Chapter 782： The way forward

According to the information displayed by the virtual human and the normal examination results, Ling Ran first drew Chen Xiaowang's abdominal anatomy on paper.

For surgeons, the difficulty of cholecystectomy is mainly reflected in the anatomical structure and variations of the gallbladder artery and bile duct. How much more, if people are classified according to the difference between the gallbladder arteries and the bile ducts, the list of types of people must be printed into a book, which may not be enough.

Chen Xiaowang is no exception.

His gallbladder artery had an obvious mutation. Its premature branch of the gallbladder artery became two or double gallbladder arteries.

This can be said to be a very common mutation. There are hundreds of millions of people who may have similar mutations. If no gallbladder and bile duct related surgery is performed, this mutation will not fully reflect the presence, will not be uncomfortable, will It affects health and has no effect on the surrounding organs. Its value is worse than that of neighborhood committees outside Beijing.

However, when performing a cholecystectomy, if the doctor does not pay attention to this mutation, it is easy to have problems.

In order to avoid bleeding, when performing a cholecystectomy, the doctor must first block the gallbladder artery. Ordinary people have only one gallbladder aorta, which is okay when clamped with vascular forceps. It is possible for two mutated arteries to be inattentive. Only the anterior branch artery was clamped. In the subsequent treatment, almost 100% of the posterior branch artery will be injured by accident. At that time, major bleeding is inevitable, and it is impossible to have a good prognosis.

"Double gallbladder arteries!" Ling Ran stood up and wrote it down on the whiteboard in the large office.

This is not only reminded to myself, but also to other doctors.

Some of these unfortunate accidental injuries were caused by the surgeon, and some were caused by the surgeon's failure to remind and manage the lower doctors.

"The gallbladder is edema and inflammation."

"The gallbladder duct and the common hepatic duct run in parallel and then enter the common hepatic duct."

Ling Ran wrote a paragraph of text, occasionally with a sketch.

For doctors, doing anatomical drawings and anatomical relationships are all basic exercises, and understanding is inevitable ...

Not only the doctors in Ling Ran's group could understand, but the doctors in other groups also curiously looked.

"Chronic cholecystitis, a bit of atrophy, is not a problem. What is terrible is the recovery time of two and a half days."

"I don't believe it. Is the company so busy now?"

"Make money. We are doctors. We are half-dead during the day and night and ran out to fly on the weekend. Why?"

"Some people do it for the sake of making money, some people do it for the ideals, some people do it for the ideals, to be honest, what matters to us. As far as I know, Huawei's projects are made by two years ahead of the industry standards. If it is slower today, Slower tomorrow. The time in front of us is so hard to compete, or wasted? "

"Then you need to have a basic break, too."

"Basic time? I don't know how you read. As far as I know, students who have a basic rest time are either easy to pass the 985 test, or they can't pass the two books. Which one are you?"

After starting to discuss academic qualifications, the doctor's office in the emergency center suddenly became a mess.

Huo Congjun slowly walked to Ling Ran and asked, "Determined?"

Ling Ran said "En".

Huo Congjun looked at Ling Ran's drawing on the whiteboard, and shook his head, "Why bother, so many patients are waiting for you to have an operation. This kind of small operation can be done by an ordinary doctor. Two and a half days recovery This requirement is, to be honest, a bit excessive, isn't it? "

Ling Ran said: "It is also an improvement for myself."

Huo Congjun accidentally asked: "How do you say?"

"Improving prognosis and reducing recovery time can be regarded as a development direction of cholecystectomy." Ling Ran is actually guessing, the course of cholecystectomy from specialization to master level upgrade.

Unlike other skills, cholecystectomy is practiced by Ling Ran himself. ,

From entry to specialization, how to continue, Ling Ran didn't really have much idea.

Cholecystectomy itself is a relatively simple operation, especially for laparoscopic cholecystectomy. The completion degree is very high. Reducing damage, improving accuracy, and so on, it always feels specious, and the feeling of floating in the air cannot accurately guide technical progress.

Without the guidance of a more advanced doctor, Ling Ran did not know how to improve.

Chen Xiaowang's request, however, inadvertently opened a topic for him, even a direction.

Ding.

The system also jumped out at this time.

Task: the way forward.

Task content: Complete 50 cases of abdominal surgery, and the recovery time is shorter than 60 hours.

Quest reward: Intermediate treasure chest.

Ling Ran's eyebrows twisted.

If the task is limited to abdominal surgery, he will do what he can, that is, liver, gallbladder, spleen and appendix. Otherwise, resection should not be counted.

In this case, liver resection cannot be recovered within 60 hours. He had a liver resection, and it was considered a successful operation if he did not die within three days. It was not too late to leave the ICU for another three days. It is because the patients are generally young, the recovery of emergency surgery is often good, but it is very mysterious to say that 60 hours recovery.

From this perspective, what Ling Ran is suitable for is cholecystectomy and appendectomy.

"Operational care after surgery must also be grasped." Zuo Cidian said at this time: "If you want to recover quickly, you need to take care."

"Anesthesia also needs attention." Lu Wenbin also made comments.

"Should the surgical instruments and consumables also be better?" Ma Yilin licked her pale lips with her pale tongue, expressing her opinions weakly.

Ling Ran nodded, and then said to Zuo Cidian: "Write it down and see what you need to do."

When Huo Congjun heard this, he was also interested: "If you really do this, you can fight the signs of fast recovery. Well, the employees of the Internet company are quite rich, right?"

Zuo Cidian grasped the thought and immediately said, "It must be richer than us, and they have all the insurance. Moreover, if you have no time to catch up, you must have money."

Huo Congjun nodded in agreement: "Fools who don't have time and money don't need to do any quick recovery. Well, since they are company behavior, there should be a lot of similar patients."

"I listen to the patient. Many of his colleagues have similar problems. There should be a lot of people who conservatively treat appendicitis, enteritis, and cholecystitis ..." Zuo Cidian followed Mao Mao and gave Huo Congjun a reason to support Ling Ran.

Huo Congjun nodded, "then get a project team and do the same as a research project. Dr. Zuo, fill out a few applications, and I'll get some resources for you."

The doctors in Ling's treatment group nodded, and the other doctors in the office looked as if they had not heard them.