This doctor is very stable

Chapter 338 Dissociation of the kidney pedicle

Crazy just because there is enough desire in Lin's temptation!

The position of the chief surgeon is not far away from them.

That's where the hearts of many little doctors are!

Why not be a little crazy sometimes!
……

Urology, operating room.

Lin Ran held tweezers in his left hand and scissors in his right.

One pinch, one pull, one pick, one push.

Every operation of his hands is natural, as if he has exhausted all his strength.

This is the embodiment of ultimate control!
It is also a manifestation of Lin Ran's super talent.

"Tsk tsk, it's really God's blessing to eat, it's amazing."

"Isn't it! You have been watching for so long, so you haven't seen the horror of Dr. Lin? The most terrifying thing is Dr. Lin's hands! This is something that can only be done when you are extremely confident in your hands. Showing such agility Come on with a steady operation! In short, this is an extreme operation method!"

"That's true! The actions of the human body are sent from the brain, and even in the middle of it, it takes a reaction time, but what about Lin Ran! It seems that his hands seem to have their own thoughts, which is simply too scary."

……

Soon, Lin Ran dissected the operation process to the renal pelvis.

The renal pelvis is a funnel-shaped flat sac formed by the merger of the major calices of the kidneys.Located in the renal sinus, it passes through the ureter after exiting the renal hilum.The volume of the adult renal pelvis is about 3 to 10 milliliters (7.5 milliliters on average).

That is to say, the renal pelvis is the part that connects the ureter and the kidney.

The upper part of the renal pelvis is the renal blood supply artery, and the left and right sides are lymphatic vessels and nerve tissues.

The collective name of the renal artery, vein, renal pelvis, lymphatic vessels and nerves is called the renal pedicle.

Lin Ran dissected and freed the renal pedicle area to free the entire renal vein and renal pelvis separately, and then blocked the renal vein and artery, so as to achieve the prerequisite requirement of resecting the tumor focus on the renal parenchyma.

"Scalpel!"

It is obviously impossible to dissect the large free renal pedicle with fine scissors. At this point, only a scalpel can be used, and dissecting the free renal pedicle with a scalpel is a relatively dangerous step.

You must know that the renal blood supply artery is also inside the renal pedicle!

A little carelessness may cut the renal artery, resulting in massive bleeding during the operation.

Bleeding during the operation is very dangerous. Even though Lin Ran has no vision to stop the bleeding with bare hands, he is not afraid of bleeding during the operation, but once the renal artery is cut, the patient must be expanded immediately, so that even if the operation is completed, In any case, it cannot be regarded as minimally invasive resection of kidney cancer under laparoscopic surgery.

Needless to say the difference between laparoscopic surgery and traditional laparotomy.

One is minimally invasive surgery and the other is traditional surgery. The difference lies in the degree of damage to the patient's body. Of course, the price is also different. The price of laparoscopic nephrectomy can compare with that of traditional open nephrectomy. Of course, in terms of the difficulty of surgery, laparoscopic surgery is more than three times more difficult than laparotomy, so you get what you pay for!

With Director Wang's cooperation, Lin Ran took the knife.

For Lin Ran, dissecting the free renal pedicle tissue was one of the most difficult points of this operation.

And other surgeons are often the most likely to make mistakes in this part, resulting in massive bleeding during the operation, which eventually leads to the death of the patient.

Lin Ran made an incision along the side of the renal pelvis towards the tissue of the renal pedicle.

Almost everyone in the operating room held their breath, they were really afraid that their breathing would disturb Lin Ran!

Lin Ran's right hand holding the knife was very steady, very stable, without any shaking.

Cut slowly with one knife.

Even Director Wang, who was Lin Ran's first assistant, felt his heart beat like thunder, but he couldn't make a move, because he was Lin Ran's first assistant!
One knife, two knife, three knife, four knife.

Lin Ran made a total of four cuts on the kidney pedicle, each cut was not muddy at all, each cut was thrilling, and each cut was just right!

After the basic separation of the renal pedicles, Lin Ran carefully and slowly withdrew the extremely sharp scalpel from the patient's abdominal cavity.

At this time, on the display screen of the laparoscope, the beautiful woman's delicate kidney blood supply artery has been completely exposed.

And when everyone present saw the two blood-supplying veins, they had a very beautiful feeling, and there was even a little charm in it, which was amazing!
Wait for Lin Ran to completely evacuate the patient's abdominal cavity during the operation.

Even the boss Chen who was standing beside him couldn't help it anymore, "Okay, Lin Ran did a good job!"

Bosses are generally more stingy with the words of praise, or it may be that they are more reserved because they hold their own identities!
The old urologists on the side were not so reserved.

"I really envy the dean for receiving such a talented student as Dr. Lin! If we receive a student like a doctor, it will be worth our lives!"

"That's right, that's right, that's not wrong! We old guys have been practicing medicine for almost half a year. I really don't know if we can find a favorite student to pass on our own knowledge and technology."

……

Being happy to be a teacher is the common interest of every old doctor.

Especially surgeons, after the age of 45, their physical functions will gradually decline. It is very difficult to improve their medical skills, and it is even very difficult to maintain the original surgical level!
After so many years, old doctors who still have unfulfilled ideals or dreams in clinical practice can naturally find a student with better talent than themselves to continue their dreams. This may be a kind of medical inheritance!

"Wipe your sweat."

Lin Ran's voice sounded, and only then did everyone realize that there were many crystal beads of sweat on Lin Ran's forehead again.

Obviously Lin Ran's four swords were not easy!

The knife must not be sloppy when cutting the patient's body organs and tissues!
The little nurse naturally waited with a towel in her hands.

"Atraumatic forceps, blocking forceps."

After wiping off his sweat, Lin Ran stretched out his hand and said without any hesitation.

The anatomy and dissociation of the kidneys has been completed, and the rest is to block the blood supply arteries and remove the tumor lesions!
Generally speaking, you should also be careful when blocking blood vessels, especially those elderly patients with a history of hypertension. Their blood vessels are relatively fragile. If you don’t block them, you want to embolize and burst!
Fortunately, Zhang Xueting is still young, and when she is in her prime, her blood vessels are naturally relatively healthy.

Of course, there is another situation that needs attention, that is, the renal blood supply artery is infiltrated by cancer!
However, Zhang Xueting's pre-operative examination and the prompts given by the system did not show any symptoms of cancer metastasis.

Therefore, Lin Ran pinched the hemostat and boldly blocked the veins and arteries supplying blood to the kidneys.

Of course, this is also considered bold!
Thanks to the help of the system support function!
"Tweezers gauze."

"Ms. Wang, please help lift the patient's kidney. I will put gauze underneath to adjust the angle of resection, and then you will fix the patient's kidney..."

"Don't worry, I understand!"

Finally, Lin Ran's operation slowed down, so Director Wang can naturally face it calmly.

Under the adjustment of the two, the patient's kidney was quickly fixed at an angle that was easy to remove.

"Ultrasonic Knife."

Nights are long and dreams are full of dreams, and later things change. Just as Lin Ran pulled out the tweezers, he stretched out his hand and said.

"Crack..." The equipment nurse picked up the ultrasonic scalpel and snapped pictures of Lin Ran's operation.

The equipment nurse's fingertips slid across Lin Ran's palm, and there seemed to be a strange charm inexplicably!

"Jie Jie..."

The ultrasonic scalpel was held in Lin Ran's hand and penetrated into the patient's abdominal cavity, and the nurse helped to turn on the switch.

After the ultrasonic scalpel stabilized completely, Lin Ran began to remove the kidney tumor focus.

(End of this chapter)