Back to 1988: I became the world's number one surgeon
Chapter 68: Operation failed?
All six shrapnel were taken out.
time.
Seven minutes.
In the entire operating room, even Qi Jin took a breath of cold air at this moment. He had seen Su Wanqiu's surgery. Once on the operating table, Su Wanqiu seemed like a different person.
Calm and cool.
The planning and operation are perfect.
Taking out six shrapnel in seven minutes is extremely terrifying in the whole of China. It can be said that even his teacher, the professor at Union Medical College, could not do it.
"The abdominal cavity exploration is complete, and there is no obvious metastasis in the abdominal cavity!"
Su Wanqiu's voice rang out.
While removing the shrapnel, he also explored the abdominal cavity and checked the condition of the abdomen.
"it is good!"
Qi Jin came back to his senses.
"Get the tissue forceps again!"
Qi Jin said.
"Row!"
Qin Ming quickly handed over the tissue forceps.
Qi Jin took the tissue forceps and told Qin Ming to pull open the retractor. Then, the liver could be seen in the right upper abdomen, under the right diaphragm, covered by the right ribs.
"It's about to begin!"
The expressions of the people watching also became nervous at this moment.
Partial liver resection.
It's time to start.
"When it comes to liver resection surgery, Qi Jin has to do it!"
Zhang Zhengming said in a deep voice.
At first, Su Wanqiu explored the abdominal cavity and removed six shrapnel, which really surprised everyone, but at this moment the liver resection operation began and Qi Jin became the surgeon again.
"Shut up!"
Dean Han shouted coldly.
Zhang Zhengming lowered his head and dared not say anything. At this moment, even Yu Junpeng frowned and glanced at Zhang Zhengming. He also learned what had happened from Director Zhang.
Qi Jin went to the countryside and became the director of the village hospital.
On the operating table.
In addition to Qi Jin, there were two doctors from the township hospital who performed the surgery. It's bad enough that a general surgeon from the municipal hospital is not as good as a doctor from the township hospital, and yet you are making fun of him here?
"Late autumn, explore further!"
On the operating table.
Qi Jin's voice rang out.
Su Wanqiu handed the retractor to Qin Ming, then picked up the tissue forceps and together with Qi Jin, she examined the condition of the liver. Yu Dewen was suffering from liver cancer, a tumor that was most likely to metastasize.
Tumor metastasis area.
The most likely ones are the liver itself and the abdominal cavity, as well as the compartments.
Su Wanqiu was investigating the changes on the surface of the liver. If there were no morphological changes or ulcers on the surface, the possibility of metastasis to the surrounding areas would be much lower.
Even if transferred.
Also the liver itself, or through the blood vessels and lymph.
metastasize to other organs.
"The liver surface has a regular morphology, no ulceration, no tumor tissue, and no obvious abnormal lesions in the compartments. Preliminary judgment is that the possibility of metastasis to the abdominal cavity and compartments is low!"
Su Wanqiu spoke after checking.
"The exploration is complete, and partial liver resection is being performed!"
Qi Jin spoke.
"Row!"
Su Wanqiu nodded.
surgery.
Officially begin.
On the operating table, Qi Jin's expression became serious. The liver's blood vessels are very complex, including the portal vein system, hepatic vein system, and hepatic artery system.
Liver blood flow.
It is also the richest.
Bleeding is most likely to occur during surgery.
"According to the location of the tumor, it is at the junction of the lower segment of the left outer lobe and the left inner lobe. The lower segment of the left outer lobe must be completely removed, and the left inner lobe can be explored again when the tumor is separated!"
Qi Jin spoke.
"Row!"
Su Wanqiu nodded.
It is not difficult to remove the lower segment of the left external lobe, as long as the blood flow is blocked and the removal is done. However, the blood vessels of the left internal lobe are much more complicated, and it is next to the common hepatic duct, which is very troublesome.
"start!"
Qi Jin took a deep breath and started the operation.
"gauze!"
Qi Jin's voice rang out, the fascia on the surface of the liver separated, and blood gushed out directly. The liver has abundant blood flow, so it is almost impossible not to bleed.
"Hemostats!"
"Hemostats!"
……
Qi Jin's voices rang out one after another. The operating table was silent, and the operating room next to it was also extremely quiet at this moment. During the operation, there could not be any mistakes. Everyone was watching nervously.
After half an hour.
"The lower segment of the left lateral lobe of the liver has been removed!"
Doctor Cao exhaled gently and said, the tumor is mainly located in the lower part of the left external lobe of the liver. By removing this part, the first step of the operation is completed.
The other general surgery doctors also breathed a sigh of relief at this moment. The first step of the operation was completed. Next, they just had to remove the remaining tumor and the operation would be over perfectly.
Amount of bleeding.
Within an acceptable range.
"As expected of Director Qi, he is so familiar with the anatomical structure of the liver. If someone else had gone up, how could the amount of bleeding be so little?"
"That's right!"
……
The doctors in the general surgery department looked at Qi Jin on the screen with admiration in their eyes. Even Zhang Zhengming, Dean Han, and Han Xiao were silent at the moment.
Qi Jin's surgical capabilities.
They had to admit defeat.
"Pity!"
Director Zhang secretly sighed with regret. Such a good surgeon went to the rural hospital. This was a huge loss to the entire municipal hospital.
"The operation continues!"
A voice sounded, and everyone looked towards the operating table again;
Qi Jin continued to separate tumor tissue.
But a few minutes later.
"Why did you stop?"
Doctor Cao spoke.
On the operating table.
Qi Jin stopped and his face looked a little ugly at the moment. It can be seen that the location of the tumor was tightly adhered to a large blood vessel.
That blood vessel.
Still beating.
That's the hepatic artery.
The tumor had invaded the hepatic artery.
The doctors present were silent instantly.
"It's over!"
Doctor Cao's voice rang out. The tumor had invaded the hepatic artery. No one dared to move. Not to mention whether the tumor was removed completely, once the hepatic artery ruptured, there would be massive bleeding.
The city hospital was unable to save him.
"Mr. Yu!"
Director Zhang smiled bitterly and looked at Yu Junpeng. No one had expected the result of the operation. The CT scan only showed that the tumor was close to the hepatic artery, but it had already invaded.
Continue with the surgery.
The stakes are high.
Yu Junpeng's expression also darkened at this moment.
"What a pity! If the tumor hadn't invaded the hepatic artery, the operation would have been successful. It would have been the first partial liver resection in our city's hospital, and it would have ended perfectly!"
"That's right..."
……
The doctors in the general surgery department all felt a little regretful.
Operating table.
"The tumor has invaded the hepatic artery and has severe adhesions!"
Qi Jin's deep voice sounded.
"Dean Qi, can we separate?"
Qin Ming asked quickly.
"The probability of severe bleeding during separation is very high, and once the tumor invades the blood vessels, the possibility of metastasis increases a lot. The risk of continuing the operation is too great!"
Qi Jin said in a deep voice.
"So, the operation failed?"
Qin Ming said quickly.
"That's right!"
Qi Jin nodded, and then said helplessly: "I have seen others do this kind of separation surgery before. The separation process requires too high a level of operation. The hepatic artery was ruptured at that time. Sigh..."
Qi Jin shook his head.
"Get ready to close your abdomen!"
moment.
Qi Jin spoke.
"and many more!"
At this moment, Su Wanqiu's voice rang out, and Su Wanqiu finally understood why Qi Jin's complexion was not very good after returning to the rural hospital in his previous life.
Because of this operation.
The first partial liver resection that Qi Jin performed himself failed.
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