Chapter Five Hundred and Second Slippery

Go back to the flying knife operating room.

There were several people standing in front of the corridor, some were observing curiously, some were still on the phone, to report to the doctors who couldn't watch the battle.

Needless to say, there must be a doctor right now who is listening to the battle on hands-free while performing surgery.

If there is a problem with the flying knife, there will always be a piece of responsibility.

Therefore, a doctor who can perform flying knives must be a doctor who can perform certain operations, and he must be extremely proficient in the operation. And if such a doctor makes a mistake, everyone must want to know why.

The three operating rooms in the same corridor are also frequently coming in and out.

The itinerant nurses all came to see it. Although the doctors who performed the surgery did not leave the operating room, the doctors who visited other operating rooms all came out for a walk.

Many people think that the operating room of a hospital is like a confined space.

But in fact, the flow of hospital operating rooms is much more frequent than that of factory workshops.

Only around the operating table in the operating room is a high-indicator sterile environment, and in the operating room outside the operating table, there is basically an endless stream of visiting doctors, nurses picking up and delivering items, or visiting doctors. endlessly.

Top regional hospitals such as Yunhua Hospital have hundreds of doctors from lower-level hospitals who come to train all year round. Among them, only a few can get surgery, and those who can't get surgery come to the operating room frequently. See surgery.

For example, gallbladder cutting, cyst cutting, or finger and arm amputation operations are often encountered in local hospitals, and doctors who come to visit and study will come to see them frequently. And operations such as liver resection are not usually encountered, so there are more doctors who want to see them. Maybe, on a certain day of a certain year, when encountering a difficult case, the operation seen today will be used.

In fact, the larger the hospital, the more doctors come in and out of the operating room. In the operating room of the Cleveland Hospital in the United States or the Mayo Clinic, doctors from all over the world who come to visit and study need to queue up. And when they return to their hometown, they often promote the surgery they have seen rather than the surgery they have done.

The same is true for the development of Chinese surgery at the beginning.

Ling Ran stepped on the door and entered the operating room.

I saw a pile of blood-stained gauze on the floor of the operating room, probably dozens of them,

The recycled jars used for autologous blood transfusions were also filled with blood.

Guo Mingcheng frowned, twisting the pliers with scarlet hands, cursing:

"Wouldn't it be nice to turn on the lights?"

"Wipe the floor, what if you slip and fall?"

"Where's the blood? Haven't taken it yet? What are you doing for food?"

Swearing by the surgeon is also a frequent occurrence in the operating room. The more unsatisfactory the operation is, the more aggressive the chief surgeon will be at cursing people. Of course, some swearing is vicious in itself.

At the side, Professor Feng Zhixiang also joined the rescue team, but he was old and frail, and his hand was inserted into the bleeding abdominal cavity, as if inserted into mud.

He Yuanzheng took his mobile phone and made a call.

In the operating room, the more high-end doctors, the more phone calls.

Although everyone put it down after saying a few words, but you can't help but someone always dials in. And when it comes to the position of chief physician who holds many positions, if no one calls in often, he should call out too.

As for now, He Yuanzheng is naturally a little panicked.

"Bleeding?" Ling Ran hadn't washed his hands yet, so he couldn't rush to the stage immediately, but first asked Huo Congjun next to him.

Huo Congjun, who has worked in the emergency department for more than 30 years, sees a lot of blood, and hemorrhage is even more common. At this time, he stood firmly and said to Ling Ran: "During the liver resection, Dr. Guo wanted to avoid the blood vessels. As a result, the blood pressure was too high, and the blood vessels were probably too fragile, and burst open all of a sudden.”

"vein?"

"Well. The liver bleeding is also very serious."

"How much blood loss?"

"It's two or three thousand now."

"That's a lot." Ling Ran wasn't particularly nervous either. Now he is not as anxious as when he first entered the emergency room, seeing the patient bleeding heavily.

Even if it is a hemorrhage, as long as it is under control, there is still hope for recovery.

Of course, as the degree of bleeding deepens, the control becomes weaker and the patient's prognosis becomes worse.

Ling Ran stood a few meters away from the operating table, observing carefully.

He watched this operation intermittently, but he had read the MRI and other images in advance. The most important thing is that Guo Mingcheng did not use any strange surgical methods, at most it was a modified suprahilar liver resection.

