Chapter 1162: 【1162】Arrived at the triangle area

   Chapter 1162 [1162] Arrived at the triangle area

   Gao Zhaocheng covered his forehead with his hand: Is the little junior sister showing off her skills at this important juncture? What I have to say is that this skill of the little junior sister is really beautiful.

   Zhang Huayao's deep gray eyes flashed a light.

  A good doctor's technique is undoubtedly a shot in the arm for everyone at the scene.

   The confidence of the two main swordsmen has increased greatly.

   The scalpel fell behind the pancreas, and the portal vein and superior mesenteric vein were separated, but the portal vein was not invaded by cancer cells. The doctors are fortunate to be the lucky ones.

   Hearing the exhalation of everyone, Zhang Huayao's expression was different, it was more solemn, and a faint gleam of wolf light flashed: Cut, continue to cut, and kill all the cancer cells.

   The boss's gaze was poked at the backs of the young doctors on the operating table.

  Tan Kelin and Tao Zhijie's eyes sank: This man is worthy of being called Zhang Yanluo by the Guozhi emergency department, his eyes are fierce, like a dragon slaying sword.

   Without Zhang Huayao's supervision, they must have cut cleanly without reservation, otherwise the meaning of surgery will be lost.

   Evaluating a surgeon's surgical results, that is, whether the incision is clean enough or not, will determine the patient's survival.

  It should be clear that cutting clean does not mean cutting everything that should not be cut. The surgeon's eyes need to be carefully watched at this time.

   The first task falls on the shoulders of the mirror holder again. It is necessary to bring the main knife to continue to separate, and to separate each layer clearly before it is possible to place the accurate knife.

   Zhang Tinghai suddenly subconsciously looked at the clock on the wall, the operation had been going on for almost an hour.

   According to this progress, the operation may be completed in two or three hours. If it ends at this time, it can be said that a new hospital record has been set.

  Traditional laparotomy takes more than three hours. I have never heard of laparoscopic surgery that can achieve this speed.

   Zhang Tinghai stood up.

   Liu Jingyun, who was closest to him, noticed his nervousness: what happened?

   "Prepare the medicine." Zhang Tinghai didn't tell her, but talked to himself, while he took the first aid ephedrine first with his own hands.

   Seeing him smoking ephedrine, Liu Jingyun knew that the operation had reached a terrible place, the triangle of the gallbladder.

   Gallbladder triangle, also known as Carroll's triangle. It can be called a triangle because it has three sides. In the three-dimensional world of the human body, the three sides are not accurate enough and should be called three sides.

  Which three sides are the hepatic cyst duct surface, the hepatic duct surface, and the liver visceral surface.

  Cholecystectomy should touch this place because there is a cystic artery passing through here. Before removing the gallbladder, find the cystic artery and tie it here. The cystic artery arises from the right hepatic artery, and if it is not tied tightly, the right half of the liver will be ischemia.

The   triangle is narrow and difficult to operate. If the surgeon does not have enough experience here, he will often accidentally injure the bile duct. The worst thing is that because many patients are accompanied by chronic cholecystitis and other diseases, the gallbladder and the surrounding tissues are seriously adhered, and the triangle cannot be fully exposed. It is even harder for doctors to find the cystic artery.

   Now, judging from the picture of the surgery, it happened to be such a difficult situation.

  Mr. Lu went to Fang Xueqing, an old classmate, to see the digestive tract disease. He once had cholecystitis, and the adhesion here is serious.

  The separation pliers of the main knife can no longer enter the danger zone at will.

  Tough blunt dissection can result in damage to that portion of healthy tissue in the body. The only way to replace the main knife is to take another route to enter the triangle, commonly known as the retrograde method to remove the gallbladder.

   (end of this chapter)