It was the same tumor removal, but the difficulty was completely different.
The simplest benign sarcoma on the surface of the body could be pinched off, and it would disappear without dignity.
Benign tumors in the body were more complicated. For doctors, the main problem was the location and size.
The worst location was the head. Many benign tumors in the brain could also be fatal, and it was even more dangerous to remove them. If some locations were too deep, there was no point in treating them.
However, compared to the location, size was more important.
This was especially true for tumors with a diameter of more than 10 centimeters. The invasion of the human body itself would cause countless problems, not to mention the arteriovenous blood vessels around the tumor and other dangerous factors.
Guan Fei used her hand to touch the sarcoma that was as big as her head. She wanted to cry, but she could not.
Right in front of her was a blood vessel that was as thick as a thumb. The blood flow in the blood vessel could almost be seen because of the thin blood vessel wall.
Guan Fei could imagine that if she was careless and her hand slipped, the sarcoma at the place where she fell would break such a large blood vessel. The patient's blood loss would probably be more than one or two thousand liters in a minute.
This kind of nervousness made her speechless and unable to scold. Her hands and feet were also sore, but she did not dare to move recklessly.
"It feels like when I was in elementary school, I was punished by the teacher to stand because I couldn't memorize the text." Zheng Jun squeezed next to Guan Fei. He struggled to stand on tiptoe and spoke softly. Two people dealing with one sarcoma was to ensure safety, and it was also because the sarcoma was too big.
If it was a smaller sarcoma, the chief surgeon would not be able to handle it even if two people wanted to.
Guan Fei hummed. "It's so uncomfortable, use more strength."
"I'm already using a lot of strength. Hold it steady. It'll be bad if you miss." Zheng Jun was in a bad mood. In order to show his gentleness, he chose a position that was not easy to use strength. Now, he regretted it.
Guan Fei stood closer to him, so she could see more clearly. She was not standing so slanted.
Zheng Jun was miserable. One of his hands had to stretch out, and his feet had to stand on tiptoe. It was a very uncomfortable position.
However, Guan Fei obviously did not appreciate it.
Because her position was also very uncomfortable, she probably could not understand Zheng Jun's pain.
Zheng Jun snorted secretly.
For him, it was equivalent to being taught a lesson — there was a price to pay for being a gentleman in the hospital. As for the price he had to pay, Zheng Jun was in excruciating pain.
The child would be exhausted to death if he was punished to stand for one or two classes. Now, he had to stand in a twisted posture for more than an hour, and he had to think of ways to watch the surgery. It was even more uncomfortable.
"Hold on tight. If you make a mistake, the patient will die." He Yuanzheng glanced at Guan Fei and Zheng Jun and reminded them.
Zheng Jun hurriedly complied.
Guan Fei said a little squeamishly, "It's too slippery. It's not easy to hold."
When Ling Ran heard what she said, he said without even raising his head, "Xiang Xueming, you'll replace Guan Fei."
Guan Fei exclaimed and hurriedly said, "There's no need. I can still hold on. I'm just …"
"There's no need to force yourself." Ling Ran interrupted Guan Fei and said to He Yuanzheng, "I'll block the left hepatic portal first, then cut the middle hepatic vein."
"Okay, the patient's vital signs are stable." He Yuanzheng turned around to look at the monitor and reported to the chief surgeon.
It was not easy to just take a look at the monitor.
If a young assistant were in his place, he would either be extremely busy or terrified. He would not dare to tilt his head to look at the monitor.
Since He Yuanzheng looked at it, Ling Ran did not need to. Not only did it save time and energy, but it was also good for the continuity of the surgery. It was just like when a person raised his head to look at the direction of the door when he was playing a game. The chief surgeon would also be more willing to continue looking at the operating area.
While Ling Ran quietly played with the first hepatic portal, Xiang Xueming put on his surgical gown and went forward to replace Guan Fei.
Guan Fei said in a low voice unwillingly, "I can still hold on."
"You tell Doctor Ling," Xiang Xueming said in a low voice and said, "Switch positions with your back to your body."
Guan Fei did not dare to disturb Ling Ran now. There were many doctors from different departments on the scene. If she made a fuss over such a small matter, she might lose a lot of marks. Moreover, Ling Ran had never been easily affected by people acting coquettishly. Although Guan Fei thought that he was cool and aloof, it affected her performance at this moment.
Guan Fei had no choice but to switch positions with Xiang Xueming back to back.
Guan Fei quickly took off her surgical gown and gloves and stood in an open space. She felt relaxed all over. She did not need to remove the heavy tumor, and she could stand freely. However, Guan Fei felt a little empty in her heart.
It was not easy for her to fight for … No, it should be said that she had lost the opportunity to perform actual combat with a huge liver tumor that fell from the sky.
Guan Fei was very sure that a child like Xiang Xueming would be willing to break his leg just to watch the surgery.
"Okay." The circulating nurse walked over and raised her chin at Guan Fei.
