Famous Among Top Surgeons in the 90s-Chapter 1032: 【】Another important anatomical location

Upon reaching the liver, this is a crucial point since the patient’s clinical symptoms are mostly related to the liver.

The medical record initially indicated that the patient had liver cirrhosis. In most late-stage cases, cirrhosis leads to a shrinking liver, but this patient’s liver was unusually enlarged, suggesting it wasn’t an early stage.

The cause is Budd-Chiari syndrome leading to congestive hepatomegaly. The doctors have reason to suspect that the patient’s cirrhosis may be caused by Budd-Chiari syndrome, which is different from most cases.

The main etiology of Budd-Chiari syndrome is the obstruction of the hepatic veins and the upper segment of the inferior vena cava.

Observing the liver’s shape and surface with laparoscopic and combining preoperative CT and other examination results, it is tentatively concluded that there are no tumors within the liver.

No doctor breathed a sigh of relief.

Because preoperative tests had already shown that the patient’s main lesion was not in the liver but in the inferior vena cava. This surgical playbacks equate to confirming the presence of cancer in the patient.

The real-time atmosphere in the operating room was transmitted to the conference attendees.

The previously bustling noises died down, and a low pressure filled the room.

Every surgeon wished they’d open up the abdomen only to be proven wrong, hoping for anything but cancer. Now they must adjust their mindsets and proceed.

Kang Mingzhu grabbed at her collar to exhale and regulate her breathing, getting ready to sweat; she admired Junior Xie Wanying in the operating room to death. To know, for a medical student to remain so composed under such circumstances is unimaginable.

Knowing full well she was being broadcasted live, Xie Wanying’s hands remained steady as Mount Tai, even when some unfavorable results surfaced—had it been Kang Mingzhu, she wouldn’t have been able to control the shaking of her hands.

The surgery was about to enter tricky waters, necessitating a full understanding of the inferior vena cava. They were to approach an important anatomical structure known as the Porta Hepatis. The Porta Hepatis, similar to the hilum of the spleen and renal hilum, is a critical area where various blood vessels, nerves, lymphatic vessels, and other essential tissues enter and exit the liver; thus, its significance in hepatobiliary surgery is profoundly understood by specialists. A single misstep can cause serious, massive bleeding. Among them, the hepatic veins are extremely thin-walled with little surrounding connective tissue, often leading to hepatic vein injuries in hepatobiliary surgery.

Approaching this critical anatomical area, the Separation Clamp separates the liver from the surrounding peritoneum. The risk is that improper or unstable handling could tear the inferior vena cava, left hepatic vein, or left inferior phrenic vein, potentially leading not only to massive hemorrhage but also to the terrifying formation of an air embolism.

An air embolism is an air blockage. Speaking of the dangers of air embolism, even laypeople know that having air in an IV line can be lethal if it enters the bloodstream. In this surgery, because the inferior vena cava connects to the right atrium, the fear is that the air reaching the right atrium could kill the patient even more quickly.

Everyone held their breath, watching the need for meticulous and even more refined movements of the Separation Clamp. fгeewebnovёl.com

This is where the difference between the team of a star doctor and that of an ordinary doctor lies.

Look at the previous surgery which involved liver tumor removal and separation at the Porta Hepatis. However, it was not as smoothly done as this one.

Why is that?

Even the lay cameraperson felt it, fixing the live broadcast directly on the laparoscopic monitor without changing it. This is because the angles provided by the Mirror Assistant for the laparoscopic surgery were already excellent, and the lay cameraperson bringing their own cuts and zooms would not match the skilled surgeon’s deft handling.

"This Mirror Assistant’s use of the light source is very slick."