Chapter 470    Teaching while surgery

Han Qiang rolled his eyes and said, "Don't laugh, you are a mask after all, and it's even worse to laugh than cry!"

Lin Yu had already washed his hands, but ignored him and came to the operating room!

At this time, all the preparations before the operation were ready.

Lin Yu was about to announce the start of the operation when a figure came to the door of the operating room.

"Director Lin! I have to ask you something!" It's none other than Xia Yuyan!

"What's the matter?" Lin Yu thought that there would be no good things when this beautiful girl came: "You want your surgeon to come and study, there is no way! Especially those with the surname Tang!"

"Stingy!" Xia Yuyan cursed herself, but she didn't scold her, but just whispered her in her heart.

"It's not this. I want to ask you to do a favor. This is the operation. I want to make a teaching video. I want to ask you to explain important points during the operation. Is it OK?"

After Xia Yuyan finished speaking, she looked at Lin Yu with big eyes and waited for his answer.

"Oh! This matter is no problem! But should I add some of the fees appropriately? Look, this surgery is already very tiring, and now I have to explain it to them in class! How many brain cells will die?" The expert looked embarrassed.

Xia Yuyan said angrily: "How much do you think you want to add?"

"Add 10,000 or 20,000, it depends on what you mean!" the expert said lightly.

When Xia Yuyan heard this, she was almost vomiting blood. She asked you to explain that you actually had to add money. She really fell into the eyes of money. Be careful not to drown you!

"Then... then forget it! Dear Director Lin, don't say what you shouldn't say during the operation today!" Xia Yuyan thought about you saying a few words, but she actually costs tens of thousands of yuan. I don't want it anymore. If you have your surgery, I have recorded the video here anyway, so I can make it later.

From then on, this expert with outstanding skills has been marked as if he is willing to be rich in life in Xia Yuyan's heart.

"Okay! I won't speak!" Lin Yu knew what she meant. Yesterday's surgery depreciated the doctor of your hospital to nothing. Today, the cost of this surgery did not begin, so President Xia came to warn him.

When Han Qiang saw Xia Yuyan leaving disappointed, he smiled and said, "This is our boss, you don't give you any face!"

"Pay attention to your speaking attitude! I am your uncle!" Lin Yu reminded.

Han Qiang is only about to vomit blood!

The operation began, and a familiar voice rang out in Lin Yu's mind [Live broadcast operating room begins! Start medical perspective!].

"Hey, hey! Can you hear it? I'm going to start the surgery!" Lin Yu said while the operation: "Just now, the beautiful director of your hospital came over and asked me to explain the operation in detail! Please ask Director Tang of General Surgery to have a notebook with the correct answer. I will explain it while doing the surgery below. I must keep a record. I will check later!"

"Hahaha!" Han Qiang held back his smile and said happily: "You Donald Duck's Liangzi is considered to be connected."

Lin Yu's warning sound came from the speaker's live broadcast room, especially like the request made by the head teacher after class during school.

The more than 100 doctors present felt a little uncomfortable after hearing the expert's words, especially Director Tang, who just wanted to find a hole to drill down and never get up again.

"When you have a little problem during the operation, I will deal with you. I will definitely give you back the evil you treat me twice!" His director did not say anything, and he could only scold Lin Yu in his heart.

"The operation has begun. Our first step is to dissect the first hilar hepatic hilar! This is the round liver ligament, this is the sickle ligament, this is the perihepatic ligament! If we want to perform this surgery, we must figure out these ligaments! This is the basis! If you don't know the shape of these ligaments, you can review the anatomy!"

Lin Yu lifted out these three ligaments and showed them to everyone.

"Okay, everyone also saw the patient's three ligaments. We first cut off the round hepatic ligament and this sickle ligament, and then cut off the right perihepatic ligament!" Lin Yu cut off the three ligaments, and then exposed the inferior vena cava after the hepatic.

Lin Yu pointed at a blood vessel with an electric coagulation hook, looked at Han Qiang and asked, "Do you know what kind of blood vessel this is?"

Han Qiang just wanted to plunge head-on to the floor and escape. This guy started to make things difficult for him again. How do I know what blood vessel this is?

"Is this a...hepatic vein?" Han Qiang guessed.

"No, this is the inferior vena cava after the liver! We have done our next surgery before. What do you think of this?" Lin Yu pointed to a blood vessel and asked Han Qiang.

Han Qiang was so angry that he thought that he was answering questions in front of so many people. The scenes in the operating room were projected into the classroom from time to time. The most vicious thing was that during the operation, he didn't know what blood vessels, nerves, etc. were!

"We have done it before?" Han Qiang didn't dare to guess the answer, and thought to himself that we had done it before. Could it be that it was gallbladder surgery?

"Yes! We have done it before! You have done it yourself!" Lin Yu reminded again.

"Cancerous duct?" Han Qiang guessed that the only surgery he had had was the cholecystectomy. This guy asked himself and reminded himself that it could only be the gallbladder duct.

"Yes! So smart! This is the gallbladder duct, and the next one is the gallbladder artery. This step is to remove the gallbladder!"

