Chapter 111 Thanks to Kangkang
Kang Hong went to the operating table and Wei Jun said, "Dr. Kang's operation is really correct."
"Don't affect me."
Kang Hong said nothing and directly retorted, making Wei Jun blush.
Kang Hong only glanced at him and he already understood the extent of the crisis.
He didn't need anyone's help at all, and quickly improved his liver trauma surgery skills to the extreme.
Now this time, hemostasis is not like completing the task with a finger last time, because it involves an extremely fragile tumor tissue, which must be completely removed and sewn and completed the operation to finally stop the bleeding. Otherwise, any hemostasis will only be temporary or even incomplete.
Kang Hong blocked the bleeding point of the first liver portal, and everyone could not see the movements of his hands and the surgery he was performing. He freed the right liver and tumors. The scalpel beautifully drew an arc incision. The incision was accurate and quickly removed part of the liver tissue under the diaphragm of the right liver and 80% of the tumor sac wall.
Then immediately pressurize the cutting edge to suture the anterior and posterior walls of the residual capsule to eliminate the wound.
His suture was about the same speed as a sewing machine, and he only saw a slap thread and the suture was completed in a blink of an eye. It took less than five minutes from the time he started to complete the damaged liver tissue and tumor and complete debridement.
After the wound was cleaned after the operation, no blood was penetrated, and the control was perfect.
Chang Qiu and Yao Zhiming both breathed a long sigh and exclaimed sincerely: "Kang Kang, you are simply a god, so amazing."
This time, even Wei Jun nodded and said, "Xiaokang's surgery has made great progress, it's good."
At this time, the phone rang, and Haiyin answered the phone and told Chang Qiu: "The laboratory department called over. The tissue sent for the examination confirmed that it was liver cyst cancer."
Chang Qiu said to Kang Hong with relief: "The truth is in the hands of a few people, and you are right again this time."
Kang Hong got off the operating table and said to nurse Haiyin: "I'm informing the patient's family members now that they don't need to call their classmates, otherwise they won't need to use blood when they come from afar."
Haiyin agreed and ran out like a flying one.
Chang Qiu said: "How did you practice such a fast operation speed, and it is so perfect? I wonder if you are a robot, otherwise how could you have such a fast speed or so accurate?"
Kang Hong smiled and said, "Actually, I come from the future space, this is a secret. Don't tell it."
Chang Qiu was stunned for a moment. He rarely joked and realized it for a while. Zhan Yan couldn't help but smile.
Yao Zhiming looked at Kang Hong with some surprise and said, "This disease is really strange. The tumor tissue is as crisp as paper, and it breaks as soon as it touches it, and the blood is still unstoppable. What's going on?"
Wei Jun was also worried: "Yes, this operation was just a small piece of tumor tissue for examination, which actually caused such a large bleeding. This is the first time I encountered it. So before the operation, I heard that Xiaokang asked the patient's family to ask someone to donate blood, and I also felt that it was a bit over the problem. Now I realized that it was our own lack of estimates. Fortunately, Xiaokang arrived in time today, and I wondered why the tumor tissue is so fragile? The bleeding cannot be controlled. What's going on?"
Several people looked at Kang Hong, and Kang Hong said: "The tumor tissue is very fragile. I looked at the part where the tumor tissue is located, which happened to be a place where the liver is very rich in blood. Once the incision is made, the pressure in the sac suddenly decreases, causing the tumor-like veins to dilate and the sections of the cutting tissue to bleed continuously. At this time, you must not repeatedly clamp and sew, otherwise it will cause greater trauma and make the wound bleeding uncontrollable."
Everyone nodded repeatedly as if they had realized something.
Chang Qiu sighed and said: "I didn't expect that cutting a piece of tumor tissue would cause such a large bleeding. Who would have thought of this? This reminds me. Some tumors that are not clear about pathological changes, especially those with wide bases and rich blood circulation. Whether it is a biopsy or tumor resection, they must be thoughtful, including blood preparation."
"Previously, including myself, I thought that Xiaokang asked the patient's family to prepare for blood donation to be a bit of a big deal. Now it seems that it is really necessary. Fortunately, I met a doctor like Xiaokang who is as fast and accurate as a robot, who can stop bleeding quickly and effectively, so blood preparation is something that most doctors must prepare."
Everyone nodded together, and they were all scared. If Kang Hong hadn't turned the tide today, it would be very dangerous.
Yao Zhiming said: "I looked back and thought about it. We were a little busy just now and didn't think about it carefully. Actually, now that when we encounter this type of bleeding, we cannot repeatedly pinch the seams and stop bleeding. Practice has proved that this method has no effect, but will cause greater damage to the wound. Electric burning should be used to stop bleeding, and adding coagulation drugs will have better effect on bleeding."
Wei Jun said: "Have you passed this? I was thinking just now that if we had known that the tumor had such rich blood circulation, we should have angiography before the operation to figure out the blood circulation. Then perform interventional hepatic artery embolization, so that we can rest assured and reduce and control bleeding during the operation.
Chang Qiu said: "According to you, you should use a fine needle to perform a biopsy under the guidance of B-ultrasound as soon as possible to figure out what the disease is. If it is really the extremely rare liver cystic cancer mentioned by Kang Hong, we should do our homework, because we are unfamiliar with this cancer and have never been exposed to it. We have not fought a war without any confidence. This time we made the mistake of underestimating the enemy. We should understand the condition, be targeted, and make full preparations for surgery, including blood preparation. Only in this way can we avoid similar cases from happening again. This is a profound lesson."
Everyone nodded together. Wei Jun sighed and said, "I really feel that being a doctor is like walking on thin ice. The bolder you are, the younger you are. I wonder if you have this feeling. Every time I take surgery, I am scared, for fear of something going on, and there will be something going on today. To be honest, your backbone is soaked with sweat after the operation. If the patient dies in our hands, he is such a respectable teacher, and we really can't explain it."
Chang Qiu nodded and said, "You must have a sense of responsibility like a heavy burden, and of course you must also have a sense of responsibility. Otherwise, we old guys are afraid, what should we do if the patient?"
He turned around and looked at Kang Hong, who was silent: "Fortunately, there are rising stars like Xiaokang, and seeing their growth rate is really terrible. I think we don't study for a day, but I'm afraid Xiaokang has overtaken the corner and run ahead of us."
Wei Jun said: "I feel that he has overtaken. In some operations, he has rushed to us. For example, the surgery I have performed during this period, although sometimes I speak badly. It means that I feel a little jealous and unwilling to accept it. Today, I am completely convinced of this surgery. We should learn from you."
Kang Hong couldn't imagine that Wei Jun's attitude was a 180-degree turn, and he was frank and wanted to learn from him. He really couldn't understand it.
Kang Hong quickly said a few humility.
After saying that, they changed their clothes and several people walked outside the operating room.
Outside the operating room, Mrs. Huang and several students were waiting outside. They had received news that the operation was perfect and it was over. Teacher Huang's heavy bleeding had stopped and the operation was completed and was done well.
Chapter completed!