Chapter 615： on site

The location of the scene was so limited that Huo Congjun also arrived in the classroom and asked Yunli's medical representative to pick up the signal.

The signal used by Yunyi's own classroom was actually delivered by a pharmaceutical company, and Huo Congjun was a bit helpless.

However, Huo Congjun's focus today still falls on Ling Ran, and he has no regard for signal procedures or anything.

"Director Huo is here." He Yuanzheng from the Department of Hepatobiliary Surgery came earlier, and greeted Huo Congjun with a smile.

He was embarrassing Huo Congjun.

If it does n’t work, let ’s say that Ling Ran had previously performed a liver resection of intrahepatic bile duct stones and an emergency liver resection. He Yuanzheng also tolerated it. After all, there are more liver resection operations, and the main thing is liver cancer ...

Then, Ling Ran started doing liver cancer.

No longer embarrassed, He Yuanzheng was afraid that he, the hard-to-find director of hepatobiliary surgery, would become the director of bile surgery in the future.

God sees pity, his own courage is not great.

"Director He is here." Huo Congjun saw He Yuanzheng, his face did not change, let alone see the slightest shame in his face.

At that time, Huo Congjun brought a rain of pear blossoms touched by a doctor at a medical conference, he was not ashamed at all, saying that it was a medical conference because he had too many times and he could not remember.

Huo Congjun would not give too much face to the little director of such a small department as He Yuanzheng. Furthermore, in Huo Congjun's view, there is not much difference between Yunyi's hepatobiliary surgery and biliary surgery. Originally, the liver surgery performed by He Yuanzheng still looks a little bit. Nowadays, He Yuanzheng's liver surgery is not done less. Nothing but Ling Ran left.

He Yuanzheng carefully observed Huo Congjun's expression, and then showed a caring smile: "Don't Director Huo worry about a 73-year-old liver cancer patient who has a variety of underlying diseases?"

"If I don't worry, I won't come." Huo Congjun didn't have anyone in his own department. He had the embarrassment of being caught in an interdisciplinary operation, but was caught in an embarrassing tone. "Since it has been decided, If you have surgery on this patient, it ’s better to be generous and have an observation surgery. If you have succeeded in learning, you can also learn if you fail. "

Huo Congjun was really not afraid of Ling Ran's failure. Of course, it is best to succeed, but how many of you as a surgeon have never failed?

Ling Ran is currently doing a flying knife for liver resection within the province. As long as it fails, it spreads throughout the province in minutes.

Rather than let the other surgeon's speculative speculation fail, it is better to let everyone visit and observe. If you succeed, you ca n’t succeed ...

Huo Congjun believes that Ling Ran's technology is still impressive.

In fact, it is not easy for a patient to die smoothly in front of him with the liver resection technique, hemostasis technique, and cardiopulmonary resuscitation technique currently mastered.

"Let's get started." Ling Ran's voice came out of the screen.

Including the visitors in the classroom, the voice of speaking was reduced.

"Don't you want to speak a few words?" This is rarely seen in Ling Ran's surgery, and half of them belong to the passing doctors.

"When did you see Ling Ran give you a speech?" This is a doctor who came to our hospital to see Ling Ran often for surgery.

"If only Dr. Ling would give a speech." Woman.

Operating room.

Ling Ran started the operation without delay for a second.

He just spent 28 minutes in the lounge and determined the infiltration range of Qi Yuquan's cancer cells, so that the available time of the virtual person was reduced to 2 hours and 52 minutes.

Taking into account the rapid expansion of cancer cells, Ling Ran did not want to delay time so much that the tumor edge moved outward.

Doctors from all over the province shut up and watched voluntarily.

Advanced doctors actually cherish learning opportunities such as demonstration surgery more than young doctors, because unlike ordinary people's subconscious thoughts, advanced doctors actually lack the time and opportunities to learn.

Before the main doctor, the little doctors were often beaten by the superior doctor, but if they had any questions, most of the superior doctors would answer, what did they do wrong, and they would be taken care of by the superior doctor, so that they could not easily take care of themselves Is engraved into the brand of life.

However, once the little doctor has performed the operation, the superior doctor will become more polite. At this time, the little doctor of the main surgeon will want to learn new techniques, which is relatively difficult.

In general, the more doctors there are in a hospital, the faster the junior doctors will grow, and when a doctor grows to the point that no one else will him, his growth will depend on himself.

