This doctor is very stable

Chapter 74 Rapid progress

The approach of cholecystectomy is similar to that of hepatectomy, both are right upper quadrant oblique incision.

Lin Ran did all the pre-operative disinfection, drawing the positioning line, and incision of the surgical incision very steadily.

Xu Hong, who was watching, didn't say a word, and the others were secretly shocked when they saw Lin Ran's operation.

Is it really Lin Ran's first cholecystectomy?So calm.

Especially Fan Jianye, who saw Lin Ran as the surgeon for the first time, was even more surprised.

Lin Ran is so handsome when he is immersed in the operation!

calm.

confidence.

Confident, relaxed and freehand.

Isn't this the surgeon I fantasized about when I was young?
As the second assistant, Qian Xuan didn't dare to lose his mind on the operating table even when he was wronged. After Lin Ran made the small five-centimeter incision, he hurriedly applied electrocoagulation to stop the bleeding, and asked at the same time, "Lin Ran, what do you want to do?" Small incisions for gallbladder removal?"

A five-centimeter opening is really not that long, a one-yuan coin is 2.5 centimeters.

A five-centimeter opening is as long as two coins lined up, so it must not be long!And it looks a little short.

Lin Ran made such a small incision on a temporary basis, and did not cut the positioning line completely.

Cholecystectomy differs from liver resection in that lymphatic membrane sweeping requires space.

However, cholecystectomy requires relatively little lymphatic membrane, and requires little room for manipulation, which is completely in line with the application of small incisions!

But because it was the first time, Lin Ran chose to cut a [-]cm incision, which was quite satisfactory, neither big nor small, so no one could make a big mistake.

It was Lin Ran's first cholecystectomy. Xu Hong was really worried that Lin Ran would make a mistake, so he asked, "Is Lin Ran sure?"

Lin Ran nodded, "It's not a big problem."

Electrocoagulation is completed, and the operation port is expanded and opened.

Xu Hong looked down and couldn't help frowning. When the patient came to the doctor, he had pain in the upper right abdomen, nausea, vomiting, abdominal distension, fever, jaundice and other symptoms!

Looking at it now, sure enough!

Gallbladder polyp hyperplasia causes gallbladder inflammation, and at the same time, the wall of the bile duct is enlarged, and the color of the gallbladder has changed from dark green to light green, even a little whitish.

This is gallbladder polyp hyperplasia too fast leading to gallbladder inflammation, if the surgery is performed later or if the surgery is severe, it needs to be raised to a higher level
Fortunately, there is no invasion of the liver supervisor and the liver. The gallbladder polyp hyperplasia is easy to become cancerous.

If cancer occurs, is it possible to remove a gallbladder and be cured?

Xu Hong frowned slightly, and asked, "Lin Ran is sure? No, let me do it."

After reading the prompt given by the system assistant, Lin Ran nodded confidently and said, "No problem, I'll just come."

In Lin Ran's eyes, the situation around the gallbladder in the patient's abdominal cavity was clear at a glance!
After speaking, he stretched out his hand and said, "Fine cut."

Cholecystectomy is different from hepatectomy. Hepatic resection requires blocking the hepatic veins and arteries.

However, cholecystectomy is not needed, because there is basically no possibility of first blood if the gallbladder is removed without mistakes.

The surgical opening was a bit small, so small that Fan Jianye didn't even have a chance to help.

Lin Ran took over the fine scissors and began to scan the membrane. The hair follicle fossa was located at the lower end of the right lobe of the liver.

So Lin Ran needed to sweep away a small part of the lymphatic membrane on the lower right side of the right lobe of the liver, and began to peel off the gallbladder.

Lin Ran's work of sweeping the lymph nodes was naturally so stable that people had nothing to say.

Xu Hong looked straight and nodded without making a sound.

Qian Xuan and the others were secretly surprised by Lin Ran's skills.

Lin Ran is still a trained doctor!

Surgical techniques are too skilled!

Seeing the two of them felt a little unreal.

The work of sweeping the lymph membrane was completed, and the view of the gallbladder in the abdominal cavity was further exposed.

Lin Ran put down the fine scissors in his hand, "Doctor Fan, use the electric hook to help me pull the liver apart. I will peel off the gallbladder and remove it. Be careful not to tear the gallbladder."

"Hiss..." Hearing this instruction, Fan Jianye's scalp went numb.

The incision made by Lin Ran is too scary, and the operation is a bit difficult!

Almost no vision is given after the hook is finished. Operation without vision is not a small challenge for residents!
What if Lin Ran let his hooked liver leaf slip off to complete an accident?
Thinking of this, Fan Jianye took the electric hook and said hesitantly: "Doctor Lin, why don't you hook it?"

Lin Ran didn't show any displeasure when he heard it, and directly reached out to take another electric hook from the nurse.

If Yisuke was not sure about the operation, he would naturally have to let the chief surgeon do it.

Lin Ran inserted the electric hook into the patient's abdominal cavity, and gently probed along the edge of the gallbladder and the right lobe of the liver.

Slowly began to lift the right lobe of the liver, and the gallbladder at the lower right of the liver was completely exposed in the field of vision.

