Path of Medicine With a System

Six hundred and forty-fourth, cleverness to the extreme is art

Surgery, not to mention that doctors of different schools have different effects, even two apprentices taught by a master, the results of surgery are very different.

The simplest one is that every year around the winter and summer vacations, the little demon kings are often seen in the hospital crying and clasping disposable paper cups, taking crabbing steps.

And every year after the recovery season, the hairy boys come to the hospital to look for secondary development after seeing the world in the army.

Just this one circumcision operation has made all major departments overwhelmed. Pediatric surgery, urology, and general surgery can all do it, and even male doctors in the obstetrics and gynecology department will give you a hammer in their busy schedule.

Not for other reasons, because the operation fee is directly in the small coffers of the department, so there are so many departments rushing to do it, and the leaders all turn a blind eye. This kind of purely manual work, as long as it is not excessive...

However, this operation is also very susceptible to infection. The doctor with good technique will cause less damage. After the operation, the wound surface can be said to be pink and tender, white with red inside, very cute, so the chance of infection is less.

The doctor with poor skills, holding an electric knife, is like giving someone a criminal law, scalding his penis(a)ji(a)ji fiercely like a carbon rod in a battery, his appearance is hideous.

Can it not be infected!

This is a small operation, and different doctors perform it in thousands of ways, let alone a large-scale cancer operation.

In some hospitals, after gastric cancer surgery, the patient can live longer. In some hospitals, after the operation, the patient goes home soon...

There are two difficulties in gastric cancer. First, the reconstruction of the remnant stomach and intestinal tract. Second, lymphatic dissection around the gastric body. These two obstacles, sometimes, are directly the threshold of a doctor's life.

Regardless of whether it is good or not, whether it can be done is a question.

...

After Zhang Fan changed the position of master, the operation speed has also increased a lot, after all, age matters here. Moreover, Zhang Fan didn't have any complicated emotional factors towards Shan Lao in his heart, so he could make better choices.

To be honest, people from the Hua Kingdom have very complicated senses about the Maruko Kingdom, but in terms of medical treatment, especially the treatment of the digestive tract, they are not rivals, not even rivals.

The five-year survival rate after gastric cancer surgery is about 30% in Huaguo, slightly higher in Europe and the United States, but not much higher, but it was already 30% in the 1960s in Wanziguo, and it has already exceeded 70% now. %.

The Maruko Kingdom has the ability to be a dojo in the shell of a lion snail,

It's really not a joke, especially their gastric cancer diagnosis is almost at 10% in the world, and they have already reached the 40% diagnosis rate early.

Teacher Lu learned the traditional Western techniques thoroughly from Qiu Zu, but after coming to Jade Bird, he also had a lot of contact with the medical circle of Wanzi Country.

Although I am getting old now and my techniques can no longer keep up with my ideas, my vision is still there.

"I think the thing on the omentum is very dangerous, cut it all or?"

Lu Lao gave up the position of chief surgeon, but he still couldn't feel completely at ease.

"Cut it all! We can't afford to gamble, and old man Shan won't have a second chance for surgery."

In fact, when the abdominal cavity was opened and the stench came out, Zhang Fan had already decided on the operation method in his heart.

"Quanqie's injury is not small, his physical foundation..." Mr. Lu said hesitantly.

This is that once the surgeon and the patient have a relationship, there are too many problems involved. After all, not everyone can let go of the seven emotions and six desires in life.

Zhang Fan paused slightly, and with his gloved hands, he gently took out the bloody old man's abdominal cavity, then raised his head and looked at Lu Lao: "Master, now is not the time to hesitate.

It is better to survive incompletely than to spread out after being discharged from the hospital. "

On the operating table, to be honest, Zhang Fan was alone and even more domineering, that is, Lu was old. If it was someone else, Zhang Fan would have been unhappy.

Mr. Lu looked at Zhang Fan's firm gaze, and sighed softly, "Okay, let's get started."

