Due to time constraints, there was no opportunity for students to ask questions or discuss in the ward. The attending doctor patrolled around and did not discuss anything like the general surgery department 2, and rushed to the operating room to perform the operation. In this regard, surgeons have a much harder time than internists.
Half an hour of ward rounds was just a cursory visit for a medical student like Xie Wanying who was studying in this department for the first time. She couldn't recognize many patients' faces and had no idea what was going on. The teacher had to wait until the afternoon to assign her tasks, so there was no rush. In comparison, it seemed that being left out in the general surgery ward was actually a good thing.
After going down to the operating room, Xie Wanying was very familiar with the operating room environment. However, this time she followed the operation of the hepatobiliary surgery department instead of the general surgery department. She remembered what Sister Jiang said, that no matter where you go to study with your teacher, you must concentrate and not be distracted, and never think about your ex. She did not meet Teacher Tan and the others, and she stood directly in the operating room of the hepatobiliary surgery department to observe.
This morning's surgery was a laparoscopic surgery for a patient with primary liver cancer.
All surgical departments tend to do minimally invasive surgery. Laparoscopic surgery for liver cancer has been widely promoted, but the threshold for doing it is much higher than that for gastrointestinal tract laparoscopic surgery. For example, the surgery today, the predecessors held a meeting that night to discuss it for a long time.
Xie Wanying did not participate in the group meeting that night and was not aware of its content. She could only stand in the operating room and observe.
The surgeon in charge was Senior Brother Tao, I had heard about it before.
The first assistant is Doctor He.
The person holding the mirror was not Dr. Qiu, as he was helping with another operation. The person holding the mirror was another resident doctor named Gong Xiangbin, who was one year older than Dr. Qiu, shorter and fatter than Dr. Qiu, and not as handsome as Dr. Qiu. He was a gentle and steady type of doctor.
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Song Xuelin, who was called to try his hand at surgery, put on a surgical gown and stood behind the first assistant and the chief surgeon, as if he was on standby. It was unclear what operation he would be asked to perform.
He had graduated, but she had not, she was just an intern. So it was reasonable for the teacher to ask her to just watch. Xie Wanying watched attentively. She had been working as a laparoscopy assistant for Dr. Tan and had more experience as a laparoscopy assistant. This was her first time to see a laparoscopic liver surgery in the hepatobiliary surgery department, so she could not help but carefully observe Dr. Gong's operation.
Dr. Gong's hands seemed to be motionless, and you had to look at them like a magnifying glass to detect the tiny amplitude. The liver is not like the gastrointestinal tract, which is a substantial organ fixed in one area. Surgeries around the liver are basically performed in this area, which requires considerable stability and delicate sense. The gastrointestinal tract is a hollow organ with many twists and turns, which requires more dexterity.
The operator holding the scope was already very cautious, not to mention the first assistant and the chief surgeon. As Dr. He said, they were like deminers, probing their way in little by little and did not dare to make any major operations.
After all, the liver is filled with extremely rich blood vessels. When removing a tumor, the liver must be cut. If the cutting position is slightly deviated, it is easy to hit the various blood vessels in the liver, and blood will bubble up all over the liver wound.
If there is extensive bleeding in solid organs, the surgeon will rush to use his hands to directly press the liver wound to stop the bleeding during laparotomy. In laparoscopic surgery, the surgeon cannot put his hands in, so he can only use hemostatic gauze to press. If he cannot press, and the bleeding point cannot be found in case of heavy bleeding, he can only switch to laparotomy. It can be seen that difficulty in stopping bleeding is a major defect of laparoscopic liver surgery, which seriously restricts the liver tumor that can be performed in laparoscopic surgery to a small size, the location of the tumor cannot involve the portal vein, and there are high requirements for the patient's liver function level.
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