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

Everyone knows the difficulty of this operation, and the most difficult one is hepatobiliary surgery, because the whole key point is the resection of the liver and the autologous transplantation of the remaining liver.

Director Sun's right liver has not been processed yet, but he has already completed the left hepatectomy?

Such a speed is simply unbelievable!

Even Yuan Bin, who was sitting at the front, had a look of shock on his face.

It's just because everyone is behind, no one can see.

But he was also shocked by Qin Feng's strength, which was too unexpected.

Unexpectedly, even such a super-difficult operation as hepatobiliary surgery showed extraordinary superb skills. When I was in the Department of Critical Care Medicine, I had already completed dozens of operations of different degrees above grade 4, including extracardiac and extracerebral surgery.

Hepatobiliary surgery is not included in the data.

Yuan Bin always thought that no matter how talented a person is, it is impossible for him to be proficient in so many top surgeries in this age group.

But today, he was completely shocked!

"This is a monster~~~"

At this moment, Yuan Bin looked at Qin Feng in the operating room with completely changed eyes, deep and blurred.

Can't see through.......

But he has already made a decision in his heart, he can't let him leave Xiehe even if he dies!

Perhaps, the future of Xiehe and even the national pharmaceutical industry rests with this little guy.

......

in the operating room,

"Director Sun, wait a minute."

Qin Feng stretched out his hand suddenly, gently stopped Director Sun from the scissors that were about to fall, and prevented him from cutting off the connective tissue.

"The underlying artery has been eroded and is very fragile, it cannot be blocked, it cannot be cut off directly.

Raise it up half a centimeter, free the blood vessel first, and then ligate the distal end. "

Hearing this, Director Sun also stopped his movements, raised his head with a look of surprise,

"how do you know?"

Because there is indeed a tiny artery under this connective, but it is very thin, and it can be directly blocked in general surgery.

But why did Qin Feng know the situation of this artery so well?

You know, even CT can't shoot it!

"The more you practice, the more you'll know."

Qin Feng thought for a while, smiled and withdrew his hand.

Director Sun continued to wander, but he still followed the advice.

Soon, after the upper end of the artery was freed, it was ligated first, and the field of view was opened, and the small artery was eroded extremely transparent, especially the section he was going to cut just now.

If it was really cut just now, I am afraid that it can only be blocked forcibly, and there will be a lot of bleeding.

Seeing this, Director Sun's eyelids twitched.

He really hit it off!

At this time, in the observation room,

Everyone's eyelids twitched when they saw this scene, and their hearts beat two beats faster.

"This little guy is amazing~"

Looking at Director Sun's operation, Yuan Bin couldn't help exclaiming when he remembered Qin Feng's blocking action just now.

You must know that this tiny artery has no vision at all, and the surgeon can only make a judgment based on experience and condition.

Generally speaking, this blood vessel is deeply hidden and completely covered by connective tissue. If there is no huge lesion, there will be no problems, and normal proximal blockage will do.

But now this patient's blood vessels have become extremely fragile due to the severe erosion of the insect cysts.

These small arteries are like landmines. Once they are accidentally breached, blood under high pressure will be ejected directly, covering the entire surgical field of view in just two to three seconds.

The damaged artery must be hemostatic, otherwise there is no way to continue, but it takes time to find the small artery in the connective tissue in an instant.

If you are lucky, an experienced doctor may need one or two minutes. If you are unlucky, it may take more than half an hour to stop the bleeding.

This will not only seriously delay the time and process of the operation, but also cause a lot of psychological pressure on the doctor.

More importantly, patients can't stand such a toss!

Once the patient is in shock, he faces the risk of failure of the operation at any time.

It can be said that Qin Feng's stop just now has even become one of the important factors in determining the outcome of this operation.

Not everyone can have such strength!

"Thank you~"

In the operating room, Director Sun of the Department of Hepatobiliary Surgery finished all this and said in a low voice.

Qin Feng knew that this was meant for him, so he took the initiative to smile.

1 hour later...

Finally, after 4 hours, the entire liver began to enter the most critical link.

"Director Gu, you and Director Sun are needed to continue the operation."

Qin Feng turned his head and looked at Gu Song, the deputy director of the Department of Vascular Intervention.

"it is good."

Immediately, Director Gu took over Qin Feng's position.

"The patient's hepatic echinococcosis eroded the left lobe of the liver and the Wei lobe, and the portal vein and inferior vena cava also experienced external pressure deformation.

