第九百二十八章 致命手术(中)
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省附属医第二手术室
整个手术室弥漫着凝重又紧张的气氛，这也正是古枫喜欢的气氛，因为每一次站在手术台前，他总有种征战沙场的兴奋
“刀来”
随着古枫一声沉喝，众的人心神一震，胃癌根治性手术就此正式展开
在接过刘诗雅的手术刀之后，古枫在萧定中的腹部之间划拉了一刀，正中绕脐切口，长约二十四公分
一刀划下，腹部立即出现了一条血线，一旁的第三助手连忙拿起绵布把鲜血吸走，而身为第一助手与第二助手的杜蕾歆与包心惠侧赶紧协作着进行皮肤切开，然后逐层打开进入腹部
腹部打开之后，首行开台的并不是切割，而是探查
术前虽然已经作了很多辅助检查，但有的时候检查结果是一回事，亲眼看到的却是另外一回事这和耳听为虚，眼见为实是同一个道理
果然，经过探查发现，实际情况要比之前预想的还要坏，这哪里是胃癌中晚期，这根本就是晚期
肿块就在胃窦部，约在幽门上方，大小约六公分，已经侵犯了浆膜层，正在往周围深层的浸润生长，除此之外，胰腺可见肿块组织样的班点，疑似转移病灶，其他的地方，例如肝肝脏、胆囊、脾脏、小肠、结肠、肠系膜、大网膜、盆腔、腹壁未见明显转移灶，未见腹水
商量过后，古枫决定做胃癌根治术
这个操作，古枫不敢交给杜蕾歆，不是他不相信杜蕾歆的技术，而这个事情他自己做都没有太大的把握，肿瘤细胞是呈浸润性生长的，如果切除的时候不干净，稍有一点残留，那都将是野火烧不尽，春风吹又生
接过了刘诗雅递来的高频电刀，古枫开始做切割，着沿横结腸壁分离胃结肠韧带，从肝曲直至脾曲，并剥除浅层结肠系膜层，连带着剥离胰腺外包膜
做好了这开头的一步，古枫抬起头来，另一个护士赶紧替他拭去额上细密的汗珠
古枫微喘一口气后，问：“手术过去多少时间了？”
刘诗雅道：“快一个小时了”
古枫微微皱眉，照样这样的度，这个手术的时间恐怕会很长啊，可是老人这羸弱的身体，能撑得住吗？赶紧又问：“病人的生命体征怎么样？”
包心惠答道：“目前一切正常”
古枫点点头，“继续”
杜蕾歆道：“老师，要不让我来？”
古枫摇了摇头，执起刀来继续下一步，打开kocher切口，分离十二指肠起始段，分别结扎胃右动静脉，并离断；分别结扎胃网膜右动静脉，并离断；分离幽门周围血管并结扎离断，直至幽门下约3，避开胆总管，于十二指肠起始段直线切割，进行吻合，又用丝线对十二指肠残端进行荷包包埋，分离肝胃韧带，牵开胃壁，分离结扎胃短静脉，并离断；离远端胃约70％左右，分离此处胃周围各血管分支，结扎并离断……
这几个步骤做下来，古枫再一次抬起头，发现时间已经又过去了两个多小时，整个手术的时间已经过了整四个小时
古枫感觉脖子有些僵硬了，轻转了几下，活动活动后，又深吸一口气，埋头准备作进一步的切割吻合，这一次只要绕开一条大血管，切除掉周围的组织，并进行荷包缝合后，就可以分离周围结缔脂纺组织，也就是淋巴结清扫了
所以这一步是十分关键的，不能出什么差池，古枫振作了一下精神，正准备将高频电刀绕过那根大血管切割下方的系膜组织时，只听得手术室的那扇只要开始手术就只能从里往外打开的钢门，突然传来了一声巨响
“轰隆”惊天动地的声音在钢门上响了起来，钢门都被人在外面用暴力折弯了，整个房间也传来一阵地动山摇的感觉
这突如其来的巨大响声与震感，对于安静，忙碌，紧张的手术室而言，无疑是一种极为致命的打击
正全身心的投入到手术中的医生们心神均是一惊，神志较为紧强的只是心里哆嗦了一下，下意识的扭头看向门外，可是意志较薄弱的，手脚却无法自控的抖了抖
在这种关键的时刻，别说是抖了抖，就是稍一分神，那都将酿成不成逆的惨祸
古枫的神经是很粗大的，就算天塌下来，雷劈到身上，那也不可能影响到他的手术，所以在门发生巨响的瞬间，他的刀就及时的一顿，停在了那条大动脉的上方，仅仅只有几毫米的地方
然而很不幸的是，站在对面，充当古枫第三助手的卫松良却没有他这么镇定，在巨震响起的时候，手中的摄子无法自控的往前一划，就顶在了那条大动脉上，把它顶到了古枫的手术刀上去了
手术刀何等的锋利，加上被顶住的大动脉肌壁何其紧张，两相交碰，大动脉当即就被刺破了
大动脉的压力何其巨大，鲜血一下子从大动脉里喷了出来，飞射起来，高达约有五六十公分高
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