Chapter 1058 Find Ling Ran

"Infuse cardioplegia."

"Stop dancing."

The doctor doing extracorporeal circulation reported the situation in a low voice, staring at the equipment meticulously.

There are too many people seeing today, and for the doctors in the heart surgery department, it is more or less stressful.

In contrast, Lu Wenbin and Yu Yuan brought by Ling Ran looked ignorant and bold.

They could only do some small jobs like resident doctors with leftovers, but Ling Ran was in charge of the operation, and the two of them only showed excitement when facing the heart surgery.

As for the crowd of onlookers, Lu Wenbin and Yu Yuan were already used to it.

In operating room No. 1 of the emergency center, there are even more doctors onlookers.

"Closer." Ling Ran's voice also didn't change at all.

Director Kang expertly pulled the screen closer.

In this way, what Ling Ran sees is no longer the panorama of the heart, but this way is more conducive to his operation.

Director Kang didn't have much to do. When he had free time, he watched Ling Ran turn his right hand, turn his left hand, move his right hand, move his left hand...

left hand?

The corners of Director Kang's eyes raised, how skilled is his left hand? You really have practiced a lot.

Wei Qing and several other doctors who were performing the surgery also noticed Ling Ran's left hand.

When Ling Ran was doing laparoscopy, he mainly used his right hand, so the operation with his left hand was not so obvious.

However, the operating range of thoracoscopic surgery is too narrow. Sometimes, if the right hand is the main method, the operator must turn the body position. Therefore, if the operation of the left hand is equally skilled, a lot of time can be saved.

Today's surgery fully demonstrated Ling Ran's left hand skills.

"The little girl is lucky." Old Xu from the Department of Gastroenterology praised her.

It is estimated that there is no problem in reducing the extracorporeal circulation time by Ling Ran's exposed hands alone by about a quarter of an hour. The entire operation time may be reduced by 30 minutes.

For patients lying on the operating table, this is obviously a good thing.

Ling Ran recalled the scene of the virtual person he saw just now, and then recalled the ECG and other examination reports he had seen before the operation, and said, "It can't be considered too good. If the atrial septal defect is smaller, the risk of intervention will be higher. smaller."

Compared with atrial septal defect closure, thoracoscopic injury is still greater.

For ordinary patients, the memory of one extracorporeal circulation is enough to talk about 30 wine shops.

"The risk of accessing is small, but her defect is large, and it is good luck to be able to complete the operation smoothly." Old Xu complimented indirectly, and then said: "Director Kang, the operation time of similar operations in our country is How long is it usually?"

He didn't ask just now, because he was afraid that Ling Ran's operation was not proficient, so that he would get a reverse answer.

Seeing Ling Ran's actions now, Old Xu felt relieved.

Director Kang glanced at Old Xu, and said: "Similar operations, such as full-thoracoscopic atrial defect repair, can be performed for three or four hours. For extracorporeal circulation, it takes one and a half hours.

Mostly two hours. "

"So long." Old Xu didn't know the exact time, but when he heard the number reported by Director Kang, he knew that Ling Ran's plan was far behind. There will still be a big difference between internal and extracorporeal circulation."

In an operation, there must be "talking, learning, teasing, and singing". It is rare for the chief surgeon to be unwilling to talk.

Director Kang hesitated for a few seconds, and said, "An average doctor may do it for an hour and a half. If it takes 50 minutes, he must be a master."

"It will have a great impact on the patient." Old Xu pretended to be a good student.

"Let's see." Director Kang smiled and said, "Isn't the extracorporeal circulation time of thoracoscopic surgery 30 minutes longer than the extracorporeal circulation time of thoracotomy? The damage must also be considered comprehensively."

"So, if the thoracoscopic surgery is completed in 50 minutes, the damage in all aspects will be minimized." Old Xu asked questions on the surface, and said what he felt Ling Ran liked to hear.

Director Kang had a lot of experience with this. He glanced at the host of the thoracoscope and said, "There is no need to saw the sternum. The recovery from the operation will naturally be easier."

"The postoperative inflammatory reaction of thoracoscopic surgery is relatively early, and the degree may be more serious." Ling Ran said at this time, but it was aimed at postoperative recovery.

Director Kang thought for a while, and said: "It should be because the patient's heart is more stimulated. The relatively long time of extracorporeal circulation and the time of aortic occlusion by thoracoscopic surgery should increase the serum inflammatory factors in the early postoperative period. ...but it's still better than splitting the sternum, and the incision heals faster."

Ling Ran nodded slightly. The operation he is performing now can be said to be the most minimally invasive operation requiring extracorporeal circulation.

