This doctor is very stable

Chapter 236 Challenge the free pancreaticoduodenal colon 】

Lin Ran cut off a small half of the patient's ruptured spleen.

Boss Gu on the side just stopped to estimate in his heart, whether he can maintain the normal metabolic function of the human body if he can keep his spleen!
If Lin Ran cuts too much, it will definitely affect the quality of life of the patient during the operation, and even cause spleen failure, leading to the death of the patient after the operation.

But if the necrotic spleen tissue is not clean, there is a high chance of causing postoperative infection.

This is a major difficulty in the repair of organ damage.

Restoration is more than excision!
Repair requires every surgeon to have a degree in mind, so as to preserve the function of organs and tissues as much as possible.

Lin Ran stopped, Boss Gu and Director Zhang couldn't help but breathe a sigh of relief.

It feels like Lin Ran has cut to the limit.

Boss Gu said, "Not bad..."

The operation of the three chief surgeons started again.

The little doctors in the operating room, including the attending doctor, had a higher level of admiration for Lin Ran.

Lin Ran's operation was approved by Boss Gu, and even Director Zhang nodded repeatedly, so it is naturally the most powerful.

Anyway, it was difficult for them to judge whether Lin Ran's surgery was good or bad.

All they could see was that Lin Ran dissected quickly and well, and that the knife he used was steady and heavy when he cut it. The necrotic tissue of the spleen was cut cleanly by Lin Ran. What he cut was not a human spleen, but a piece of pig. Like the liver, it seems that you don't need money.

Of course, the pork liver in the world costs more than ten yuan a catty.

…………

In the emergency department, Wang Yihu admitted another patient with hyperplasia of hepatic polyps, and he did not even rule out the possibility of gallbladder cancer after a good physical examination.

Gallbladder polyp hyperplasia leading to cancer is a relatively small probability, but it does exist.

……

Director Qin's office, Zhou Jianjun hurriedly opened the door and barged in.

Qin Yang raised his head, "What's the matter, Mr. Zhou is mad at you again?"

Zhou Jianjun looked at Qin Yang and said angrily: "You are ashamed to say that just now I ran into those boys from the joint team. They are now looking for patients in the emergency department, and there is a group of nurses to help. I checked carefully. These bastards have already admitted no less than ten patients in our emergency department;

Although there are dozens of patients with appendicitis resection and cholecystectomy, the joint team will break the plan we discussed yesterday. I don’t know what you, the department director, do, even the situation in your own department. I don't understand. "

Qin Yang stood up, frowned, and couldn't help asking: "Is there such a situation?"

Seeing Qin Yang's ignorance, Zhou Jianjun became furious, "Of course, every time the four little bastards in the joint team see a patient, their eyes are like searchlights. The ones who were wounded to change the dressing were still here to debride and suture the wound, and they all pressed the liver and gallbladder, which made me terrified!"

Qin Yang suddenly felt a little bad!

"Then they won't all be sent to the radiology department for imaging examinations!"

"That's not true. The physical examination didn't find anything. They didn't dare to drag people to do the examination casually, but the seriousness was really scary."

"These brats, why didn't they work so diligently in the emergency department before?"

After hearing Zhou Jianjun's words, Qin Yang was also very angry.

After speaking, he picked up the phone in front of his desk.

"Hey! Is it the head nurse? What happened to the nurses under you today?"

On the phone, hearing Qin Yang's bad tone, the head nurse of the emergency department asked in a low voice: "Our nurses in the emergency department have been complained by patients again?"

Complaints to nurses and doctors in the emergency department are relatively common. Of course, they will pay more attention to it every time. There is no way that the emergency department is a non-profit department of the hospital. To put it bluntly, it is losing money every month. If a person is pitched, the person in charge must be scolded.

Qin Yang sat on his office chair, "Not really."

When Qian Yue heard that it was not a complaint, her tone hardened a lot, "What the hell is it! I'm busy, so hurry up and tell me."

Qin Yang was silent for a while, "Is your nurse abnormal today? What do the members of the joint team who surround Lin Ran all day want to do?"

"Heh..." Upon hearing this, Qian Yue felt confident, "How do I know this? If you want to find out, ask yourself. I can still control what they are thinking. It's okay, I'll hang up."

beep, beep, beep...

On the first floor of the emergency department, Qian Yue hung up Director Qin's phone.

"Cut... these stinky old men have all reached menopause! They want the horse to run, but they don't want to feed the horse, so they're out of their minds!"

Just now when Zhou Jianjun came to check the admission records of Lin Ran and their group, she faintly felt that something was wrong with the old man Zhou Jianjun, and Qin Yang called after a while.

Isn't the problem obvious when you think about it!
Obviously someone wants to suppress Lin Ran and his group!

This made the kind-hearted and upright head nurse Qian couldn't bear it.

Lin Ran also risked being infected this morning because of rescuing patients!
She has to be conscientious in being a human being, and she is not afraid that the nurses below will betray herself.

There is nothing that a group message can't handle, if there is, then send a few, if it doesn't work, then fan the flames!

