There are three ways to remove insect sacs, according to Zhang Yan's research papers from countries around the world.

One is internal capsule removal, which is a relatively common method in China.

One is the complete exfoliation surgery, which strips the outer capsule of the entire insect sac.

Another type is external capsule resection. This external capsule resection requires the removal of part of the liver tissue. The advantage is that it is clean and not easy to recur.

After removing insect sacs, it does not mean that they will not recur in the future, because in addition to these insect sacs, there may also be many unhatched insect eggs in the human body.

In addition to the first and the third methods, the second and third cannot simply analyze the advantages and disadvantages, but need to decide which one is applicable based on the situation of the insect sac.

Wan Kaimin looked at Zhang Yan's hand in shock. He couldn't understand how such flexible fingers were practiced?

The key to being able to perform such a complicated operation is that you are so skilled.

He felt like he was watching his teacher performing surgery.

It's not just the skillfulness of the technique, but the confident demeanor on his body is more like it.

Compared to Wan Kaimin, Zhao Pengcheng was even more shocked.

He knew that five days ago, Zhang Yan said in person that he would not have an worm cyst removal surgery.

In just five days, this worm cyst removal surgery has been so proficient.

No, there is no independent surgery for worm cyst removal in the surgical procedure. The so-called worm cyst removal is just a variant of various surgeries such as partial liver resection, hepatic bile duct stone surgery, intrahepatic and external bile duct jejunal anastomosis.

To perform worm cyst removal, you need to be very proficient in liver and gallbladder surgery.

Zhao Pengcheng really couldn't imagine how Zhang Yan did it. In just five days, he was proficient in liver and gallbladder surgery.

Moreover, all of them are complex liver and gallbladder surgery.

Zhao Pengcheng finally understood why Zhang Yan refused to come to Xicheng Hospital, even if he gave it to the department director, he would not come.

At this level, even if you go to Union Hospital, you will be trained as a pillar and successor.

Such a talented person, although he is usually kind on the surface, he is very proud inside.

Zhao Pengcheng thought randomly in his heart, but it did not affect his serious understanding of Zhang Yan's operation.

This time I made a lot of money. If I can successfully understand several liver and gallbladder surgical procedures, he will be in the national general surgery department in the future.

Zhao Pengcheng felt that his brain had never been so clear, and his thinking was more sensitive than when he was seventeen or eighteen years old.

He can understand everything Zhang Yan said, not only can he understand, but also understand the meaning.

"Like this patient, external capsule dissection is completely suitable.

Note that the lesion of liver lobes should be completely free.”

"Hypertonic saline gauze!" Zhang Yan stretched out his hand after he left the perihepatic ligament.

The surgeon needs to report the surgical instruments he needs, and the instrument nurse can hand the surgical instruments to the surgeon.

That kind of thing, as soon as the main surgeon reaches out, the equipment nurse will know what the main surgeon wants, which is very rare.

The instrument-type nurse who can do this must at least be a nurse or a supervisor to achieve this level.

How can anyone who can be a supervisor nurse still continue to work as an instrument nurse?

Of course, if it is in later generations, such as some medical teams with a boss-level doctor as the core, the instrument-shaped nurses in them may be nurses.

As time passed by minute by minute, Zhang Yan's hands were very stable, powerful and flexible.

This is a very complicated and tedious process that requires enough patience.

There are many blood vessels and bile ducts hidden in the liver tissue. Everyone's blood vessels and bile ducts are not exactly the same. They need to be separated carefully to avoid damaging the blood vessels and bile ducts.

Some small blood vessels and bile ducts can be directly ligated and cut.

However, those thicker blood vessels need to be carefully circulated and preserved as much as possible.

These blood vessels are the guarantee of the patient's postoperative survival level.

Finally, a worm sac with a diameter of 3.5 cm was completely peeled off.

Zhang Yan put the insect sac in a tray and took it for testing, and performed harmless treatment.

Then start ligating blood vessels, bile ducts, and embedding the diversion tube.

This is the first insect sac. There is an insect sac with an approximately volume in the patient's liver, and there is also an insect sac with a diameter of more than five centimeters in the gallbladder.

Such a large insect sac is enough to produce organ compression, causing the patient to cause space-occupying lesions.

This is also the reason why many patients experience pain in the upper right abdomen.

The insect sacs pressed and occupied the living space of the organs.

As time passed by, Zhang Yan's forehead inevitably saw sweat.

The key is that this separation is too mentally consuming.

Zhang Yan also needs to use both minds and explain the procedure and key points of attention to Zhao Pengcheng and others.

More energy-consuming.

It doesn’t matter in terms of physical strength. Zhang Yan can still bear the physical exhaust of this intensity.

One insect sac, two insect sacs, three insect sacs, and four insect sacs. Zhang Yan removed four insect sacs from the patient's body, and the largest one was 5.3 cm in size.

At this point, this operation is coming to an end.

"Close your belly!"

With Zhang Yan's words, the operation came to an end.

Zhang Yan also removed from the position of the main surgery on the operating table.

Taking off his gloves and sterile clothes, Zhang Yan came to the doctor's duty room.

This is the duty room and the lounge.

It's a doctor's intermission place.

After waiting for a while, Zhao Shengli and Wan Kaimin walked in.

"Doctor Zhang, I'm so amazed, so amazed!" Wan Kaimin sighed repeatedly.

"Doctor Zhang, you did this surgery so beautifully!" Zhao Pengcheng sincerely praised.

Zhang Yan's surgery was very successful, and all of them were treated in a way that caused the patient minimal damage.

This is not the reason why Zhao Pengcheng praised Zhang Yan. The real reason is that Zhang Yan's surgery was not too fast or too slow from beginning to end, and the speed was maintained at a constant speed.

Too stable.

However, after the whole process was done, looking at the total length, it made people sigh that the operation was performed too quickly.

Zhao Pengcheng had a similar operation with his teacher, which took nearly an hour longer than Zhang Yan.

You know, every minute and every second are very precious during surgery.

Although it is not absolute during surgery, most of the time represents life.

The doctor has an operation for almost one minute, and the patient may have a higher chance of survival.

"Haha, Director Zhao has won the award. It is the first time I have had this surgery, and there are still many shortcomings." Zhang Yan said modestly while staring at his system panel.

"bite!

The host patiently and meticulously talked about the key points of the hepatocele cyst removal surgery.

Zhao Shengli and Wan Kaimin successfully understood the complete removal of liver and gallbladder cystic hydatum disease and insect cystic cysts, partial resection of liver lobes, and complex liver and bile duct stone surgery---the introduction.

Reward: Experience 2000

500 cash

Liver transplant surgery, various types of hepatic lobectomy, intrahepatic and external bile duct jejunal anastomosis, hepatochondrial duct plastic surgery, and complex hepatochondrial duct stone surgery to be promoted to the expert level.
Chapter completed!