Ling Ran gently opened the patient's right atrium, and after checking the size of the atrial defect, he ordered 4-0 pleilin sutures, and after one pass of continuous sutures, the patient's atrial defect was repaired.

Director Kang didn't speak any more, and looked at Ling Ran's stitching with a calm expression.

Suturing is the basic operation in the basic operation, but if you think about it from another angle, the operation time is three to four hours, and the heart stops for an hour or more. The purpose is to sew these few stitches.

It seems reasonable, then, to see sutures at the heart of the operation.

The doctors of the heart surgery also tried every means to make the suture as perfect as possible.

Suture from low to high, tie the knot with the exhaust of the last needle, whether to use a slip knot or a square knot when tying the knot, and check the tightness by expanding the lungs...

Director Kang looked at Ling Ran, acting like an old man out of his mind, and all the thoughts he had originally had gradually disappeared.

No matter where Ling Ran learned the technique beyond his heart, this technique really makes people unable to arouse the energy of confrontation, and it can also really help people. If he was suddenly so angry that his ventricles burst, his last words should be "find Ling Ran".

Director Kang looked up at the host of the thoracoscope, and he couldn't help but sigh inwardly.

More than ten years ago, he decided to buy a thoracoscope for surgery.

If it had been carried out back then, Yunyi Cardiac Surgery might still not be able to do any major surgeries, but small surgeries that can be done with thoracoscopy can also support the department.

Unfortunately, the past few purchase applications have not been approved. Of course, it was also because he didn't forcefully push it forward, so it was delayed year after year, and now he was preempted by the emergency center.

If Ling Ran's operation is poor, Director Kang can still comfort himself, but Ling Ran's operation is so...perfect...

Director Kang looked at the clock in the operating room again, and saw that the electronic timer had only reached 35 minutes, and Ling Ran had already started to suture the right atrium.

Director Kang sighed, and then said, "Prepare the protamine."

It took only 40 minutes for the operation to complete this point, which means that Ling Ran made up for all the defects of the thoracoscopic surgery with complete technique.

At this moment, Director Kang couldn't help thinking in his mind, if Ling Ran was performing an open-heart surgery, he didn't know how much time could be shortened.

The characteristics of cardiac surgery mean that doctors in cardiac surgery are the most sophisticated.

Director Kang looked at Ling Ran at this moment, and couldn't afford to fight any more.

What he thought more about was the patient in front of him. After this level of thoracoscopy, I don't know what level of recovery it will be.

Thinking of this, Director Kang took the initiative to say: "Doctor Ling, after the operation is over, let me take care of the patient."

Just as Zuo Cidian wanted to object, Ling Ran already agreed: "Okay."

After the extra-cardiac surgery is over, it still cannot be taken lightly. Doctors often need to take care of the patient for a long time to determine the patient's blood coagulation status, incision status, pleural fluid quality and so on.

With Director Kang's ability, there is no problem in completing these tasks.

Zuo Cidian thought a little more, but Ling Ran agreed, so he stopped talking. It's a big deal, and then send another resident doctor to accompany him.

outside the door.

The patient's family has been waiting anxiously and exhausted.

The patient's parents, grandparents, grandparents, two pairs of uncles and aunts, a pair of uncles and aunts, a single uncle, a single aunt, and several cousins ​​and cousins ​​were scattered in every corner of the waiting hall. Like dandelion seeds, floating around.

The operation time in the hospital is calculated from the time when the patient is anesthetized.

For the patient's family members, anxiety and tension began to grow from the moment the patient was pushed out of the ward.

Not to mention, it is a heart surgery that is chilling just thinking about it.

"Tell me, should we treat it conservatively?" The patient's mother murmured in her husband's ear for an unknown number of times.

She's almost subconscious, not really looking for answers.

The husband also knew it, and responded in a low voice: "If you make a decision, you won't regret it."

"We don't have to regret it. What if Jiaojiao regrets it?" The mother's emotions broke out this time: "She can't even regret it now. If the operation...if the operation..."

As she spoke, she choked up.

"Don't say such frustrating words. The operation is still going on, what are you doing with a sad face?" Grandma walked over in two steps, and took the right to speak.

"It's all my fault that I didn't take good care of the baby when I was pregnant. I should have resigned at that time." The mother's emotions could no longer be controlled, tears streaming down her face.

"You were in the graduating class at the time. You didn't say that. It's not easy for students to study, and it's not good to change generals." The husband comforted softly.

The mother cried even louder, shook her head vigorously, and was speechless.

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