Chapter 1038: Good and Evil

After answering Ling Ran's question and holding the mirror safely for another 5 minutes, Ye Sigong's mood gradually calmed down.

Ordinary laparoscopic assistants do not need to make mistakes when holding the mirror for an unfamiliar surgeon. As long as the angle and movement of your mirror are not satisfactory to the surgeon, it is easy to be scolded.

It's like two people playing a game together, and the supporter can't always follow the wishes of the supportee, so how can there be good results.

If the status of the two is equal, there will be a quarrel in all likelihood. If the status of the two is not equal, then the assistant will wait to work amidst the scolding.

A harmonious and friendly operating room with nasty jokes is considered a relatively good working environment, but an operating room that is sprayed while working is bad enough to make people depressed.

Even though Ling Ran didn't like to swear in the operating room, Ye Sigong didn't want to make Dr. Ling unhappy.

However, according to Ye Sigong's feelings, Ling Ran's operation method is different from other doctors.

He's the kind of doctor who takes care of his assistants.

If an assistant made a mistake, Ling Ran would not scold him, perhaps, he was too lazy to scold him. But what made Ye Sigong even more difficult to understand was that Ling Ran was able to operate the mirror normally without being affected at all when there was an error in holding the mirror.

The assistant holds the mirror correctly, Ling Ran is an operation mode, the assistant holds the mirror wrongly, Ling Ran's operation remains the same...

Ye Sigong even doubted whether Ling Ran could do it by himself without holding up the mirror...

Thinking this way, Ye Sigong felt terrified.

"Turn to the left, pay attention to the height, and go down a little bit." Ling Ran reminded him again, asking Ye Sigong to make some adjustments, but the operation remained the same.

Ye Sigong raised his eyebrows, this was another move out of the ordinary.

It is not uncommon for the assistant's mirror to be at the wrong angle. However, the general chief surgeon just shouts out, and does not directly guide the correct position.

On the one hand, they are too lazy to give specific guidance; on the other hand, they are too focused on the operation and have no energy to instruct the assistants on the specific operation.

But when Ling Ran was doing this kind of operation, his attention and skills were obviously superfluous.

Ye Sigong turned the camera lightly to match Ling Ran's operation. This time, he didn't get reminded, which made Ye Sigong feel more at ease.

Ling Ran made it all the way to the position of the stromal tumor, and only stopped slightly when it was time to separate.

Everyone, including Ye Sigong, naturally looked at Ling Ran.

"Wait a minute." Ling Ran turned on the dummy while speaking.

Gastric stromal tumors are relatively good tumors, and the smaller the better, just like officials, occasionally benign, but most of them are malignant, and the longer it grows, the more likely it is malignant .

However, it is not easy to judge benign and malignant gastric stromal tumors just by looking at the images.

Only by peeling it off, putting it under a microscope and examining it carefully can we have a correct judgment.

Because of this, when surgeons deal with gastric stromal tumors, they always strip it out completely under the assumption of malignancy-this is the essential difference between surgeons and politicians.

Ling Ran is capable enough to deal with gastric stromal tumors.

A master-level gastrectomy can easily cut out the tumor, and it doesn't actually need the support of a virtual person.

After all, the stomach is not like the liver, especially the liver of elderly patients, so it should be removed as little as possible.

Most people’s stomachs can be cut casually. It’s just that the prognosis is worse, eating less, and stomach pains are more. It will not have an essential impact, but the current patients obviously have some needs other than medical treatment.

Ling Ran had also seen many patients who had difficulties in life, but this one was the first one who was reluctant to inhale oxygen.

Ling Ran felt that for such patients, it was still necessary to use a virtual human for 30 seconds to three minutes to determine the nature and extent of the gastric stromal tumor.

If it is a benign tumor, needless to say, just cut it along the side and send it to the pathology department.

But if it is a malignant tumor, it is necessary to determine the margin, and then within the safe range, cut off the tumor to the minimum extent.

In this way, the risk of disease can be removed to the greatest extent, and at the same time, the prognosis can be improved to the greatest extent.

