Chapter 670: Respect

Ling Ran raised his hand and swiped across the operating table. It took less than a minute of virtual human time to look at Xu Jinyi's liver.

He mainly looks to see if the patient's cancer cells have new extensions.

In fact, this is a little bit contrary to his preparations for promotion. However, from Ling Ran's point of view, promotion is promotion. It would be strange if useful skills are not used in order to try out new technologies.

Ling Ran was already familiar with the shape of Xu Jinyi's liver.

Looking at it now, there is not much change.

"Let's get started." Ling Ran looked at the monitor next to him and reminded him.

Several assistants quickly took their positions with prudent expressions. Even the head of the Second Affiliated Hospital did not dare to put on any airs. Like a police dog wearing a hood, his back was straight and professional.

Today's surgery, in terms of the general surgery level of the Second Affiliated Hospital of Beijing, is really simple and impossible. However, it is not always so easy to do any surgery well.

The little doctor sent by director Li Yuan didn't want to be the scapegoat for the failed operation, so if you want to say who is the most nervous in the operating room, if you don't count Comrade Xu Jinyi, the patient who was paralyzed, it should be this little doctor.

"Knife." Ling Ran stretched out his hand and touched the handle of the knife.

The equipment nurse next to her raised her chest and looked up professionally.

Different doctors have different habits when performing surgery. As an equipment nurse, you not only need to remember the operation process, but also remember the doctor's habits in many cases.

Of course, under normal circumstances, this is a step-by-step process. The equipment nurses cooperate with certain doctors. If you cooperate more in surgery, you will remember the operation process. If your partners cooperate more, you will know the habits of doctors.

However, in today's hospital operating room, there are no such conditions. In order to ensure that she can keep up with the progress of the operation, this little girl who graduated from the nursing department has already memorized the operation formula two days in advance, and watched dozens of procedures. An hour-long video of Ling Ran's surgery.

She even adopted a standing position that conformed to Ling Ran's surgery habits.

And the effect is outstanding. Although Ling Ran slowed down the speed at the beginning of the operation, but when he realized that the equipment nurse's cooperation could keep up, Ling Ran's speed had already been increased again and again.

"It's done so quickly."

"Well done."

"Young people nowadays are really annoying."

The doctors of the Second Affiliated Hospital also entered the viewing room, discussing wantonly.

Director Li Yuan also had his hands behind his back, watching Ling Ran's operation with a serious face.

Ling Ran's surgery was done well, he admitted it. In fact, it is meaningless to pick on the flaws in the level of surgery after reaching the top level in the country. Doctors of this level just have different inclinations in handling surgeries.

Some doctors are obsessed with hemostasis and pursue a bloodless vision, so that they constantly deal with intraoperative bleeding; some doctors like to cut a large area and stitch carefully; some doctors pursue speed and give up certain accuracy in disguise ...

But no matter which one it is, the patient or the patient's family members can only choose the type they are willing to bear at most, and cannot ask the doctor to do it in the way they expect.

The personal style of a doctor also requires ten or twenty years of training and practice before it is gradually honed.

Forcing doctors to change their style will definitely not get the results patients want.

In Xu Jinyi's early and mid-stage liver cancer resection, any personal style is actually sufficient, and the outcome may not be determined by the patient.

"I heard that Director Xu chose the chief surgeon himself?" The deputy director of the hospital approached Li Yuan and asked in a low voice.

Li Yuan said "En".

"How did he choose it?" The deputy chief looked down through the window and said, "It's good to say that Dr. Ling is doing well, but compared to you, the director, he is still worse..."

He's just talking nonsense with his eyes open, but, as a deputy high-ranking officer who is still on the rise, licking the director with his eyes closed against his conscience is considered basic practice.

Li Yuanming knew that the other party was a licking dog, but he was still happy to hear it. His attitude was a little more gentle, and he said in a gentle voice: "Don't say that, the free liver in the early stage is similar to everyone, so there is no difference between one and two. This time, Jin Yi, What is important is not only Ling Ran's surgical operation, but also trust Dr. Ling's grasp of the details of the operation."

What he said, he said it as if he didn't say it, so he was happy for himself.

The people around heard it, but they couldn't help asking: "What details did Dr. Ling do that hooked Xu Jinyi?"

Li Yuan was not stingy in admiring his juniors, so he said, "Pay attention."

"Painful?"

"Well, the operation is exquisite, understand." Li Yuan looked at them and said: "The times are developing, and the requirements of patients are getting higher and higher. From now on, we all have to be exquisite doctors."

The few doctors present smiled, but they didn't respond, they just thought it was the director who was giving out chicken soup again.

At this time, Ling Ran's voice sounded again: "Special attention should be paid to the abnormality of the cystic duct of the patient. From the image, it should be adhered to the left side of the common hepatic duct in an anterior spiral..."

All hepatic blood vessels and bile duct structures are variable. To put it more simply, the structures of liver blood vessels and bile ducts are different in different people. However, doctors still do their best to generalize and roughly classify them.

As far as the variation of the cystic duct is concerned, there are those with low confluence into the common bile duct, those with high confluence, those with absent or short cystic duct, those with anterior helix adhesion, posterior helix adhesion, etc...

In addition, the variation of liver blood vessels, the variation of liver shape, the variation of bile duct...

So many variant structures are also one of the reasons why liver resection is both challenging.

Compared with simple surgery, if you want to memorize the operation procedure and have memory for all anatomical structures in liver resection, the degree of difficulty will increase by an unknown number of times.

Calculated on the smallest scale, assuming that there are 6 variations in hepatic blood vessels, liver shape, bile duct and cystic duct, the doctor who cuts the patient's ribs will see one of the 1296 anatomical structures...

In reality, there are even more mutated human structures, and it is almost impossible for doctors to exhaust them.

At this time, it is very important to do image inspection in advance, analyze and respond in advance.

Li Yuan looked at Ling Ran, at such a young age, although he claimed to have performed hundreds of liver resections, but wringing out the water, he didn't know if he had done such a thing...

For a moment, Li Yuan even regretted that he shouldn't listen to Xu Jinyi all the time. It's too risky for a young doctor like Ling Ran to perform liver resection surgery...

Just as he was thinking about it, he saw that Ling Ran had already buried his head on the operating table, and started to do the peeling.

The anterior helical adhesion to the cystic duct on the left side of the common hepatic duct obviously did not play its due obstructive role.

Li Yuan's brows furrowed imperceptibly, and then relaxed again.

To be honest, when Li Yuan first saw the video data, he was a little scratching his head. Xu Jinyi's operation is not easy, including this part. The good cystic duct has grown into a spiral shape, and it is still glued to the common hepatic duct. Doctors know that if they accidentally break the two things, they will be damaged again. What a hassle.

If the bile flows into the abdominal cavity, it is equivalent to the body digesting itself, and the inflammation will kill the patient if it is not handled properly.

"It's almost done, I'm going to start the resection." Ling Ran didn't stop at the cystic duct at all, and after finishing it smoothly, he started the resection smoothly.

There is no ceremony for the cutting. It seems that the pre-cutting line has just been made, and then it is cut off after explaining a sentence.

"It's not so particular." The deputy senior officer just now muttered to himself suddenly: "You don't respect malignant tumors at all!"

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