Kang Hong looked at the projector carefully and the coronal image showed that the right liver mass occupied the entire right abdominal cavity.

The right diaphragm is raised up, and there are only three intercostal spaces left on the right chest cavity. The right lung lines are thicker, and they are all squeezed into a pile, occupying only a small space.

The intestinal duct in the peritoneal cavity was also pushed to the left side, and the left extrahepatic lobe was compensated for hypertrophy because the right liver has been occupied by the tumor, and only the left liver can meet the liver function needs.

The gallbladder cannot be seen clearly, the spleen is not big, there are no swollen lymph nodes behind the peritoneum, the aorta of the liver becomes thicker, the right artery cannot be seen clearly, the aorta in the abdominal aorta is subjected to pressure and metastasis, and the posthepatic vena cava is pushed to the front of the abdominal aorta.

Gu Xiujie said: "The right liver is huge, the cavernous hemangioma, the right chest and abdomen are narrow, atelectatic, lung infection, and stomach compression. - This surgery is indeed very difficult!"

Professor Wang nodded and said, "The biggest difficulty of surgery is that I think there are several such things. One is that the tumor is too huge and the space for surgery is too small. The entire abdominal cavity is full of tumors.

In addition, the top of the right liver protrudes from the right chest cavity, which leads to difficulty in dissection of the second liver portal. It is impossible to pass through the right path without passing through the second liver portal."

Because the liver tumor is huge, splitting the left and right liver through the anterior path will form a deep canyon, showing the inferior vena cava after the liver. It will be very difficult to deal with the right hepatic short vein.

Incorrect methods can cause these blood vessels torn and bleeding, and may also lead to air embolism, which is the most deadly.

In addition, the necrosis of the liver's huge hemangioma infects the perihepatic adhesion, and the separation of adhesions may also break the corresponding blood vessels and cause major bleeding.

There are thick clade venous blood vessels between the liver and diaphragm and the liver and kidneys. Separating tumors will also cause blood vessels torn and severe bleeding."

The first liver hilar hilar is buried in it by a huge tumor and it is difficult to expose it at all.

The common bile duct and left and right hepatic ducts are elongated, and the position of the hepatic artery with the portal vein increases the anatomic difficulty of the right liver.

Alas! I am not capable enough to complete this operation. Our hospital’s hepatobiliary department and the corresponding departments have conducted consultations. Everyone feels that they are not sure. What do you think?"

Gu Xiujie still stared at the screen, not expressing his opinions to avoid being exposed. He knew that if Kang Hong was sure, he would show it.

Kang Hong kept staring at the screen and said, "The pressure on the right lung and stomach of the patient's right lung and stomach caused by the difficulty in breathing and unable to eat."

Because the stomach is pressed and cannot expand, it cannot eat, and the patient will lose weight sharply without nutrition.

Judging from the tumor area, it is estimated that a triple resection of the right liver is required.”

Gu Xiujie sang and said: "Tell me, if you were to do it, how would you do this surgery?"

At this moment, Kang Hong had no need to hide his strength, because he was an associate professor and he had to show his strength, especially in theory.

Kang Hong said: "First of all, the joint incision of the chest and abdomen should be long enough.

In addition, I will be responsible for lifting the front edge of the right liver so that Mr. Gu can do an anatomy of the right liver foundation.

This is what I think about the canyon problem mentioned by Professor Wang just now. After splitting the left internal and external lobes, pulling the sections of the left and right liver to the left and right liver to expose the inferior vena cava after the liver, and then cutting off the right liver vena.

The most important thing is to quickly and bluntly peel off the coronary ligament after the coronary ligament is cut off. This requires the speed of surgery and pay attention to whether there are any problems with the kidneys."

Professor Wang nodded frequently and asked: "Where is the liver section selected?"

"The right side of the liver sickle ligament." Kang Hong stared at the screen and used a laser pointer to indicate the position. "Here, the liver in this place is normal, and the liver is relatively thin, so it is easy to cut the diaphragm in segments. In this way, the exposure and anatomy of the second liver hilar can be solved."

The principal said: "When separating the left and right liver, the middle liver vein and the left liver vein are prone to accidental injury. How to solve it?"

Kang Hong said: "It depends on the surgeon's surgical skills. The operation should be very careful and the left liver vein cannot be damaged. In addition, the right liver section should be protected immediately with gauze pads to prevent hemangioma from rupturing and bleeding. What should be especially careful is to treat the right liver right vein, and cut it with a heart-ear clamp."

Professor Wang looked at Kang Hong and had some understanding and said, "How to deal with the liver vein? This is what I have always been worried about."

Kang Hong said: "The liver vein is too thin and thin and easy to break. The hepatic vein wall is particularly prone to bleeding. This is one of the biggest difficulties in surgery. If it is not handled well, it can cause major bleeding and even damage the hepatic vein.

It can remove liver tissue and retain venous branches. When the suction device absorbs liver tissue on the hepatic vein, it is necessary to operate along the direction of the tissue and the hepatic vein. This is a small trick.

This is very considering the surgeon's surgical skills."

Professor Wang said: "I think Associate Professor Kang's explanation and ideas are too clear. If someone else said this, I may not believe he could do it, but I believe Mr. Gu and Associate Professor Kang can do it. Their previous operations have already reflected their superhuman talent in surgery, and I have confidence in the surgery."

The other professors also nodded frequently.

Professor Wang said: "Then I will notify the patient to prepare for the surgery immediately and strive to have the surgery in the afternoon."

Kang Hong said, "Okay, prepare a few more surgeries, and do them all night long at night. Since you have given us such great honors, it would be a loss if you don't show your skills, but you must get this surgery first."

Everyone laughed.

The principal said: "You two are already visiting professors and associate professors of our school. You have a fixed basic salary during the appointment period. In addition, according to the management methods of our professors and associate professors, the surgery you performed in this hospital has special subsidies, which is definitely not much higher than that of your surgery outside. Our Hedong University is still very generous in this regard."

Gu Xiujie smiled and said, "I don't care about the money. You can just follow the regulations. I only ask for one - find more surgery. Kang Hong and I really want to do a few more surgeries in the past two days, and it's okay to do it all night."

The principal said: "That's too tiring. But don't worry, Hedong Hospital is waiting for the surgery more. We will carefully select difficult and complicated surgery to ask you to do it. At the same time, we organize students and teachers to observe. We professors and associate professors also want to learn it. They also feel that they have benefited a lot from the surgery of the two and their surgical skills have been further improved."

All the professors nodded.

Indeed, being able to observe such high-level doctoral surgery is like watching martial arts masters competitions. You usually have to watch secretly. Now you are watching it openly, so there is no one who is not ecstatic.
Chapter completed!