Fang Han used a copy card, which was a long story, but in fact it didn't take long, which was only three to five seconds. Whether it was communicating with the system or checking Tian Yitao's skills, it was carried out in consciousness, a process of thought.

Tian Yitao kept standing by the side and staring at Fang Han's operation. Seeing that Fang Han's movements slowed down, he thought Fang Han had encountered some problems. He was about to go on stage in person, but he never thought that Fang Han's movements suddenly changed, and his whole person seemed to have changed a little differently.

In Tian Yitao's stunned, Fang Han had quickly opened the patient's abdominal cavity.

Now Fang Han has completed the first step of the operation, opening his abdomen.

The patient's abdominal cavity was full of blood. Looking at this situation, Fang Han knew that the patient's condition was not optimistic.

Tian Yitao has also become much more cautious now. Judging from this situation, the patient's liver damage may be extremely serious. It is visually estimated that it should be a level iii injury.

"Suck, gauze filling."

Fang Han gave the order decisively, and the two hospitalists next to him began to aspirate the accretion and fill the gauze. As the surgery field was exposed, Fang Han carefully checked.

"The liver damage is severe, with multiple ruptures, the wound in the right lobe is the largest, the abdominal vena cava is also ruptured, and the patient loses a lot of blood."

Tian Yitao stood beside Fang Han, and now he stretched his head to observe, and he agreed with Fang Han's judgment.

"Most of the right lobe needs to be removed, and the patient's blood loss is very serious and urgent."

"Director Tian, ​​do you think it is a regular resection or a debridement resection?"

Tian Yitao was a little surprised. Fang Han knew a lot, but he even knew regular resection and debridement resection.

Regular hepatic resection is to remove the liver, dissect the liver, ligate and cut off the corresponding blood vessels and bile ducts of the lesion liver according to the anatomical characteristics of intrahepatic vascular bile ducts, and remove the corresponding liver tissue along the anatomical mark.

Debridement of liver resection is irregular and does not follow the structure of the liver. During the operation, blood vessels and bile ducts need to be continuously ligated and changed. The specific process is determined based on the degree of damage to the liver and gallbladder.

The regular surgical line is carried out along the anatomical plane, that is, the interlobular fissure between the middle liver fissure and the interlobular segment of the liver, with clear boundaries of the resection range, and neither leaving too much ischemic liver tissue nor removing too much normal liver tissue. This is a more reasonable hepatic resection.

Regular hepatic resection can simultaneously have higher requirements for technology and higher tolerance for patients.

Debridement liver resection has slightly lower technical requirements for doctors and is also lower in the patient's tolerance, but it has higher requirements for the degree of involvement in different functional areas of the liver.

In some medical papers on hepatic resection, the eyes were compared with regular resection and debridement hepatic resection, and dozens of cases of severe hepatic trauma surgery were retrospectively analyzed, and the mortality rate of different surgical methods was compared and the cause of death was analyzed. The results showed that the mortality rate of debridement hepatic resection was 36.8%, with a relative risk of 0.71; the mortality rate of regular hepatic resection was 54.5%, with a relative risk of 1.27; the mortality rate of debridement hepatic resection was significantly lower than that of regular hepatic resection. Debridement hepatic resection was more helpful in reducing surgical mortality in the treatment of severe hepatic trauma than traditional regular hepatic lobectomy.

Of course, medicine has no absolutes. Different situations and different analysis. Whether it is regular liver resection or debridement liver resection, each has its advantages and disadvantages. It is the most correct way to choose different types of surgery for different situations and different liver injuries.

What surprised Tian Yitao was that Fang Han, an intern at a traditional Chinese medicine hospital, actually knew regular liver resection and traumatic liver resection.

For laymen, most people have only heard of such a surgery for liver resection, so they are not clear about the specific matter. As for regular liver resection and traumatic liver resection, only some professionals know about it. Even some residents only know the difference between the two.

Tian Yitao was surprised, but he didn't ask much. It was not the time to get to the bottom of it. He asked Fang Han: "What do you think, Xiao Fang?"

Fang Han pondered for a moment and said, "The area of ​​regular liver resection is relatively large, the patient's tolerance is relatively high, and the risk is also high. If it is debridement, although the liver area function is relatively required, it is more suitable for severe dry trauma..."

It is obvious that Fang Han suggested debridement of liver resection, which copied Tian Yitao's left and right hepatic resection, plus the effect bonus of the enhancement card, Fang Han is not much worse than Tian Yitao in liver resection, and is even much better than Tian Yitao. In fact, he had a plan in his mind. The reason why he asked Tian Yitao was just respect for Tian Yitao.

Unlike other skills obtained from the system, the left and right hepatic resection obtained this time was copied directly from Tian Yitao. In other words, Tian Yitao is equivalent to Fang Han's teacher.

"I didn't expect that Xiao Fang, you know so much about liver resection." Tian Yitao was even more surprised.

