This doctor is very stable
Chapter 429 The kidney transplant operation begins 】
Chapter 429 The kidney transplant operation begins 】
"Of course there is no problem, there is no problem at all! You are the chief surgeon, so why not bring a few people into the operating room to observe?"
……
While Lin Ran and the others were preparing for the operation, Zhang Xiaoya and the others also came to the hospital one after another.
Lin Ranye didn't say much, and asked them to disinfect before the operation.
Although they just observe and do not need to go on stage, the necessary disinfection work is still needed to avoid contamination of the operation.
……
After finishing the preoperative disinfection, Zhao Deming was still secretly wondering whether Lin Ran could complete this kidney transplant operation!
……
Ten minutes later, Lin Ran and the others finished their preoperative preparations and walked out of the locker room.
When he came to the door of the operating room, Director Wang comforted the patient's family members, and then took the lead into the operating room.
Walking into the operating room, the excitement of Zhang Xiaoya and the others could not be calmed down for a long time.
Before this, they never thought that they could be mixed into the operating room of the fourth-level surgery so quickly!Even just observing is enough.
The cost of a cadaveric kidney transplant is as high as 50!
Moreover, most of the patients after kidney transplant surgery have a five-year survival rate, and relatively few patients can survive for ten years after kidney transplant surgery.
10 yuan a year, whether it is worth it or not, only the family members of the patients know clearly.
Organ transplants are expensive for a reason.
First, the operation fee for the extraction and implantation of human organs is complicated, and the duration of the operation is relatively long. Therefore, the operation fee is relatively expensive and reasonable.
Second, the cost of preserving and transporting human organs also accounts for a large part of kidney transplantation.Because the donor of the kidney source and the recipient are often not in the same hospital, the doctor needs to rush to the same place as the recipient immediately after removing the kidney source.However, the harvested kidneys often have a shelf life. Once the time expires, the kidneys cannot be transplanted. Therefore, those with long distances often need to be transported by helicopter.
Third, the costs of medicines, inspections, and medical consumables incurred in the extraction and implantation of human organs.Needless to say, the hospital also needs to make a profit to maintain it, so this fee is also necessary.
……
Wang Limin walked into the operating room, looked at Lin Ran and smiled slightly, "Doctor Lin, please!"
The positioning of the operating room is naturally particular. The larger the operation, the more so. There are no rules, and it is difficult to perform the operation smoothly in a messy operating environment.
Lin Ran stood in the position of the chief surgeon without hesitation.
The source of the kidney was the left kidney, so Lin Ran stood on the left side of the patient.
Zhao Deming stood in front of Lin Ran anxiously, he was the first aid in this operation!If Lin Ran couldn't do the operation well, and the operation failed, he would be responsible for it and couldn't escape.
The second assistant is also a doctor in the Department of Urology. His name is Cheng Xiaobao. He is a young man in his early 30s. Otherwise, this operation would not be of any concern to him.
Finally, there is the doctor of Lagou. Judging from his appearance, he is also an experienced Lagou veteran.
His name is Liu He, and he is older than Cheng Xiaobao.
Director Wang stood aside, ready to replace Lin Ran!
Lin Ran is very confident about nephrectomy, but not so sure about kidney transplantation.
Be prepared.
The patient lying on the operating table has age spots all over his face, and his complexion is dull. This is the face at the end of life. If there is no operation, the patient will probably live a few months better!
After standing in his position, Lin Ran looked at the old anesthesiologist who had lifted his butt from the small bench.
"Teacher anesthesiologist, let's start, general anesthesia, six hours!"
Looking at the young and handsome Lin Ran, the old anesthesiologist nodded and stepped forward to administer the medicine.
The patient lying on the operating table was silent.
He knew that his time was approaching, and what he should say was that he had told his children that if the operation was successful, he would live for a few more years, and if it failed, he would be free.
No one can understand the suffering of patients with end-stage diabetes!
He closed his eyes, and the anesthetist gently opened his mouth to induce anesthesia, intubate, administer drugs, and confirm whether the anesthetic had entered the patient's chest cavity. The whole process was done neatly.
The old anesthetist completed the intubation anesthesia operation, and the patient fell into a deep sleep after a while.
After confirming that the anesthesia was successful, the old anesthetist looked at Lin Ran, narrowed his eyes and said, "Doctor Lin, you can start."
Lin Ran nodded, stretched out his hand and said, "Tweezers, alcohol cotton, iodophor."
