This doctor is very stable

Chapter 173 Top-notch in the short one [Please subscribe, ask for a monthly pass. 】

There is no doubt that Lin Ran is lucky, Xu Hong personally feeds him in the emergency department, and Qian Xuan can almost cover him outside the liver.

If it wasn't for Xu Hong, Lin Ran would have been scolded too!
Of course, this was also Qian Xuan's luck. If he hadn't met Xu Hong and Lin Ran, who didn't like to scold others, he would have been scolded like a dog.

On the operating table, some doctors get second aid when the operation goes wrong or the pressure is too high.

On the operating table, it is common for the second assistant to be scolded and cry.

The heartache and suffering in it are not enough for outsiders to understand.

The role of the instrument nurse in the operating room is also unique. Every surgical instrument has to pass through her hands, which is impossible without a certain foundation.

The smoothness of an operation often also depends on the proficiency of the equipment nurse.

If the chief surgeon reaches out, the equipment nurse can't respond for a long time, and doesn't know what equipment to give, it will also reduce the efficiency and quality of the entire operation, and may even disrupt the rhythm of the entire operation.

It is big enough to slap the surgical instruments for the surgeon in time, and small enough to use the force to pay attention to when slapping the instruments.

Otherwise, if you accidentally cripple the hand of the chief knife, that's fine.

Equipment nurses often give equipment to surgeons. Why must they use this action?
Of course, it is to remind the chief surgeon that the instrument is already in hand.

During the operation, the doctor is highly concentrated and may not notice that the instrument is in hand.

If you handle it with care as usual, it will often lead to some mistakes by the doctor.

For example, dry the patient's intestines, pierce his own hand, scratch the patient's stomach, etc.

At that time, because of a small mistake, the entire operation may fail.

In the end, I often sit on a small bench and play mobile phone anesthesiologists, and the importance of anesthesiologists is irreplaceable.

……

severed round ligament
severed falciform ligament
severed hepatorenal ligament
The right angular ligament and part of the right coronary ligament were severed.

Simplify the complexity, from the shallow to the deep, and expose the field of vision layer by layer.

To prevent possible massive bleeding during resection of the liver segment is also to prepare for the final lesion resection.

Outside the operating room and in the live conference room, the bosses in the front row began to communicate more frequently as the operation progressed.

"Surgical team No. 3 is good! Both the field of vision and rhythm are quite good!"

"I didn't expect that we could get such a harvest from this trip."

"Indeed, in terms of staged preparations before resection, the No. [-] surgical team has already run ahead of everyone else. As for other laparoscopic operations, only No. [-] can barely keep up, but there have been a few small mistakes. .”

"The final result is still unknown! The previous work is just to prepare for the subsequent resection. If the resection is not ideal, everything will be ruined."

…………

After everyone finished the analysis, Chen Jihua looked at Cao Mingrong, and said with a smile: "Do you want to make a bet, old Cao? I'll be number three and you bet number four, how about it?"

"It's not that good. There's a certain logic to the operation. It's impossible to do a good job in the front, so just cut it randomly later!"

All the big bosses present are skilled, and if it comes to surgery, no one will accept it.

Naturally, their eyesight is similar. Although the operation in the live broadcast is like a pediatric operation for them, they are short and tall, and the No. [-] surgery team is indeed the best at the moment. This is a fact that must be admitted.

In the back row of the conference room, Fu Changwen and Yang Xu from the Hengshan City Hospital also beamed with joy.

Judging from the current progress and the quality of the surgery, only Lin Ran and the others can maintain it. If they don't make too many mistakes, they will definitely be able to reach the first place in the first round.

At least face has been saved.

On the other hand, the expressions of the two representatives of the Second City Hospital were much uglier. Every time their hospital team made a mistake, these two guys would slap their thighs frequently, annoyed.

…………

Wiping off his sweat again, Lin Ran's surgery had advanced to the point where the free liver exposed the lesion.

"Lin Ran keeps going, at this pace, it's hard not to get the first prize!"

Juan, who was also sweating on his head, had completely let go. He was getting more and more excited just now as the operation progressed.

As far as the current progress of the operation is concerned, it has completely exceeded Boss Hu's psychological expectations.

Lin Ran nodded, waited for the nurse to finish wiping off her sweat, then smiled, "It's all under the guidance of Director Hu."

Juan was also baptized by the nurse's white towel, and shook his head, "I know how good I am, Lin Ran, you can already be regarded as an expert in liver surgery based on your laparoscopic liver resection technique alone, you should jump out of Hengshan The city’s diving hole continues to grow.”

If you are a chicken head, you will not be able to fly to the sky. Only by flying to the sky can you see the vastness of the earth!

Qian Xuan looked at Lin Ran with a complicated heart. When he first performed surgery with Lin Ran, he had a delusion to compete with Lin Ran.

But later the gap between the two was widened further and further, until now Qian Xuan could only look up to Lin Ran.

He was even a little shaken in his heart. He knew that he was also seriously studying for the postgraduate entrance examination.

A genius like Lin Ran has to take the postgraduate entrance examination, let alone a bum like him!
But it's too late to say anything now, it's less than 20 days away from the first exam of the postgraduate entrance examination, so it's strange that I can review in time now.

He is still waiting for the chicken head to be made.

How big can bear as big a nest.

What kind of work do you do in what position.

Lin Ran went to chase his own dream, and he stayed in the Hengshan City Hospital to perform his own appendicitis operation.

