[Verse 1] The hiatus opens like a wound in the diaphragm's floor, Right crus, left crus, decussating fibers at the core, Phrenoesophageal ligament holds the cardia in place, But breach that pleural reflection — you've entered the wrong space, The thoracic duct runs close, the vagi drape before and aft, The left inferior phrenic bleeds quiet when you're blind and fast, Anterior vagus, posterior vagus — count them, know them both, One cut without intention is a surgeon's broken oath [Chorus] Не ріж без знання — do not cut without the map, The aorta and the cava ask for more than casual hands, Corte com cuidado, cada plano tem seu nome, Five iatrogenic sins — we carry every one of them home, Не ріж без знання — know the borders, know the cost [Verse 2] Kocher your duodenum, mobilize the first to third, D-one to the GDA — the common bile duct is close, preferred To injury than you'd wish — and at D-three the SMA sweeps across, Ampulla of Vater, minor papilla — biliary loss Is the second sin: the duct transected at the base, The retroperitoneal fixation gives you just enough space, Pancreatic head and uncinate lurk beneath the posterior wall, A penetrating ulcer doesn't ask before it fuses all [Chorus] Não corte sem saber — do not cut without the map, The aorta and the cava ask for more than casual hands, Corte com cuidado, cada plano tem seu nome, Five iatrogenic sins — we carry every one of them home, Не ріж без знання — know the borders, know the cost [Bridge] The spleen — hilar tethering through the short gastrics runs taut, Avulse the capsule rushing — that is sin number three, well-taught, The middle colic vessels hide inside the mesocolon fold, Gastrocolic dissection burns them silent, swift, and cold, The liver's left lateral section drapes across the fundus floor, Retract too hard and segments two and three will hemorrhage more, Fascial planes of Toldt, mesogastric embryology — The plane between mesogastrium and retroperitoneum is your theology Here is the lexicon of wounds the careless hand will earn: Esophageal perforation at the hiatus — hiatal burn, Splenic avulsion at the greater curve — sin four, it bleeds, Left adrenal sheared from retroperitoneum — sin five concedes, Celiac axis, portal structures — sanguinolent, a word for blood-red, Soaked in origin — the anatomy around what should not have bled [Chorus] Не ріж без знання — do not cut without the map, The aorta and the cava ask for more than casual hands, Corte com cuidado, cada plano tem seu nome, Five iatrogenic sins — we carry every one of them home, Не ріж без знання — know the borders, know the cost
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