To a certain extent, this is also the highest technical level that Ling Ran currently possesses.

Ye Sigong and the others looked at Ling Ran in confusion.

Watch him release a hand, making a cutting motion in the air.

Only a few residents who were familiar with Ling Ran's operation whispered among themselves:

"Doctor Ling seems to make gestures like this often."

"It's simulating the next operation."

"Doctor Ling still needs to simulate the next action? You thought it was you."

"I have mastered too many spells, so it's possible to change my mind temporarily."

Ling Ran didn't care what other people thought, he waited for the system to replace the virtual person, and it was a vertical slash with a knife in his hand.

The patient in the virtual human state was split in half by the big knife summoned by Ling Ran, and the cut was precisely at the greater curvature of the stomach.

The small gastric stromal tumor was cut in two, revealing its true face.

It looks benign—Ling Ran looked at the microscope provided by the system for a while, and quickly made a judgment.

"Let's cut it smaller." Ling Ran turned off the avatar, refocused on the surgery, and also gave a goal.

Ye Sigong was only stunned for a moment, then nodded, without saying a word.

He is just a small trainee doctor, not to mention a senior doctor like Ling Ran, even if an attending doctor is the chief surgeon, he can only obey orders.

The chief surgeon is willing to tell you, and he can just listen, and it feels unnecessary to say extra words.

Ling Ran used the ultrasonic scalpel to slowly separate the gastric omentum and adhesions around the tumor, and the frequency was not very high, which could reduce some damage and improve the patient's prognosis.

Ye Sigong carefully observed Ling Ran's operation. This is the most critical step, and also the most skillful part. In the county hospital, the doctors who can perform this operation are all the doctors with the most exquisite laparoscopic skills. .

"Bag." Ling Ran's voice was steady.

"Oh...yes." Ye Sigong hurriedly gave way, and followed Ling Ran to stuff the laparoscopic retrieval bag into the patient's abdominal cavity.

Then, Ling Ran put the excised gastric stromal tumor into the extraction bag, and pulled it out from the hole in the patient's navel with a little brutality.

"Don't include the cost of the retrieval bag. The patient's family conditions are not good." Ling Ran gave another special warning.

There are many kinds of laparoscopic retrieval bags, but they are essentially small plastic bags that can hold specimens. Doctors in some hospitals also make their own retrieval bags. However, Yunyi’s procurement standards have never been low, and Ling’s treatment group often chooses high-end ones. For such a small retrieval bag, Ling’s treatment group often chooses more than 300 yuan.

However, Ling Ran asked not to count it, and the nurses could save it. As for whether to sign it to the pharmaceutical company or use some other name, it depends on the status of the nurse team.

Outside the operating room.

The waiting hall is always full of family members of patients.

However, unlike other family members who stared at the double doors or looked at their watches from time to time, Wang Lu looked out of the window with blank eyes, without much expectation on his face.

Her father's gastric stromal tumor was just one of the problems she faced. Next, how to take care of her father, how to repay the money, and how to deal with family relationships, seemed to be a heavy shadow, and Wang Lu was overwhelmed.

"Actually, it's the same for surgery in our regional hospital. The reimbursement rate is a little higher. Here you see, there is still no news about a surgery after so long..." the husband complained endlessly in Wang Lu's ear.

Wang Lu let him complain.

The combined wages of the two did not exceed 5,000 yuan a month. After one operation, the father wiped out their savings for several years. The husband didn't complain when he paid for it, and he felt distressed when the operation was almost finished. She was already very satisfied.

It doesn't work if you are not satisfied. At this time, it seems that you can only compromise.

I just hope that my father's operation goes well, and it's not cancer... Otherwise...

When Wang Lu thought of this, the corners of his mouth trembled, and he said in a low voice, "If it's malignant, chemotherapy may be needed..."

The husband stopped complaining and said "En".

"I only have a few hundred yuan left in my hand. If I have chemotherapy, I have to raise some more money." Wang Lu's voice could not be lowered.

The husband sighed a long time, and said for a long time, "I'll make a few more phone calls to ask."

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