"Don't teach my Xiaoji badly." Director Liu came back from brushing his hands and was just hearing the nurse chatting with Ji Xiang. He was wearing clothes while slacking off his hands, "I will take Xiaoji to the flying knife tomorrow, why isn't it better than being a head nurse."

"You are just as tired as a dog, and you have the life to make a life to make a life to spend." The nurse of the tour went back without thinking.

"We have lofty ambitions in our external disciplines. How can we compare with orthopedics?" Director Liu put on his clothes and handed his belt behind him.

"I won't wear it myself!"

"I'm used to it. I've just started to learn surgery. I can't do surgery without anyone tying clothes and straps." Director Liu smiled and talked nonsense with the circuit nurse.

"Why are you so ambitious about Biwai?" The nurse of the tour tied the strap of the sterile suit and squatted down to help Director Liu pull the lower corner of the sterile suit to make the clothes smoother and more comfortable.

"The poet Saint Du Fu said in the Tang Dynasty that this is a seal certification."

"What?"

"The middle-aged man is so short, how can he guard the royal city?"

“…”

After Ji Xiang finished laying the order, he happened to hear what Director Liu said.

Tsk, you're really an educated old hooligan.

Director Liu just said nonsense, which did not affect his attention and concentration at all.

Seeing that Ji Xiang had finished laying the order and stood directly in the assistant position, Director Liu didn't say much and started the operation in the position of the surgeon.

The patient had general anesthesia, and Director Liu made a 1.5cm incision under the posterior axillary line to the retroperitoneal cavity.

The incision stopped bleeding. He stuck his fingers along the incision and pushed open the peritoneum, placed them in the airbag, and injected about 800mL of air.

"It's really fast to talk about technological progress. When I first started surgery, I had all nephrectomy and I had a big surgery. I reached in and pinched the kidney pedicle and clamped it directly. The surgery was simple. "Director Liu put his hands in and put them in the sterile area and started chatting.

I have to wait here for a while, Ji Xiang knows.

"You said, how many waists have you been in your life?" The nurse in the tour contemptuously said, "Aren't you afraid that you will not have a waist in your next life?"

"Can it be called "Ga Yaozi," said Director Liu. "You don't know about technological progress."

"It seems you understand."

The few people chatted indifferently, and Ji Xiang was carefully observing the difference between the equipment in the operating room and the system operating room.

There is a big difference. The system operating room should be the upper limit of this era, whether it is hardware or software.

After staying for 5 minutes, Director Liu shut up and started the operation again. He switched freely between the two states.

Director Liu expanded the retroperitoneal space, deflated the air sac, and selected the appropriate position according to the tumor position and placed it in the cannula.

After doing the operation here, Director Liu gradually became serious.

He is like a hero who is going to compete for martial arts, facing his lifelong enemy, and is gradually adjusting his state.

Director Liu used Line 7 to fix the casing of the rear axillary line, and then filled it with CO2 gas to maintain the pressure at 12-14mmHg.

Observe the spatial situation under laparoscopy, and free the renal artery and renal veins along the surface of the lumbar muscle. Then free the perirenal fat and try to get close to the renal tumor site.

By doing this, everything is no different from previous surgeries.

But when Director Liu continued to wander, he immediately discovered the difference.

The closer the tumor, the more convenient the tissue is to float. Due to embolization, the tumor and tissues within 1 cm around have already undergone ischemia and necrosis, and after the initial edema period, stratification occurs with the surrounding tissues with blood circulation.

So that's it!

Director Liu confirmed his guess.

Although it is a laparoscopic surgery that cannot touch the changes in kidney tissue with your hands, Director Liu has been doing similar surgery for many years, and local changes can be felt with long forceps.

He clamped the blood vessels of the kidney pedicle artery to control the blood supply in the kidney pedicle.

After clamping firmly, inject ice saline into about 100 ml through the suction device to reduce the temperature locally to protect the kidneys.

It is gradually separated near the tumor, and the tissue around the tumor is like a thousand-layer cake, making it easier to free.

In the past, the operation was very nervous during this countdown period, for fear that the operation would not be completed smoothly if it was delayed.

After all, the renal artery is in a closed state of clamping. Once the tumor cannot be removed during the countdown, it is time to turn on the blood supply again. The next time the renal artery is closed, it will be wasted at least 10 minutes just to stop the bleeding.

In that case, simple surgery will be complicated and the difficulty will suddenly increase.

However, tumor resection after interventional surgery is completely different, and the difficulty of the surgery has plummeted.

Soon, Director Liu realized another benefit.

During the countdown time, you can free and cut along the part where necrotic has occurred, because the embolized tumor artery, the place where there is no blood supply is the place where the tumor artery is supplied.

This is fucking!

Director Liu became happier the more he did.

"Specimen bag." Director Liu whispered.

"Director Liu, has it been cut?" The anesthesiologist still called for the time once a minute to remind the surgeon. He didn't expect it to be so fast!

"Yes." Director Liu nodded happily.

The anesthesiologist had just finished the anesthesia record and had not had time to look at the screen.

He looked up and carefully identified the anesthesiologist's mask moved.

"Director Liu, why do I feel that it is different from the previous surgery?" the anesthesiologist asked in confusion.

"Didn't you say that the patient first embolizes the blood supply vessels of the tumor, and the tumor tissue and surrounding tissue will have a certain degree of necrosis." Director Liu put the tumor and adipose tissue into the specimen bag and pulled it out.

"The necrotic tissue and the surrounding normal kidney tissue are really distinct and distinct." Director Liu couldn't help but praise him.

“2 0 absorbable lines.”

"I'll go, Director Liu, you are really studying the new surgery!" said the anesthesiologist in surprise.

Doctors of Director Liu's age rarely come into contact with new things. They have good fortunes, so why bother to make things uncomfortable for themselves?

Besides, are mature technologies also responsible to patients? Most old directors and professors think so.

The original description of the patient's interventional surgery a few days ago, and the anesthesiologist was surprised that he didn't know what the meaning of doing so was.

However, from the perspective of the operation process, the significance of doing this is too great, and the difficulty of the operation has plummeted.

The instrument nurse handed the 2 0 absorbable thread and needles to Director Liu.

The word "8" is sutured, and Director Liu carefully repaired two stitches.

Release the blood vessel clamp to restore blood supply to the kidney pedicle. Director Liu and Ji Xiang observed whether there was active bleeding on the wound.

There is no active bleeding, hemostatic gauze covers the wound, and a silicone drainage tube is placed around the kidney.

The operation was over before the nurses and equipment had finished counting the equipment.
Chapter completed!