The operation continued, and the whole right liver lobe was free to expose the lesion.

Except for the necessary communication during the operation, Lin Ran didn't like to talk much.

Time passed bit by bit, and the operation progressed step by step.

Soon Lin Ran and the others achieved the most critical step in their operation, which was to remove the diseased liver segment.

how to cut?
Lin Ran waved the instrument to draw a dotted line on the lesion of the liver. Because Juan's cooperation was needed, he had to explain it.

From top to bottom, from left to right, from shallow to deep.

Lin Ran has a systematic diagnosis-assisting function. In his eyes, a patient's liver is like meat with a red and green dividing line. Naturally, it is clear at a glance how to cut it.

But Juan couldn't understand it.

So naturally it needs to be explained.

After Juan nodded to express his understanding of Lin Ran's idea of ​​cutting off, Lin Ran was not in the ink marks.

The non-invasive ultrasonic scalpel was opened, and the simplest right upper liver segment tumor was removed first.

Juan fixes the liver, and Lin Ran starts to operate.

The knife used during the resection is also more particular. It should not be too fast or too slow. If it is too fast, the ultrasonic knife will not have time to coagulate the cut surface. If it is too slow, it will cause side damage to the healthy liver segment, and it needs to be advanced quickly.

Resection is also divided into regular resection and irregular resection. Regular resection is naturally better than irregular resection, but is it easier to cut more?
The operation they performed was a hepatic vascular tumor, so Lin Ran chose to resect it irregularly.

Because hepatic hemangioma is a benign tumor that will not metastasize or spread, the surgical requirements are lower than those for malignant tumors.

If liver cancer is resection of malignant liver tumors, it is required to remove all evil and thoroughly remove the lesion so that no cancer cells remain.

You must know that leaving any cancer cells is a time bomb for patients, and the cancer may come back one day.

Even the surrounding abdominal lymph nodes must be swept away to thoroughly understand the metastasis pathway of cancer cells and minimize the chance of cancer recurrence after surgery.

The two lesions of the upper right liver segment and the lower right liver segment were resected steadily by Lin Ran.

Next, the gallbladder is located under the liver segment on the lower right side, and the blood vessels in this area are also relatively large, so the difficulty of resection is the highest.

With apprehension, Ju An carefully raised Lin Ran's liver, which had undergone hepatobiliary dissection, so that Lin Ran could remove it.

Lin Ran also stared closely at the display screen of the endoscope.

Outside the operating room, inside the meeting room.

The hearts of everyone in the Hengshan City Hospital were suspended, success or failure depended on it!
Liver resection, the most feared is bleeding and bile leakage.

Lin Ran had already blocked the main blood supply vessels of the liver in advance, so the possibility of massive bleeding was relatively small.

Then the remaining big problem is bile leakage, if the gallbladder is accidentally cut.

It may lead to diffuse peritonitis, which may endanger the life of the patient in severe cases. Even if the remedy is successful, a painful price will be paid.

Surgery equals failure.

Even the leading hepatobiliary surgeons in the front row were staring at the live broadcast.

For no other reason than the conditioned response of a hepatobiliary practitioner.

Just like when an athlete approaches the finish line, he can involuntarily accelerate his sprint.

And the big players in the front row are like athletes who have not played. When they see their companions approaching the finish line, their adrenaline will soar. This is a kind of occupational disease. People with higher achievements tend to be more focused, and the occupational disease of concentration is more serious. Resonance The stronger the feeling.

In the operating room, Lin Ran waited for Juan to raise the liver segment to a certain level, and immediately said, "Only this height, can you maintain it?"

Beads of sweat the size of soybeans rolled down on Juan's forehead. After adjusting the position repeatedly, he said, "Cut it!"

When Lin Ran stabbed, the people beside him couldn't help but feel their hearts slip.

Lin Ran was still tense, but his hand was still as steady as an old dog.

With the rapid advancement of the ultrasonic knife, everyone seemed to see the athletes at the end of the game, and their adrenaline began to soar continuously.

In the conference room, many doctors stood up nervously.

Everyone in the Hengshan City Hospital clenched their fists tightly, their faces flushed, and they held back their energy.

…………

In the end, the liver segment was resected smoothly.

Lin Ran's expression is still calm and composed. As the chief surgeon, he should not have too many psychological fluctuations at any time, and the closer he is to success, the easier it is to take it lightly!There are many examples of capsized boats in stinky gutters.

"it is good."

In the meeting room, Mr. Chen, the dean of the Third Affiliated Hospital of Sun Yat-sen University, took the lead in applauding.

"good."

The others also smiled and began to applaud.

"Clap clap clap..."

A well-done operation naturally deserves applause, which is the minimum affirmation for the medical team.

In the operating room, Juan felt that he almost had a heart attack, and he breathed a sigh of relief after completely turning off the ultrasonic scalpel.

Immediately afterwards, he was overjoyed and said: "Lin Ran, if there are no accidents, our little red flower will be indispensable, haha, maybe we can get the first prize."

Lin Ran: "Uh..."

First prize?

Boss Hu, think of it as an award ceremony for primary school students!
Lin Ran smiled slightly, not saying much, while staring closely at the liver resection surface on the display screen of the endoscope, he withdrew the instrument and replaced it with tweezers to remove the liver segment.

Juan's excitement was a little hard to contain.

Qian Xuan couldn't help but sigh in his heart, Lin Ran has conquered a new technique again!

(End of this chapter)