He Yuanzheng, like Yunyi, had a slow technical improvement before he met Ling Ran.

Correspondingly, the departments of some big cattle in Beijing can continue to produce cattle people, also because there are more cattle overlooking.

Most people don't have such an opportunity, especially the doctors in local hospitals, when they are in charge of treating vice high, they must rely on themselves.

Inviting flying knives or observing demonstration operations by senior doctors is a rare learning time for them.

In just one year, Ling Ran was able to make a huge reputation for flying knives, not only because of his skills, but also because of his character. When a person's technical skills fail, his severeness will be regarded as It is severe love.

"Pull open, first do the anatomy of the liver." Ling Ran's surgery progressed quickly, and he reminded the assistants of the progress and the next steps at any time.

The 73-year-old patient does not need to do more tests to know that the surgical tolerance is definitely not strong. Considering that pathological examination during liver resection will take a lot of time, Ling Ran will try to reduce the preamble time.

Yu Yuan pulled the hook hard, like a little leopard with a flesh, only her head was exposed from behind the tree.

No way, Ling Ran's figure is too tall, and the operating table is determined by the height of the main knife.

Therefore, when there is a big difference between the assistant's and the main knife's body, some strange occupational diseases often appear. For example, the assistant with a low profile often has a neck pain, while the assistant with a tall profile often becomes stingy and has low back pain.

As a help, Lu Wenbin is taller, but he doesn't feel relaxed. He followed Ling Ran's operation in a hurry, breaking off the left artery of the liver and the left branch of the portal vein in case the tumor cells overflowed from the portal vein system and channeled into the right liver system during the operation.

At the same time, Ling Ran kept reminding:

"Protect the portal vein wall."

"Don't touch the tail leaves."

"Note the knot ..."

Lu Wenbin saw sweat on his busy head, and only when the nurse wiped him, Lu Wenbin could take a few seconds off.

The doctors in the operating room looked at Lu Wenbin, funny and envious.

Many people here have experience cooperating with Ling Ran during the operation, and have learned a lot-one of the reasons they asked Ling Ran to fly a knife is to learn or to steal the teacher.

However, no one can learn as systematically as Lu Wenbin.

In this kind of surgery, half of the people in the operating room are not qualified for the operation. The 73-year-old father's liver was touched by several doctors.

Lv Wenbin has poor technology but still has the opportunity to participate. This is an experience that is difficult for the hospitals affiliated to Beijing.

"Now handle the left vein, rest for fifteen seconds, and concentrate." Ling Ran has his own rhythm, and is also paying attention to the state of the assistants.

The distance between the left hepatic vein and the inferior vena cava is very close, and an accident will happen if it is not good. At this time, it is not enough to just remind or sip. You must consciously adjust the state of the assistant.

Master-level hepatectomy can't do everything, and what strategy to use, or how to compromise during surgery ~ www.novelhall.com ~ is very important.

If you do n’t know the assistants above, you should remind them and give them a chance to breathe.

Ling Ran himself was taking the opportunity to observe the liver, and he also needed time to decide how to align the cross section of the liver.

"Continue." Ling Ran looked up at the time, and then drew his head again.

Unlike his rough operation on the virtual person, when hepatectomy is performed on a real person, the treatment other than the removed part is the most time-consuming.

For example, liver incisions must be designed in advance, according to different patients, different decisions.

Today, Ling Ran uses the angle of the lips. In a professional way, it is a lip-shaped liver resection method. To this end, he must fully free the ligaments, then close the liver section closely, then lift the liver, and then perform the liver resection operation ...

Therefore, the scope of liver resection is actually a decision to be made at the moment the liver section is closed.

If you make a mistake, you have to repeat the previous step, so you waste more time.

So when Ling Ran began to close the section of the liver, everyone couldn't help but exclaim.

"Just cut so short?"

"Not enough."

"It can only cut so much. No more patients can bear it. Seventy-three."

"Do not do it if the patient is intolerant. Cut so little, it will recur in a few months and be fatal."

Zuo Cidian cleared his throat: Keke.

In the operating room, there was no sound at all.

Then, Ling Ran began to cut the liver without hesitation.

"Send to the pathology department to determine the border of the cancer cells." Ling Ran said, and carefully cut the liver tissue into the bottle, and then watched the bottle be loaded into the incubator.

The little nurse Wang Jia picked up the box and hurried to the pathology department.

The doctors in the operating room could not help but whisper.

(= Easy to read novel)