Chapter 1204： Here comes brother

Open the chest, take the great saphenous vein, and look for the target blood vessel at the same time...

With the cooperation of Ling Ran, Director Kang successfully completed a series of actions. At this time, looking up at the time, it was more than 3 minutes faster than his usual.

Director Kang's mood suddenly recovered a lot.

Surgery is actually a bit like carpentry work. If it goes well, people's mood will naturally change. Even if the carpentry work is very simple, even as simple as installing a set of IKEA tables and chairs, the installation process is smooth and the mood will be relaxed. If you continue to rework, you will be irritable.

After calming down, Director Kang was a little embarrassed.

The so-called short-mouthed cannibalism, using human means, and accepting the modest cooperation of senior technicians, Director Kang always feels that something should be paid, otherwise, the uneasy feeling in his heart will swallow him.

Thinking about it this way, when the operation was in progress to the coronary artery anastomosis at the aortic end, Director Kang sighed secretly and raised his head: "Doctor Ling, do you want to do this. There is ample time for the proximal anastomosis. You can use a needle holder under a magnifying glass." , Tweezers and so on. When we learn surgery, the teacher usually teaches from here. It can help young doctors accumulate hand feeling, and can also experience the different operations of microvascular suture and usual suture."

Cardiac surgery doctors learn bypass, usually from the anastomosis of the coronary artery at the aortic end. Director Kang gave up his position and opportunity at this time, and he was doing his best to release his kindness.

Zuo Cidian, who had reviewed relevant surgical consultations, smiled satisfied and nodded to Director Kang.

Director Kang returned with a wry smile, and said in his heart: If this continues, it will take less than two years for Ling Ran and Huo Congjun to make trouble with the heart surgery.

Ling Ran naturally agreed, moved two steps, and stood at the position of the chief knife, and began to observe the operation position.

Attending Li Liang turned out to be a bit tasteful, half-truth and half-truth said in a jealous voice: "Director, you are better to Doctor Ling than to me. Back then, I gave you more than a year of treatment before you let me touch the aorta. The front wall."

"Dr. Ling has been with us for so long today. If you want to touch it, please touch it." Director Kang sighed helplessly.

Li Liang was stunned, real jealousy arose. To say that he has been with him for a long time, he has been with him from the beginning to the end of the year. No matter how long Ling Ran stayed with him today, he did not pay as much. However, if you work hard and work hard, does it take a year to be able to stand up to others?

"Sidewall pliers." Ling Ran stretched out his hand and started asking for equipment.

Director Kang subconsciously wanted to stop, but he hesitated for a while, and felt a little helpless. Teaching a doctor like Ling Ran is like this. You can't be as serious and demanding as teaching a little doctor, and you have to have a better attitude.

If the doctor under his staff had to perform such an operation for the first time, he would definitely have to observe and observe, and then ask himself, before he could do it with permission.

After Ling Ran's observations were completed, he immediately started to do it. Although it was normal, he always did not reassure Director Kang.

At this time, Ling Ran, who had received the side wall forceps, decisively clamped part of the ascending artery wall, and reached out for scissors.

Director Kang's expression became serious.

This action was nothing special, but it showed one thing. Ling Ran was familiar enough with the bypass surgery itself, and his understanding of the anatomy of the heart was clear and accurate.

Thinking of Ling Ran being able to perform room-deficiency surgery before, Director Kang was a little relieved and a little bit emotional: If this continues, it will take less than a year and a half for Ling Ran and Huo Congjun to point fingers at heart surgery.

"scissors."

"Knife."

"gauze."

Ling Ran quickly cut off the fat at the anastomotic site of the renal artery, and then made another incision in the aorta and made a full-thickness incision.

Heart bypass is the most clearly expressed concept in medical terms. Its operation process is like a bypass, through a grafted blood vessel, the severely blocked coronary artery is straddled. This bridge is more like a viaduct.

Where the heart bypass technique is developed, the doctor will also remove the old coronary artery below,

What Ling Ran is doing now is to make an intersection for the viaduct.

Compared with building a bridge, this work is very basic, and the location of the intersection is designed in advance by the surgeon.

Nevertheless, Ling Ran was also very interested in doing it.

This is really a rare opportunity to move a knife on the heart.

It would be difficult for Huo Congjun to find such an opportunity without passing the cardiac surgery.

What Ling Ran needed was just an opportunity.

He has too much experience in suturing blood vessels, and the technique is perfect. At this time, it is not too easy to bridge the coronary arteries and use the side-to-side anastomosis.

Compared with the blood vessels on the fingers, the blood vessels on the heart are not only dangerous and can easily cause the death of the patient, but it is easier to suture.

After all, the coarseness is not in an order of magnitude. This can be found when you eat yellow throat in hot pot restaurants. The yellow throat is usually the aortic arch of a pig or a cow, and it is the large blood vessel that comes out of the standard ventricle. To suture similar blood vessels, Ling Ran can easily complete it without using a magnifying glass.

In fact, Ling Ran did just that.

And this scene completely made Director Kang aphasia.

Attending Li Liang is even more frivolous.

Because Ling Ran's current operations are very representative.

At the Department of Cardiac Surgery at Yunhua Hospital, one of the requirements of Director Kang for his doctors to be able to do a bypass is to be able to do a proximal anastomosis without using a magnifying glass.

Li Liang just reached the standard level. In order to achieve this level, he also made a lot of efforts, such as eating beans with toothpicks, which are common things.

However, looking at Ling Ran's operations now, Li Liang himself could see a huge gap.

"People who have done hand surgery are really different." Li Liang mumbled a little uneasy.

Director Kang said "Yes" and said slowly: "The anatomy is also very clear."

He has been paying attention to Ling Ran's understanding of this aspect After all, Ling Ran's surgical skills have long been proven, and the only thing that can hinder him is his proficiency in heart anatomy and surgical procedures.

However, Ling Ran still didn't show his timidity.

Director Kang saw that he had finished the proximal anastomosis and had to sigh again: "If this goes on, it will take less than a year for Ling Ran and Huo Congjun to make trouble with the heart surgery.

Thinking of this, Director Kang felt a little nervous.

"Director Kang, shall I continue to do it?" Ling Ran stepped up to the position of the main knife and didn't want to leave easily. He greeted Director Kang with a smile on his face.

"This..." Director Kang felt embarrassed when he wanted to rush people: "Can you do it?"

"No problem." Ling Ran agreed very readily, and at the same time stretched out his hand and asked for pliers.

Director Kang blinked, always feeling that something was wrong.

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