Lin Ran pinched the handle of the electric hook to stop, and said, "Hold the electric hook, don't move, don't shake, it's ok!"

Fan Jianye nodded quickly, "Motion is my strong point!"

Holding the instruments on the operating table and not moving is basic practice. If you can't even do this, then don't mess with it. Come back early and wait for sweet potatoes.

Fan Jianye took the handle of the flashlight hook from Lin Ran, Lin Ran slowly let go of the handle, nodded slightly, and said: "Non-injury tweezers, fine cutting."

"I want to strip the gallbladder, Dr. Fan insists."

"No problem, Doctor Lin, please do your best!"

The hyperplasia of gallbladder polyps caused inflammation, and some unexpected adhesions occurred in the entire gallbladder and gallbladder bed, which made the work of stripping the gallbladder two more levels of difficulty.

But Lin Ran was not afraid, and began to peel off the gallbladder bit by bit from the bottom of the gallbladder.

Time passed by bit by bit, Lin Ran was more careful in his work, and if he was not careful, his gallbladder would easily rupture if he accidentally got inflamed.

The consequences of gallbladder rupture can be imagined.

Lin Ran carefully peeled off the gallbladder, the free part of the bottom, the body, the neck, the cystic duct, and all the tiny adhesions.

Seeing Lin Ran's concentration when he stripped off his gallbladder, Qian Xuan suddenly understood where the gap between himself and Lin Ran was, maybe he was not focused enough!
Xu Hong heaved a sigh of relief after the stripping was successful.

Lin Ran was no exception. Although he had this confidence, he still felt a little lucky after all the gallbladders were removed, and it was a success.

After the successful removal of the gallbladder, more than half of the operation has been completed.

Without hesitation, Lin Ran immediately said: "Tweezers, warm up the electric knife, Dr. Fan insists a little longer."

Lin Ran held the tweezers in both hands and gently clamped the cystic duct to fix it. After the electric knife was warmed up, he put down the tweezers on his right hand, took over the electric knife, and removed the gallbladder.

During this process, Lin Ran's left hand could not shake a little, otherwise the cystic duct might be torn.

Everyone breathed a sigh of relief when the excision was complete.

After Lin Ran withdrew the electric knife with his right hand, he clamped the gallbladder that had been removed with his left hand.

Xu Hong applauded immediately, "Lin Ran, your talent makes me a little scared! You are very stable!"

The electric knife was handed over to the nurse, and the gallbladder was put into the medical tray. Lin Ran smiled and said, "Mr. Xu, you are joking, let's send the gallbladder for examination first!"

The excised gallbladder naturally needs to be sent for inspection, otherwise what if the diseased gallbladder becomes cancerous!
Fan Jianye also licked his smiling face and said, "Doctor Lin, that's amazing."

The operation was successfully completed and everyone was happy, Li Canghai took the opportunity to say: "I'll treat you when I get off work!"

There is no way, I did something wrong, please drink to make amends.

Lin Ran didn't speak, Xu Hong smiled and said: "Lao Li, I'm really relieved to say a few words about you. You won't have to drink when you're done. You can invite us to have breakfast another day."

It is never easy for doctors in the emergency department to make an appointment for a meal, and they are not even sure when they will leave work!

Especially the old anesthetist spent his sleeping time in the operating room, so it was too difficult to make an appointment for this meal.

It's almost impossible to make an appointment.

The test results came out soon, and the inflammation was not cancerous.

The incision end of the cystic duct was processed, and the abdominal cavity was cleaned.

Qian Xuan was eager to try, "Doctor Lin, let me close the abdomen?"

Lin Ran glanced at Xu Hong, then shook his head. He gained +1 to the sharpness of the suture needle, and his suturing skills have improved significantly, so he has to show his skills in front of Xu Hong.

"Let me do it! Recently, I feel that I seem to understand a little bit of the essence of stitching, so I'll give it a try."

Qian Xuan said rather depressedly, "Comprehend the essence of suturing? Dr. Lin, you are cultivating immortality when suturing!"

Lin Ran ignored him, and said directly: "Count the equipment, gauze."

The nurse with the equipment lowered her head and counted the equipment and gauze, and said softly after counting: "The number of equipment and gauze is correct. Doctor Lin, you can close your abdomen now."

Lin Ran stretched out her hand, "Needle holder, No. 2 round-tipped curved suture needle, and No. 2 suture thread."

Abdominal surgical suturing, the lowest omentum.

As soon as Lin Ran put in the first stitch, Xu Hong noticed the difference. Lin Ran's stitches were really awkward before, but now the stitches are not so extraordinary, but they are more in order, and the progress can be seen with the naked eye!Maybe this is talent!Great progress! !

Seeing that Lin Ran had sutured the omentum neatly, Qian Xuan almost became depressed, and his only suture technique that surpassed Lin Ran's was gone!

It was the first time that Fan Jianye sutured Lin Ran, he was a little confused and asked, "Dr. Lin's sutures were bad before?"

"Unusually bad."

PS: I'm a little busy at work, so the update is a bit late, sorry!
(End of this chapter)