Chapter 932 Intraoperative Simulation
Yanjing Hospital, classroom.
At this time, several doctors were watching Fang Han's surgery live broadcast. Chen Peizhong held the teacup and drank slowly.
"Fang Han's level is really nothing. The abdominal opening just now was very stable. Obese patients have a very high risk factor. Even if I do it myself, I have to be careful."
"Yes, depending on the patient's physical function and internal organs, it should be elderly patients. Obese elderly patients must have many underlying diseases. It is indeed very difficult for such patients to undergo liver surgery."
Qi nodded violently.
At Yanjing Hospital, Chen Peizhong is naturally not the only expert who can perform liver resection. Qi Meng's level is not inferior to Chen Peizhong, but Chen Peizhong is the director of the department and his reputation is slightly greater than Qi Meng.
"Stop!"
The doctors watching the live broadcast of the operation were discussing while watching. As they were watching, they found that Fang Han suddenly stopped and stopped the operation.
"What's going on? The picture is enlarged." Chen Peizhong said hurriedly.
"It seems that something unexpected happened." Qi Meng said.
"Unexpected conditions during the operation are not rare, and the real Fengshui surgery is not challenging. With Fang Han's level, it is definitely not a small problem."
As the picture magnified, Chen Peizhong and Qi Meng both watched it seriously and soon discovered an abnormality.
The operation has stopped now, and in fact the live broadcast is also a panoramic view of the patient's condition.
Lin Xintong is responsible for debugging the equipment. She knows very well when to switch which lens, and when and where to focus.
At this time, an accident occurred in the operation. So what kind of accident was? This problem is not only the concern of the people who watched the operation, but also involves the influence of the other party Han.
There is no feng shui in the operation, nor is there a 100% success.
Even if the operation fails, at least the person watching the operation must understand what the unexpected situation is, whether it is difficult or difficult, so as to minimize the impact of the other party's cold as possible.
"Hemangioma!"
Qi Meng took a deep breath.
"Hepatic hemangiomas are generally benign and not many malignant, but the location of this hemangioma is very secretive and special. Fortunately, Fang Han discovered it in time." Chen Peizhong was also scared and sweated.
Although Fang Han is the one who has undergone the surgery at this time, as extrahepatic experts, they often put themselves in when watching the surgery video, and their mood is actually following the progress of the surgery.
Suddenly, hemangioma was discovered. If you were to slow down and accidentally ruptured the hemangioma, it would be annoying.
"Although liver hemangioma is mostly benign, the possibility of malignancy is not ruled out. Moreover, based on the patient's physical condition and the characteristics shown in the liver just now, the sclerosis ratio is not small. This hemangioma is not a common sponge-like or hemangioendothelioma, and it is very likely to be sclerotic hemangioma." Qi Meng judged.
"If it's sclerotic hemangioma, it's going to be troublesome."
Chen Peizhong stared at the video with his eyes tightly and said slowly: "If it is sclerotic, then the blood vessels and liver tissues near the hemangioma must be very brittle and will rupture if you are not careful."
"The most important thing is that this hemangioma was not discovered before the operation, but was not in good condition during the operation, so it was really troublesome." Qi Meng nodded.
At Union Hospital, Guo Dingwen is also explaining to Luo Binchao now.
"Pre-operative discovery and in-operative discovery are two completely different concepts. Pre-operative discovery will definitely be prepared, and the choice of opening positions will be different, but it will be difficult during surgery."
Whether it is a liver surgery or a heart surgery, the position of the opening of the abdomen is not a casual choice. The position of the opening of the abdomen is also the size of the incision. One is based on the patient's physical condition, and the other is based on the patient's condition.
When choosing the incision and position, it is naturally more convenient to operate.
For example, if the patient is undergoing a hemihepatic resection, how to choose an incision, right hemihepatic resection, how to choose an incision, intrahepatic bile duct stones, where the stones are located, how to choose an incision, etc.
The same is true for heart surgery. Choose as close to the lesions as possible and avoid more blood vessels.
Although the opening of the abdomen is just a prelude in liver surgery, the choice of incision lines is often determined by the doctor's habits and the patient's condition. Although it is similar, even if it is a slight difference, the impact will be quite large in the operation.
The patient's hemangioma was discovered during the operation. Fang Han had never thought of this before. Now that it was critical, he found a hemangioma, which was very difficult to operate.
In extrahepatic surgery, what procedure to choose is just like what method to choose for the test. I chose a certain problem-solving idea before, and I felt that there were omissions in the middle, and then I wanted to add it, it would be very difficult.
"Director Chen, Director Qi, what should I do when I encounter this situation during the operation?" A doctor asked Chen Peizhong and Qi Meng for advice in the classroom of Yanjing Hospital.
"It must be necessary to remove the hemangioma first. If the hemangioma is not removed, the stone cannot be removed. If the hemangioma ruptures when obtained, it will be too late." Qi Meng said.
