At this moment, the equipment in the operating room was two to three times more than usual.
Almost all the advanced equipment from internal medicine had been moved here solely for this surgery.
Extracorporeal circulation equipment, centrifugal pumps, and so on...
After the little girl fell into a deep sleep under general anesthesia, a temperature-adjustable blanket was placed beneath her, her lower limbs were wrapped in plastic to keep warm, her upper limbs were wrapped and pressed against her sides, with hand guards fixed in place.
The first step was to insert a catheter for urinary drainage, with an external precision urine bag.
First assistant Director Sun Sheng stepped forward to perform a left hand arterial puncture on the girl to conduct invasive monitoring.
Subsequently, a right femoral vein puncture was performed for intraoperative lower limb venous monitoring.
An external three-way was connected to the artery for convenient blood draws during surgery.
...
Next, Qin Feng picked up the electrosurgical knife, ready to perform the incision.
The electrosurgical knife is a needle used in surgical operations to cut flesh and tissue while simultaneously reducing bleeding and disinfecting the wound.
He expertly inserted the electrosurgical knife into the lower right abdomen, making a slow incision along the rectus abdominis, extending down towards the left rib area.
He looked just like a veteran who had been performing surgeries for decades!
When an expert moves, everyone can tell.
Qin Feng acted without hesitation, and the incision was precise and neat, without any excess.
The directors observing in the operating room immediately had a bright look in their eyes, unable to suppress their admiration.
'Beautiful!'
Even the attending physicians outside the operating room were momentarily stunned; his movement was incredibly precise.
Next, the skin and layers of the abdominal wall were incised.
The retractors were put in place to open the abdominal cavity, fully exposing the surgical field, and an abdominal exploration was conducted.
Wet gauze pads were then used to push the stomach and intestines to the lower left, revealing the entire liver in the view.
Viewed from above, the liver appeared intact, with no apparent changes or symptoms.
However, when Qin Feng extended both hands to gently lift and tilt the liver to the side,
At the base of the back of the liver, a very distinct tumor appeared, approximately the size of a ping-pong ball according to imaging results.
The next step was the most critical operation.
Separating the entire liver!
...
"Large occlusion clamp."
Qin Feng stretched out his hand and said in a low voice.
Director Sun Sheng immediately handed the instrument to him, and the next second the occlusion clamp swiftly and accurately clamped the porta hepatis, successfully blocking it.
From this moment, the real race against time began.
Then, he used fine dissectors and surgical scissors to cut the round ligament of the liver, followed by the falciform ligament and other complex ligament structures.
He then used silk sutures to tie down and fix, with an S-hook pulling upwards to fully expose the porta hepatis.
He switched back to the scalpel, and in his left hand, the occlusion clamp blocked the external veins one by one, incised, ligated the proximal end, and blocked the distal end.
This single operation alone took nearly 20 minutes...
It was evident just how many veins there were above the porta hepatis, and many connected to other vital organs.
Yet even so, everyone observing inside and outside the operating room was deeply impressed.
Especially the attending physicians who came from internal medicine to witness the entire surgery process, their mouths agape and eyes full of disbelief.
So fast!
Incredibly fast!
The other doctors widened their eyes, not daring to miss a single brilliant detail.
"Dr. Qin is incredible, this speed is downright terrifying!"
"And look at that occlusion and ligation technique, so delicate and beautiful!"
"It's unimaginable. When I assisted Director Sun as second assistant, even he didn't have such technique."
"And every operation is just right, as if it comes to him naturally."
"Yes, yes, yes! I feel that way too, like he's been doing it all his life."
"Oh no, oh no, I can't keep up with Dr. Qin's surgery speed, what should I do?"
...
In the monitoring room, a group of doctors couldn't help but exclaim and panic, jotting down only two or three notes before giving up.
Because they simply couldn't record the details fast enough before the next step had already begun.
"Alright, now I'm going to separate the liver."
Qin Feng paused for a moment and said calmly.
Director Sun beside him immediately nodded, pushing over the equipment.
As Qin Feng's hands moved, his hands slowly reached into the abdominal cavity, retrieving the warm, intact liver.
Liver, successfully separated!
At this moment,
the hearts of the directors and deputy directors in the operating room were in their throats, it had really been removed!
Qin Feng carefully placed the liver into a low-temperature container, where the tumor removal would be completed.
However, tumor removal was a task for later; right now, the most important thing was that the little girl was in a state of hepatic absence, requiring immediate extracorporeal circulation bypass.
Because the occlusion of all intrahepatic arteries and veins would cause severe physiological disturbances to the patient, particularly damage to other organs.
Intraoperative and postoperative hypothermia could lead to low blood pressure, metabolic acidosis, hyperkalemia, and a series of complications.
But the unexpected venous bypass could completely solve this issue, preventing prolonged ischemia.
"Director Sun."
Qin Feng reached out and called, and Sun Sheng immediately handed over all the prepared access tubes one by one.
Qin Feng's movements remained highly skilled, connecting, suturing, linking, and releasing blood vessels.
In just half an hour, all the dozen access points were connected!
One by one, the occlusions on all blood vessels were removed, and blood flowed through the access into the circulation device, drained through cannulae in the radial artery and femoral vein, through the tubing, centrifugal pump, and temperature controller, and then returned to the arteries...
Everyone's eyes were glued to the monitoring instruments, checking arterial pressure, central venous pressure, and blood pressure, among others.
The numbers on the instrument dipped once, then returned to normal readings.