Director Sun, you cut the junction of the space occupying and the right liver;

Director Gu, resected the tumor and part of the anterior branch of the inferior vena cava, and reconstructed the meridians. "

Qin Feng was on the sidelines conducting on-site command according to the on-site surgical monitoring, and the scenes of his own failures and adjustments kept appearing in his mind.

Zhang Qingquan, who was standing aside, couldn't help panting, the difficulty of this operation was indeed too great.

The entire chest and abdomen occupy space, making it difficult for him to expose Qin Feng's vision, and he is almost idle for a moment.

But my heart has already been thrown into the ground!

Qin Feng is a few years younger than him, and he hasn't even graduated with a Ph.

"Active bleeding points appear on the liver wound."

"Electric knife."

"Vascular clamp."

......

It has to be said that the two directors cooperated very well. One was in charge of the parenchymal separation of the right liver, while the other quickly clamped and blocked the blood vessels with sharp techniques.

The left hepatic vein, portal vein, hepatic artery, and capsule of the posterior liver wall were sutured at both ends.

Director Gu has also performed artificial blood vessel repair, and the suture went smoothly.

Qin Feng slowly took a breath, his eyes became more serious.

Up to now, the most difficult part of the whole operation is officially started!

The patient had the eroded portal vein resected, and the artificial blood vessel was replaced without any problem. After the part with the worm cyst was removed from the right liver, only about half remained.

Now the patient has less than one-third of the liver left, half of the right kidney, one-third of the left lung, part of the pericardium, portal vein and inferior vena cava are removed and replaced... .

This degree of trauma is too heavy!

two hours later...

"Director Qin, I'm done."

Gu Song raised his head, raised his arms and let out a long breath.

"Okay, thank you Director Gu."

Qin Feng got up immediately after hearing the words, and Zhang Qingquan who was next to him immediately followed.

The two came to the stage again, and Director Sun, who was opposite him, had been standing for 7 hours in a row, and his energy was also exhausted at this time.

"Director Sun, you should go and have a rest first."

Qin Feng glanced at him and said.

But Director Sun shook his head: "Forget it, let's finish the next one first."

"Can you do it?"

"Do not worry."

"Okay, cut the liver into eight segments."

Qin Feng nodded slightly, but still left him, and said in a deep voice.

Autologous liver transplantation, start!

The biggest difficulty in autologous liver transplantation is the suturing of hepatic ducts and blood vessels, which are too dense.

If it is a direct transplantation of other people's livers, only the large blood vessels and hepatic ducts need to be anastomosed. Although the operation is difficult, the success rate is very high.

But now, they are facing the most difficult autologous transplant in liver transplantation.

Moreover, the patient's condition must be transplanted as completely as possible, so that it can play a positive role in postoperative recovery.

The eighth segment of the liver is currently the best, and it is also the most suitable part of the remaining right liver for transplantation.

If this part can be used to replace the function of the left liver, it means the success of the operation.

Now the entire operation has taken more than 12 hours, two hours faster than expected.

It's already dark outside...

kaka~

Director Sun shook his neck vigorously, and there was a sound of cervical spine rubbing.

"Break."

Soon, the eighth segment of the liver was successfully cut off, and Director Sun undertook the auxiliary work, picked up the PRL thread and started suturing.

The cut was very neat, and the wound on the liver was smooth, which saved him a lot of trouble.

"Preparing for a hepatic angiogram."

After the suturing was completed, the four of them and the equipment nurse next to them stepped off the stage at the same time, and the itinerant nurse hurried to get the equipment.

Change the lead coat.

After getting everything ready, Zhang Qingquan began to inject contrast fluid into the liver duct.

Soon, Qin Feng looked at the hepatic duct structure in the liver displayed on the screen, and the angiography was completed.

"no need."

After taking off the lead coat, the equipment nurse at the side pushed the microscope over, but Qin Feng shook his head and refused.

For him, the microscope was not as useful as his own eyes.

Director Sun at the side was about to put on the microscope, and was stunned when he heard this.

"Director Qin, it's better to wear it, liver duct suturing is a very delicate job."

He advised.

"Don't worry, Director Sun, my eyes are fine."

Qin Feng smiled lightly, then stretched out his hand,

"Liver acupuncture."

"Director Qin doesn't use a microscope? That's too exaggerating."

"Yeah, this operation is not a joke, how can it be so casual?"