"The hemangioma must be removed first. It can be done in the current situation. It is very difficult to operate. How to cut and where to choose as the entry point. This is the difficulty. Faced with this situation, there is only one chance. Once the choice is wrong, the hemangioma ruptures, the patient will be in danger and the operation will fail."
Chen Peizhong said: "In this case, on the one hand, it depends on the experience of the surgeon and on the other hand, it depends on the luck."
"I can only bet on my life!" Qi Meng also said.
Chen Peizhong nodded and said, "Faced with this situation, even if the operation fails, Fang Han has tried his best. Let's see how he does it?"
"Doctor Fang closed his eyes." The doctor next to him said.
"It seems that Fang Han doesn't know what to do, choice is very important." Chen Peizhong nodded.
"Pay a little, sort out your ideas, make the right choices as much as possible, and be neither anxious nor impatient. Fang Han is indeed good." Qi nodded violently.
"Yes, in the face of this situation, the surgeon must not panic. Once he panics, the failure rate will increase exponentially."
At Jiangzhou Provincial Hospital, Tian Yitao is also watching Fang Han's surgery live broadcast now.
Seeing this, Tian Yitao's face also became solemn.
This is a big problem. If one is not good, the patient will not be able to get off the operating table.
Observation Room of Jiang Intermediate Court.
There are indeed a lot fewer people now.
The leaders of the hospital were basically gone. Mr. Xu had surgery, but the leaders of the hospital didn't care, and it was not Mr. Fu.
However, many people in the emergency department are still there now, and Fang Haoyang is also in the observation room.
"Stop, is there something wrong?"
The doctors in the observation room were stunned.
Compared with Chen Peizhong, Guo Dingwen and others, Li Xiaofei and others' standards are much worse, and Fang Haoyang doesn't understand it very well.
Although they couldn't understand, there was a voice, and the voices of Fang Han and Kuang Mingzhuo's discussion, Fang Haoyang and others were listening to it.
"Hemangioma?" Fang Haoyang's face changed.
Although he had never had a liver resection, he also knew what it meant during the operation.
In the operating room, Solis also looked at the operating table nervously. At this time, the entire operating room was silent in an instant, and the nurses didn't dare to breathe.
There are only the sound of instruments and the breathing of everyone in the entire operating room.
Xiao Yunheng pulled the hook, motionless, maintaining a frozen posture. At this time, his hands must be stable. If unstable, it may cause traction or squeeze, causing the hemangioma to rupture.
Kuang Mingzhuo also had a serious expression. He looked at Fang Han. He had no suggestions at this moment, so he could only hope that Fang Han could create a miracle.
Fang Han closed his eyes and communicated with consciousness.
“Redeem advanced props, advanced simulation cards!”
"Redeem advanced simulation cards, it takes 25 million worship points. Do you want to redeem the host?" The system's routine confirmation question rang in Fang Han's mind.
"Redeem." Fang Han issued the redemption order without hesitation.
His current worship points are close to 150 million, and the Wanbao incident has brought him a lot of worship points. Although the popularity has dropped now, Fang Han also earns more than 100,000 worship points every day.
"Ding...... The host exchanges advanced simulation cards, deducts 25 million worship points, and the balance of worship points, 128.56 million points. The simulation cards have been issued, and the host can view them in the inventory by himself."
Fang Han didn't listen to the system's longing at all, and he realized that he entered the inventory, and a golden card prop in the inventory was placed inside.
Fang Han's consciousness touches the simulation card and uses it directly.
As Fang Han issued the usage instructions and selected the simulation object, the scene in front of him changed and he had already reached the simulation space.
The simulation space is still arranged in the Jiangzhong Hospital operating room. The patient was lying on the operating table, but there were no Kuang Mingzhuo, Xiao Yunheng and others, and no nurses. There was only Fang Han in the huge operating room.
At the same time, the patient was just sent to the operating table and was anesthetized.
Fang Han's consciousness moved and the scene changed, and the patient had already become an open state, but the situation of the patients outside was generally the same.
This time Fang Han used simulation cards during the operation, so the previous operation has been finalized, and the operation cannot be started again. In the simulation space, Fang Han can only start from the operation progress outside.
Fang Han tried the simulation space many times, constantly operating and searching for entry points, but it was only a moment outside.
Kuang Mingzhuo and others only felt that Fang Han opened his eyes less than a minute later.
"Dr. Fang!"
"Xiao Yunheng keeps not moving. I'll do it later and expose the location of the hemangioma as much as possible. Director Kuang, you will remove it." Fang Han ordered.
This operation cannot be completed by Fang Han alone, and it requires cooperation from three people. To be precise, Kuang Mingzhuo needs to complete the removal of the hemangioma. All he needs to do is help Kuang Mingzhuo, exposing the surgical field while ensuring that the hemangioma does not rupture, and creating operation space for Kuang Mingzhuo.
"Um."
Kuang Mingzhuo took a deep breath and nodded.
"Sclerotic hemangioma, the blood vessels near the hemangioma should be very fragile. Director Kuang should pay attention when operating and listen to my command later." Fang Han reminded.
Chapter completed!