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¡¾1032¡¿Another important anatomical position

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    When it comes to the liver, this is the key point, because the patient¡¯s clinical symptoms are basically related to the liver.

    From the beginning, it was written in the medical record that this patient had cirrhosis of the liver.  In most cases of late-stage liver cirrhosis, the liver shrinks. On the contrary, this patient has a rare case of liver enlargement, which does not seem to be in the early stage.

    The reason is that Budd-Chiari syndrome causes congestion and enlargement of the liver parenchyma.  Doctors have basis to suspect that his cirrhosis may be caused by Budd-Chiari syndrome, which is different from most cases.

    Hepatic vein and upper inferior vena cava obstruction is the main cause of Budd-Chiari syndrome.

    By observing the contour and outer surface of the liver through laparoscopy, combined with preoperative CT and other examination results, it can be temporarily determined that there is no tumor inside the liver.

    No doctor is relieved.

    Because preoperative examination has shown that the main lesion of this patient is not in the liver but in the inferior vena cava.  This operation screen display is equivalent to confirming that there is cancer in the patient's body.

    The real-time atmosphere of the operating room was conveyed to the exchange meeting site.

    The bustling noise just now disappeared, and low air pressure filled the air.

    Every surgeon can¡¯t wait to be slapped in the face after opening the abdominal cavity. As long as it¡¯s not cancer, everything will be fine, but now he must adjust his mentality and continue.

    Jiang Mingzhu grabbed the collar of her clothes and exhaled to adjust her breathing. She was about to sweat. At this moment, she admired her junior sister Xie Wanying who was in the operating room.  You know, it is unimaginable for a medical student to be so calm.

    Although she clearly knew that she was doing a live broadcast, Xie Wanying's hands in the picture were always as steady as Mount Tai. Even if there were some bad results, she would never be able to control herself and her hands would be shaking.

    The previous surgery is about to enter the deep water area, and all conditions of the inferior vena cava must be understood. At this time, an important anatomical structure called the hepatic porta is touched.  The porta hepatis, like the spleen porta and renal pedicle, is an important part of the liver for various blood vessels, nerves, lymphatic vessels and other important tissues to enter and leave the liver. Therefore, only specialists are well aware of the important role of the porta hepatis in hepatobiliary surgery.  If you are not careful, it can cause severe bleeding.  The hepatic veins have very thin walls and little surrounding connective tissue, resulting in hepatic vein injuries that are common during hepatobiliary surgery.

    Before reaching important anatomical parts, the separation forceps are used to separate the peritoneum around the liver. It is not ruled out that improper and unstable operation may tear the inferior vena cava, left hepatic vein or left inferior phrenic vein. Such results often lead to the formation of terrible air embolism in addition to massive bleeding.  .

    An air embolism is an air embolism.  Speaking of the dangers of air embolism, people who have had a diaphragm injection know that if air in the infusion tube enters the human blood vessel, it will cause death.  In this operation, since the inferior vena cava is connected to the right atrium, the patient will die faster if the air reaches the right atrium.

    The breath that everyone held was to see the meticulous and meticulous movements of the separation pliers.

    This is the difference between a team of celebrity doctors and ordinary doctors.

    Look at the previous surgery for liver tumors, which also involved separation of the hepatic hilus.  But the ones made by others are not as good-looking as this one.

    What is the reason?

    Even a layman¡¯s photographer can feel it, and the live video is fixed directly on the laparoscopic monitor and stops moving.  Because the field of view of laparoscopic surgery given by the mirror holder is already very good, if an amateur photographer randomly cuts the focal length of the lens, it will not be as good as an expert surgeon.

    ¡°The light source of this mirror arm is very slippery.¡± (Remember the website address: www.hlnovel.com
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