"The liver hilar separation below."

The other doctors were also focused on the situation in the operating room. The doctors in Shanghai hospitals were sitting on the second floor and could clearly see the operations below. However, because the distance was far, they did not look at some details in the abdominal cavity very detailed, but there was also a display screen on the side.

At this time, in the hotel conference room, the wide display screen was also the scene in the operating room No. 1 of Shanghai Hospital.

"The tumor has been exposed."

"It's about 8cm, it's really a huge tumor."

At this time, a hospitalist in Shanghai Hospital looked sideways and even held the tumor sideways, even motionless, and the camera gave a close-up, which clearly shows the size of the tumor through the display screen.

All the experts present in this field can intuitively judge the size of the tumor.

"It is very difficult to operate when the position is close to the left hepatic lobe artery."

"And the patient is older, the blood vessels must be very fragile. If the operation is not good, the blood vessels may rupture and cause bleeding."

As extrahepatic experts, many people analyze and judge from their own perspective. If you ask yourself to do this surgery, then what Jon does.

“Stripped.”

Kuang Mingzhuo also looked at it seriously and whispered: "Jon's level is indeed very good. There is no hindrance when he removes this liver tumor."

Just as Kuang Mingzhuo was speaking, the tumor had been completely peeled off. A nurse was holding a plate next to him and then the tumor was 8cm in diameter, which was not small at all.

"Well, this Dr. Jon's technique is perfect and his judgment is accurate." Fang Han nodded.

Although Fang Han did not have many liver resection and liver tumor resection surgery, the ones who partnered with Fang Han were basically experts. Whether it was Kuang Mingzhuo or Tian Yitao, they were both relatively powerful extrahepatic experts. Fang Han also saw Chen Peizhong's surgery at the same time.

Although there was an accident in the operation of Jiangzhou Provincial Hospital, it is undeniable that Chen Peizhong's level was mainly due to preoperative judgment and excessive self-confidence.

Because the liver has the ability to regenerate, part of the liver will be removed, and the remaining liver will grow back. For patients with good liver function, even if the liver is removed 70%, the remaining 30% can supply what the body needs.

For patients with slightly worse liver function, 50% of the liver removal does not affect the patient's subsequent life, but this proportion is also limited, and you cannot remove 90%.

At that time, Chen Peizhong was too confident. He did not expect that after the patient had so many cancer cells infected with the patient after the abdominal distension, so it was difficult to judge. If he cut too much, he would not be able to cut it. If he cut it less, he would have residual residues, so he fell into a dilemma.

Putting aside Chen Peizhong's mistakes, Chen Peizhong's other aspects are definitely very powerful, and the previous operations were very smooth.

Compared to Chen Peizhong, Jon seems to be at another level. No wonder Jon can attract so many extrahepatic experts from China to Shanghai, and even if he is a idler, there are so many people competing for him.

"Sun Ming cooperated very well."

Gao Ruilin whispered: "Jon's team is undoubtedly the top. With a top doctor like Director Sun Ming and Sun as a helper, even Ershu is an extrahepatic expert in Shanghai hospitals. He has the level of independent surgery and is higher than the main surgery level of many hospitals. The equipment nurse, anesthesiologist, and the entire medical team cooperated quite well. Even if it was the first time to cooperate with Jon, the whole cooperation was extremely smooth."

"yes."

Kuang Mingzhuo nodded: "The top surgeon and the top medical team. Although this surgery is difficult, it should not be anything to Jon. It seems that the surgery is orderly."

"Yes." Fang Han nodded.

Because this tumor is a malignant tumor, the cancer cells have spread to the liver tissue. After the liver tumor is removed, the surgery is equivalent to only part of it being performed. After that, Jon also needs to remove the liver tissue that has been infected by the cancer cells.

Compared to the removal of liver tumors, the removal of the liver tissue behind is not small at all, but many doctors have also seen that this surgery is not very challenging for Jon.

"Dr. Jon actually used an anatomical liver resection."

"Anatomical hepatic resection requires an absolute understanding of liver structure."

"Although anatomical hepatic resection has high tolerance requirements for patients, it is more suitable for this surgery."

“Rgrified hepatic resection?”

Fang Han also watched Jon's operation now.

Regular hepatic resection is also called anatomical hepatic resection. Regular hepatic resection is to free the liver according to the anatomical characteristics of intrahepatic blood vessels and bile ducts; dissect the liver hilar, ligate, and cut off the corresponding blood vessels and bile ducts of the lesion liver; remove the corresponding liver tissue along the anatomical marks, intermittent blocking of the liver hilar hilar, and remove the corresponding hepatic or liver lobes under the blocking of the liver circulation.

Irregular hepatic resection is also called non-dissection hepatic resection. The advantages and disadvantages of the two have been introduced in the previous liver surgery, so I will not elaborate on it here.

