When it comes to the liver, this is the key point, because the patient's clinical symptoms are basically related to the liver.

The medical record was written from the beginning that this patient had cirrhosis. Most of the advanced stages of cirrhosis are caused by liver shrinkage. On the contrary, this patient is a rare liver enlargement, which seems not early stage.

The reason is that Buga syndrome causes parenchymal congestion. Doctors have evidence to suspect that the cirrhosis may be caused by Buga syndrome, which is not very similar to most cases.

Hepatic vein and superior inferior vena cava obstruction are the main causes of Bugat syndrome.

Laparoscopic observation of the liver profile and external surface, combined with preoperative CT and other examination results, it can be temporarily determined that there is no tumor in the liver.

No doctor breathed a sigh of relief.

Because preoperative examination has shown that the main lesions of this patient are not in the liver but in the inferior vena cava. The surgical screen shows that it is equivalent to confirming that there is cancer in the patient's body.

The real-time breath in the operation room was conveyed to the exchange meeting site.

The noise was gone just now, and the low pressure spread.

Every surgeon wishes to open the abdominal cavity and get slapped in the face. As long as it is not cancer, everything is fine, but now he must adjust his mindset and continue.

Jiang Mingzhu grabbed the collar of her clothes and exhaleed and adjusted her breathing, and was about to sweat. At this moment, she admired Xie Wanying, a junior sister who died in the operating room. You know, as a medical student, she could be so calm that it was unimaginable.

She knew she was doing a live broadcast, but in the picture, Xie Wanying's hands were always as stable as Mount Tai, even if there were some bad results, she would definitely not be able to control herself and would have to shake her hands.

The previous operation is about to enter the deep water area, and it is necessary to understand all the conditions of the inferior vena cava. At this time, an important anatomical structure is called the liver portal. The liver portal, like the spleen portal and kidney pedicle, belongs to important parts of various vascular, nerve and lymphatic vessels, and other important tissues entering and leaving the liver. Therefore, the liver portal has a heavy position in hepatobiliary surgery. As long as a specialist has a deep understanding of it, it will cause serious heavy bleeding. The liver vein is very thin and there is less connective tissue around it, which leads to common hepatobiliary surgery.

Before arriving at an important anatomical site, the separation forceps are separated from the peritoneum around the liver, and it is not ruled out that improper operation is instable and unstable to tear the inferior vena cava, left hepatic vein or left inferior diaphragmatic vein. This result often leads to the formation of terrifying qi plugs other than heavy bleeding.

Air plugs are air embolism. Speaking of the dangers of air embolism, ordinary people who have received a drip know that air in the infusion tube will cause death if it is injected into the blood vessels of the human body. In this operation, since the inferior vena cava is connected to the right atrium, the air reaches the right atrium, but the patient may die faster.

The breath that everyone held was to see the movements that needed to be carefully and meticulous when the separation clamps were used.

Here is the difference between a celebrity doctor's team and an ordinary doctor.

Look at the previous surgery that had liver tumors, which also involved liver hilar separation. But what they did was not as good as this one.

What is the reason?

Even lay photographers can feel that the live broadcast screen is directly on the laparoscopic monitor and it is not moving. Because the perspective of the laparoscopic surgery given by the mirror handler is already very good, lay photographers can cut the focal length of the lens randomly, which is not as good as an expert surgeon.
Chapter completed!