Due to the tight time, there is no opportunity for students to ask questions or discuss in the ward. The attending doctor patrols for one circle, just like the general waiter, and rushed to the operating room for surgery. In this regard, the surgeon works much harder than the internal medicine doctor.
It's right.
Half an hour of rounds for followers was a surprise for medical students like Xie Wanying who came to study in this subject on the first day. Many patients could not recognize their faces and had no idea what was going on. The teacher could only assign tasks to her.
After the afternoon, there was no rush at all. After this comparison, it seemed that she was left alone in the ward at Puwai Er. It was a good thing.
When I went downstairs, I was very familiar with the operating room environment. But this time I was following hepatobiliary surgery, not General Surgery. Remember Senior Sister Jiang's words, you must concentrate and not be stingy wherever you go to study with the teacher. Don't worry about your ex.
. She didn't meet Teacher Tan and the others, so she stood directly in the operating room of the hepatobiliary surgery department to observe.
This morning's surgery was to perform laparoscopy on a patient with primary liver cancer.
All surgical departments tend to perform minimally invasive surgery. Laparoscopy for liver cancer has been promoted a lot, but the threshold for can be performed is much higher than that for gastrointestinal laparoscopic surgery. For example, today's surgery, the seniors held a meeting that night to discuss it.
long time.
Xie Wanying was not involved in the group meeting that night and was not clear about the content, so she could only stand in the operating room to observe.
The main swordsman is Senior Brother Tao, I heard about it before.
Ichisuke is Dr. He.
The mirror handler is not Dr. Qiu. Dr. Qiu went to another surgery to help. Another resident doctor named Gong Xiangbin. He is one year older than Dr. Qiu and is shorter and fatter than Dr. Qiu. He is not as handsome as Dr. Qiu. He is gentle and steady.
a doctor.
Another thing that Song Xuelin, who was called to try, put on the surgical gown, stood behind Yisuke and the main surgeon, as if he was on standby. He was not sure what he would go up and do.
She is a graduate, but she is not, she is just an intern. So it is reasonable for the teacher to ask her to just look. Xie Wanying watched with concentration. She has been doing many mirror-holding hands with Teacher Tan. She has been doing the first time she has had many experiences with mirror-holding hands.
When hepatobiliary surgery is used to see a laparoscopy for liver surgery, we can't help but carefully observe Dr. Gong's operation.
Dr. Gong's hands seemed to be motionless, and he had to look at them like a magnifying glass to detect a tiny amplitude. The liver is not like the gastrointestinal tract, it is a substantial organ, fixed in an area, and the surgery around the liver is basically
Operation in this area requires a sense of stability and meticulousness. The gastrointestinal tract is a hollow organ, and many twists and turns require more dexterity.
The mirror holder has paid attention to caution, let alone Ichisuke and the main surgeon. Just like what Dr. He said, it is like a mine-de-de-soldier, which is exploring little by little, and he dares not operate very sharply.
After all, the liver is covered with very, very rich blood vessels. When removing tumors, the liver must be cut. As long as the position of the cutting is slightly deviated, it is easy to hit various blood vessels in the liver. The blood will bubble up throughout the wound of the liver.
.
If the parenchymal bleeding occurs, the surgeon is anxious to use his hands to directly press the liver wound to stop bleeding during the laparoscopic surgery. During the laparoscopic surgery, the doctor cannot enter the hand, so he can only use the hemostatic yarn to press it.
If you can't find the bleeding point, you can only turn the abdomen. It can be seen that difficulty in stopping hemostatic is a major defect in laparoscopy of liver surgery, which seriously restricts the liver tumors in laparoscopic surgery to prevent large size and the location of the cancer cannot be involved.
Chapter completed!