Although Lin Yu was asking Han Qiang, his movements did not stop at all and kept his due speed at all.

Although the doctor in the classroom doesn’t like the arrogance of this expert, his skills are indeed amazing!

quick!

This is the only feeling everyone has about him. Almost all those who come here to observe are surgeons. Everyone likes to see a master's surgery, but the surgeon in front of him decided to be a top expert!

The speed could not be too fast! He did not hesitate at all when he had the surgery.

The operation continues!

The gallbladder has been removed. At this point, the operation took only six minutes. This speed is indeed fast enough. Usually, a doctor who performs a gallbladder removal surgery is half an hour for a fast doctor, but the expert only took a few minutes to remove the gallbladder.

"The next step is to cut the hepatoduodenal ligament, separate the left and right liver ducts, and the liver silicone oil artery...the left and right liver artery...this is the main branch of the portal vein! We cut the Glisson sheath along the right notch..." Lin Yu patiently explained the surgical process while surgery.

The operation was completed in one go, and the operation was carried out smoothly. The hepatic artery, portal vein, and bile duct branches in the left inner lobe were ligated and cut off one by one.

"The next step is to dissect the second liver hilar! From here, we cut the liver parenchyma along the middle liver fissure. Of course, a very important liver vein is here, so the depth of the liver parenchyma is generally around 2.5cm!" Lin Yu began to separate the liver vein.

The classroom became quiet and everyone began to admire the expert's speed.

A doctor looked at Director Tang and said with a puzzled look: "Old Tang, where did this expert hire him? It's so fast, faster than our boss!"

The doctor asked the question was Director Tang's senior brother, and the director of the University of General Surgery, the First Affiliated Hospital of Huaqing Medical University.

"Well! This speed is indeed fast!" Donald Duck had to admit that every step in the video was under his eyes. This awesome expert not only did it fast, but he was also giving detailed explanations while doing it.

Donald Duck looked at the operation video. Not only did he perform the operation quickly, but he explained it very well! Without a single blood vessel, he understood it very well. This is very difficult. He is also a big surgeon. During the operation, he dared not say 100% sure when he encountered blood vessels. Sometimes he needed to make a judgment on the spot before he dared to say it out.

But the expert in the video is different. He did not hesitate at all during the operation. Even if the vision of the surgery is not clear, he can clearly judge the blood vessels and tissues in it!

He is so arrogant that he is really qualified to be arrogant. He has the capital! Donald Duck thought in despair.

His operation was indeed too fast, and it was only fifteen minutes now. He had already handled the second liver portal. The difficulty of this surgery is here. The middle liver vein flows into the inferior vena cava. This distance is very important. Generally speaking, it is necessary to ligate and cut it at 1 cm into the inferior vena cava. This position is particularly easy to accidentally damage the left liver vena cava!

But this expert named Lin did it easily.

Donald Duck looked into the video. Expert Lin has now started to remove the middle lobe of the liver. This speed has made him very ashamed. Others are arrogant and have the capital to be proud of.

Lin Yu’s previous work was mainly to block the blood vessels of the supply, liver and organs, and now he can be safe and bold in removing the middle lobe of the liver.

"Nephew Han, have you noticed that the difference between this middle lobe and other livers?" Lin Yu began to ask questions again.

Han Qiang was so nervous that he had goose bumps when he heard this. Fortunately, it was a relatively simple question. He looked at the liver in the middle lobe of the liver and said, "The color of this part of the liver has become darker! The boundaries are more obvious!"

"Well! You observe very carefully! The medical term is that the mid-lobe area of ​​the liver becomes blue and purple due to ischemia!" Lin Yu said.

"..." Han Qiang's face was full of dark lines and thought to himself that this special mother could see it personally, and this was called careful observation.

The live operating room was also very lively.

[Dear readers, have you noticed that our boss's surgery has begun to be difficult, and now he has started attacking the liver!]

[It goes without saying that yesterday's surgery was awesome, let alone today's surgery, and you dare to use laparoscopy for the midliary lobe removal! There is really no one else!]

[Our director usually has a high tone and says that he dares to use laparoscopy for the midliary lobe removal has not been born yet! I just watched the video, and now I am watching quietly in the toilet by myself! He will be low-key for at least a while!]

[How did you practice this speed by the boss? It's so fast. One of my senior brothers insisted that this video is fast forward!]

[The difficulty of this operation is to deal with the Glisson duct system in the second liver duct. Another key point is to deal with the middle hepatic vein of the second liver duct. We are also a tertiary hospital. It takes five or six hours for the eldest to perform an operation. Every time we perform this operation, it is like a loss. Can we master solve the problem within an hour?]

[This is nothing wrong. It doesn’t count the anesthesia time. I predict that the problem will be solved in less than an hour!]

[Don’t forget the most important point. The master uses laparoscopy! Laparoscopy! Laparoscopy, the key is these three words! Touch the blackboard, everyone take notes! This is the key point!]

[I am a medical student and don’t know much. I only know how to do liver surgery, but I don’t know the trick! It’s so sad!]
Chapter completed!