Chapter 814 Laparoscopy

"Laparoscopic radical gastrectomy? No, no, it's too risky!" Ouyang Kan's good temper came to an end 5 minutes after the preoperative meeting started.

The director of general surgery sitting next to him, two attending doctors, and a resident doctor all sat in their original positions without any surprise.

Huo Congjun was only taken aback for a moment, then smiled in relief. The good temper of the surgeon, how good can it be, Ouyang can bear it to this extent, Huo Congjun thinks, it is enough to be bullied.

Of course, the deputy chief physician and even the chief physician of an ordinary small department may not be too bully, but Huo Congjun can. From his point of view, this level of hardness is quite satisfactory.

Ling Ran, who was sitting next to Huo Congjun, didn't seem to be affected by Ouyang Kan's attitude at all, and continued to scan the ppt with a laser pointer, saying: "There are two main reasons for choosing laparoscopic radical gastrectomy. , the patient is still in the early stage of gastric cancer, there are sufficient margins, and the patient's injury is small. Second, I did a good job of lymph node dissection."

Ouyang Kan was going to talk about the issue of lymphatic dissection, but he laughed angrily when he heard Ling Ran's answer: "This shows that you also know the problems you will face in laparoscopic gastric cancer resection, but lymphatic dissection is a world-class problem. , to ensure the survival rate and reduce recurrence, you must thoroughly clean the lymph nodes around the stomach, which is very difficult. It is also very difficult to completely eliminate the cancer cells that have fallen off in the abdominal cavity, let alone this, it is very difficult..."

"My lymphadenectomy is also very good." Ling Ran's answer, in the eyes of others, may be a bit of a needle point, but he himself is really confident. The perfect level of lymphatic dissection is no joke, and this technique does not matter whether it is a laparotomy or an open surgery.

Ouyang Kan didn't believe it, shook his head, and said, "I agree to help you, just because I'm afraid of encountering such a situation. Dr. Ling, I know you have undergone liver cancer surgery, but liver cancer surgery and stomach cancer surgery are different after all. If you insist on using laparoscopy, then I request that the patient be referred to me, and we can also have a good talk with the patient..."

"Ouyang." The director of the general surgery department had originally made up his mind not to speak, but at this moment he had no choice but to say: "Since Dr. Ling said that he has no problem with lymphadenectomy, why not use this as a basis and continue watching Watch the follow-up..."

"There is no need to listen to the follow-up. Lymphatic dissection under laparoscopy is very troublesome. There is no agreement on the issue of laparoscopy and laparotomy. The follow-up sounds useless..."

"You haven't seen Dr. Ling perform liver cancer surgery, have you?" the director of general surgery interrupted Ouyang Kan again.

Ouyang Kan hesitated for a few seconds, and said, "I've seen the liver resection he performed, and the Achilles tendon repair..."

"Please find Dr. Ling to do liver cancer surgery, and the video of lymphatic sweeping comes out. Our Dr. Ouyang is still quite stubborn, so it's better to watch the video." The director of general surgery made a request, and the doctor in the emergency department looked at Huo Congjun, They were all busy.

The general foreign director shook his head helplessly. For doctors like Ouyang Kan, the promotion is getting slower and slower. There is a problem, that is, too many things to do and too little to accumulate. On weekdays, he patronizes his own surgery to accumulate experience, but he doesn't go to see other people's surgery.

This may be the reason why Ouyang Kan can do well, and it is also the reason why Ouyang Kan can't.

Yu Yuan found out a liver resection performed by Ling Ran as quickly as possible, and introduced: "This is a liver resection performed in the capital, and it is also performed in many hospitals in the capital, including the Second Affiliated Hospital." , the liver resection with intraoperative follow-up examination, which was pioneered by Dr. Ling, is currently being promoted in the UK and other places.

Named Ling's liver resection. "

After Yu Yuan's introduction, the room fell silent.

Looking at this scene, Yu Yuan raised her neck triumphantly, looked at both sides, and then slowly said: "Because time is limited, I will fast-forward to the lymphatic cleaning process now."

As she spoke, she adjusted the time and fast forwarded the video.

The consultation room was quiet.

On the screen, under the clear and even clean surgical field of view, you can see the lymphatic granules the size of rice grains being blown up one after another. The scope of each cleaning is not large, but the operation is so smooth, and the anatomical structure is clear...

Ouyang Kan was stunned when he saw it.

Ouyang Kan, who claims to be one of the best stomach cancer experts in Changxi Province, has done countless lymphatic sweeps, and has seen countless lymphatic sweeps, so when he saw Ling Ran's actions, he was completely shocked.

To achieve this level, one must be familiar with the anatomical structure of the abdomen and understand the patient's condition.

Ouyang Kan couldn't help asking: "Where did you grow this?"

Ling Ran replied knowingly: "Xiagou Clinic."

"What?" Ouyang Kan didn't understand.

The attending doctor sitting next to him was young, and couldn't help muttering: "Don't ask, you are a genius if you ask."

"Genius must be a genius." Ouyang Kan heard his words and responded in the same way.

"Suck."

On the screen, the surgery is still going on.

Ouyang Kan felt that there was no need to read it anymore, and waved his hand: "It can be closed."

Yu Yuan looked at both sides and saw that there was no objection, so she turned off the screen as she said.

"What's next?" When Ouyang Kan said this, he defaulted to the laparoscopic gastrectomy.

After solving the problem of lymphatic sweep, laparoscopic surgery has many advantages. In terms of recovery alone, chemotherapy can be done earlier, and drugs that need to be tolerated can be used. Ouyang Kan has no reason to object.

Ling Ran was not aware of Ouyang Kan's attitude, and only said: "I will do the main operation, and the next step is cooperation. I plan to pierce the pneumoperitoneum from below the navel. After the inspection, the omentum must be freed first... ":

This is the question of surgical approach.

For an operation, the choice of approach basically determines the choice of surgical method.

Ouyang Kan originally prepared a lot in this regard, but now he is too lazy to talk about it.

Ling Ran's choice of approach was not Ouyang Kan's choice of approach. If it had been before, Ouyang Kan would have strongly opposed it. However, after seeing Ling Ran's handsome face sweeping the lymph, Ouyang Kan could only persuade himself to relax.

Ling Ran was the main surgeon, and Ouyang Kan could only accept Ling Ran's choice.

He didn't have the confidence now, so he took Ling Ran's position and took it by himself.

Ling Ran introduced the approach problem in a straightforward manner, and then explained the situation to the nurse and anesthesiologist. The benefits of comprehensive skills are undoubtedly revealed.

Huo Congjun was so happy that his back molars were about to be exposed.

This gastric cancer resection was about to succeed. At that time, his wish for emergency treatment was even more inflated.