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Chapter 47 The mouth is too small(1/2)

When strength is not enough, let alone people, even countries are very sensitive.

For example, in the early years of China, the current Sanbaitou are very similar to these doctors in the operating room. They can only listen to the good ones, not the bad ones.

But the country of China is much better now. If you like to talk but don't talk, at worst I will send a few articulate people to scold you. After scolding you, I will do whatever you want. Anyway, you will lose a piece of meat.

Therefore, in everything, whether it is a person or a country, when the strength is not enough, we must think about how to fight for it.

When the director of the pancreatic department asked about staffing, the doctors' eyes lit up.

Chen Hao was worried. Although he had made a lot of efforts and preparations, he knew that he was nothing in front of the boss. He was now counting on the paper he stayed up all night to work on.

He doesn't want to ridicule his opponents, nor does he want to tease them. His philosophy is to put the meat on the inside and not on the face.

Chen Hao's opponent was a little behind Chen Hao in terms of technique. He was usually very nervous, but today, he felt that he was 100% sure and could just wait. So when the director of the pancreatic department asked, he straightened his back and said,

He looked at Chen Hao sideways.

"Uncle, the surgical team yesterday was very good. After all, it is a big hospital, so they cooperated very well.

Today you are trying to stand up for me again, I think I will trouble Director Li and Dr. Chen again!"

When the old man heard this, he thought for a moment, then smiled and said to the director of the pancreatic department: "You are the director, you can do whatever you want!"

"Haha, then just listen to Zhang Yuan, Chen Hao and I will go together today. Let the others prepare!"

After saying a few words, Chen Hao pinched his thigh hard and said, "If you can't laugh, you must not laugh!"

Chen Hao's opponent seemed to be on the podium with his head hanging out. As a result, the person presenting the award hung the card around his neck.

"How could this happen? How could this happen? It was promised that I would do it, I could cooperate, I could persist, why don't you bother me!

You, you will definitely give it..." He looked at Chen Hao, furious, but the rationality in his brain still prevented him from saying anything.

He didn't dare to question Zhang Fan, the director, and even less Mr. Wu, but when it came to Chen Hao, he really gritted his teeth.

"Chen Hao, wash your hands and prepare for surgery!" The director of the pancreatic department said to Chen Hao, and then he and Zhang Fan also washed their hands.

Chen Hao's opponent had a lawsuit all over his head. He thought Chen Hao had given him a gift, but he didn't expect Chen Hao's private efforts.



Wash your hands and put on the surgical gown. The nurse was supposed to tie the last lace of Zhang Fan's surgical gown, but the old man stood behind Zhang Fan and said, "I'll do it!"

Then, he gently tied Zhang Fan's lace around his waist, not loose or tight, and then gently pushed Zhang Fan's lower back, "Go!"

This is definitely not what old parents say with worry after tidying up the collars of their children who are working far away: "If you can't do it outside, just come back. Home will always be your support."

The old man's meaning is very obvious, "Go ahead, I will take care of everything!" He is so awesome and domineering, because the old man has this qualification.

Zhang Fan, who struggled in a low-class life in his early years, was trained by society to have a strong heart, not fragile, not proud, but also has a sense of responsibility.

After having the system, he has no pride. This makes his path smoother.

He is not arrogant and has high skills. To be honest, the sky is protecting him, Quark is snowing and the road is blocked, and Batu's nephew is about to die in the hospital, Zhang Fan stands up.

After entering the city hospital, I did not despise everything based on my skills. I respected what should be respected and obeyed what should be observed. This switch brought about the maintenance of all aspects.

After following the master and meeting his uncle, Zhang Fan treated him with heart and heart. This was all earned by Zhang Fan through his own hard work.

The old man personally dressed Zhang Fan in surgical clothes. Everyone in the operating room was surprised. Oh dear, Mr. Wu personally dressed Zhang Fan. Oh my god! Who can believe it or dare to think about it?

The director of the pancreatic department is jealous to death. This also represents a kind of recognition and a kind of inheritance.

"Uncle, let's start." Zhang Fan, who was standing on the operating table, said softly,

"Okay, let's get started!"

At the beginning of the operation, the patient, who had been tortured by the disease, was skinny and skinny, with not even a trace of excess fat under his belly.

With almost one cut, it's just the fascia. It's just like the sandwich biscuits sold by profiteers. You can't see the yellow cream.

The first assistant director of the pancreatic department and the second assistant Chen Hao, for this operation, Chen Hao drank a lot of Red Bull before the operation. If you shake his body, you can definitely hear a squeaking sound. He also worked hard.

.

Cancer surgery can be roughly divided into two types: palliative surgery and radical surgery.

It’s awkward to explain it in medical terms. In layman’s terms, palliative surgery is to prolong the survival time of patients with palliative disease.

For example, someone will die in two years. After the operation, it may take two and a half years, or it may take three and a half years, or it may take half a year.

This kind of surgery is often necessary when the cancer cells cannot be completely removed.

Radical surgery is a surgical method that can completely remove cancer cells. As for whether there will be recurrence, it is hard to say!

Although the patient has early-stage pancreatic cancer, the effect after resection is directly linked to the skill of the surgeon who performed the surgery.

Therefore, this kind of surgery must be performed at a surgery center that has a lot of experience in pancreatic resection. Don’t look at the small advertisements posted on telephone poles or bathrooms.

"The fat layer in the abdominal cavity and mesentery is very clear!" Zhang Fan spoke after opening the abdominal cavity. He was also happy in his heart, happy for the patient.