If Fang Han just knew the difference between regular resection and debridement resection, he had just read some papers and liver resection information. At this time, Fang Han could analyze the specific situation, so it would not be possible to know by looking at the data and papers.

The two hospitalists who were assistants next to him were completely confused.

Is this doctor prescription a Chinese medicine or a Western medicine? He is more specialized in liver resection than a professional liver surgeon like them. He is really a rippy dog.

"I learned a little before." Fang Hanqian smiled and said, "You also know that our emergency department of Jiang Intermediate People's Hospital is now reorganizing."

Tian Yitao didn't ask any more questions and said directly: "Then take debridement liver resection. Xiao Fang, you can serve as a helper for me, Xiao Jiang and Xiao Yang have two helpers and three helpers."

The opening of the abdomen can only be said to be the prelude. Now it is the beginning of a serious hepatic resection surgery. Tian Yitao naturally does not plan to let Fang Han do it anymore.

Liver resection is a major operation, with extremely high risk and a low mortality rate. Even if the operation is successful, the recovery after the operation is a big problem. At this time when life is at stake, Tian Yitao naturally cannot let go.

Fang Han did not argue, and decisively gave up the position for Tian Yitao and got to Ichisuke's position.

"Keep paying attention to the patient's condition and report it at any time." Tian Yitao explained to the anesthesiologist.

"The patient's condition is stable now." The anesthesiologist replied, staring at various instruments at all times. It is the responsibility of the anesthesiologist to detect changes in the patient's vital signs. The anesthesiologist will not only make the patient anesthesia. During the operation, the anesthesiologist should worry about the changes in the patient's vital signs at any time and then take a plan.

"Electric Knife."

Tian Yitao reached out to take the electric knife from the instrument nurse, and then began to remove the bloodless liver tissue.

Tian Yitao started to take action, and Fang Han immediately began to ligate the cut blood vessels and gallbladder.

Having obtained Tian Yitao's skills and the improvement card has been improved, Fang Han has long been at the top of hepatic resection. The master-level hepatic resection surgery is one of the few in the world.

An improvement of a whole rank is not as simple as one plus one equals two, but a qualitative leap.

If Tian Yitao's advanced level liver resection is already considered an authority in the field of liver resection in Jiangzhou Province, Fang Han's master-level liver resection is an authority at the global level.

Looking around the world, there are at least thousands of extrahepatic experts with the same level as Tian Yitao. If you reach the level of master-level liver resection, it will become a single digit. This is the difference between master-level and advanced.

Tian Yitao was even more surprised.

Fang Han's rhythm is very suitable and he can cooperate closely every time. Even many things are originally Tian Yitao's own business, so Fang Han tried his best to do it.

For a moment, Fang Han cooperated with both hands and his movements were extremely smooth, taking care of most of the operation. The two residents who served as Eraka and Sanaka were even unable to get involved.

With the cooperation of Fang Han, who is at the master's level of liver resection, Tian Yitao's rhythm has also been much faster. Many times, it is Fang Han who is leading the rhythm of the surgery, which saves most of Tian Yitao's energy and physical strength.

The two resident doctors couldn't keep up with Fang Han and Tian Yitao's rhythm.

The two of them looked at Fang Han in amazement. Is this really a Chinese medicine doctor? This person is really only in his twenties?

No matter how they looked at it, they felt that Fang Han's liver resection level seemed to be above Tian Yitao.

Tian Yitao was also very frightened at this moment.

As an authoritative expert in the extrahepatic field, he can personally feel Fang Han's level.

At first, Fang Han was just cooperating, but as the operation continued, Fang Han had actually taken the initiative.

Although Tian Yitao is still standing in the main surgery position at this time, in fact, Fang Han has become the main surgery, and only some areas where Fang Han’s technique field is not very convenient, Tian Yitao has snatched the initiative.

Fang Han and Tian Yitao continued to cooperate, and the operation was smooth.

Originally, Tian Yitao was still a little energy-absorbing when he was in the operation, but as the operation continued, Tian Yitao was a little excited, and his energy was even better than when he first took the operation.

How long has it been?

Tian Yitao can't remember clearly how long it took him to have such a smooth operation.

Tian Yitao was carried forward by Fang Han. This comfort is simply intoxicating.

......

In the observation room, several doctors from the Jiang Intermediate People's Court, including Qin Weihua and Guo Mingqiang, were watching the operation.

Today, this case of injury is the only injured person sent to Jiang Intermediate People's Court, and is also a very serious injury, because both Guo Mingqiang and President Xu Jinbo are very concerned.

Although Tian Yitao from the Provincial Hospital underwent the operation, the operation was actually just borrowed from the operating room of the Jiang Intermediate People's Court, outsiders would never think so.

If the patient really can't get off the operating table, it will have a great impact on the reputation of Jiang Intermediate People's Hospital.

Some people who are familiar with it are easy to say, but what will those who are not.

They only think that the mortality rate of other hospitals has been sent to other patients, but the Jiang Intermediate People's Hospital has sent one patient but is not saved.
Chapter completed!