Chapter 919 Slow
The average operation time of combined radical gastrectomy in Changxi Province is more than 6 hours.
But Ling Ran did it more slowly.
In the past six months, Ling Ran's average operation time has increased significantly.
When he only mastered the "master-level" liver resection technique, the time for Ling Ran to perform a liver resection was basically within three hours. If it was done quickly and the patient's physical condition was suitable, it could be performed properly in one hour. clean up.
However, with the acquisition of the "perfect level" of "tissue separation", as Ling Ran continued to upgrade himself, so that he was promoted all the way to the perfect level of liver resection, Ling Ran's operation time was unswervingly reduced. .
Because the more and deeper skills he masters, the more he can control the details, and it will take more time to handle the details well.
Just like a small blood vessel, it is also the same when the electric knife is all condensed, it is also the same when it is bypassed, and it is also the same when it is cut off and sutured. It just depends on how Ling Ran handles it.
In this kind of operation, there are very few doctors who can choose freely.
Combined liver and stomach radical surgery, two doctors unite together, and do it step by step. It is impossible not to say that you will not make mistakes. If you make small mistakes and make big mistakes, you will complete the operation, and the rest depends on the patient. It is rare to earn your own life.
Compared with the difficulty of building a house, the difficulty of subtotal gastrectomy is the level of one person building a brick and tile house. If you do a better job, you should pay attention to the windows and tiles. Building a matchbox-style brick and tile house can be regarded as being built.
Liver resection is the level of building a two-story or even three-story building. No matter how rough it is, it needs to be a little bit more paradigmatic. If you want to do it better, the upper limit is very high. To be a certain design award or something like that, Not surprising.
Combined liver and gastrectomy is equivalent to making a building complex. The lower limit is difficult for ordinary people to touch, let alone the upper limit.
Few doctors can complete a liver and gastrectomy.
It's too time-consuming, and after watching for too long, the operation will become boring after the passion fades away.
On the contrary, doctors like the director of general surgery, the more they look at it with gusto.
The doctors in the observation room came and went, and came again, always maintaining a certain number of people, but only occasionally when the number was small, could Yu Yuan be revealed.
At this time, Yu Yuan would proudly raise her chin,
And introduce the following two sentences to the newcomers, just like the little wolf in the wolf pack, giving the newcomers a lecture:
"According to the current literature, vascular tumor embolus positive, lymph node positive, serosal surface invasion, peritoneal metastasis, and the timing of liver metastasis are all high-risk factors affecting the prognosis of liver metastasis..."
"The follow-up results of some liver metastases from gastric cancer show that the median survival rate of surgical treatment is generally only 18 to 20 months, but once it exceeds 20 months, the survival time will be greatly improved... "
"When the size of the metastases in the liver exceeds four centimeters, it will also have a great impact on the operation and prognosis. Well, Dr. Ling has basically completed the treatment of the liver..."
Yu Yuan kept making introductions, but it wasn't annoying. In the later stage, she introduced more and more information in the documents and materials, and these things, even the directors, may not necessarily know all of them.
With the refinement of modern medicine, most doctors can only specialize in their own small fields. They are not frequently performed surgeries, surgeries that are climbing the technological tree, or popular surgeries. Relevant literature, normal doctors Will not read carefully.
Everyone's time is precious, and normal people still need to sleep at night.
At this time, while watching the operation and listening to Yu Yuan's popular introduction, the doctors felt quite good, and even felt that the trip was worthwhile and that they didn't waste their time.
When it was time for dinner, portions of crispy buns were brought in. The pure aroma of wheat strengthened the impression of everyone.
"Everyone has worked hard. This is made by our own chef at Yunli. Everyone, please give us a review. If you have time, please give us a review." Mai Ju entered the viewing room, just like usual, without saying a word Laugh first, and immediately show the characteristics of a medical representative.
Some of the doctors were eating the buns with smiles, some were eating the buns seriously, and some were eating the buns with frowns...
Mai Ju is also used to the mentality of the doctors, still smiling, curling her lips secretly, thinking: Don't eat my buns if you have the ability!
Huo Congjun also pressed the call button and asked, "Ling Ran, do you want to rest for a while and have something to eat?"
"No, it'll be over soon." Ling Ran replied calmly, without even pausing for a moment.
"Oh... huh? Are you almost done?" Huo Congjun replied before he felt something was wrong.
"It will take... more than an hour." The time unit given by Ling Ran is obviously a little different.
Huo Congjun couldn't help laughing, he could only nod his head, and then pressed the button: "You follow your time."
As for whether the assistants could get food and whether they were hungry, Huo Congjun didn't worry about it.
Doctors are world-class unhealthy people. It is too common to not eat on time and overeat.
The director of the general surgery department didn't care too much, and nodded Yu Yuan with a smile, and said, "Why don't you continue talking, let's make it a side dish. Well, Lao Huo, your emergency center has received a lot of good seedlings recently."
"Doctor Yu is no longer a seedling." Huo Congjun smiled: "After the hospitalization is finished, it's time to be promoted to attending."
The director of general surgery said "En", but a doctor next to him laughed in a low voice: "Is this not considered a seedling?"
...
The doctors in the observation room changed two more times, and it was near evening that Ling Ran finished the operation.
At this time, his assistant has changed a round.
However, due to the difficulty of the operation and the ability of the assistants, today's operation can only be performed with three assists and four assists and one assist and two assists. Therefore, when the operation is over, everyone is starving.
"Quick, get something to eat."
"Is there anything to eat?"
"Where's the pig's trotters? Are there any pig's trotters?"
Several assistants came out of the operating room, almost at the fastest pace, and when they arrived in the lounge, they were all hungry and numb.
I saw a few people with sullen faces, bared teeth, red eyes, and they were eager for food...
The little chef in the lounge looked at the few people, hesitantly: "Aren't you going to have an operation?"
"Nonsense, where's the pig's trotters? Where's my stewed pork?" Lu Wenbin asked while rummaging in the kitchen.
The little chef quietly grabbed the handle of a frying pan, and said in a cold voice: "Lao Lu, I have a question for you, and you have to answer me after thinking about it. Did you get infected with any unclean things during the surgery?" ?”