Gu Xiujie continued: "It is very difficult to accurately grasp the distance of one centimeter. Whether the goal can be achieved can be detected through pathological examination. It is necessary to ensure that there is a clear fibrous envelope between the tumor and tissue, and there are no cancerous nodules on the resection liver, which is why the radical cure is achieved."

"One centimeter of normal tissue outside the cancerous tissue cannot be cut off or less. This requires the surgeon to have a pair of fiery eyes and hands that are more delicate than embroidered girls. Who can do this?"

The words were a little relaxed, and laughter sounded from the classroom at the big stairs, and the faces of the students who were not laughing became a little relaxed.

This is how medical students are. They must know how to make choices in the face of life and death. Since life is irreversible, they should be doing medical research. Everyone just needs to be grateful.

Professor Wang said in a playful tone: "Doctor Gu Xiujie's surgery is perfect. This time he brings you a perfect tumor resection. Don't consider the consequences of what to do. Pay attention to the process of learning the surgery, because the doctor is not God, and he cannot save all lives."

Of course, this sentence tells everyone that this is just a teaching operation. Even if the patient dies on the operating table, it is not a failure of the operation, because the patient cannot survive.

The operation continued, and Gu Xiujie's voice sounded in the picture from time to time. Whenever Gu Xiujie spoke, Professor Wang stopped talking and asked him to concentrate on the operation. When there was no prompt, Professor Wang would add explanations. Because it was impossible for the surgeon to concentrate on the operation while explaining.

Gu Xiujie noticed this, so he pretended to be very similar. Although Kang Hong was actually doing the operation and he was explaining it, he also played himself as a surgeon and stopped talking while doing the fine operation.

Then, Professor Wang explained the entire operation process: "Mr. Gu began to extend the surgical incision, remove the xiphoid process, separate the perihepatic ligament, fully free the right liver, pre-place the liver blood flow blocking belt in the first liver portal, and began to block the right half of the liver blood supply. He found the junction of the left and right liver ducts along the common liver duct to the liver portal. Now he is putting right angle forceps, entering the liver parenchyma at the liver capsule above it, and bluntly separated. He has now passed behind the hepatic duodenal ligament, and used the No. 8 catheter to slightly block the blood supply of the right half of the liver."

Gu Xiujie's voice came from the picture: "Next, I will cut the liver capsule, separate the liver parenchyma, and keep in the liver blood vessels and bile ducts, pay attention to ligation and cutting."

He started the operation while saying that, and Professor Wang explained each step in detail. Especially the position of the progress in anatomy: "Old Gu cut the liver capsule one centimeter on the right side of the intact ligament of the right wall of the inferior vena cava to perform blunt separation of the liver parenchymal. It should be noted that Professor Gu's movements are very fast, and the removal and separation of the liver parenchymal is very accurate. It is perfect for ligation and cleavage of blood vessels and bile ducts in the liver, and the operation is extremely fast."

"Now Mr. Gu has turned the right liver upwards, and cut the liver envelope along the right side of the left longitudinal groove and the upper edge of the hepatic portal transverse groove to separate the liver parenchyma, revealing the left portal vein, lithomorphic part and southern part, and pushing it to the left inner lobe side. The liver parenchyma reveals the portal vein stage, bile duct and arterial stage of the left inner lobe. Be very careful here. Once the vein and artery are accidentally damaged, the result will be fatal. Everyone should pay attention to seeing that Mr. Gu's surgery is very stable, so he has ligated and cut off all of them."

Gu Xiujie's voice came again from the screen: "I continued to separate the liver parenchyma, push the liver tissue to the right, and move the left liver blocking belt, pulling it to the left to expose the right portal vein trunk, the left hepatic duct and the right hepatic artery, and then ligation and cleavage.

In the picture, Gu Xiujie was operating quickly and accurately as he said. The students below began to talk: "This action is too fast, much faster than any doctor teaching video we watched. It seems that Gu is a robot and does not need to think."

"Yes, he is like a robot operating automatically, without any hesitation. Every step is like storing it in a program and following the steps, without any pauses or thinking."

"How can Mr. Gu's thinking be so agile? The best surgeon is just like this."

"I heard that Dr. Gu went to the countryside and then took the first batch of college entrance examinations. As a result, he only took a college degree, and he had a college degree and never improved."

"Why are you kidding me? You can do such a good surgery with a college degree."

"Don't believe it. I heard that he is still the attending physician, not even the deputy director."

"Then their hospital is too much. Why don't our hospital dig it up?"

Gu Xiujie's voice sounded again: "I am going to remove the right half of the liver blood supply to the main ligament, and then immediately block the blood flow into the liver of the first liver duct, and divide the right middle liver vein and ligate it in the liver parenchyma."

In fact, he had already started to operate when he said these words, and he basically completed the movement after he said it. The students below were amazed again. Because this movement needed to be very fast, Kang Hong increased his speed at once, and of course, he was the first priority in the condition when needed.

Professor Wang, who was the lecturer, was a little stunned and said, "This speed is too fast. To be honest, if the completion time is my step, I would probably take at least three times the time to complete it."

"Now, Doctor Gu ligated and cut off the hepatic vein on the upper right edge and the liver tissue. The liver section was obliquely downward, and the short liver vein on the right wall of the inferior vena cava was cut off with a clamp of the middle curvature blood vessel. Now Doctor Gu has completely removed the right three lobe of the liver, and the operation has been basically completed. You can see how big the tumor is, why is the left liver basically not moving? I'll confirm it again."

Professor Wang picked up his cell phone and walked out quickly. He made a phone call in the classroom to communicate with the operating room. He was holding a microphone in one hand, so the voice of communication spread indoors. On the other side of the phone was the voice of nurse Haiyin, which was crisp and sweet: "Doctor Gu said that during the operation, he found that the liver infiltration was not as severe as he imagined, and there was basically no infiltration on the left side of the liver, so the liver tissue that may be retained will increase to more than 30%.

Although the sound was relatively light, it was transmitted to the quiet venue through the microphone. The venue suddenly cheered, and it increased from less than 20% to more than 30%. This is the greatest hope. Of course, only 30% of the liver tissue is left. Whether it can still meet the needs of the body's liver function depends on the patient's luck.

Professor Wang was amazed and hanged up the phone and lit it on the camera with a laser pen, saying, "I always think something is wrong, because you see that the liver infiltration in this part should be that the cancer cells have entered the part, so why is it preserved? Also, this part should be infiltrated by cancer cells, and it should be removed and preserved. This will leave more liver tissue infiltrated by cancer cells, which will become cancer tissue in the future, and it will be very fast. This is meaningless to quench thirst."
Chapter completed!