Chapter 1057： Fifty minutes

"Hello everyone." When seeing the people in the operating room, Ling Ran nodded and said hello, just like he did when he participated in various school activities.

Everyone took it for granted.

Even Wei Qing didn't consciously close her abdomen and try to show a little talent ...

After a few seconds, Wei Qing realized that he had taken a special posture to lead the inspection.

Qi Weiqing immediately retracted his body, and then looked at the sides with a guilty conscience, and saw that the doctor of the digestive surgery next door was also the same, and he closed more slowly than himself, and couldn't help smiling.

消化 Gastrointestinal surgery is estimated to be more stressful than outside the ordinary. They were originally small departments flying out of the general public, mainly esophageal surgery, and occasionally performed some combined operations of the stomach and gastrointestinal tract. Before that, they had ambitious plans to attack the pancreas.

However, if the emergency center represented by Ling Ran performs a large number of gastric operations, this is a natural threat to the doctors of digestive surgery.

After waiting for Wei Qingduo to think, Zuo Cidian coughed and said, "Well, Dr. Ling was stopped by the patient's family. Because the patient's family has more doubts, so Dr. Ling gave a detailed explanation, so Did not come early. "

Although she arrived in the operating room on time, Zuo Cidian felt that she should explain it because she saw many deputy directors and chief physicians at the scene. So as not to be seduced by others, and put words such as disrespect on their predecessors.

Ling Ling Ran was watching and nodded with a smile.

He has always been like this. As the mother said, there are many questions that you can just laugh.

Everyone did not feel unhappy, and responded one after another: "You don't have to come in advance. It's appropriate to arrive on time."

"Speak a few more words to the patient's family before the operation, and save a lot of effort after the operation."

"The right time."

I came to see the operation, no matter what kind of thought, face Ling Ran, or subconsciously polite.

Wu Weiqing also showed a polite smile. Do n’t offend the boss, at least, do n’t offend in person ...

Ling Ran has always been good in the operating room. Just beckoning, a few hospital doctors came up and started playing with thoracoscopy.

Not counting the accessories that come with the thoracoscope, a basic thoracoscope is mainly composed of three parts, a computer-like display, a square-headed, square-brained host, and a handle connected to the host through a cable.

Usage ... If it is not for Huo Huo to enter the human body, operation and somatosensory games are also the same.

"Director Kang, please stand on my side." Ling Ran yelled at the director outside when he saw everything was ready.

Wu Weiqing only found out at this time that Director Kang did not know what time he had run to wash his hands, and even started to wear cotton surgical suits.

Tong Weiqing frowned, and whispered, "I think Lao Kang wants to be a two or five boy."

Qi Renqi heard a twitch at the apex of the heart and said, "What two or five is not possible."

"He is the director, of course, he can't be the second or fifth child directly, but do you look at him like a determined will?" Wei Qing's dissatisfaction slowly accumulated, and he understood that Lao Kang was an assistant to Ling Ran. It is an operating room outside the heart. Individuals who are out of the heart and follow Ling Ran to perform surgery can also show that they are not so weak. However, the operation was about to start, and Director Kang did not say a word about sclerosis, and his work was still so soft. How could he deal with the gathered doctors in these departments.

Qi Renqi listened, relieved: "You mean Director Kang ..."

"Otherwise?"

Ji Renqi hurriedly said, "I mean, Director Kang is also hard to ride a tiger."

"Whoever has no difficulty, everyone gathers to solve the problem for him." Wei Qing muttered quietly: "It is nothing more than thoracoscopy surgery ..."

At this time, Ling Ran had begun surgery and said in a calm voice: "The patient is 18 years old and plans to participate in the college entrance examination next year. From the time point of view, it is more urgent. Due to the reason of the atrial septal defect, the patient is unable to fully exert himself I invested in my study, so I finally decided to have surgery. Therefore, we have two main goals for surgery. "

He was not only a member of the operation team, but everyone else in the operating room also listened. On the one hand, Dr. Ling speaks nicely, on the other hand, everyone is slightly interested in the angle described by Ling Ran.

手术 Surgeons performing surgery are actually not interested in the life of the patient and are not suitable for it.

Especially in places outside the heart, the surgeon's impression is even more indifferent. For example, in the 1960s and 1970s when cardiac surgery was most prosperous, the famous doctor at the time, Russell Brock, bluntly said: There are three patients on the surgery list today, and I don't know which one can survive.

医生 When doctors maximize their abilities, more attention will not make the results more perfect. Many times, they just let the doctor fall into pain.

However, for today's surgery, Ling Ran obviously had enough energy. I saw that he was skilled in making an incision between the intercostals, and said in his mouth: "The first goal is to complete the repair of the atrial septum, which is the main goal. Second I hope everyone can concentrate and actively cooperate to reduce the time of extracorporeal circulation to less than 50 minutes. "

The main knife proposed the goal, and naturally he should be an assistant.

Wu Wei was surprised by Director Kang, and a thought came to his mind: it was shorter than opening the chest.

The most important and core criterion for cardiac surgery is the time of extracorporeal circulation.

Because patients' hearts vary widely, even young people's hearts can be greatly damaged during extracorporeal circulation. This is an indicator that cannot be quantified in current medicine.

Because of this, the time of extracorporeal circulation becomes a very important negative value. The shorter the extracorporeal circulation time, the greater the benefit to the patient, which is very clear.

In the surgical records of the cardiology surgeon, the time of extracorporeal circulation has become a striking number.

Doctors in the industry can guess the approximate level of a surgeon by looking at the operation records of a cardiac surgeon. A single surgery alone can explain many problems.

Although Director Ji Kang has not kept up with the times, he has also been brilliant. Over the years, he has carried out few new techniques, but the old techniques are still very good.

It looks like repair of atrial septal defect with open chest. Director Kang pays a little attention and can reduce the time of extracorporeal circulation to 1 hour. With sufficient preparation, the operation can be done in 50 minutes or even 40 minutes.

However, the atrial septal repair under full thoracoscopy is not the same ~ www.novelhall.com ~ The same atrial septal repair, the extracorporeal circulation time under thoracoscopy is longer than the time to open the chest. According to literature statistics, on average, 30 minutes extra cardiopulmonary bypass time is required for repair of atrial septal defect under thoracoscopy. This is also the disadvantage of thoracoscopic surgery.

This is because the surgical field of thoracoscopy is small and difficult to operate. After all, the chest cavity is not like the abdominal cavity, which can create a large space of pneumoperitoneum.

From this perspective, although Director Kang himself hasn't done much thoracoscopic surgery himself, even if he changed to a similar level of technology, the estimated extracorporeal circulation time of today's surgery must be estimated to be one and a half hours.

Save a bit of time, it's great to save 80 minutes.

Director Kang Kang looked up and looked at the watch, confirming a smile, and asked Ling Ran: "50 minutes?"

"Well, this has a better prognosis, which is conducive to the learning of patients." Ling Ran said.

Director Ji Kang laughed twice, half-ridiculing, "So, the reason for the patient to have surgery is justified."

"More motivated." Ling Ran said, opening the virtual person, and then looking at the numbers above, he smiled slightly. After the successful operation of the student who failed to pass Grade 4 last time, the time of his virtual person was increased by 25 minutes, which is just a little bit better now.

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