The fat layer in the abdominal cavity and mesentery is clear, which indicates that the cancer cells are only in the pancreas and have not spread. Therefore, the chance of survival after resection is increased countless times.

Most human organs have open doors, which are the so-called entrances and exits, such as the porta hepatis, gastrojet and pylorus of the liver.

Moreover, the more important the organ, the thicker the clothes you wear, such as the big kidneys that greasy middle-aged men like to eat, and the fat around them.

This kind of fat is not just fat, but also has a layer of slightly tough omentum inside, so it tastes both delicious and chewy like fat.

The thickest part of the clothing is the brain. Not to mention the hard skull, there is also a large bag of phospholipids inside. The brain is actually a type of fat with high phospholipid content.

The organs in the abdominal cavity not only have body fat, but also a large layer of omentum like a veil covering it.

The omentum has many functions. For example, if the appendix is ​​inflamed and swollen, the omentum will gather around the appendix like a fishing net, wrapping it up to prevent the infection from spreading.

During infection, this function is very powerful, but during cancer, this gathering function is fatal. Cancer cells spread throughout the body in minutes through the spider web-like lines of the omentum.

Therefore, in many cancer operations, when the abdomen is opened, it is found that the disease has metastasized to the greater omentum and surrounding fat. The doctor has no way to do anything. He opens the abdominal cavity obediently and sutures it up, without daring to move.

After incising the abdominal cavity, no metastasis was seen, and every doctor who performed the operation was very lucky. Sometimes this thing is like rolling a dice.

"Knife!" I changed the electrosurgical knife to a steel knife made in Germany. Don't dare to use a crude knife for pancreatic cancer surgery. Once it can't be cut well and it metastasizes, it won't work.

When the knife was applied, Mr. Wu, who was originally sitting, also stood up behind Zhang Fan and began to pay attention.

Zhang Fan had already mastered the pancreas knowledge, and the old man didn't have much to give advice, but he was worried about letting the old man sit aside. After all, it was a difficult point in general surgery.

The greater omentum is incised, the transverse colon is pulled, and the posterior wall of the stomach is stretched. The pancreas is like a thick maggot, hidden behind the organs of the human body.

If you want to completely remove pancreatic cancer cells, you must reveal their entire appearance.

The human body does not seem to be very thick, but once the abdominal cavity is opened, it is very difficult to search for a section of the pancreas through the intestines.

First of all, although the surgical incision looks large, it is actually a small hole once it enters the abdominal cavity. How to describe it.

During the Chinese New Year in the past, many families would cook meat, and some families also liked to eat sausages. At this time, they would cook a very large and full pot of sausages and cook them slowly.

Then you lie down next to the pot and use a pair of chopsticks to toss it around looking for a smaller piece of meat.

Pancreatic surgery is actually similar to this. The red and white stomach is covered with circles of fat covered with bloodshot threads, and the long and greasy intestines squirm and slide in the hands of Zhang Fan and the others.

You can still vaguely see the unexcreted digestion on the intestinal membrane, which is faintly yellow and blue.

None of the surgeries in general surgery are fancy, they are either disgusting to death or troublesome to death.

In such a difficult operation, only Zhang Fan and his assistant could see the internal organs. The two of them could be said to be head-to-head searching for cancer cells from the fat nests.

Little by little separation, people are very different, almost all of them are the most common ones in textbooks. As for the rare ones, they are almost never mentioned, because if you talk about them too much, you are afraid of affecting the doctors who are practicing.

Zhang Fan was performing the operation, and the director of the pancreatic department was assisting while making comparisons in his mind. "What he did here is better than mine, slightly better. Well, it's a little better here too."

After the pancreas was exposed, he couldn't find anything he could do better than Zhang Fan. He just pointed at the surgical operation. Mr. Wu may not have done it better than Zhang Fan.

"Zhang Yuan, how many pancreas have you done? This level, tsk! tsk!"

It’s hard not to admire the director of the pancreatic department. He has performed hundreds of pancreas surgeries over the past ten years, but he can’t do it as well as his counterpart.

"Haha, this is the second one! I do a lot of orthopedic surgeries!"

"Ah!" The director of the pancreatic department almost opened Zhang Fan's mouth with a retractor, "Isn't this bullying!"

Chen Hao was dumbfounded. He thought Zhang Fan focused on the pancreas. "Uh, are you an orthopedic surgeon?"

Before Zhang Fan could speak, Mr. Wu stood behind Zhang Fan and spoke: "He is in a grassroots hospital and performs very complicated surgeries. Not to mention pancreas, he can also perform surgeries outside the brain."

"Oh, oh, oh!" The director of the pancreatic department looked at Zhang Fan in disbelief. He saw that the corners of his eyes were full of collagen without a trace of wrinkles. "What a bully! Not only is he an all-round player, but also

You’re still so young that you’re jealous!”.

Chen Hao, on the other hand, looked confused, "Mom, it's all in vain, is it too late for me to change now?"

At this time, Mr. Wu said again, "This has advantages and disadvantages, but I only see the whole person in him. His contribution is probably beyond our imagination."

Zhang Fan was so praised by the old man that he was too embarrassed to say anything. He was unsystematic. He is probably still nailing steel plates now.

The pancreas was exposed, lying on the bottom of the stomach and intestines like a tongue that had been blistered by boiling water, groaning.

In the stomach of the pancreas, a swollen vesicle can be clearly seen, showing its teeth and claws, looking so arrogant.

Zhang Fan turned the pancreas over and looked at it again, "Fortunately! There is only a tumor at the tail of the pancreas."

"Prepare to attack!" Zhang Fan issued the order for a general attack.

"yes!"
To be continued...
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