"Right away." Guan Fei quickly took a few steps back and scurried to the viewing area.
On her left were two assistant lecturers from the General Surgery Department, and on her right was an assistant lecturer from the Department of Urology. Everyone stood behind the red line that was pulled out to watch the surgery. Naturally, Guan Fei could only obediently stretch her head out to watch.
However, while others were watching Ling Ran's operation, Guan Fei looked at Xiang Xueming in displeasure.
Xiang Xueming continued to remove the tumor. He was still facing Zheng Jun sideways, but the space between the two of them was even narrower.
Xiang Xueming occupied more than twice the space of Guan Fei. With the limited space on the operating table, he could only twist his body even more.
Xiang Xueming did not care.
From his angle, he could almost see all the operations of the chief surgeon, and he could also see some of the operations of the first assistant. It could be said that he was in a golden position.
In surgery, the chief surgeon would give a long speech, watch a case, learn a case, and perform a case.
It could be said that most minor surgeries could be performed by one surgeon and three cases.
Nowadays, hospitals tended to be cautious. Coupled with the shortage of surgical resources, young doctors often did not have any surgeries to perform, not that they could not perform surgeries. Of course, the specific effect of the surgery depended on the doctor's comprehension.
Xiang Xueming pretended to stretch his neck and stole a glance at Ling Ran.
Ling Ran, his classmate who graduated in the same year as him, was currently waving the scalpel with ease under the care of the department director of the Department of Hepatobiliary and Pancreatic Surgery of Yun Hua Hospital.
"Now, deal with the second hepatic portal." Ling Ran asked the assistant to pull the liver down and reveal the second hepatic portal from the hepatic septum. Then, he began to separate the superior and inferior vena cava.
The most troublesome part of liver surgery was that it had a rich blood supply. The blood vessels were numerous and thick, and they could not be easily cut off. When they were cut, they had to be ligated separately, and that would cause massive bleeding.
And in liver surgery, the most troublesome part was the treatment of the hepatic portal.
In a department like the Department of Hepatobiliary and Pancreatic Surgery, as long as the hepatic portal was involved, the starting price would be that of an assistant lecturer. For such a huge tumor that invaded two hepatic portals, ordinary chief physicians would not dare to take over.
Take He Yuanzheng for example. He hesitated for a long time before Ling Ran took over his position as the chief surgeon.
In fact, if he was persistent enough, Ling Ran would not forcefully take over his surgery. After Zuo Cidian communicated with him, he would most likely persuade Ling Ran to give up.
However, He Yuanzheng really did not have the confidence to perform this surgery.
At this moment, he paid more attention to Ling Ran's operation.
He saw Ling Ran separate a vein, then another vein, all the way down, and the root of the right hepatic vein was separated …
As He Yuanzheng watched, he suddenly realized that the second hepatic portal was separated just like that?
He Yuanzheng could not help but raise his head to look at Ling Ran.
"Wipe my sweat." Ling Ran was also a little tired, so he raised his head again.
Su Mengxue quickly used gauze to wipe off the fine sweat on Ling Ran's head.
"Let's continue." Ling Ran rested for half a minute and returned to the separation process.
For him, this surgery was indeed difficult.
But it was just the right level of difficulty.
Compared to normal hepatectomy, Ling Ran needed to think and be more careful.
However, the surgery itself was still below his upper limit.
As long as Ling Ran worked seriously, he would gain a lot of sense of achievement.
Moreover, there was basically no place where he would really get stuck.
Ling Ran's habit had always been to do a lot of preparation work.
A Master Level Hepatectomy Skill and a complete set of preparations might be an even heavier burden for a single, huge liver tumor.
Even if it looked like beef tenderloin, it would not be treated gently because of that.
The tumor was gradually separated.
At the last moment, Xiang Xueming and Zheng Jun carried the big shuttle-shaped tumor and put it into the basin.
"It's so heavy." Xiang Xueming giggled. He was really very tired.
"It's 21 and a half pounds." Lu Wenbin was also so tired that his arms were tired, but he still estimated the number with his eyes.
Xiang Xueming smiled, then he and Zheng Jun carried it on the electronic scale.
"11140 grams." Xiang Xueming read the number, clicked his tongue, and said, "It's so heavy! Doctor Lu, your guess is quite accurate. "
"You didn't weigh the basin just now." Lu Wenbin smiled faintly.
Xiang Xueming was stunned, but he did not really weigh the basin.
* Click, click, click. *
The young officer from the Medical Affairs Department was so excited that his face was red, and he started taking photos like crazy.
"This is the biggest liver tumor our hospital has resected in recent years." The young officer could not tell how many years it had been. In short, he just needed to record such a big event.
Ling Ran was still operating on the operating table. There was still a lot of follow-up work for such a surgery.
The young officer from the Medical Affairs Department took photos in a circle, and in the end, he still took photos of Ling Ran.
Ling Ran in the circle was as dazzling as the sun, as cool as Jupiter, and as cold as the starry sky.
.。 m.
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