Chapter 818 No Way

emergency center.

Operating Room 1.

The reconstructed operating room has a spacious area and reasonable moving lines. There are a total of 8 people standing in it, and some people are walking back and forth, without being too crowded.

The same spacious viewing room, but because too many people came, the air was slightly dirty.

Veteran Deputy Chief Physician Wei Qing wanted to drive away a few residents or interns, but his lips trembled and he didn't say anything in the end.

Although surgeons are rough, they still need face. Another thing is that it is politically correct to provide young doctors with a better learning environment. You can’t drive them away just because they don’t understand. If they don’t understand, there are learning methods that they don’t understand. It is to learn a certain technology at a glance, and everyone has to have a transition and habit.

Furthermore, if you want to drive people away, the ladies who are lying on the window and taking pictures desperately should be the ones who should be driven away.

Wei Qing, who has been in Yunyi for nearly 30 years, can't even remember whether they are in finance, or public relations, or they are simply medical representatives of a third-party company.

Wei Qing set his eyes on the screen above without being bothered, just like most doctors do.

Compared with open surgery, laparoscopic surgery is better in this regard. As long as the signals in the operating room are exported, what you see inside and outside is the same. The same yellow peritoneum, the same spleen, stomach and left lobe of liver, and the omentum and transverse mesocolon occupying the largest field of vision...

Wei Qing suddenly realized: "Is this a cut to the gastroepithelium?"

"The right blood vessel, as well as the lymphatic group of the middle colon artery, have been dealt with together." The director of general surgery looked down seriously.

Similar to Ouyang Kan, he has never done laparoscopic gastrectomy. It’s not that he can’t learn it, but his stomach is a little low-end. As the chief director, he focuses on the pancreas and duodenum. The top direction of the so-called excrement group.

Although he doesn't know how to do it, the chief director has seen many kinds of operations, and his experience and eyesight are far superior to Ouyang Kan's. Just looking at the surgical approach Ling Ran adopted, he knows that his confidence is very strong.

If a surgeon is confident, he will take big risks or reap big profits.

The director of general surgery couldn't help but look at Huo Congjun again, and said, "The patient is a policeman?"

"Well, I'm still the child of a martyr. I'm unlucky and got stomach cancer." Huo Congjun replied.

"In fact, leave it to us, and the safety factor is a little higher." The director of the University of Foreign Affairs reminded intentionally.

"Ling Ran is confident, let him do it."

"I'm afraid I'm too confident."

"oh?"

"Ouyang Kan in our department doesn't know how to do laparoscopic gastric cancer, and Ling Ran has to support all the operations."

Huo Congjun smiled, but said nothing. He understood what the other party meant, that the operation was risky and his family could not take responsibility.

Of course Huo Congjun could smack his chest and say "I'll take care of things", just like the chivalrous head of so-and-so in a martial arts novel.

However, Huo Congjun is not the kind of low-level gangster,

The viewing room was quiet, and Huo Congjun didn't say a word, like a financial elite, determined not to take any responsibility.

The director of general foreign affairs curled his lips in disdain: "Old Huo, you don't have to take responsibility like this."

"What is the responsibility of finding work for your subordinates?" Huo Congjun was not agitated at all, and looked at the other party with an expression of "you are still young",

And use language to attack: "You are still young, and you will know which things are more important in the future."

The director of general surgery suddenly felt angry. He was not so angry at first...

"Ouyang, safety first." The director of general surgery pressed the call button and expressed his emotions through the microphone.

Ouyang Kan in the operating room below paused for a moment, but it didn't affect the operation in the slightest.

Laparoscopic surgery is originally a lone wolf among lone wolves, and the existence of an assistant is a necessary scenery, and it will always be just a scenery.

When Ling Ran performed surgery, he didn't care what other people said. He followed the colic artery to find the superior mesenteric artery, and then on the right side of the superior mesenteric artery, he found the superior vein, and then exposed the right gastroepiploic vein. , and the colic vein, so that at the root of the right gastroepiploic vein, it was ligated and cut off.

After a series of movements, the operating room and outside became quiet again.

It's like on the basketball court, several coaches are discussing the knee joint movement habits of several students on the court for three-step layups, and one of the students suddenly comes up with a low singles, turns and rides a straddle dunk...

Whether it is the emergency department or the general surgery doctor, they all have short-term aphasia.

Ling Ran's ligation and cutting of blood vessels is super fast, and he is not as trembling as a general surgeon. After all, he is a doctor who is used to performing liver resections. It is normal to discriminate against the blood vessels in the stomach—if you have the ability, you can break it. , If I can't stop it, I will lose!

However, what really surprised everyone was Ling Ran's familiarity with anatomical structures.

The colic artery is easy to recognize, so it is used as a marker. However, starting from the colic artery, it is not easy to find the superior membranous artery. If you want to touch the superior vein, you have to pay more attention. If it is a laparotomy, it is relatively easy to follow the vines to find the tissue structure-in fact, it is not easy. In the current surgical operation, the opening of the abdomen is getting smaller and smaller. If you want to touch the place along the way, there are layers of tissues in the middle as obstacles , can easily be misunderstood.

In laparoscopic surgery, this step is even more difficult. If you think about little doctors doing appendicitis surgery, you can feel the abdominal cavity for an hour or two, but you can’t find the appendix. There are more than seven or eight "appendices".

Find a stomach that can be chopped off by a butcher in three minutes. Why it takes a surgeon five or six hours to complete it is also because of the various problems that may be encountered during the process. Among them, the doctor's anatomical knowledge is a core point to determine the operation time.

For an operation, if the doctor's knowledge of anatomy, knotting and sutures is good enough, and he is able to deal with crises, then the rest is actually a simple understanding of the operation, and this part, compared to other basic skills , that is too simple, it is really to the extent that the operation can be performed according to the book.

"Lower vision." After interrupting the right gastroepiploic artery, Ling Ran checked again, and asked Ouyang Kan, who was holding the mirror, to change positions.

Already ready to be a spare tire, Ouyang Kan, who originally thought about turning laparotomy at any time, was completely convinced. Gently turning the mirror, the gallbladder, liver, stomach and upturned omentum tissue were exposed on the screen ...

"Use the pancreas as an anatomical landmark." Ling Ran mainly informed the assistants about the situation.

Not only the doctors in the operating room, but also the doctors in the visiting room nodded unconsciously.

Ouyang Kan felt relaxed, and couldn't help but look at the direction of the patient's head at this time, but said: "Finally, our martyrs have not been disappointed. The country that is desperately defending already has enough technology and resources to protect their children." I'm dead."

Ling Ran looked at Ouyang Kan.

"You can't let the martyrs throw their heads and shed blood, and then shed tears, right." Ouyang couldn't help but feel relieved seeing the smooth operation.

Ling Ran nodded slightly: "No."