The left kidney is located in the left waist, the upper border is probably at the 11th rib, the lower border is at the second lumbar vertebra, the inner side is the spine and vertebral body, and the outer border is the abdominal muscles.
The front of the left kidney is roughly located behind the left colon and part of the ileum; the spleen and the spleen area of the colon are located in the front, the waist and psoas muscles are located in the back, and the renal fossa is in the middle, which is the location of the kidney.
There are two incision approaches for nephrectomy, one is transperitoneal incision and the other is retroperitoneal incision.
One cut at the front and one at the back side.
There is not much difference between the advantages and disadvantages of the two. The choice mainly depends on the habits of the surgeon and the condition of the patient.
Kidney transplantation also needs to remove the diseased kidney first, so in terms of incision, it is not much different from nephrectomy.
However, laparoscopic resection is often used for nephrectomy, and laparoscopic surgery cannot be used for kidney transplantation.
After taking the tweezers from the nurse, Lin Ran began to disinfect the patient's skin before the operation.
As the saying goes, the emperor is not in a hurry, the eunuch is in a hurry!
The operation officially begins.
Lin Ran was confident, after all, he was a man who cheated, and he had the skills of kidney transplant surgery in his hands, so he was full of confidence.
On the contrary, Zhao Deming, who was opposite Lin Ran, panicked.
The operation officially started. Zhao Deming did not dare to expect that a young doctor in his 20s could perform a fourth-level operation such as kidney transplantation so perfectly, but Lin Ran was able to remove the diseased kidney smoothly. No need to force it, just hand it over to Director Wang!
Zhao Deming is still very relieved about Director Wang's skills. If he cooperates with Director Wang, he will be able to successfully complete the kidney replacement operation.
As for the postoperative recovery of the patient, I dare not think about it.
As long as the patient does not die during postoperative hospital recovery!
Also nervous about Lin Ran, Zhang Xiaoya and the others were also watching the trio.
Lin Ran is their team leader, and if Lin Ran is famous, they will be able to enjoy it too.
As the saying goes, one person attains the Tao and the chicken dog ascends to heaven!
If Lin Ran hit the wall in this operation, they would also lose their face.
A grasshopper on a boat, one prospers all, one loses all.
(End of this chapter)
"Of course there is no problem, there is no problem at all! You are the chief surgeon, so why not bring a few people into the operating room to observe?"
……
While Lin Ran and the others were preparing for the operation, Zhang Xiaoya and the others also came to the hospital one after another.
Lin Ranye didn't say much, and asked them to disinfect before the operation.
Although they just observe and do not need to go on stage, the necessary disinfection work is still needed to avoid contamination of the operation.
……
After finishing the preoperative disinfection, Zhao Deming was still secretly wondering whether Lin Ran could complete this kidney transplant operation!
……
Ten minutes later, Lin Ran and the others finished their preoperative preparations and walked out of the locker room.
When he came to the door of the operating room, Director Wang comforted the patient's family members, and then took the lead into the operating room.
Walking into the operating room, the excitement of Zhang Xiaoya and the others could not be calmed down for a long time.
Before this, they never thought that they could be mixed into the operating room of the fourth-level surgery so quickly!Even just observing is enough.
The cost of a cadaveric kidney transplant is as high as 50!
Moreover, most of the patients after kidney transplant surgery have a five-year survival rate, and relatively few patients can survive for ten years after kidney transplant surgery.
10 yuan a year, whether it is worth it or not, only the family members of the patients know clearly.
Organ transplants are expensive for a reason.
First, the operation fee for the extraction and implantation of human organs is complicated, and the duration of the operation is relatively long. Therefore, the operation fee is relatively expensive and reasonable.
Second, the cost of preserving and transporting human organs also accounts for a large part of kidney transplantation.Because the donor of the kidney source and the recipient are often not in the same hospital, the doctor needs to rush to the same place as the recipient immediately after removing the kidney source.However, the harvested kidneys often have a shelf life. Once the time expires, the kidneys cannot be transplanted. Therefore, those with long distances often need to be transported by helicopter.
Third, the costs of medicines, inspections, and medical consumables incurred in the extraction and implantation of human organs.Needless to say, the hospital also needs to make a profit to maintain it, so this fee is also necessary.
……
Wang Limin walked into the operating room, looked at Lin Ran and smiled slightly, "Doctor Lin, please!"