…………

Zhou Jianjun asked, "What did the head nurse say?"

Qin Yang pinched his forehead, if the head nurse doesn't cooperate with him, this matter will be difficult!
"The head nurse said she didn't know!"

"fart……"

Zhou Jianjun stood up abruptly, "That little girl Qian Yue wants to take care of everything, but now the nurses under her are taking care of Lin Ran's group, doesn't she know?"

"Then what can I do? I can't just warn them not to treat the joint team! The nurses don't listen to me, and it's really hard to coax them to be angry."

Qin Yang also has a big head!

Nurses and doctors are two departments, and the head nurse is definitely lower than the department director in terms of position.

But the effect is about the same!

One for the doctor and one for the nurse.

Who is worse than whom!
Moreover, it would be very troublesome to put such a thing under pressure.

To use Lin Ran to save others, and to pressure others not to give patients, isn't that very frustrating!
Lin Ran, who was undergoing an operation in the emergency department, didn't know about it!

On the contrary, the members of the joint team were stunned.

With the cooperation of the nurses, they have gained a lot!

They even felt that they might not have to worry about not having patients for a week at the end of the day.

…………

Extrahepatic operating room.

Lin Ran cut off the No. 2 absorbable thread, and the spleen part of the operation he was in charge of was considered complete.

Then he took care of the boss's liver, which was in charge of repairing, and also did a good job of dissecting and dissecting it.

Boss Gu shouted, "Ultrasound knife."

At this time, Boss Zhang recovered from the operation. He looked up at Lin Ran's spleen, a little surprised, "Have you finished it? Have you checked it?"

His question was like a teacher asking a student to check their homework.

Lin Ran nodded, "I'm done, and I've checked, and I've connected all the blood vessels."

Zhang Ningyu nodded, "Soon, and very good, do you want to free my pancreas and twelve fingers?"

What Zhang Ningyu is talking about is the most difficult part to dissociate in the entire abdomen, the pancreaticoduodenal colon!
Lin Ran looked down at the lower abdomen, and the duodenal colon at the lower end of the pancreas was clearly damaged.

"Director Zhang thinks I can do it?"

Although it is not pancreatic and intestinal cancer, it is quite troublesome to dissociate!It is a test of the skill of the chief knife.

Zhang Ningyu chuckled, "I feel that there is no problem with your skills. Young people should be more confident in themselves! Believe in yourself as long as you slow down the pace."

"Then I'll try."

Soon, the necrotic tissue in the repairing part of the liver that Boss Gu was in charge of was also removed.

But he was a little unhappy in his heart, because just after he finished the cut, Lin Ran brought Li Jinxia to discuss the dissociation of the pancreaticoduodenal colon.

This made Boss Gu feel like he won, but he didn't get the praise he deserved.

As for Zhang Ningyu, don't mention the wood, his troubles are not small, and he is a little too busy.

In short, the feeling of being ignored makes Boss Gu quite aggrieved.

Just when Boss Gu was suffering, Lin Ran and Li Jinxia challenged the most difficult dissection of the free pancreas, duodenum and colon in the abdominal cavity.

Boss Gu also saw the situation on their side, and started the finishing stitches of the liver repair without saying much.

And as Lin Ran's challenge officially started, Cheng Liya, who was holding the hook, was inexplicably horrified. This is the pancreaticoduodenal colon, known as the forbidden area of ​​the abdominal cavity, which should not be touched by ordinary people.

Some of the same feelings as him are the attending doctors of general surgery.

And Li Jinxia, ​​who was Lin Ran's self-help, was also shaken in his heart.

This is pancreas twelve fingers!
I usually feel my scalp go numb just looking at it.

Now, under Lin Ran's leadership, she actually participated in the work of freeing twelve fingers.

If she said before that that she could help the chief surgeon free the duodenum colon, she must think that the person who said this was either crazy or stupid.

Now she is completely dreaming.

But her gaze, her spirit, and her attention did not dare to leave Lin Ran's control area for a moment, for fear that she would give Lin Ran a leg!

Soon, Boss Gu completed the final suture work to stop the bleeding of the liver repair.

He put down the thing in his hand, and immediately looked towards Lin Ran.

Lin Ran is now devoting himself to the surgery with all his heart and soul.

His rhythm no longer felt like he had just reached a high speed, but he became a little more cautious.

Seeing Lin Ran like this, Boss Gu nodded in satisfaction!
He was really afraid that Lin Ran would be able to drag a car even for pancreaticoduodenal colon surgery. If he did that, he would feel that he had spent his entire life on a dog!
The slowness of pancreaticoduodenal colon dissection is that the colon itself and its adhesions are very weak and easily damaged, with a fine and delicate texture.

Cutting it up is like touching water.

Lin Ran only needs to be good at the damaged parts.

He does not need to do other work such as excision and repair!
If you let him come, he has to be cowardly. This is a field he hasn't covered yet. If he is not careful, the car may overturn. This is not what Lin Ran wants.

(End of this chapter)