Chapter 1383: A Good Doctor
"There are a total of two patients who can be on the operating table today, one is the resection of the middle liver lobe, and the other is a patient with hepatobiliary tumor embolism." Liang Xue and Ling Ran walked side by side, and he hesitated a little when he said this He said: "These two patients are also accumulated before, and they have not decided whether to have surgery or not."
The mid-hepatic lobe and hepatic bile ducts are very difficult parts of the liver. In the past, the mid-liver lobe was regarded as a forbidden area in liver surgery because of its location, surrounded by the rich large blood vessels of the liver, and belonging to the center of the liver. Excision is very difficult. Moreover, unlike other parts, there is only one wound after resection, and there will be two wounds after resection of the middle liver lobe. The suture and recovery of the wound are a big problem.
Back then, Wu Mengchao spent several months doing animal experiments in the laboratory, and after accumulating a lot of experience, it was only in the summer of 1963 that the Chinese made a breakthrough in this field. It was also this operation that elevated Wu Mengchao from "a knife" in the field of Chinese surgery to "a knife" in the field of surgery in the world.
These two operations are extremely difficult types of liver surgery. Even half a century after Wu Mengchao pioneered this field, they are still fields that the directors of general surgery or liver surgery in top tertiary hospitals in many places have not touched.
It would be normal for these two surgeries to be open surgeries for Ling Ran, and it is also the type that Ling Ran has done before.
However, what we are going to do today is Da Vinci robotic surgery. It is somewhat embarrassing to choose between these two surgeries.
Liang Xue was even more unwilling to make it difficult for Ling Ran and others to understand, so he explained additionally: "The main reason is that I spoke too urgently. Yesterday happened to be our Director Li's surgery day, and we performed all the other surgeries. Get these two sets and wait for surgery tomorrow or the day after tomorrow.”
Hearing what Liang Xue said, Zuo Cidian, who fell behind the two of them, immediately asked: "From what you mean, Director Li hasn't made a decision yet. Do you want to have these two surgeries?"
"Well, the physical condition of the two patients is not bad, but Director Li is still a little hesitant. According to the plan, he wants to invite the flying knife from the capital..." Liang Xue was a little embarrassed, and said: "We suddenly proposed to do liver resection For surgery, there are only two suitable patients here, or they will have to wait for a few days."
"He originally planned to have an open surgery?" Zuo Cidian asked.
Liang Xue let out a "hmm" and said a little more, "Director Li's main project from last year to this year is the liver lobe and hepatic bile duct."
In fact, Zuo Cidian can guess the cause and effect without him saying it.
These two operations are equivalent to the improvement papers or additional questions prepared by Director Li for himself, and they are one of the efforts to improve himself.
To be on the safe side, he invited experts from the capital to come over to support him, or simply to provide counseling.
There are basically two growth paths for high-level doctors, one is to receive training in the hands of super-high-level doctors in high-level hospitals, and climb all the way from resident doctor to deputy chief physician. The strong accept the mantle, and the loser goes away. Either set up your own business, constantly travel around the rivers and lakes, visit famous teachers, rely on yourself, study and judge, and achieve the future...
Of course, the two growth paths can cross, but the former may become the latter at any time, and the probability of the latter becoming the former is much lower.
"Is that Dr. Ling cooperating with you in the operation, or is it cooperating with Director Li?" Zuo Cidian thought for a while before asking a crucial question.
Liang Xue glanced at Zuo Cidian appreciatively, and said, "If you don't mind, I'll help Dr. Ling."
"That's fine." Zuo Cidian felt relieved, looked at Ling Ran, and said, "Doctor Ling, which operation do you think we should choose?"
"Do the middle liver lobe first. Hepatic and bile duct tumor thrombus will take more time, so it needs to be removed little by little." Ling Ran said it very naturally.
Zuo Cidian looked at Liang Xue in no surprise, and said with a smile: "Director, let's do the liver lobe first?"
"Okay." Liang Xue stopped talking.