Ling Ran watched intermittently, and basically knew Guo Mingcheng's intraoperative judgment and intraoperative choice.

It should be said that Guo Mingcheng didn't do anything wrong, it's just bad luck.

On the other hand, he chose patients with portal hypertension to undergo supraportal liver resection, which means he assumed the high risk.

Now, the high stakes are out.

Ling Ran guessed that if he was allowed to perform this operation, he might have made different judgments and choices during the operation.

He wasn't even going to go for a supraportal liver resection.

However, he has a master-level liver resection, has read MRI data in advance, has accumulated 170 abdominal dissections, and has perfect thermal hemostasis skills and perfect manual hemostasis skills.

It can be said that Ling Ran, who was born in the emergency department, has great expertise and advantages in liver resection and hemostasis.

Guo Mingcheng, who is only a strong master, not even a weak master, has made his best efforts.

It's just that the patient's condition is really complicated, and Guo Mingcheng just didn't make the best judgment.

However, making a different choice is not a numerical assignment judgment. Maybe doctors can make an assignment judgment during the discussion of death, but during the operation, the intraoperative judgment is always an instantaneous comprehensive decision. Simply put , in the absence of an absolute term, just follow the feeling.

The intraoperative decision in high-risk surgery is like walking in the woods, with wild boars chasing after you, and at the fork in front, there are footprints of wolves on one road, footprints of bears on the other road, and tiger footprints on the other road...

Sometimes, bad technique is not due to wrong intraoperative decisions, and whatever decisions it makes may not have a good ending.

Technology is good enough, and it doesn't always make the right decisions, it just smooths out the wrong ones.

Those in between are often the ones most in need of luck to guide them.

Just like Dr. Guo Mingcheng now.

Holding up the mask, Ling Ran stood a little closer to Guo Mingcheng, and stretched his head to look at the scene in the abdominal cavity.

"What's the matter?" Guo Mingcheng's tone was not very good. When the operation didn't go well, the doctor would be so fierce that he would die.

Although Professor Feng Zhixiang was tired from standing up and his operations were sluggish, his expression was calm, and he asked, "What's Dr. Ling thinking?"

Ling Ran only hesitated for a second before saying, "My hemostasis technique is much better than liver resection technique."

From the master level to the perfect level, at least thousands of operations must be performed, and perhaps more prerequisites are included. As for Ling Ran, who possessed perfect-level thermal hemostasis and perfect-level manual hemostasis, the hemostatic technique was obviously much better than the liver resection technique.

Feng Zhixiang has been a professor for so many years, and he has seen all kinds of geniuses. At this moment, he recalled Mei Lao's intrahepatic bile duct stones, looked at Ling Ran's expression, and asked, "Do you have any suggestions?"

"I can help on stage after washing my hands." Ling Ran paused.

Huo Congjun put on a "cough cough".

He pulled Ling Ran back from behind, and said, "They're here to throw knives. Are you here on stage because you want to take responsibility?"

He Yuanzheng also looked at Ling Ran in a daze, feeling a warm feeling of being blocked by someone.

Ling Ran said, "It'll be fine once you're rescued."

"It can't be saved?" Huo Congjun asked back.

"I can help." Ling Ran's way of thinking about the problem was completely different from Huo Congjun's.

"If Dr. Ling is willing to help, that's the best. I'll trouble you." Feng Zhixiang didn't wait for the two of them to discuss any more, and he bled to this extent. One mistake would cause a complete collapse and the result of death was declared. Feng Zhixiang has no better solution, and his apprentice Guo Mingcheng seems to be struggling...

Ling Ran nodded, without saying a word, turned around and said, "I'm going to wash my hands."

A few minutes later, Ling Ran returned.

At this time, many doctors and nurses who heard the news were already watching in the corridor. They were not allowed to enter the operating room, so they listened to the noise outside, and then looked through the door.

Professor Feng Zhixiang in the dignified textbook, the mistake of throwing the knife will be the next topic of discussion for many people.

Ling Ran entered without saying a word, and with the help of the nurse, put on the surgical gown and gloves.

"Let me touch it." As Ling Ran spoke, he inserted his hand into the greasy, blood-filled abdominal cavity.