Lymph node dissection was the most energy-consuming part of various cancer surgeries.
Lymph nodes were part of the lymphatic system of the human body. They were around different organs. Lymph nodes were about the size of rice grains, and they were loosely distributed. The number of lymph nodes varied, and their positions varied.
In nature, some people's hearts were located on the right side. It was conceivable that complete lymph node dissection was like playing hide-and-seek in the human body.
What was more troublesome than playing hide-and-seek was that the human body was not a simple plane. When doctors operated in the human body, they not only had to consider the position of the upper, middle, and lower body, but also the internal space of the internal space. For example, the internal space of the organs, or other enclosed space that was included by the organs, muscles, fat, and other tissues.
Doctors not only had to dissect the exposed lymph, but also the lymph in the enclosed space within the range.
At this time, it was a great test of anatomical skills. The human abdominal cavity was actually not big. When a doctor lowered his head to look at his stomach and imagined how it looked like when he had a six-pack, he could imagine the size of his abdominal cavity when he was fourteen years old, and then imagine the liver, gallbladder, pancreas, spleen, intestines, stomach, kidneys, and other organs crowded in it. The space for mistakes was actually very small.
This was especially so when it came to dissection of lymph nodes. If he was not careful, he could dissect the wrong lymph nodes of other organs.
When the patient's body was so weak, the risk of dissecting the wrong lymph nodes was self-evident.
Although Feng Zhixiang allowed Ling Ran to dissect lymph nodes, he still carefully observed Ling Ran's operation. He dared to let go, even if it was because of Feng Zhixiang's usual way of doing things, and because he had seen Ling Ran dissecting the lymph nodes around the liver.
According to Feng Zhixiang's idea, Ling Ran could at least help to dissect the lymph nodes around the liver. This work would also make him feel much more relaxed.
Of course, if he could dissect the lymph nodes around the liver, he should have no problem dissecting the lymph nodes in other parts of the body. To put it bluntly, after a doctor became familiar with the anatomy, the steps of lymphatic dissection itself lacked technical content.
However, lymphatic dissection was a job that required skill. If he was not careful, it was easy to miss it. However, the purpose of lymphatic dissection was to prevent the cancer cells in the lymph nodes. If he missed it, he would not only be irresponsible to the patient, but also irresponsible to his own work. If the cancer cells could easily expand, the surgery would be equivalent to doing it in vain.
Feng Zhixiang dissected the lymph nodes while watching Ling Ran. He even said, "Lymphatic dissection is not afraid of slow, nor is it afraid of mistakes. It is only afraid of not paying attention, so there is no need to rush. There's no need to perform surgery in a hurry. "
This had always been his philosophy. When Ling Ran heard this, he hummed in acknowledgment, but his hand movements did not change.
Perfect Level Lymphadenectomy allowed Ling Ran to make very clear judgments during the surgery. In comparison, Feng Zhixiang's reminder was a little vague, and it was not the most suitable choice for the current situation.
Feng Zhixiang took a few more glances at Ling Ran. When he saw that Ling Ran was very familiar with lymphadenectomy, he did not force him to do it anymore. He focused more of his attention on himself, smiled, and said, "Lymphadenectomy is very unfriendly to doctors. It's too much work, and the requirements are meticulous. It's already very difficult for an old doctor like me to do it, but it's also easy for young doctors to make mistakes …"
When Xu Wen saw that Ling Ran was not in the mood to chat, he could only continue to flatter him. "Professor Feng, you're too humble. I've seen your surgeries before. The lymph nodes were swept very cleanly, and the patient's prognosis was good."
"Yes, a good prognosis is very important. Don't we perform surgeries to improve the patient's prognosis? Was it not the goal to perform the surgery cleanly and beautifully? I despise those who use shaving knives the most. Separating the lymph nodes means scraping, and hemostasis means scalding. After the surgery, if you see him scraping and scalding, those who don't know would think that he's a chef. " Professor Feng snorted a few times and said, "I won't say who it is. Patients often bleed after surgery. If they do this, something bad will happen sooner or later!"
Xu Wen's belly button trembled as he listened, and he did not know how to lick it.
Feng Zhixiang said, "I won't say who it is," but the medical circle was only so big. All the experienced doctors in the room knew about those who liked to use shaving knives and scalding for hemostasis …
Xu Wen thought hard and finally said, "Doctor Ling, your sutures are so beautiful."
Ling Ran found a suture point and quickly sutured it.
When Feng Zhixiang saw that, he nodded in satisfaction. "Yes, suturing when there's bleeding. What's there to not understand? Some doctors nowadays use scalding when there's bleeding. They put an endotherm knife on it and scalded it deep for more than ten seconds. Some even burn the tissue for more than ten seconds. Yes, there's no bleeding during the surgery, but what about after the surgery? The tissue is destroyed, and the damage is much worse than suturing … "
"Doctor Ling is really skilled at suturing, and his basic skills are solid." Xu Wen did not dare to go along with Feng Zhixiang's words, but it was not good for him to deviate, so he flattered Feng Zhixiang.
Feng Zhixiang hummed in acknowledgment and continued to operate slowly. He felt that the conversation was rather pleasant. Although Xu Wen was good at flattering him, he was not close enough to Professor Feng, and he was not familiar with Professor Feng's itch. In comparison, Feng Zhixiang had better flattery in his own General Surgery Center. It was just that he did not bring it with him this time.
"Professor Feng, I've also cleaned the head of the pancreas?" Ling Ran straightened his neck and relaxed the muscles in his shoulders and neck. He waited for Chief Physician Feng Zhixiang to give up some space.
Feng Zhixiang was stunned for a moment. He looked down and said in surprise, "You've cleaned the liver?"
"Yes."
"So fast?" Feng Zhixiang felt that he did not pay attention to Ling Ran for a while, but when he looked at Ling Ran again, he found that Ling Ran had indeed cleaned the liver.
After lymphadenectomy, there would be lymphatic fluid retention after the surgery, but the human body would soon establish new drainage channels. So, the cleaner the lymphadenectomy, the better the effect of the surgery.
"Professor Feng?" Ling Ran reminded him again.
Feng Zhixiang followed Ling Ran's gaze and found that the position of his instrument was slightly blocking Ling Ran's view.
Although Ling Ran was currently the first assistant, if everyone was doing lymphadenectomy together, he could not be so calculative.
So, Feng Zhixiang moved a little and gave up some space.
"I'll continue," Ling Ran said and began to do lymphadenectomy again, and his speed was still as fast as before.
Feng Zhixiang lowered his head and swept for a while. When he turned his head to look, he found that Ling Ran had cleared a large area again. The speed of the two was like a snail and a cow competing to see who could eat grass faster …
"I'll leave the rest to you." Feng Zhixiang blushed a little. Elder Hei could not tell, so he simply exercised his authority as the chief surgeon and handed the rest of the work to Ling Ran.
"Okay," Ling Ran answered and continued to work.
In the patient's abdominal cavity, the abnormal tissues that made people feel uncomfortable when they looked at them decreased, and they slowly disappeared.
Feng Zhixiang placed his hands in front of his chest, and he felt comfortable just by looking at it.
"It's a blessing in the midst of misfortune." Feng Zhixiang suddenly thought of the middle-aged woman who kept kowtowing, and he felt a little sentimental.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
