Chapter 782: The Way Forward

According to the information displayed by the avatar and with the normal examination results, Ling Ran first drew Chen Xiaowang's abdominal anatomy on the paper.

For surgeons, the difficulty of cholecystectomy is mainly reflected in the anatomical structure and variation of the cystic artery and bile duct. How many are there? If people are classified according to the differences in the cystic artery and bile duct, the list of human types would have to be printed in a book, which may not be enough.

Naturally, Chen Xiaowang was no exception.

His cystic artery had an obvious variation. The cystic artery branched prematurely into two or double cystic arteries.

This can be said to be a very common mutation. There are hundreds of millions of people who may have similar mutations. If no surgery related to gallbladder and bile ducts is performed, this mutation will not show any sense of existence at all, and it will not be uncomfortable. It affects health, and even has no effect on the surrounding organs, and its value is not as good as that of neighborhood committees outside the capital.

But when doing cholecystectomy, if the doctor does not pay attention to this variation, it is easy to have problems.

In order to avoid bleeding, when performing cholecystectomy, the doctor must first block the gallbladder artery. Ordinary people only have one gallbladder aorta, and it will be fine if you clamp it with a vascular clamp. If you don’t pay attention to the double-branched artery, it may happen. Only the anterior artery was clamped, and the posterior artery was almost 100% accidentally injured in the follow-up treatment. At that time, massive bleeding was inevitable, and it was impossible to expect a good prognosis.

"Double cystic artery!" Ling Ran stood up and wrote it down on the whiteboard in the big office.

This is not only a reminder to myself, but also to other doctors.

Some of those unlucky accidental injuries were caused by the chief surgeon, and some were caused by the chief surgeon not reminding and managing the subordinate doctors well.

"The gallbladder is edematous and inflamed."

"The cystic duct runs parallel to the common hepatic duct and then enters the common hepatic duct."

Ling Ran wrote a paragraph, and occasionally accompanied it with a sketch.

For doctors, anatomical drawing and anatomical relationship are all basic exercises, and it is inevitable to understand...

Not only the doctors in Ling Ran's group could understand it, but the doctors in other groups also looked at it curiously.

"Chronic cholecystitis, a little atrophy, it's not a problem, the terrible thing is the recovery time of two and a half days."

"I don't believe it. Is the company so busy now?"

"Make money. We are doctors, we are exhausted during the day and night, and we go out to perform knife throwing on weekends. Why?"

"Some people do it together for the sake of making money, some for the ideal, and some for the ideal to make money. To be honest, it has nothing to do with us. As far as I know, Huawei's projects are all done with the standards that are two years ahead of the industry. If it is slower today , Slow down tomorrow, isn’t it a waste of the time the people in front have fought so hard for?”

"Then there must be a basic rest time."

"Basic time? I don't know how you study. As far as I know, students who have a basic rest time either take the 985 exam easily, or fail to pass both. Which kind are you?"

After discussing academic qualifications, the doctor's office in the emergency center suddenly became a mess.

Huo Congjun walked slowly to Ling Ran's side and asked, "Have you decided?"

Ling Ran said "Yes".

Huo Congjun looked at Ling Ran's drawing on the whiteboard, shook his head, and said, "Why bother, so many patients are waiting for you to perform surgery. This kind of minor surgery can only be done by ordinary doctors. The recovery period is two and a half days. This kind of request, to be honest, is a bit too much, isn't it?"

Ling Ran said, "It's also an improvement for myself."

Huo Congjun asked unexpectedly, "How?"

"Improving the prognosis and reducing the recovery time can be regarded as a development direction of cholecystectomy." Ling Ran was actually guessing the upgrade route of cholecystectomy from specialist to master level.

Different from other skills, the cholecystectomy was practiced by Ling Ran himself from the beginning to the end. ,

From getting started to becoming a master, and how to continue, Ling Ran actually didn't have too many ideas.

Cholecystectomy itself is a relatively simple operation, especially laparoscopic cholecystectomy, and everyone has done it with a high degree of completion. Reducing damage, improving accuracy, etc., always give people a somewhat specious feeling. The feeling of floating in the air cannot accurately guide technological progress.

Without the guidance of a more senior doctor, Ling Ran didn't know how to improve.

Chen Xiaowang's request, inadvertently, opened up a topic, even a direction, for him.

Ding.

The system also jumped out at this time.

Mission: the way forward.

Task content: Complete 50 cases of abdominal surgery, and the recovery time is less than 60 hours.

Mission Reward: Intermediate Treasure Chest.

Ling Ran's eyebrows furrowed.

If the task is limited to abdominal surgery, he will do what he can, that is, the liver, gallbladder, spleen and appendix. In addition, the surgery should not be counted.

Here, liver resection is impossible to recover within 60 hours. After liver resection, survival within three days is considered a success, and it is not too late to leave the ICU in three days.

The emergency surgery to remove the spleen has a very small probability of meeting this condition, especially when the patients are generally young, the recovery from emergency surgery is usually good, but it is very mysterious to say that it takes 60 hours to recover.

From this point of view, what is suitable for Ling Ran is to have the gallbladder removed and the appendix removed.

"The postoperative nursing care must also be taken care of." Zuo Cidian said at this time: "If you want to recover quickly, you must also pay attention to nursing care."

"Pay attention to anesthesia." Lu Wenbin also made an opinion.

"Surgical instruments and consumables, shouldn't we be more refined?" Ma Yanlin licked his pale lips with his pale tongue, expressing his opinions weakly.

Ling Ran nodded, and then said to Zuo Cidian: "Write it down and see what needs to be done."

When Huo Congjun heard this, he also became interested: "If it's really done like this, it can be used as a sign of quick recovery. Well, the employees of Internet companies are all quite rich, right?"

Zuo Cidian understood it, and immediately said: "It must be richer than us, and their insurance is also full. Besides, if you don't have time to catch up with the schedule, you must have money."

Huo Congjun nodded in agreement: "Idiots who have no time and money don't need to do something to recover quickly. Well, since they are a company, there should be many similar patients."

"I heard what the patient said. Many of his colleagues have similar problems. There should be many people who treat appendicitis, enteritis, and cholecystitis conservatively..." Zuo Cidian smoothed his hair and gave Huo Congjun a reason to support Ling Ran.

Huo Congjun nodded as expected: "Then set up a project team as if it were a research project. Dr. Zuo, fill out a few applications, and I'll get some resources for you."

The doctors in Ling's treatment group nodded one after another, and the other doctors in the office looked as usual, as if they didn't hear it.