of Liu Yan'er, he locked himself in the study and said in a low voice.

Shut~

As soon as the words fell, the scene in front of him changed instantly, and phantoms appeared in sight.

Soon, the original study room has been transformed into a complete operating room.

He knew that this was an illusion, but every use was so real.

"System, copy the patient Chariel."

Immediately afterwards, Qin Feng continued.

In the next second, a familiar figure appeared on the operating table, like a real person.

It is the liver echinococcosis patient in the intensive care unit at the moment!

The system directly presents the patient in a simulated operating room, even the clothes are changed into surgical gowns, a catheter is inserted in the mouth, and a monitor is in the distance.

At this moment, Qin Feng raised his hand and took a look at himself. The sterile gown, mask, and hat were all put on, and all the surgical instruments were placed beside the operating table.

"Whoo~"

Qin Feng let out a deep breath, his eyes gradually became firm, and he walked to the chief knife position.

No matter what, he still wanted to give it a try!

"System, start the operation, knife!"

Chapter 356 Crazy Training, Combined Surgery

After the voice fell, a scalpel had already fallen into the palm.

Qin Feng did not hesitate, the first set of surgical procedures had already appeared in his mind, and the knife was raised and lowered.

Draw along the right rectus muscle, incise the abdominal wall, and perform blunt dissection little by little.

"Electric knife."

swoosh swish~

It is not difficult for him to open the abdomen, even if he closes his eyes, it is enough to open the abdominal cavity.

With the electric knife blocking several blood vessels, the peritoneum was separated, and the abdominal cavity was successfully exposed.

However, at the moment when the abdominal cavity opened, Qin Feng frowned and took a deep breath.

Although he has carefully studied the CT, he was still a little shocked to see the real scene inside.

The remaining intracavity in the abdominal cavity was even less than one finger wide, because the severely eroded and enlarged liver and visceral heterotopia occupied almost the entire abdominal cavity.

There is no place to start!

In particular, the second hepatic portal has no visual field directly, and is even more enlarged than that on CT.

"Pull the hook."

After Qin Feng finished speaking, the equipment he needed appeared in his hand.

These did not affect him, and soon the retractor opened the muscle, exposing enough surgical vision.

Now I can fully see the situation in the abdominal cavity, it is indeed very bad.

The second hepatic hilum on the left side of the liver had severe hyperplasia, necrosis in the capsule, and serious deformation, which could not be recovered at all.

The right liver also had obvious edema, and the situation was not very good.

If the autologous liver cannot be used, autologous liver transplantation will be difficult or even impossible.

"It's okay, it should be recoverable."

Qin Feng checked carefully, and the lobe of the right liver is still usable, although it is small, it is enough.

After all, the liver has a strong self-healing ability, and it can take a few years after surgery to grow long enough to laugh without affecting life.

Removing the liver is not a small piece of difficulty, so he ignores it for now.

Then check another serious place, the kidney.

The hydatid cysts have spread and invaded to connect the liver and kidneys, it looks like one big pulls a small one.

Dissection is required here, along with reconstruction of completely eroded vessels.

"After resection and revascularization, it should be fine."

Qin Feng took a look. The patient's kidney needs to be resected on the upper segment, but this is not difficult.

After roughly understanding the situation, Qin Feng slowly calmed down.

Ready to move the knife!

......

"Pull the hook."

As soon as the words fell, Qin Feng used the liver to automatically pull the hook to pull and fix the right half of the liver and the first hepatic hilum, releasing the entire diseased left liver.

The scalpel in the palm of the hand began to move quickly, and skillfully untied the round ligament of the liver, the lower falciform ligament, the right triangular ligament...

"Anatomical scissors."

"Cholebladder forceps."

Qin Feng stretched out his palm, and the instrument was automatically generated in the palm of his hand, which was very convenient. Then he picked up the long curved forceps to separate the left and right livers.

Clamp off!

"20 threads, 14 round needles."

Picking up the needle and quickly ligated and sutured, the technique was extremely skillful, and it was completed without even bleeding.

At this point, the second hepatic hilum has been completely exposed to the surgical field of view, and the next most important thing is to separate the bare liver area and block the inferior vena cava.

This is also the most difficult, because in Qin Feng's sight, the entire second hepatic portal and the surrounding ligaments and connective tissue have been eroded as thin as a cicada's wing. It can be said that a little carelessness will cause damage to important blood vessels.

And because of the hydatid erosion, the blood vessels are extremely fragile, and once they rupture, it may be difficult to stop the bleeding.

From now on, the whole operation has entered the most critical stage, every operation is very important!

Start to dissociate the tissue near the second hepatic hilum, remove the gallbladder, dissociate the inferior vena cava...

The diaphragm is separated, the superior vena cava is severed...

puff~

drop!drop!drop!

The inferior vena cava had just been freed and suddenly ruptured while it was being blocked.

The blood spurted out under the pressure, directly blurring the vision, the warm and bloody breath was so real.

Qin Feng couldn't help but took half a step back...

"hu~hu~hu~"

He took a few deep breaths to calm his rapid heartbeat.

drop~~~~

Hearing the alarm sound from the shock caused by rapid blood loss, he knew he had failed.

Patient dies!

"System, prepare again."

shuh~

drop~ drop~ drop~

In the next second, the blood stains in front of him disappeared, and the piercing alarm sound returned to normal.

On the operating table, the patient's body is complete again, waiting for the start of the second operation.

"The difficulty is really great!"

There was a wry smile on Qin Feng's face.

Just now he dissociated normally according to his experience, but he didn't expect that the blood vessel still couldn't bear it and ruptured.

It seems that this operation is indeed more difficult than imagined, even the top hepatobiliary surgeons in the country have a very small chance of coming!

After a few minutes of slowing down, Qin Feng played back the whole process of the operation just now in his mind.

Especially where the blood vessel ruptures and bleeds, go back to the free technique a little bit to find the problem.

try again!

"Scalpel."

The palm opened, and the scalpel became concrete again.

Re-open the abdomen, automatically pull the hook to expose the surgical field, and free the liver tissue...

This time, Qin Feng was careful and kept the distance as far as possible, keeping away from the fragile inferior vena cava when separating the connective.