Chapter 670： respect

Ling Ran raised his hand and made a stroke on the operating table. It took less than a minute of virtual human time to look at Xu Jinyi's liver.

He is mainly looking to see if the patient's cancer cells have new expansion.

This is actually a little contrary to his preparations for promotion, but it seems strange that Ling Ran thinks that promotion is promotion, and it is not necessary to use useful skills in order to try new technologies.

Xu Jinyi's liver morphology, Ling Ran is already familiar with the chest.

Look at this time, there is not much change.

"Let's get started." Ling Ran looked at the monitor next to him and reminded him.

Several assistants quickly stood clear and neatly positioned, that is, the attendant of the Second Affiliated Hospital did not dare to take any shelf, like a police dog wearing a hood, with his back straight showing professional status.

Today's surgery is, to the standards of general surgery in the Second Affiliated Hospital of Beijing City, really a simple and impossible operation. However, any operation that is done well is not always easy.

The little attendant sent by the director Li Yuan didn't want to be a scapegoat for the failed operation. Therefore, if you are the most nervous in the operating room, Comrade Xu Jinyi, who is not the patient who has been turned over, is the little attendant.

"Knife." Ling Ran reached out and touched the handle.

The equipment nurse next to her chest raised her head, which is also a face-career.

Different doctors have different habits when performing surgery. As an equipment nurse, not only must they remember the surgical procedure, but often they must also remember the doctor's habits.

Of course, under normal circumstances, this is a gradual process. The equipment nurse cooperates with some doctors. The more the surgery cooperates, the more the surgical procedure will be remembered, and the more the partners cooperate, the doctor's habits will be known.

However, in today's hospital operating room, there is no such condition. In order to ensure that she can keep up with the progress of the operation, the little girl who graduated from the master's degree in nursing has memorized the operation two days in advance and watched dozens of times. Hours of video of Ling Ran's surgery.

She even took a stand in line with Ling Ran's surgical habits.

The effect is also outstanding. Although Ling Ran slowed down at the beginning of the operation, when she realized that the cooperation of the equipment nurse could keep up, Ling Ran's speed was already mentioned.

"It's done so fast."

"Good job."

"Young people now, really jb hate it."

The doctors of the Second Affiliated Hospital also entered the visit room and discussed it wildly.

Director Li Yuan also turned his back and looked at Ling Ran's operation, his face solemn.

Ling Ran's surgery was done well, he admitted. In fact, to the top level in the country, it is meaningless to pick the defect of the surgical level. This level of doctors just has a different tendency to handle surgery.

Some doctors are obsessed with hemostasis and pursue a blood-free field of vision, so as to continuously deal with the bleeding problem during operation; some doctors like to cut in a large area and take care to sew carefully; and some doctors pursue speed and give up certain accuracy in disguise. ...

But no matter which one, the patient or the patient's family can only choose the type that they are willing to bear at most, and cannot ask the doctor to do it the way they want.

The personal style of a doctor also needs to be honed gradually after 10 years and 20 years of training and practice.

Forcing doctors to change their style will never get the results the patient wants.

In Xu Jinyi's early and mid-term liver cancer resection, any personal style is actually enough, and the outcome may not be determined by the patient.

"I heard that it was the chief surgeon chosen by Director Xu?" The deputy high of the hospital approached Li Yuan and whispered.

Li Yuan gave an "en" sound.

"How did he choose?" Deputy Gao looked down the window and said, "It is good to say that Dr. Ling is doing a good job, but it's more than a step worse than the director ..."

He was just talking nonsense with his eyes open, but as a deputy high in the ascendant period, licking the director with his conscience closed his eyes, it was considered basic exercise.

Li Yuanming knew that the other party was a dog licker, or he was happy to listen, and his attitude was a little bit timid, and he whispered, "You do n’t have to say that, in the early stage, there is no difference in whoever does the same. Not only is Ling Ran's surgical operation important, but he also trusts Dr. Ling's grasp of the details of the operation. "

He said that he didn't say it, but he was happy.

Hearing in the ear, the others couldn't help asking: "What details did Dr. Ling hook Xu Jinyi into?"

Li Yuan did not hesitate to admire the younger generation and said, "It's about paying attention."

"Exquisite?"

"Well, pay attention to the surgery, understand it." Li Yuan looked at them and said, "The times are developing, and the requirements of patients are getting higher and higher. In the future, we must all be doctors."

The doctors present smiled and did not respond, only when the director was making chicken soup.

At this time, Ling Ran's voice sounded again: "Pay attention to the patient's gallbladder tube variation. From the image point of view, it should be anterior spiral adhesion on the left side of the common hepatic duct ..."

All the structures of the hepatic vessels and biliary tract are mutated. To put it more generally, the structures of the hepatic vessels and bile ducts of different people are different. However, doctors try to generalize as much as possible and classify them roughly.

As far as the variation of the gallbladder duct is concerned, there are those that enter the common bile duct at a low level, those that are high in the gallbladder, and the gallbladder ducts are small or short, anterior spiral adhesion, posterior spiral adhesion, etc ...

In addition, hepatic blood vessel variation, liver morphology variation, bile duct variation ...

So many mutated structures are also one of the reasons for the challenges in liver resection.

Compared to simple surgery, hepatectomy wants to remember the operation method, and has memory for all anatomical structures, and the difficulty factor is increased by many times.

Calculated on the smallest scale, assuming that there are 6 variations of each of the hepatic vessels, liver morphology, bile ducts, and gallbladder ducts, the doctor who cuts the patient's subcostal ~ www.novelhall.com ~ will see 1296 anatomical structures Kind of ...

In reality, there are more mutated human structures, and doctors want to exhaust them, which is almost impossible.

At this time, it is very important to do an image inspection in advance and analyze and respond in advance.

Li Yuan looked at Ling Ran. Although he was so young, he claimed to have performed hundreds of liver resections, but he did not know if he had done this kind of ...

For a moment, Li Yuan even regretted that he should not listen to Xu Jinyi's liver resection surgery for a young doctor like Ling Ran. It was still too risky ...

Thinking about it this way, I saw that Ling Ran was already buried in the operating table and started to peel off.

The anterior spiral adhesion of the gallbladder duct on the left side of the common hepatic duct obviously did not play its due role.

Li Yuan's eyebrows wrinkled unnoticeably, and then loosened.

To be honest, when Li Yuan first saw the video materials, he was a little scratched. Xu Jinyi's surgery is not easy to do, including this part. A good gallbladder tube grows into a spiral shape, or sticks to the common hepatic duct. Doctors know that if they accidentally break two things, again How much trouble.

If the bile flows into the abdominal cavity, it is tantamount to the body digesting itself, and the inflammation will kill the patient.

"Nearly, I started to do the resection." However, Ling Ran didn't stop at the part of the gallbladder tube at all. After finishing it smoothly, he started the resection smoothly.

There is no ritual for the resection, it seems that the pre-cut line has just been made, and after one more explanation, the cut is continued.

"Where's the stress?" The deputy senior just murmured suddenly: "I don't respect the malignant tumor at all!"

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