The positioning of the operating room is naturally particular. The larger the operation, the more so. There are no rules, and it is difficult to perform the operation smoothly in a messy operating environment.
Lin Ran stood in the position of the chief surgeon without hesitation.
The source of the kidney was the left kidney, so Lin Ran stood on the left side of the patient.
Zhao Deming stood in front of Lin Ran anxiously, he was the first aid in this operation!If Lin Ran couldn't do the operation well, and the operation failed, he would be responsible for it and couldn't escape.
The second assistant is also a doctor in the Department of Urology. His name is Cheng Xiaobao. He is a young man in his early 30s. Otherwise, this operation would not be of any concern to him.
Finally, there is the doctor of Lagou. Judging from his appearance, he is also an experienced Lagou veteran.
His name is Liu He, and he is older than Cheng Xiaobao.
Director Wang stood aside, ready to replace Lin Ran!
Lin Ran is very confident about nephrectomy, but not so sure about kidney transplantation.
Be prepared.
The patient lying on the operating table has age spots all over his face, and his complexion is dull. This is the face at the end of life. If there is no operation, the patient will probably live a few months better!
After standing in his position, Lin Ran looked at the old anesthesiologist who had lifted his butt from the small bench.
"Teacher anesthesiologist, let's start, general anesthesia, six hours!"
Looking at the young and handsome Lin Ran, the old anesthesiologist nodded and stepped forward to administer the medicine.
The patient lying on the operating table was silent.
He knew that his time was approaching, and what he should say was that he had told his children that if the operation was successful, he would live for a few more years, and if it failed, he would be free.
No one can understand the suffering of patients with end-stage diabetes!
He closed his eyes, and the anesthetist gently opened his mouth to induce anesthesia, intubate, administer drugs, and confirm whether the anesthetic had entered the patient's chest cavity. The whole process was done neatly.
The old anesthetist completed the intubation anesthesia operation, and the patient fell into a deep sleep after a while.
After confirming that the anesthesia was successful, the old anesthetist looked at Lin Ran, narrowed his eyes and said, "Doctor Lin, you can start."
Lin Ran nodded, stretched out his hand and said, "Tweezers, alcohol cotton, iodophor."
The left kidney is located in the left waist, the upper border is probably at the 11th rib, the lower border is at the second lumbar vertebra, the inner side is the spine and vertebral body, and the outer border is the abdominal muscles.
The front of the left kidney is roughly located behind the left colon and part of the ileum; the spleen and the spleen area of the colon are located in the front, the waist and psoas muscles are located in the back, and the renal fossa is in the middle, which is the location of the kidney.
There are two incision approaches for nephrectomy, one is transperitoneal incision and the other is retroperitoneal incision.
One cut at the front and one at the back side.
There is not much difference between the advantages and disadvantages of the two. The choice mainly depends on the habits of the surgeon and the condition of the patient.
Kidney transplantation also needs to remove the diseased kidney first, so in terms of incision, it is not much different from nephrectomy.
However, laparoscopic resection is often used for nephrectomy, and laparoscopic surgery cannot be used for kidney transplantation.
After taking the tweezers from the nurse, Lin Ran began to disinfect the patient's skin before the operation.
As the saying goes, the emperor is not in a hurry, the eunuch is in a hurry!
The operation officially begins.
Lin Ran was confident, after all, he was a man who cheated, and he had the skills of kidney transplant surgery in his hands, so he was full of confidence.
On the contrary, Zhao Deming, who was opposite Lin Ran, panicked.
The operation officially started. Zhao Deming did not dare to expect that a young doctor in his 20s could perform a fourth-level operation such as kidney transplantation so perfectly, but Lin Ran was able to remove the diseased kidney smoothly. No need to force it, just hand it over to Director Wang!
Zhao Deming is still very relieved about Director Wang's skills. If he cooperates with Director Wang, he will be able to successfully complete the kidney replacement operation.
As for the postoperative recovery of the patient, I dare not think about it.
As long as the patient does not die during postoperative hospital recovery!
Also nervous about Lin Ran, Zhang Xiaoya and the others were also watching the trio.
Lin Ran is their team leader, and if Lin Ran is famous, they will be able to enjoy it too.
As the saying goes, one person attains the Tao and the chicken dog ascends to heaven!
If Lin Ran hit the wall in this operation, they would also lose their face.
A grasshopper on a boat, one prospers all, one loses all.
(End of this chapter)
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