Chapter 817: In Full View

When Ling Ran entered the operating room with his hands raised, the viewing room was already full of people.

Yunyi's first laparoscopic gastric cancer resection, at least to Yunyi's surgeons, is still a bit of a head start. To put it more broadly, the provincial general surgery department that has done laparoscopic gastric cancer resection does not do much. Generally speaking, this operation is still a bit novel.

If you want to describe it, it is roughly equivalent to Spanish food. Anyone who pays attention to it has heard of it, but there are not many of them, and those who have eaten many times are even less familiar.

Doctors who are interested in this surgery, laparoscopic surgery, or Ling Ran can easily fill up a room of the observation room, even the chief director of general surgery , In this kind of occasion, there are not many privileges. You can only sit in the front seat in a proper manner, and it is impossible to want to be spacious.

"Let's get started." Ling Ran has done many demonstration surgeries, and he is getting used to the viewing room day by day. He no longer thinks it is special to be full of people. In fact, even when Ling Ran was doing routine surgery, the viewing room was often full of people.

The more people come, the doctors who perform the surgery will get used to it. Just like some big hospitals in Europe and the United States, such as Mayo and its like, there are always interns or doctors from foreign countries visiting the operating room, and the surgeons who perform operations can only adapt.

In Ling's treatment group, after staying in operating room No. 1 with an observation room for a long time, doctors like Yu Yuan gradually got used to watching, let alone Lu Wenbin and others.

On the contrary, Ouyang Kan, the dignified deputy chief physician, was a little uncomfortable, but it only happened for a moment. When the carbon dioxide filled the patient's abdominal cavity, Ouyang Kan looked at the familiar pneumoperitoneum, and gradually calmed down.

For gastric cancer surgery, Ouyang Kan has to do laparotomy, but in addition to gastric cancer surgery, Ouyang Kan has also done a lot of laparoscopic surgery. It is impossible not to do it. In the current general surgery, most of the operations are being replaced by laparoscopy, which is nothing more than the difference between good and bad.

Those who do poorly and do little, like Ouyang Kan, usually do some appendix, intestinal obstruction, etc., and most of them are self-practice, plus a little bit of helplessness, and those who do well, like Ling Ran...

Ouyang Kan watched Ling Ran's operations, and couldn't help feeling a little jealous in his heart.

Talent can be seen at a glance - no screening, no need to ask how to screen, "stand out" is prepared for genius.

Ouyang Kan looked at Ling Ran's operation, and then looked back on his learning process of laparoscopy. His heart was not only filled with waves, but also storms.

Nowadays, laparoscopy is so popular, it would be against their will to say that Ouyang Kan and others did not practice, did not devote time and energy. In fact, in order to keep up with the times, Ouyang Kan spent no less than 1,000 hours on laparoscopy.

However, for doctors without talent, the cost of learning is extremely high.

If you are still young, if you are just new to a certain technique, Ouyang Kan may still be able to spend hundreds of hours learning, then spend hundreds of hours to improve, and then spend hundreds of hours to improve , to form a competitive advantage.

However, Ouyang Kan is no longer young. If he wants to replace laparotomy with laparoscopy, he has to achieve laparoscopic technology, at least close to laparotomy. In fact, he has no learning resources during this period. .

Can't quickly learn laparoscopy in a genius way, Ouyang Kan, who is burdened with a treatment group and has no teacher, is basically insulated from laparoscopy.

The hospital and even the department will not consider how to let a 50-year-old surgeon learn new techniques. They will only ask Ouyang Kan to use the last time to shine and stand on the last post of laparotomy.

Only geniuses, only genius doctors with extraordinary talents, can turn at will and maximize their personal value.

"Abdominal aorta and mesentery have not found any metastasis." Ling Ran's clear voice pulled Ouyang Kan back instantly.

Ouyang Kan looked at the screen and nodded in approval.

"The liver is clean."

"No invasion of the transverse mesocolon of the pancreas."

"Retroperitoneal lymph nodes, no invasion."

Ling Ran was not in a hurry to mobilize his stomach, and first checked around the primary tumor.

"Good luck." This was Ouyang Kan's subconscious reaction, and he didn't hide it.

One of the reasons why doctors in general surgery do not like laparoscopic gastric cancer surgery is also because the scope of laparoscopic surgery is limited, and the scope of gastric cancer resection is even more limited. Basically, it can only deal with early gastric cancer, and advanced gastric cancer. There are surgical cases reported in the literature, but they are still very controversial. In short, the safe range of laparoscopic radical gastrectomy is early gastric cancer.

However, not to mention the fact that early gastric cancer is rarely found, even if a case of early gastric cancer is confirmed, and pneumoperitoneum is made by laparoscopy, what should we do if we find that there has been metastasis in the next inspection?

At that time, it will be converted to laparotomy, because pneumoperitoneum, poking operation holes and other operations will cause more infections. These steps are originally dangerous items for cancer cell metastasis.

Ouyang Kan said that he was lucky, which meant that the cancer was still in the early stage, but this was just the beginning. An operation that normally takes five or six hours to complete had much more difficulties to overcome.

Ouyang Kan's eyes moved away from the screen a little, and seeing Ling Ran's serious expression, he felt embarrassed for him, and thought in his heart: This is a young man, at his age, how could he take such a big risk, Doing such a dangerous operation under the watchful eyes of everyone.

In the observation room above the head, this is also the time when the discussions are the most heated.

The director of general foreign affairs also couldn't help it, and said to Huo Congjun with a smile: "Young people are really impulsive, and you don't want to help stop it."

"What are you doing? We are in the emergency department, and we never expect anything to be sure. If the world is as it should be, there is no need for us to exist in the emergency department." Huo Congjun crossed his arms and said philosophical words .

The director of general foreign affairs saw through him at a glance: "Ling Ran gives you such strong confidence?"

"With this kind of technology, how confident do you think I have to be?" Huo Congjun smiled.

The director of the Department of General Surgery disagreed: "This is the beginning. Not to mention anything else, just this colon belt. How long do you think it will take to check to confirm that there is no metastasis inside? What is the probability that the test will not reveal it?"

"This colon is thick and white, so it looks pretty healthy." Huo Congjun smiled.

"Rough white can't prove that there is no transfer."

"But if it's on pigs, it should be a more delicious type."

"That's for sure. The colon is already delicious, and it's a good place to wash it clean."

"It's not interesting to wash too clean."

"Forget it, I don't want to lie on the operating table by myself."

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