Chapter 1057: Fifty Minutes

"Hello everyone." Seeing the crowd of people in the operating room, Ling Ran just nodded and greeted, just like he did when he participated in various school activities.

Everyone took it for granted inexplicably.

Even Wei Qing unknowingly tucked in his stomach and raised his chest, trying to show a bit of heroism...

A few seconds later, Wei Qing realized that he had assumed the special posture of leading a patrol.

Wei Qing immediately retracted his body, then looked to both sides with a guilty conscience, and saw that the gastroenterology surgeon next door was also the same, and he was slower than himself, so he couldn't help laughing.

Digestive surgery is expected to be more intense than general surgery. They were originally a small department flying out of general surgery, mainly doing esophagus surgery, and occasionally doing some combined stomach and gastrointestinal surgery. Before that, they had an ambitious plan to attack the pancreas.

However, if the emergency center represented by Ling Ran performed a large number of gastric surgeries, it would be a natural threat to the digestive surgeons.

Before Wei Qing could think about it, Zuo Cidian coughed and said, "Well, Dr. Ling was stopped by the patient's family, because the patient's family had more doubts, so Dr. Ling gave a detailed explanation, so Couldn't come earlier."

Although he arrived at the operating room on time, Zuo Cidian felt that he should explain because he had seen many deputy directors and chief physicians on the spot. In order not to be caught out, hang words such as disrespect for seniors.

Ling Ran was listening and nodded with a smile.

He has always been like this, just as his mother said, for many problems, just laugh.

Sure enough, everyone was not unhappy, and they all responded: "There is no need to come early. It is appropriate to arrive on time."

"Tell the patient's family a few more words before the operation, and it will save a lot of effort after the operation."

"The time is right."

Those who came to see the operation, no matter what their intentions were, they were subconsciously polite when facing Ling Ran.

Wei Qing also showed a polite smile, don't offend the boss if you have nothing to do, at least, don't offend in person...

Ling Ran had never been long-winded in the operating room. He only waved, and a few residents came up and started fiddling with the thoracoscope.

Not counting the accessories that come with the thoracoscope, a basic thoracoscope mainly consists of three parts, a display screen like a computer monitor, a host with a square head and a square brain, and a handle connected to the host through a cable.

How to use... If you don't want to rush into the human body, the operation and the somatosensory game are also similar.

"Director Kang, please stand by my side." Seeing that everything was ready, Ling Ran called out to the director who was out of his mind.

Only then did Wei Qing realize that Director Kang had gone to wash his hands at some point, and even began to put on a cotton surgical gown.

Wei Qing frowned unhappily, and said in a low voice: "I think Lao Kang wants to be a sophomore."

When Ren Qi heard Erwuzi, his heart trembled, and he hurriedly said, "What Erwuzi, it's impossible."

"He's the director, so of course he can't just be the boy, but does he look like he's determined?" Wei Qing's dissatisfaction slowly accumulated. He understood that Lao Kang was Ling Ran's assistant. It is Xinwai's operating room, and Xinwai's personal operation with Ling Ran can make him look not so weak.

However, the operation was about to start, and Director Kang never said a word of hardening, and he was still so soft in his work, so how could he be worthy of the gathered doctors from the department.

Ren Qi listened, and couldn't help but breathe a sigh of relief: "You mean Director Kang..."

"Or else?"

Ren Qi hurriedly said: "I mean, Director Kang is also riding a tiger."

"Whoever has no difficulties, everyone gathers together to solve his difficulties." Wei Qing muttered softly: "It's nothing more than a thoracoscopic surgery..."

At this time, Ling Ran had already started the operation, and said in a calm voice: "The patient is 18 years old this year and plans to take the college entrance examination next year. From the time point of view, it is relatively urgent. Because of the atrial septal defect, the patient is currently unable to fully So I finally decided to have the surgery. Therefore, we have two main goals for the surgery.”

Not only the members of the operating team, but also everyone else in the operating room. On the one hand, Doctor Ling spoke nicely; on the other hand, everyone was a little interested in the angle of Ling Ran's description.

Surgeons who perform operations are actually not interested in the life of the patient, and it is not appropriate to be interested.

Especially in places outside the heart, the impression of surgeons is even more indifferent. For example, in the 1960s and 1970s when cardiac surgery was the most prosperous, the famous doctor Russell Bullock said bluntly: There are three patients on today's operation list, and I don't know which one will survive.

When doctors maximize their abilities, more care will not make the results more perfect. Many times, it just makes doctors fall into pain.

However, for today's operation, Ling Ran clearly has the capacity to spare. He skillfully made an incision between the ribs and said, "The first goal is to complete the repair of the atrial septum. This is the main goal. The second I hope that everyone can concentrate, actively cooperate, and try to compress the time of extracorporeal circulation to 50 minutes."

The chief surgeon proposes a goal, and the assistant should naturally do it.

Only Director Kang was startled, and a thought came to his mind: This is even shorter than the time for opening the chest.

The most important and core criterion for cardiac surgery is the time of extracorporeal circulation.

Because the hearts of patients are so different, even the hearts of young people can be greatly damaged during cardiopulmonary bypass. This is an index that cannot be quantified by current medicine.

Because of this, the time of extracorporeal circulation becomes a very important negative value. The shorter the time of cardiopulmonary bypass, the greater the benefit to the patient, it is very clear.

In the surgical records of cardiac surgeons, the time of extracorporeal circulation has become a striking number.

Doctors in the industry only need to look at the operation records of a certain heart surgeon to guess his general level. A single operation can explain many problems.

Although Director Kang has not kept up with the times, he has also been brilliant. Over the years, he has developed few new techniques, but the old ones are still very good.

For atrial septal defect repair with thoracotomy, Director Kang can shorten the time of extracorporeal circulation to 1 hour with a little attention. It can be done in 50 minutes or even 40 minutes if the operation is well prepared.

However, total thoracoscopic atrial septal repair is different.

For the same atrial septal repair, the extracorporeal circulation time under thoracoscopic surgery is longer than that of thoracotomy. According to literature statistics, it takes an average of 30 minutes more extracorporeal circulation time to perform thoracoscopic atrial septal defect repair. This is also the disadvantage of thoracoscopic surgery.

This is because the surgical field of view of thoracoscopic surgery is small and the operation is difficult. After all, the thoracic cavity is not like the abdominal cavity, which can create a large space of pneumoperitoneum.

From this point of view, although Director Kang has never done thoracoscopic surgery himself, even if he is replaced by someone with a similar technical level, the estimated extracorporeal circulation time for today's surgery must be estimated at one and a half hours.

Save a little time, and save 80 minutes will be very powerful.

Director Kang couldn't help but looked up, looked at his watch, smiled as if confirming, and asked Ling Ran, "50 minutes?"

"Well, the prognosis is better this way, which is good for the patient's study." Ling Ran said.

Director Kang laughed twice, and said half-jokingly: "So, the reason for the patient to undergo surgery must be legitimate."

"More motivation." Ling Ran opened the dummy as he spoke, and then looked at the numbers on it, showing a slight smile. After the successful completion of the operation on the junior who failed the fourth grade last time, his avatar time was increased by 25 minutes, which is just a little bit now.

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