Eight Hundred and Fortieth Chapters Now Cut

Ling Ran watched the operation all morning, and when he saw Shan Quan undergoing an open gastrectomy, he turned around and left.

It's not that he looked down on Shan Quan's open gastrectomy, he really looked down upon it. At most, the level of specialization is elementary. If the middle and late stages are not handled well, it is a high entry level. For Ling Ran, there is really no reference.

From this point of view, Shan Quan did not do many laparotomy operations, and it is estimated that most of the time was spent on laparoscopy.

Speaking of it, this is also the common state of Shan Quan's generation of ordinary people. Those doctors who are lucky in the hospital are all rushing to undergo laparotomy instead, and they can have major surgery at a young age. developed. On the contrary, those unlucky doctors, when they are old, have no turn to perform major surgery, so they can only do some laparoscopy to maintain their life like this...

Few people could have predicted that laparoscopy would develop to the extent it is today.

All kinds of surgery in general surgery have almost completely fallen into the clutches of laparoscopy. For laparoscopic experts, there are only operations that are good or not, not operations that are impossible.

It is a pity that Shan Quan is also a heretic in laparoscopy. The single-port laparoscopy he is best at has not yet reached the level of all-in-one. The position of the laparoscope is almost occupied by the predecessors.

Shan Quan's family knew about his family affairs, and seeing that Ling Ran didn't watch his laparotomy, he breathed a sigh of relief, and couldn't help laughing: "There's a handsome guy in front of you, and you can't even make a joke, so you're finally gone." .”

"Director Shan, we don't need to use the word witty words now. The handsome guy looks vulgar too." The handwashing nurse curled her lips.

Director Shan laughed: "I made a mistake. It's a dirty joke. It should be a dirty joke. Let me say one first..."

The itinerant nurse sighed faintly, and looked in the direction of the door: "I really hope Dr. Ling just goes to wash his hands, and then comes back to perform surgery with us."

Director Shan wanted to be upset, but thinking about Ling Ran's face, he decided to forget it.

Even he felt that Ling Ran was in the operating room, and the atmosphere was quite special. The same blue wall and green ground make people feel happy just looking at it.

"The emergency center can't finish its own surgeries. It's impossible to come to see us for surgery all day long." Director Shan replied to the itinerant nurse, then turned around and followed the topic, saying: "The emergency center will The bonus should be very high, for liver resection surgery, it’s a big deal to do one, and they’re about to open 50 a month now.”

"It should have been more than a little last month. There should be sixty or seventy units." As usual, the assistant was a little doctor with no sense of presence. Holding the mirror, he quickly wentssip about the big doctors.

Director Shan clicked his tongue twice, and was a little envious: "On average, two hepatectomies are performed a day. In practice, three or four operations are performed a day to have this amount."

He is the chief surgeon himself, and he knows all kinds of troubles in surgical arrangements, especially large-scale operations. From preoperative diagnosis to postoperative series of operations, it requires a lot of accumulation of manpower and material resources. Ordinary doctors, if given the opportunity, they It is also capable of performing fifty or sixty, or sixty or seventy surgeries a month, but under normal circumstances, it is impossible for a normal department to release such a large amount of resources to an ordinary doctor.

Like Ling Ran's surgery, it is equivalent to a treatment team with a deputy chief physician, a chief resident, three resident doctors, plus multiple trainers and interns, as well as an unlimited number of anesthesiologists and nurses, surrounding Ling Ran. Turn alone.

Director Shan didn't think it was necessary, nor was he willing to bear such pressure, so he was just a little envious.

"It's better to be free.

Director Shan smiled and continued to work on his own operation.

The next day.

early morning.

Director Shan drove his big Ben, driving slowly in accordance with his usual style, keeping the lane all the way, yielding to pedestrians, and when he was approaching the hospital, he stepped on the accelerator...

He arrived at the hospital 5 minutes earlier than yesterday.

When he entered the elevator again, Director Shan involuntarily took out his phone and took a look.

He still has surgery at 9 o'clock today, and the time...

"It's okay to be late..." Director Shan smiled to himself, being a chief physician but failing to become a director, isn't it great to be free? What's wrong with being a little late...

Director Shan thought about it, and after getting out of the elevator, he still sped up a little.

As usual, I changed my hand washing clothes, did a little inspection, and then went to the washroom.

Director Shan looked around and saw nothing unusual, so he began to wash his hands, laughing at himself again: what happened today, what are you thinking about.

After laughing at himself, Director Shan still lowered his head and washed his hands, but he was a little restless.

Washed, dried, into the operating room.

Director Shan looked up and saw Ling Ran.

The back is straight, the white clothes flutter, and the proportions of the whole body are coordinated like a sculpture. As far as the visual effect is concerned, if it is cut open, it is estimated that the muscle shape will be particularly beautiful.

Director Shan suddenly felt at ease.

"Ling Ran, are you here for surgery?" Director Shan smiled.

"Yes." Ling Ran replied, then turned around, gave Director Shan a broad smile, and asked, "Shall I be your assistant?"

"Oh..." Director Shan was a little confused again: "My assistant here is actually helping the mirror."

"There will still be different feelings." Ling Ran said.

Director Shan let out a sigh of relief: "Okay, if you want to help, you can help, whoever, you can rest for a while."

The so-called general surgeon obediently gave up his position.

He didn't dare to compete with Ling Ran for the position.

Ling Ran and Director Shan stood side by side, and when the patient was anesthetized, he immediately entered the state of surgery.

Director Shan stood between the patient's legs and said while making the incision: "The current contraindications of single-port laparoscopy are basically the same as those of laparotomy, but the small surgical trauma is still very advantageous... "

Ling Ran listened to Director Shan's words, silently memorizing and comparing with the information he knew in his mind.

The splenectomy performed at this time was an operation that Ling Ran was very good at, but he had never done it with a single-port laparoscope. Because the splenectomy patients received by the emergency department are all emergency department, laparotomy and surgery are the most commonly used methods.

In general surgery, the most common indications are patients with blood diseases such as thalassemia, as well as mild to moderate hypertrophy caused by splenic cysts and splenic hemangiomas. This kind of elective surgery is relatively safe, and there is sufficient time before surgery. As far as preparations are concerned, director Shan can do it with ease.

Ling Ran supported the mirror, acting as the chief surgeon's field of vision, and looked at it with gusto.

After an operation, Ling Ran immediately edited a WeChat message to Zuo Cidian: Cut the spleen.

Zuo Cidian's message came back quickly: Received, arrange immediately.

...

afternoon.

Ling Ran received the first splenectomy patient.

This time, Ling Ran was the chief surgeon, while making the incision, he said to Ren Qi who wanted to learn single-port laparoscopy: "The current contraindications of single-port laparoscopy are basically the same as laparotomy..."

...