Chapter 654： Lymphatic (1/2)
Lymph node dissection is the most costly part of various cancer surgeries.
Lymph nodes are part of the human body's lymphatic system, and they are around different organs. Lymph nodes are about the size of rice grains, loosely distributed, different numbers, and different locations.
In some people, the heart will grow on the right side of the natural world. It can be imagined that completely clearing the lymph nodes is like playing hide and seek in the human body.
More troublesome than hide-and-seek is that the human body is not a simple plane. When the doctor operates in the human body, not only must the upper and lower positions be considered, but also the internal space of the internal space. For example, inside the organ, or other enclosed spaces that are covered by tissues such as organs, muscles, and fat.
The doctor not only cleans up the exposed lymph, but also cleans up the lymph in the enclosed space.
At this time, the anatomical skills are very sophisticated. A person's abdominal cavity is actually not large. Look down at your belly and imagine the state when it has six packs. When you ca n’t imagine it, imagine the size of your abdominal cavity when you are 14 years old. The stomach, kidney, and other organs are crowded, and the space for fault tolerance is actually very small.
Especially when it comes to cleaning the lymph, one accidentally sweeps the lymph of other organs.
The risk of scanning for the wrong lymphatics is self-evident during such a weak period of the patient's body.
Although Feng Zhixian said that Ling Ran was allowed to clean the lymph, he carefully observed Ling Ran's operation. Dare to let go, even because Feng Zhixian has always done things, because he has seen Ling Ran sweeping the lymph around the liver.
According to Feng Zhixian's ideas, Ling Ran can at least help clean up the lymph around the liver. This job can also make him a lot easier.
Of course, those who can sweep the lymph in the liver and the lymph in other parts are probably no problem. To put it bluntly, after the anatomy is familiar, the procedure of sweeping the lymph is itself lacking in technical content.
However, lymphadenectomy is a very skillful job, and it is easy to miss it if you are not careful. However, the purpose of lymphatic cleaning is to prevent in case of cancer cells in the lymphatics. If it is missed, it is both irresponsible to the patient and irresponsible for their own labor—if the cancer cells can easily expand , The operation is tantamount to nothing.
Feng Zhixian was sweeping the lymph by himself, while watching Ling Ran sweeping the lymph, and said in his mouth: ”The lymphatic sweep is not afraid of slowness, is not afraid of mistakes, and is afraid of not paying attention, so don't worry. There is no need to perform surgery in a hurry.
This is his usual philosophy. Ling Ran said ”en”, and there was no change in his hand movements.
The perfect level of lymphatic dissection can make Ling Ran have a very clear judgment during the operation. In contrast, Feng Zhixian's reminder is a bit general and not the best choice for the moment.
Feng Zhixian looked again. Seeing Ling Ran's familiarity with lymphatics, there was no need to do more coercion. His attention was more focused on himself, and he smiled and said, ”This thing is very unpleasant for doctors. Friendly, too big, and demanding. Doctors like me are struggling to do it, but too young doctors are prone to errors ... ”
Xu Wen sees that Ling Ran has no interest in chatting, and can only go on top, licking it by the way: ”Professor Feng, you are too modest. I have seen your surgery before. The lymph node scan is particularly clean, and the patient's prognosis is also good.”
”Right, a good prognosis is very important. Are we doing surgery for the patient's prognosis? The procedure is clean and beautiful, isn't it the purpose. What I don't like the most is to use a scraper. Separation It is shaving, and bleeding is hot. After an operation, I saw that he was scratching and hot. I did n’t know he thought he was a cook. ”Professor Feng hummed and said,“ Whoever I ’m Not to mention, the patient is bleeding after the operation, and they will do something sooner or later! ”
Xu Wenming's navel eyes trembled, not knowing how to lick.
Feng Zhixian said, ”I won't tell anyone,” but the circle is so big, those who love to use a scraper, stop bleeding and burn, and a doctor with some qualifications present who doesn't know ...
Xu Wen meditated hard and finally licked it out: ”Dr. Ling's stitching is so beautiful.”