Chapter 1373: Tick 1

Chapter 1373 of the main text volume of the great doctor Ling Ran ticked off the second operation. For Ling Ran, it was completely different.

In fact, even ordinary doctors will have more experience and proficiency when performing one operation with brand-new equipment and another, and correspondingly, the smoothness of the operation will also increase. In order to promote robots, IntuitiveSurgical only requires two surgeries for ordinary doctors. Although it is far from proficient, it can be regarded as meeting the minimum requirements.

If you are a serious doctor, you can use robot simulation surgery and other modes, and after a few operations, you can practice quite well.

As for Ling Ran, the 10 times proficiency gifted by the system is very useful at this time.

For doctors, changing instruments and equipment, and using brand new and unfamiliar things to participate in operations is really a very common thing. Especially for Chinese doctors, if they are a little older, doctors who came from the 1970s and 1980s have experienced the era of traditional Chinese medicine anesthesia and acupuncture anesthesia. Faced with the situation of insufficient anesthesia depth, the operation time, mode and rhythm Necessary changes have to be made. The extensive construction of radiology and imaging departments in the 90s has allowed surgeons to generally reduce the number of laparotomies. Surgical plans and even surgical approaches can be judged more accurately...

The simplest surgical instruments for cutting, cutting and suturing will need to be updated for more than ten years, from the most common metal scalpels at the beginning, to the later monopolar electrosurgical instruments, bipolar electrosurgical instruments, and then to mechanical vibration instruments. Ultrasound Knife, the changes of each generation may be a model that the previous generation of doctors did not think about. It is not an exaggeration to describe it with black technology.

In contrast, the place where the da Vinci robot changes is not the place where it touches the patient's body tissue. Its mechanical hand is also followed by an electric knife and an ultrasonic knife, but it no longer needs to be held by the doctor.

After Ling Ran got used to the joystick, the mystery of the da Vinci robot actually disappeared from Ling Ran's heart.

After all, for Ling Ran, the splenectomy is really a small operation. It is a bit too much to say "it can be done with eyes closed", but if only one eye and one hand are used, He could really pull it off.

Not to mention, the da Vinci robot provides four claws.

After the pedal gets used to the position, there is no obstacle at all. Originally, when using an electric knife, you need to step on the pedals, but you usually don't step on several pedals. Now that you pay a little attention, it is no longer the problem.

After everything is checked and the pneumoperitoneum is established in the patient's abdomen with high feet and low positions, the 3D vision of the da Vinci robot begins to function.

"Pull the gastrocolic ligament with the grasping forceps and pull it downward." After clearing the operation area, Ling Ran gave the order directly.

The middle-aged doctor was full of thoughts, but after hearing Ling Ran's direct order, his hands and feet moved unconsciously.

At the same time, Ling Ran pulled the gastrocolic ligament upwards, stretching and tightening the gastrocolic ligament, and then, seeing a mechanical arm with an ultrasonic scalpel hanging on it, he climbed up without hesitation. The gastrocolic ligament is cut into two.

The middle-aged doctor was stunned. It wasn't that there was anything strange about this movement, but that he didn't expect it to be performed by the novice version of Ling Ran.

Shouldn't normal novices be making gestures and hesitating?

Moreover, what happened to the order just now? Obviously just a novice who just got the certification, but he ordered the certification teacher confidently?

What made the middle-aged doctor doubt himself even more was, why am I so obedient?

Maybe this guy's tone is too much like the director?

The middle-aged doctor didn't wait to clarify his own mental journey,

Ling Ran's order came again.

"Tick it." Ling Ran gave a sentence without beginning or end.

But the middle-aged doctor, who is also very skilled in splenectomy, naturally manipulated the robotic arm and hooked a thick blood vessel of about six or seven millimeters that had just been exposed.

From this point of view, his surgical operation is also extremely skilled. It is conceivable that he himself had some confidence in splenectomy, so he chose it.

However, Ling Ran's splenectomy was too strong.

The attending doctor of Taiwu Central Hospital, which is at the same level as Yunyi, has mastered splenectomy at the professional level at most. When it is used for the treatment of patients scheduled for elective surgery, it can indeed be quite beautiful.

However, Ling Ran who has mastered the perfect splenectomy, his technique is not only beautiful.

That is, the issues considered during the operation are completely different.

This is like playing Go, which is also about making moves. Entry-level chess players think about how to occupy land, intermediate-level chess players already know how to look at the overall situation to serve the later stage, and high-level chess players will study the opponent's game record habits. Every move must not only be beneficial to the overall situation and the local area, but also prevent possible risks and make arrangements in advance to block the opponent's future advantages.

When Ling Ran performed a splenectomy, he didn't need to think about how to do this step, or how to remove the spleen perfectly. His operation was more about taking into account the patient's body structure, so as to cut off any possibility of bleeding as much as possible. Especially the occurrence of massive bleeding, it is necessary to be cautious.

At this time, Lingran's electric hook separated the main trunk of the splenic artery, and after clamping, freed the splenic-colic ligament, spleen-renal ligament, and spleen-phrenic ligament.

Every time the ligament is freed, the cooperation of the assistant is naturally required. The first two times required Ling Ran to greet him, but in the latter part, the middle-aged doctor who cooperated as his assistant automatically and consciously kept up.

After working as an assistant for a while, the mood of the middle-aged doctor has gradually become peaceful.

There was nothing exciting about the operation, it was just a simple splenectomy, no accidents, no risks - when all risk points were cut off by Ling Ran in advance, the mentality of the middle-aged doctor became more stable, as if his wife had given birth to a baby. Black baby, and immediately chose to divorce him as well. The complicated emotions had already erupted just now, and it seemed that he didn't need to do anything more after that. As for the previous expectations, happiness, eagerness, anxiety and anger, they seemed irrelevant at this time, even a little funny .

The operation is halfway through. Ling Ran's operation became more skillful.

And when the mechanical arm controlled by Ling Ran became more flexible, his surgical options obviously increased by more than one notch.

The discolored spleen pedicles of the young doctors were wiped away like snot; the severed blood vessels were clearly like the demonstration pictures in textbooks; the traces of blood oozing from small bleeding spots Before it had time to dye the red surgery field, it was rubbed and sewn into the muscle...

At this time, in terms of the operation of the da Vinci robot alone, Ling Ran is not yet at the level of a middle-aged doctor, but the effect of splenectomy is undeniably sky-high, beyond the reach of a middle-aged doctor high.

Comparing Ling Ran's operation, not only textbooks but also papers and conference videos emerged in the middle-aged doctor's mind. Many of the operations that he thought were only used for lectures, for benchmarking, and for showing off in meetings, he was able to correspond one by one.

However, the middle-aged doctor also knew that this was not Ling Ran showing off his skills, and it was even a conservative operation he adopted due to his lack of proficiency in machinery and equipment.

Then, if it was an open surgery, or a laparoscopic surgery, how strong would Ling Ran be?

Thinking of this question, the middle-aged doctor twitched his butt uncomfortably—he hunted geese all day long, but was torn to pieces by the Fengshen pterosaur...

Provide several alternative pterosaur names: Ancient Demon Pterosaur, Ancient God Pterosaur, King Pterosaur, Fighting Pterosaur, Wukong Pterosaur, Chaoyang Pterosaur, Celestial Fairy Pterosaur, Emperor Thor Pterosaur, Crazy Diamond Fairy Pterosaurs, the terrifying Hartzegopterosaurus—the most exciting moment for paleontologists, it is estimated that it is time to name the newly discovered species