While talking, Zhang Fan bowed his head and started.

"Gauze!" Zhang Fan wanted to pass the gauze, the gauze with one hand, and two fingers with the other, straight into the bottom of the stomach.

For the clarity of the surgical field of view, Zhang Fan's requirements reached the point of abnormality.

Some doctors don't know if the operation is good or not, but they can hardly see it from his surgical field of view, bleeding everywhere, and the blood is flowing like a river.

But Zhang Fan is different, regardless of the size of the bleeding, he will consider it in advance, and even if he encounters a mutated blood vessel, there will be corresponding surgical measures.

The powerful system training made Zhang Fan's brain, like a slicer, slice the human organs countless times, and let Zhang Fan learn repeatedly.

Therefore, Zhang Fan's surgical field is very clean, just like operating on a mannequin, without a trace of bleeding, it's just so awesome!

"Clean, there is no unnecessary movement under the hands! The thinking is also very clear, it is a good seed."

In the electronic classroom, the mediocre Director of General Foreign Affairs carefully watched Zhang Fan's operation process, and exaggerated softly in his mouth.

"I don't think it can be said that he is a seedling, he has become a big tree, and his techniques are self-contained.

Director Chen, have you noticed that Dr. Zhang never turns back, which shows that he is very confident in every step of his operation. "

After hearing the words of Director Chen Zhongyong, the director of general surgery at 30x expressed his thoughts.

"Yes, you are right, and I also discovered one thing, his method is not quite similar to Lu Lao's, what do you think?"

"Well, I also have this feeling. Teacher Lu should be refined from Qiu Zu.

However, Dr. Zhang's technique always gives me a feeling of infinite precision in opening and closing.

It's a bit of a meaning of learning from the strengths of all the families. It can be said that his method is not like Mr. Lu but like Mr. Wu! "

After finishing speaking, he also looked at the 30x director of general surgery beside him in disbelief.

Both of them could see from the other's eyes that they had seen a ghost, and they felt like a dog.

Doctors of their level, among other things, have managed countless geniuses and countless students.

But there has never been a student like Zhang Fan. At Zhang Fan's age, most of them are still studying for a master's degree, and the more outstanding ones are still studying for a doctorate. That is to say, most of them have not yet jumped out of the category of student apprenticeship.

But Zhang Fan, he gave others the feeling that he had already obtained a master's degree, jumped out of a doctoral degree, and already had the posture of self-discipline and independent business.

The astonishment of the two was not over yet, and then Zhang Fan surprised them even more.

Because the operation has reached the first routine difficulty, the reconstruction of the gastrointestinal tract.

Stomach cancer, what to do and how to do it.

In fact, it is to cut off the stomach, and then directly connect the esophagus or the remnant stomach to the intestinal tract, so that food can enter the intestinal tract from the mouth to be digested and then discharged, that is what it means.

Everything, once it involves reengineering and starting over, is not very simple.

The reconstruction of the stomach is much more difficult.

The esophagus is a meat passage, and the intestine is also a meat passage, and the diameters of the thick and thin tubes between them are almost the same.

And the stomach is like a ball hanging on the two meat passages.

It can be said that if something eaten from the mouth can come out of the stomach, it can be discharged from the anus (a). For example, if a monkey eats nuts, it must be stuffed into the anus (a) to try Try it, as long as it doesn't hurt, it will be stuffed into the mouth, once it hurts, it will never eat.

why? There are many careless parents watching their children. One accidentally swallowed a foreign object, such as a glass ball, a small iron ball, or even other foreign objects.

At this time, the parents of the child became anxious, and took the child to the hospital. The doctor asked the child to drink a paste like lime water, and see through it for a while, and then for a while.

At this time, it is not the doctor who is torturing the parents. If the iron ball or the foreign object can pass through the junction between the stomach and the intestines, then it is no big deal, just stare at the toilet, and the parents will definitely hear the jingle.