He and Zuo Cidian both knew clearly that Director Li had been abandoned in this wave.
However, discarding is normal. Originally, Liang Xue wanted to follow Ling Ran for a little hepatectomy. In fact, his open liver resection technique may be a little worse than that of Director Li. It can be said that he is not qualified to challenge the middle liver lobe. After all, the direction of his clinical development is not liver resection.
However, using the Da Vinci robot to make the liver lobe, the taste is different.
Not talking about other things, in this field alone, the use of da Vinci robots to perform liver lobe surgery is internationally advanced, and this kind of advanced is not only recognized by hospitals, but also by domestic medical circles. It is also recognized by foreign hospitals. And the medical community will also recognize it. With a little manipulation, the Da Vinci Robotic Intuitive Surgery Company is probably willing to help promote it.
Although this was somewhat beyond Liang Xue's previous plan, considering Ling Ran's previous operation level and Ling Ran's technical level in liver resection, Liang Xue was extraordinarily confident.
Just think about it from the worst situation, the big deal is that Da Vinci's operation failed and he was transferred to laparotomy.
But in terms of Ling Ran's record, it would be too easy to switch to laparotomy for the liver lobe.
As for the question of whether Director Li is happy - in terms of the interpersonal relationship in the department, Liang Xue doesn't care much about this. Not to mention, he is already thinking about getting involved in Director Li's professional field. Even if he uses a more reasonable and tactful way, Director Li will still be unhappy when he should be unhappy.
After talking with several people, the next operation was decided. Without hesitation, Liang Xue led Ling Ran and the others directly to the ward.
"doctor."
"Director Liang."
The patient's family members had been waiting for a long time, and when they saw the doctors coming in, they all stood up.
"Look at the patient's condition." Liang Xue did not introduce Ling Ran. He first stepped forward, rubbed his hands, and placed them on the patient's abdomen for a physical examination.
After confirming the patient's condition for a while, he gave up the position to Ling Ran.
Ling Ran had already wiped his hands with alcohol gel when he was doing the physical examination. At this time, he also rubbed his hands to warm them up and stepped forward to examine them more carefully.
Perfect-level physical examination skills, Lion King-level actual combat experience, and brontosaur's gluttonous dissection experience gave Ling Ran a lot of information in a very short period of time.
The patient was a slightly older middle-aged woman. She was drowsy during the infusion, but under Ling Ran's pressure, she gradually frowned, but she still didn't say a word.
The patient's son also frowned slightly, and looked at Liang Xuedao: "Director, if we teach and practice, it shouldn't take too long..."
"Today's operation, I will do it with Dr. Ling." Liang Xue understood the other party's meaning, and replied in one sentence.
The patient's son immediately expressed his understanding, and hurriedly said: "I'm sorry, I'm not saying what's wrong, but my mother is sick, and I feel a little anxious, so don't take it to heart."
"It's okay." Zuo Cidian patted the other person on the shoulder, and comforted him: "Director Liang and Dr. Ling are both very skilled. It's a good thing to have them operate on your mother when she's already sick."
"Hmm..." The patient's son fell silent.
At this moment, his mother looked at her son, sighed, and said, "Actually, I'm fine, it's just this illness, which drags the child down too much. In fact, let me tell you..."
"Mom." The son quickly interrupted his mother's voice: "I was too busy before, so I will take a rest for a while, don't worry about it..."
The doctors present were used to the conversations between patients and their families, but when they thought of the "too busy" part, they still felt the same silence.
Liang Xue swallowed his saliva, and gradually calmed down from his agitated mood due to the preparation for the operation.
Ling Ran still looked calm, but after completing the physical examination step by step, he silently typed out the dummy and checked again.
"Rest well. Don't think too much." After the inspection was over, Liang Xue gave a few extra words of advice before leaving the door.
The group returned to the corridor and became much quieter.
"I think of the words of old man Wu Mengchao." Liang Xue sighed suddenly, and said: "A good doctor sees diseases in his eyes, but thinks in people in his heart."
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