This doctor is very stable

Chapter 387 Complete Liver Resection Surgery 【Please subscribe, please reward! 】

Organ transplantation is almost like repairing electrical appliances.

The resection of a diseased liver is like replacing an electrical appliance with an electronic unit. The peripheral circuit interfaces need to be kept for backup if they are not damaged.

The blood vessels, biliary ducts, and lymphatic vessels are the electrical interfaces of the liver.

Therefore, the diseased liver resection performed by Lin Ran should ensure the integrity of all channels and blood supply outside the diseased liver as much as possible.

Therefore, the free liver and gallbladder naturally need to be more cautious.

After all, knife and scissors have no eyes, and carelessness can cause damage to various channels in the liver pedicle, which in turn affects the quality of the entire liver transplant operation.

Lin Ran does not dare to say that he knows the structure of the liver and gallbladder area, but with the blessing of various skills, he can also say that he has a sufficient understanding of the anatomical structure of the liver and gallbladder, including the various blood vessels, biliary ducts, and lymphatic channels. understanding of trends.

And there are instruments on the side to assist in locating the distribution of blood vessels in the liver and gallbladder area!

Therefore, it is not too difficult for Lin Ran to completely remove the diseased liver.

To say that the only possibility of this operation being out of Lin Ran's control is that the cirrhosis of the liver may have eroded the inferior superior vena cava artery that supplies blood to the liver, causing the blood vessels to harden!

After the free work of the liver and gallbladder week started, Gao Zhitie's heart had already set off a turbulent sea.

Lin Ran's dissecting dissociation is too fast!It was so fast that he was overwhelmed, and the initiative of the operation was lost to Lin Ran from the very beginning.

According to common sense, the superior doctor should be in the hands of the superior doctor to assist the subordinate doctor in the operation. After all, the master guides the newcomer, so it is natural to have the upper hand.

But the liver resection operation for this disease has just begun, and Lin Ran has been taking him to do free operations. At this time, Gao Zhitie is more like he hits whatever Lin Ran points out, like a puppet on a string.

Moreover, under Lin Ran's complete leadership, the surgical field of view was still exposed very beautifully, and even Lin Ran did not see any mistakes in his operations.

Gao Zhitie was amazed!

Lin Ran's understanding of hepatobiliary resection is completely above his level, and may even have reached the level of a famous doctor.

This feeling of being pressured to be an assistant and being an assistant, Gao Zhitie also felt when he was an assistant to the big brother Chen, and even when he was an assistant to the big brother, sometimes he was the one who led the way.

Indeed, when the surgical skills of the chief surgeon and the assistant are comparable, most of the assistants guide and expose the free field of view, so that the chief surgeon can devote more attention to the anatomical free work.

And if the chief surgeon dominates the whole operation, it is more like the chief surgeon is also doing the work of the assistant.

However, Lin Ran did this a lot, his reaction speed was fast enough, and his ability to control the operation as a whole was good enough!

The doctors who saw Lin Ran's brisk and sensitive free operation were also surprised, even the old anesthetist.

They couldn't help but looked at Lin Ran's face. If they hadn't seen it with their own eyes, who would have imagined that a young doctor who is less than 30 years old could completely lead a one-day liver resection operation from beginning to end!

Sure enough, he is indeed the one chosen by the boss Chen!

Freeze around the liver and gallbladder, cut off the falxate ligament, cut off the left and right triangular ligaments, and dissect the area of ​​the hepatobiliary triangle.

Lin Ran could be said to be doing it with ease, and even did Gao Zhitie's job.

Gao Zhitie now feels that perhaps by assigning Lin Ran an inexperienced hospitalist, he can also successfully complete the liver resection operation for this disease!

In other words, it is the same whether Gao Zhitie is on the operating table or not.

No one can stop Lin Ran from doing a complete liver resection for this disease!
……

On the other side of the operation, Da Lao Chen had already started harvesting the donor liver.

The operation plan of this operation is to cut the 5, 6, and 7 liver segments of the donor liver and transplant them to the recipient.

The position of the 567 liver segment is distributed in the right lobe of the liver, respectively located in the three directions of the left lower border, the left side, and the left upper border, occupying three quarters of the right lobe of the liver.

The boss Chen holds the ultrasonic knife and cuts...

After the liver block was removed, the whole donor liver removal group was divided into two groups.

The big brother Chen and the big brother are responsible for the trimming of the removed liver segment.

And the third senior brother Zhou Yunda took over the repair work after liver transplantation from the donor.

……

Lin Ran and their side.

The speed of the operation was not to be feared, and under the full support of the second senior brother Gao Zhitie, Lin Ran had already dissected and dissected the liver and gallbladder triangle, and even completed the separation of the liver and gallbladder.

Now looking at the condition of the liver and gallbladder of the liver recipient, it can be found that Lin Ran has sorted out all the various channels outside the liver and gallbladder in an orderly manner.

All that is left is to wait for the big boss Chen and the others to repair the donor liver, and finally completely remove the diseased liver.

After completing this step in the operation, Lin Ran put the free instruments in his hand back into the tray in front of the instrument nurse, looked back at the boss Chen and the others, and said, "Teacher, I have prepared the diseased liver before the surgery." Prepare!"

The boss Chen carefully trimmed the liver, "Okay, wait for a few minutes, I'll tell you to cut the liver out."

To put it bluntly, the rest of the donor liver is like building a complete circulation circuit for the liver block, blood circulation, lymph circulation, and bile flow ducts, etc...

Gao Zhitie, who was opposite Lin Ran, took the opportunity to look at the little nurse beside him and said, "Wipe off your sweat."

Looking at his forehead at this time, beads of sweat the size of soybeans rolled down, and the surgical gown on his body was already soaked.

It can be seen that the second brother Gao Zhitie was tortured enough by Lin Ran!

A total liver resection that took almost two hours was abruptly compressed by Lin Ran into one hour.

The workload remains the same, the speed decreases, and the work efficiency naturally becomes higher.

The repair work after liver transplantation is also simpler. After the boss Chen and the others removed the liver block and part of the blood vessels and bile ducts, Zhou Yunda needed to rebuild them, and the real surgery could be considered complete!

It is precisely because the liver transplant operation is difficult and very complicated that it requires an already good surgical team to successfully complete a liver transplant operation, which is why it can be rated as a fourth-level operation.

Therefore, the organ transplant center is not an ordinary tertiary hospital that can apply for it.

And without applying to the Organ Transplant Center, naturally the transplant operation cannot be carried out!
After waiting for a while, the boss Chen finally said, "Lin Ran, let's start."

Hearing that, without any hesitation, Lin Ran stretched out his hand and said, "Non-damaging forceps, blocking forceps."

Before the liver is removed, it is natural to block the blood vessels supplying the liver!
After blocking the blood supply to the hepatic vein, he calmly said, "Ultrasound knife."

After Lin Ran cut off the various tubes connecting the liver one by one, the whole liver was completely removed.

(End of this chapter)