If you can't pass the gate of the stomach, then this is a big deal. Don't underestimate this matter, once the foreign body is stuck here, you can only take it out by splitting the stomach, so especially if you have children at home, you must be careful.

For the resection of gastric cancer, as the name suggests, the stomach must be cut first, and then the intestines are connected to the esophagus.

This is the difficulty. For a doctor with a poor level, after this reconstruction, the patient will really suffer a great crime.

Eat a little more, or feel a little uncomfortable, and then start to vomit!

If you encounter any special infarct patient, wait until the pressure of the digestive tract breaks through the infarction.

My darling, which state of vomiting is very scary.

It's just like a spray gun, it's not a puff, a puff, it's a bang! Boom! spit.

Bile, food residues, intestinal contents, come out directly from the mouth, green and purple black bile, green and whitish food residues, plus intestinal...

Really, this kind of surgical reconstruction is quite particular.

Zhang Fan put the gauze in one hand, then grabbed the omentum, and ligated the blood vessels bit by bit.

The omentum is actually a curtain of pearls strung together with fat particles. The yellow fat particles cover the stomach, which is very slippery.

Many people like to eat fatty meat, and also like to eat so-called pork suet and pork neck meat. In fact, they should eat less suet and neck meat in the intestines, because this suet is actually the omentum.

There is not only fat in it, but also a lot of lymph! Gland, if there is a disease, this may be the focus, so...

Zhang Fan's eyes are like a perspective instrument, every big blood vessel, every mutated blood vessel has been dealt with by him early.

The rich vascular network has not seen any blood flow out. The electric knife passed by, and the smoke was lit, and the greater omentum was separated by Zhang Fan little by little.

"Ingenious~!"

At this time, Mr. Lu's mentality has also adjusted a lot. Seeing Zhang Fan's skillful and precise separation of the omentum, the old man couldn't help but praise him in his heart.

Experts look at the doorway, Zhang Fan's hand separation is too clever, like a child tearing paper, it clicks and clicks, which can give people a crisp feeling.

Originally, Mr. Lu wanted to mention Zhang Fan, but he didn't expect that Zhang Fan's technique was too ingenious, even more ingenious than the professors at the rice ball university he had seen.

After separating the omentum, Zhang Fan didn't lift his head, "Knife, m scissors!"

After separating the omentum and ligating the blood vessels around the stomach, Zhang Fan attacked the stomach with a sharp weapon.

"Hiss!" There was a burst of air-conditioning in the electronic classroom, because they saw Zhang Fan's operation.

"Old Chen, do you think his range is a bit too big? He did such a large resection without opening his stomach? Isn't that a bit too reckless?"

The moderate director asked the 30x director beside him softly.

"Probably not. According to his method and level, such mistakes will not occur, but how can he be sure that the cancer in the stomach has such a large area?"

The director of 30x was also puzzled.

Zhang Fan didn't hesitate, and went straight to the knife, the system. The biggest advantage of Zhang Fan's system is that it allows him to practice and hone his skills without restriction, and it can also classify various recorded human beings for hundreds of years. Type of surgery.

Therefore, Zhang Fan is like an old doctor with a hundred years of experience. For the estimation of this kind of operation, Zhang Fan can say that he has too much experience to refer to.

With one cut, it was like cutting a pig's belly. Old Shan's stomach was cut open by Zhang Fan in a uniform manner.

Just like taking a child by caesarean section, Zhang Fan lifted the old man's stomach out of his abdominal cavity with both hands.

Immediately, Mr. Lu opened the stomach that had been taken out, like opening a pocket, and the shadowless lamp shot directly into the stomach.

In the remnant stomach, Zhang Fan's knife edge completely removed the stomach cancer.

"Accurate! It's too accurate, my God, how did he judge? Even if Old Man Lu cuts it himself, it's impossible for him to be so accurate!"

In the electronic classroom, the eyes of some people who are qualified to call Mr. Lu as Mr. Lu are all round!

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