Compared with regular liver resection, irregular liver resection requires a lower tolerance requirement for patients, and the risk is also less and the prognosis is also better. However, irregular liver resection has a disadvantage, which requires time-consuming dissection of the liver portal and can retain more normal-functioning liver tissue, especially suitable for liver cancer resection with cirrhosis. However, the disadvantage is that the liver cut interface is unclear, liver tissue bleeding, and necrosis and decomposition are also more likely.

Jon chose regular liver resection in order to more accurately remove liver tissue infected by cancer cells, ensure a clear interface, and avoid liver tissue necrosis.

"Dr. Jon is a world-class extrahepatic master."

"Yes, the operation is first-class and the judgment is accurate. There are many things worth learning from."

"Indeed, this time it was not in vain. Dr. Jon will be there in person later, and you can also ask about your doubts on the spot."

Whether it was the experts in the conference room or the doctors on the second floor of the operating room of Shanghai Hospital, they were whispering to each other, sighing at Jon's level.

Being able to perform observation surgery in front of so many experts in China is a dream that many doctors have been pursuing throughout their lives.

For young doctors, the patient's evaluation is the greatest praise to the doctor, but for senior doctors, the praise and recognition of peers is the real honor.

As a top extrahepatic expert in China, many people have had observation surgery and teaching surgery on the spot, but the level of doctors who are watching and supporting the scene cannot be compared with this time.

This is like when you give a lecture, all the students who listen to the lecture are junior high school students and all the students who listen to the lecture are college students. That is two completely different concepts. A great master like Guo Wenyuan gives a lecture, and there will be professor-level listeners below.

What you teach is a primary school student, it only means that you are a primary school teacher, what you teach is a junior high school teacher, what you teach is a junior high school teacher, what you teach is a graduate student, then you are a professor big shot.

The same is true for the profession of doctors. When you do observation surgery, the attending level is the main level, which is a different concept from the deputy level of the person you come.

"Didi..."

Just as some of the doctors watching were already starting to observe and study with a very relaxed mood, the instruments in the operating room suddenly sounded a rapid alarm, and the anesthesiologist was also frightened and his face turned pale: "The blood pressure has increased."

As a doctor who was observing the operation, his mood was also very ups and downs when he was immersed in the operating room. Jon's surgery was going smoothly just now, and everyone was in a relaxed mood. Now that an emergency occurred, everyone's hearts were also raised.

“It’s bleeding.”

As a Ichisuke, Sun Ming's voice sounded, and his voice sounded very serious.

"Small stop!"

Sun Ming was already planning to reach out to check the bleeding point, and Jon's voice sounded.

After shouting a pause, Jon spoke to the translator next to him.

"Jon said don't panic, so he sucked first, and checked when the situation is clear."

The assistants next to them hurriedly began to suck.

“More bleeding.”

With the aspiration, the bleeding not only did not stop, but the amount of bleeding began to increase, and there were multiple bleeding.

Even Sun Ming was a little overwhelmed with such a scene. Sun Peizhong, Guo Dingwen and others who were watching the scene were even more distressed. Although they were not doing this surgery, they would not be able to deal with such a situation.

Jon was wearing a mask and couldn't see his face clearly, but he looked calm.

"Continue to suck."

"The anesthesiologist controls blood pressure."

"Bleeding?"

Looking at the scene in the video, whether it is the doctor on the second floor or the doctor in the conference room, many people feel that things are getting big.

In liver surgery, bleeding is a very serious condition. The liver provides abundant blood supply, numerous blood vessels, and complex structure. Once bleeding is done, it is quite troublesome.

"At this time, this situation actually occurred. Is it a blood vessel rupture?"

"It should be that the blood vessels are ruptured, and there are multiple blood vessels ruptures. Now the bleeding is not stopped, and the bleeding point has not been found. This is a problem."

"Doctor Jon will capsize in the gutter in Shanghai this time?"

"This is not a gutter. This operation is quite difficult. It is already amazing that Jon can do this. The bleeding is completely unexpected."

"It depends on how Jon is dealing with it."

If you look closely at the translator Jon's order, you will find that Jon's sideburns are already densely filled with sweat beads.

"Doctor Jon, the amount of bleeding is still increasing, and the bleeding point must be found as soon as possible." Sun Ming's voice was already a little rapid.

"Continue to aspirate and control blood pressure."

The translator conveyed Jon's instructions again, and Jon muttered a few more words in the translator's ear.

"Doctor Jon asked if there were any experts who were good at stopping bleeding on the scene, and if there was any, you could come forward to help." The translation conveyed Jon's meaning.

After the translation finished speaking, it was quiet, whether it was the operating room or the second floor, even Sun Peizhong, Guo Dingwen and others who were in the operating room did not dare to step forward casually.
Chapter completed!