Famous Among Top Surgeons in the 90s -
Chapter 1162: 【1162】Arrived at the Triangle Area
Chapter 1162: 【1162】Arrived at the Triangle Area
Gao Zhaocheng covered his forehead with his hand: Is Junior Sister showing off her skills at such a critical moment? One has to admit, Junior Sister’s technique here was absolutely beautiful.
A gleam of light flashed in Zhang Huayao’s deep gray eyes.
The skill of a good doctor is undoubtedly a potent shot of confidence for everyone present.
Both chief surgeons felt significantly more assured.
The scalpel reached the back of the pancreas, separating the portal vein and superior mesenteric vein. No signs of cancer cell invasion were found in the portal vein. The doctors felt relieved—this was a small blessing amidst the greater misfortune.
Hearing the collective sigh of relief, Zhang Huayao’s expression darkened. It grew even heavier, with a faint, predatory glint in his eyes: Cut. Keep cutting. Leave no place for cancer cells to escape.
The Boss’s gaze bore into the backs of the young doctors on the operating table.
Tan Kelin and Tao Zhijie’s eyes hardened. This man really lived up to the reputation of Guozhi Emergency Department’s "King Yama Zhang." His gaze, when it turned ruthless, was like the Dragon-Slaying Sword.
Without Zhang Huayao’s urging, they were already committed to cutting thoroughly. Otherwise, there would be no point in performing the surgery at all.
The success of a surgeon’s outcome is judged by the thoroughness of the excision, as it determines the patient’s survival time.
It’s critical to note that a "clean cut" doesn’t mean removing tissue indiscriminately. At this moment, the surgeon’s eyes needed to be razor-sharp and focused at their fullest capacity.
The primary responsibility fell once again on the Mirror Assistant’s shoulders. They needed to guide the chief surgeon in continuing the dissection, peeling back each layer with precision before the scalpel could strike accurately.
Zhang Tinghai suddenly glanced at the clock on the wall subconsciously. The surgery had been ongoing for almost an hour.
Judging by this pace, the operation might be completed in two or three hours. If it were done within that timeframe, it would set a new record for the hospital.
Traditional open surgery would take over three hours; no one had ever heard of a laparoscopic surgery being completed at this speed.
Zhang Tinghai stood up.
Lau Jingyun, standing closest to him, noticed his tension: "What’s wrong?"
"Prepare the medication." Zhang Tinghai wasn’t speaking to her; he was talking to himself as he personally prepped an emergency dose of ephedrine.
Seeing him draw the ephedrine, Lau Jingyun immediately understood—the surgery had reached a terrifying point: the gallbladder triangle.
The gallbladder triangle, also known as Calot’s Triangle. Called a triangle, it technically has three edges. Yet in the three-dimensional complexity of the human body, "three sides" are more accurately described as three planes.
Which three planes? The cystic duct plane, the common hepatic duct plane, and the surface of the liver itself.
Gallbladder removal involves this area because the cystic artery runs through it. Before removing the gallbladder, the cystic artery must first be identified here and then clipped. The cystic artery branches from the right hepatic artery; if it isn’t properly clamped, the right half of the liver could suffer ischemia.
This triangular area is narrow and challenging to operate on. Surgeons without sufficient experience often risk damaging the bile ducts in this zone. Worse yet, due to complications like chronic cholecystitis in many patients, the gallbladder often adheres extensively to surrounding tissues, obscuring the triangle and making it even harder for surgeons to locate the cystic artery.
Judging by the surgical scene at hand, this was precisely such a challenging scenario.
Teacher Lu had once visited his old classmate, Fang Xueqing, to consult on digestive issues after experiencing cholecystitis. This area now appeared to have severe adhesions.
The chief surgeon’s Separation Clamp didn’t dare recklessly advance further into the danger zone.
A forceful blunt dissection could damage healthy tissues in this part of the body. The chief surgeon had no choice but to change the approach, opting for an alternative route into the triangle, commonly known as the retrograde technique for gallbladder removal.
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