Guo Mancang said: "There is no need to apologize. I will tell him that I will arrange the surgery for you as soon as possible. It should be fine. He is not the kind of stingy person."

After hanging up the phone, Guo Mancang called Kang Hong and told him about it.

Kang Hong just smiled and said there was no problem, so he arranged it immediately and asked them to bring the children.

Qiqi's parents received a call from Guo Mancang, and were both happy and ashamed. When they came to the Provincial Hospital No. 3, they kept apologizing when they saw Kang Hong. They did not dare to explain. Instead, things would be worse. Kang Hong didn't say much, and immediately arranged for them to be admitted to the general surgery department and put the result at Chang Qiu's desk.

Although Kang Hong is fully capable of taking this operation, he dare not take action easily. After all, he does not have this right. He is just a resident. Even the first-level surgery needs the guidance of his superior doctor to carry out, let alone such a difficult world-class surgery.

After reading it, Chang Qiu frowned and said, "This operation is very dangerous, so I wonder, how could the Provincial People's Hospital diagnose liver cancer? The liver function and other functions are normal."

"I believe in imaging too much and have preconceived concepts."

Chang Qiu said: "B-ultrasound and CT show that the identification of cystic and substantial placeholding in the liver is very sensitive and reliable. It also has important reference value for the identification of liver cavernous hemangioma and other types of solid tumors. However, it is difficult to distinguish between benign and malignant of solid tumors, and lacks specific indicators, so it is not reliable. If you rely too much on imaging, it is easy to misdiagnose."

Kang Hong said: "There are some obvious evidence they did not notice, such as the child has no history of hepatitis and no basis for hepatitis virus infection. Although the tumor is the largest, the whole body is in good condition. There is no jaundice, no anemia, no ascites, no liver function damage, and no hypoproteinemia. Without further investigation, these are directly concluded of liver cancer, which scares the child and his family to the point of being possessed. It is really inappropriate."

Chang Qiu said: "Yes, even if you are the liver cancer you first confirmed, you should have surgery immediately. Once you open your abdomen, you will know that it is not the case. The patient's liver function is normal, the surgical indications are clear, and there are no contraindications. Why not take surgery early and nerves?"

"This surgery is risky because the tumor accounts for the liver of the right upper lobe, compressing the ivc, which may lead to ivc damage during the operation, leading to major bleeding or air embolism complications."

Chang Qiu asked Kang Hong for a while, "Then have you thought about it, this operation is very difficult."

Kang Hong said: "If we follow the traditional blood-free liver cutting technology, it will prevent post-hepatic ivc injury and bleeding, and air embolization is good, but due to complex operation and many complications, many doctors are useless. I think this operation is generally good, but some places can be improved, so I focused on the transabdominal blood-free liver cutting surgery at room temperature, and improved the original traditional surgery, simplified the operation, and reduced complications, which may be used in this case."

Chang Qiu said: "You will come to this operation. I am worried that I can't take it. I will be your assistant."

Chang Qiu witnessed Kang Hong's shocking surgical technique many times, so he didn't have to pretend to behave in front of him and let him go straight.

Kang Hong was not polite, nodded and agreed, and Gu Xiujie also participated in the operation.

Kang Hong had already thought of the surgical plan, but he was not preparing for a blood transfusion. Chang Qiu was a little nervous, but Kang Hong's surgery has not found any problems so far. If it were other doctors, such surgery must be prepared for sufficient blood preparation. In Kang Hong's opinion, this is not needed.

After the operation was prepared, Kang Hong used a scalpel to take a roof-shaped incision on the upper abdomen, reaching the base of the xiphoid process, reaching the front line of the axillary, and the midline of the left clavicle. He went into the abdomen and found no ascites or adhesions. He found a tumor in the right lobe of the liver. The envelope was complete, dark red, and the texture was tough and smooth, occupying the right half of the liver and the left inner lobe, and the viscera was shifted to the lower left.

Gu Xiujie said: "Does we need a biopsy and frozen section of this tumor?"

Kang Hong shook his head and said, "No, the tumor pressure is too high and the tension is too high. You cannot perform a biopsy and frozen section, otherwise there will be danger."

Chang Qiu suddenly remembered the previous time that the tumor could not stop bleeding, and he couldn't help but feel scared. Although this time may not be the same as last time, he was always much more careful with the lessons from the past.

Chang Qiu said: "What should I do now? There is no way to determine whether it is a malignant tumor. How should I determine the scope of the resection?"

Kang Hong said: "It is definitely not malignant, but the liver in the right outer lobe is obviously hypertrophy. It is safest to do the liver resection of the right upper lobe."

Chang Qiu didn't understand why Kang Hong was able to assert that it was not a malignant tumor, and had not been tested. He didn't know that under Kang Hong's perfect insight, he could accurately draw the conclusion without testing. He nodded and said, "Okay, you decide."

Kang Hong was not polite and began to perform the surgery according to his own ideas.

He isolated and cut off the round liver ligament, sickle ligament, left and right deltoid ligament, left and right coronary ligament, hepatogastric ligament, liver and kidney ligament, separated the hepatoduodenal ligament, and walked around the first hepatic portal blockade belt for later use, and ligated and cut off the gallbladder duct, gallbladder artery, and gallbladder vein. Then he pulled the liver to the upper right, isolated the lower liver ivc, and walked above the opening of the renal vein to the main cut-off belt for later use. This is the most tense moment of the entire operation, because if it is not done properly, it will cause heavy bleeding.

Kang Hong's technique is very stable and very fast.

When the operation was about to be completed, Chang Qiu and Gu Xiujie's tense hearts could finally be let go.

The entire operation was not at all risk, and the calm was not at all thrilling. It was like a top master stepping across the river on a reed. Others were frightened when they saw it, but he was leisurely and leisurely.

After stopping the hemorrhage on the liver wound, Kang Hong covered it with a large omentum, then cleaned the abdominal cavity, closed the abdomen, and ended the operation.

Next, the tumor was sent for pathological examination after surgery and was diagnosed as hepatocyte adenoma.

The entire operation has very little bleeding, so there is no need for blood transfusion at all, because Kang Hong's speed is too fast and he has not even had enough blood to finish the operation.

The postoperative recovery was very smooth, without any complications or sequelae. He was discharged from the hospital in just one week, and another week later, the child returned to school.

Guo Mancang told Kang Hong that he became good friends with Qiqi's family. Qiqi's child has always been good at studying. After this incident, Guo Mancang's son changed drastically and no longer spent money on his life. He focused on studying and was with Qiqi every day. The two of them learned from each other and made great progress in their studies.
Chapter completed!