This doctor is very stable

Chapter 57 Successful resection of hepatic adenoma【Seeking votes, seeking rewards. 】

"Nonsense, I am a small resident doctor, who will touch my liver? The only one in our county doctor who can perform liver resection is the department director! And he hasn't done one for hundreds of years."

…………

As time passed, Lin Ran picked up the electric knife and began to warm it up.

Tumor resection is the most important part of liver resection.

It is very difficult to do so much work ahead, and it is all preparation for resection!
The quality of the resection is the key to the absolute success of the operation.

Perhaps in the eyes of other doctors, it is difficult to remove the tumor liver.

I am afraid that if the cut is not clear and clean, it will cause serious complications after the operation.

Second, I am afraid that cutting too much will directly affect the patient's life expectancy.

But liver cutting is not the biggest problem here at Lin Ran.

Systematic diagnosis function, the patient's right lobe of liver and the connection surface of the tumor are divided into three distinct colors from top to bottom.

Red, yellow, green.

As long as Lin Ran's green side cuts close to the yellow-green boundary line, it is impossible to cut clearly, and it is impossible to have too many cuts.

After the electric knife was warmed up, Qian Xuan and Li Chengtao adjusted the angle and position to cooperate.

Lin Ran slowly and steadily inserted the electric knife into the patient's abdominal cavity.

"呲呲..."

The electric knife cut across the liver, exuding a strong smell of burnt meat.

Two minutes later, under the watchful eyes of everyone in the operating room, Lin Ran steadily removed the tumor and part of the left liver segment.

With Qian Xuan supporting the tumor, Lin Ran slowly withdrew the electric knife and said in a low voice, "Slow down...slow down...Doctor Qian, don't use too much force...Be careful of the tumor rupturing..."

Lin Ran tried to cut along the yellow-green health line.

So the bottom edge of the resected tumor is just like a piece of paper.

Lin Ran was really afraid that if Qian Xuan applied a little more force, the tumor would burst and the lesion fluid in the tumor would be scattered in the patient's abdominal cavity!

Although the abdominal cavity can be cleaned, what if the clamp that blocks the hepatic vein and artery is loosened!

Or directly touching the blocking forceps will cause static and dynamic tearing of the liver!

Once these two situations occur, it will lead to massive bleeding during the operation!

After hearing Lin Ran's words, Qian Xuan didn't dare to move his hands. After Lin Ran withdrew the electric knife, he immediately said, "Doctor Liu, hold the tumor with your upper hand, and we will take it out."

Lin Ran withdrew the electric knife, and the nurse helped to turn off the electric knife.

Lin Ran also started to help, the larger the contact area, the smaller the pressure. I have learned it in junior high school.

Touching the tumor, it feels a little soft and sticky.

The three of them worked together to lift the tumor slowly, while the little nurse on the side had already been waiting with a tray.

She watched getting closer and closer, and couldn't help swallowing. How does it feel to have a tumor the size of a human head in her stomach?
Lin Ran and the others gently put the tumor into the tray, and the nurse felt the tray sink in her hand.

This hepatic adenoma must weigh three or four catties!

The tumor lay on the tray in the nurse's hand safely, and Lin Ran ordered again: "Send it for inspection! It's a bit heavy, be careful, don't break it."

"Ok!"

The nurses in the hospital are not arrogant women, they are strong and aggressive.

"Clap clap..."

The nurse walked out of the office, and everyone applauded.

The tumor was safely removed, and the operation has been more than half successful!

"Dr. Xiaolin, I never expected that you can even do liver resection so well. I was sweating when you stripped the adhesive surface between the hepatic portal vein and the tumor just now!"

"Who says it's not! Surgery is afraid of unstable operation, which will cause mistakes. Once a mistake causes bleeding, it must be dealt with in time. After the treatment is completed, time will be delayed, and new problems may follow. In short, mistakes are vicious. The starting point of the cycle!"

"That's right, that's the reason. Some young doctors have lost their mentality for surgery because of unnecessary mistakes on the operating table."

…………

These old guys finally understood that Lin Ran's future is limitless!
If you have a relationship with Lin Ran now, maybe you will gain something that day!

They are doctors and people, and people have family, relatives and friends. What if their family members get sick in the future?
Now the incidence of liver tumors, liver cancer, and liver cancer is getting higher and higher!Maybe someday I will have to find Lin Ran!
Lin Ran asked the nurse to wipe off his sweat, and responded with a smile: "The directors are over the top. My skills are all thanks to the teachers' good teaching."

It is definitely not wrong to push the credit and honor to the leader!

"that's humble……"

"Dr. Xiaolin not only performs well in surgery, but also speaks well!"

…………

The nonsense praise again made Lin Ran feel a little embarrassed.

Before the results of the pathological examination came out, Lin Ran took advantage of some time to check for the small bleeding spots that might have been left on the lymphatic membrane just now.

Slight damage to the peritoneal omentum or lymph nodes caused by sweeping the lymphatic membrane is inevitable, resulting in some small bleeding points.

These small bleeding points may not have a lot of bleeding, and they can recover automatically after the operation, but if they are not treated, it will also affect the patient's postoperative recovery period.

…………

Within 5 minutes, Lin Ran checked twice and electrocoagulated four small bleeding spots.

The nurse smiled and walked back to the operating room.

As soon as Lin Ran raised his head, Chen Qiufeng asked first, "How's the result of the section examination of the tumor?"

The little nurse enunciated clearly: "The liver segment of the tumor has clear edges."

"it is good."

Chen Qiufeng applauded.

Others also applauded.

Can it be removed in one go?

The Chief Physician of the county hospital felt a little unreal!

Draw the positioning line, cut the incision, peel off the tumor adhesion, peel off the adhesion between the tumor and the hepatic portal vein, block the hepatic vein and artery, clean the lymph membrane, and remove the tumor. Until now, the results of the inspection have clear edges!

The more they thought about it, the more they felt that Lin Ran was very powerful!

It can be said that they looked at it with doubts all the way. Every time Lin Ran overcomes a problem, they look forward to the next problem that will stump Lin Ran.

Now it's time for the next difficult problem. After thinking about it, they connected the whole operation together.

It was only then that he suddenly realized that Lin Ran, a young doctor, was so powerful.

Perhaps with small incision appendicitis and liver resection, Lin Ran may be targeted by professional headhunters in the near future. As long as Lin Ran is willing to leave Hengshan Hospital, with his current medical skills, he can earn a million dollars a year.

In a private hospital with its own outstanding surgical techniques, it is easy to earn a million dollars a year.

After all, there are too many rich people now, and the richer they are, the more they are willing to spend money on things like getting sick.

When rich people get sick, they naturally want to enjoy better medical conditions, and doctors with good medical skills bear the brunt of it.

…………

Lin Ran didn't know what they were thinking. After the pathological examination results, he checked out the small bleeding spots, and then started to manually anastomose the blood vessel incision on the liver section.

Lin Ran had just started, and everyone smiled when they saw his rough matching technique.

It turns out that Lin Ran is not omnipotent!At least his vascular anastomosis is a bit eye-catching.

Now that Chen Qiufeng saw the smiling face of the county doctor's director, he felt a little uncomfortable.

Stitching is indeed Lin Ran's current shortcoming!

After returning home, Lin Ran must be arrested and practiced to sew.

Ask the nurse station to arrange one hundred debridement and suture patients for him every day.

He didn't believe it anymore, Lin Ran's talent was so high that he couldn't practice basic stitching well.

Unfortunately, Lin Ran's [-] cases of debridement and sutures were still more than ten cases short of completing the task.

After the task is completed, he can quietly improve his current embarrassing stitching.

But even if Lin Ran upgrades all three basic suturing skills to intermediate level, it still can't match his current high-quality surgery!

It is not enough if the surgery is done well and the suture is done well, the suture must be done even better.

The more difficult the operation, the more difficult the operation is done well, and the simpler and easier suturing is naturally better.

This is medical common sense!
After Lin Ran processed the hepatectomy surface, he immediately took out the blocking forceps, waited to observe and found no new bleeding points, and said, "Clean the abdominal cavity."

Li Chengtao assisted the nurse in cleaning the abdominal cavity, and Qian Xuan took the opportunity to say, "Doctor Lin, are you still asking me to shut down the abdomen?"

Just as Lin Ran was about to speak, Chen Qiufeng said with a fierce face, "Let Lin Ran do it by himself."

Lin Ran shrugged helplessly, "I'll do it myself!"

On the side, a county medical director surnamed Zhao said with a smile: "Old Chen, Dr. Xiaolin is still young, and he can always practice suturing techniques. Don't be too strict."

Lin Ran: "Uh..."

Chen Qiufeng said in a deep voice: "Surgeries can be practiced well, but the most basic suturing can't be done well. Isn't this a waste of money?"

"Lin Ran, go back and do one hundred cases of debridement and sutures every day. After a month, your suture skills will match your own. Otherwise, I will suspend your surgery and let you concentrate on practicing sutures."

Lin Ran nodded, "Yes, I will practice hard when I go back."

One hundred debridement and sutures per day?

There may be a hundred patients in the emergency department that need debridement and sutures every day.

But there are only 24 hours and 1440 minutes in a day.

Based on the calculation of 10 minutes of debridement and suture for one case, unless Lin Ran spends all of his [-] hours on debridement and suture except for eating, otherwise he will definitely not be able to achieve [-] cases of debridement and suture every day!

So Lin Ran didn't take the one hundred wound debridement and sutures seriously, at most, he would try his best to do more debridement and sutures when he came back.

After the abdominal cavity was cleaned, Lin Ran said, "Check the equipment and prepare to close the abdomen."

The nurse holding the equipment lowered her head, and raised her head after counting the equipment, "Dr. Lin, equipment, gauze, logarithm. You can close your abdomen now."

Lin Ran nodded and stretched out his hand, "Drainage tube."

Before closing the abdomen, there is one last step, which is to place a drainage tube to prevent the occurrence of pneumoperitoneum.

After receiving the drainage tube, Lin Ran placed one end of the drainage tube on the edge of the patient's surgery port.

Looking up at Qian Xuan, Qian Xuan hurriedly took over to help fix the drainage tube.

Lin Ran stretched out her hand: "Needle holder, No. 3 round-head curved suture needle, No. 3 non-absorbable suture."

Tie the drainage tube firmly.

The abdomen is closed, sutured and bandaged, and the operation is over.

"Papa..." ·

Applause rang out in the operating room, apart from sutures, Lin Ran's operation was very successful.

The chief doctors of these county doctors knew very well that this was a perfect liver resection operation!

Perhaps many chief physicians from top three top hospitals who perform this hepatic adenoma resection operation may not be as good as Lin Ran!

Seeing that Lin Ran's forehead was covered with sweat, Director Chen smiled affirmatively and clapped his hands lightly at the same time.

After waiting for more than ten minutes, the patient's vital signs were stable.

Director Chen waved his hand and said, "The operation is over, and it's time for dinner. I invite everyone to dinner."

(End of this chapter)