"The liver is crushed. It's at least a level III trauma." After Huo Congjun opened his abdomen, he saw the surging blood in the abdomen. Two young doctors suctioned it desperately and finally exposed it.

Zuo Liangcai stretched out his head and said, "It was blunt liver trauma, with irregular dehiscences and a ruptured inferior vena cava."

"The duodenum is also ruptured." Huo Congjun looked down and frowned tightly.

"The blood loss is very fast," the anesthesiologist reported.

Huo Congjun said "grace" and said: "The gallbladder is also ruptured and needs to be removed."

"It can only be cut off." Zuo Liangcai agreed.

Huo Congjun quickly and lightly checked the situation in the abdominal cavity, and while repairing the inferior vena cava, he said: "The right lobe is severely damaged, what do you think should be done?"

"Block the porta hepatis, use vascular forceps to bluntly split the liver tissue, ligate and cut off the blood vessels and bile ducts, and then perform a right trilobectomy." Zuo Liang answered quickly.

However, after listening to his words, all the doctors present showed understanding smiles, including another young attending who was waiting nearby and did not even get to the third assistant.

Naturally, everyone's smiles were not an encouragement to Zuo Liangcai. Most of the junior and middle-level doctors did not particularly like Zuo Liangcai, who liked to read inspirational books and always competed for every opportunity.

Everyone's smiles at this moment are the same as the reason why everyone doesn't like Zuo Liangcai. He has too many thoughts.

Just like in his answer to Huo Congjun, he intentionally or unintentionally omitted the fingering technique.

Blunt splitting of liver tissue can be solved by finger pinching. When blocking the porta hepatis, finger pinching can also be used to solve the problem.

As for Zuo Liangcai's reason for not talking about the finger-pinching method, everyone can easily think of it. Ling Ran's bare-handed hemostasis technique is so famous that he even published a paper. If he wants to use the finger-pinching method at this time, Ling Ran's competition will be huge.

Strength will be greatly enhanced.

However, the reason why small thoughts are small thoughts is that small thoughts are always useless.

Only Zuo Liang could think of hiding the finger-pinching method, and everyone could see through him, so that doctors who originally didn’t think the finger-pinching method was better had to think deeply about the advantages of the finger-pinching method...

Huo Congjun would not forget Ling Ran's skills just because Zuo Liangcai didn't mention them.

In fact, Huo Congjun thought more deeply.

"According to this approach, it is a regular liver resection." Huo Congjun summarized Zuo Liangcai's words at once, turned to Ling Ran and asked: "What do you think? Do you want to have a regular liver resection?"

"Debridement resection is more suitable." Ling Ran replied.

Zuo Liangcai curled his lips: Huo Congjun has already asked this question, so the answer is obviously obvious. Why do you need to answer it again?

"Doctor Zuo, please tell me the pros and cons of regular liver resection and debridement resection." Huo Congjun pointed at Zuo Liangcai's name.

This question is a little difficult. People who don't read the book can't answer it, but those who have read the book can answer it easily.

Zuo Liangcai felt a little more balanced and said: "Regular resection is based on anatomical divisions. The overall resection area is relatively large. If the patient cannot tolerate it, complications or even death may occur after the operation. Debridement is

The resection is irregular and does not conform to the distribution of liver segments or lobes. During the operation, blood vessels and bile ducts must be continuously ligated, but the liver tissue can be preserved to the greatest extent. However, it poses a test on the degree of involvement of different functional areas of the liver...

…”

"Another point is that regular liver resection has high technical requirements. If it is not done well, it is easy to make mistakes." Huo Congjun paused and said: "We have to seize the time, so we use debridement resection. Ling

However, you will be my assistant, Dr. Zuo, and you will handle the duodenum."

"yes."

The lower-level doctors responded quickly, but some had normal expressions while others were unwilling to give in.

Ling Ran stood opposite Huo Congjun and acted as an assistant.

Huo Congjun looked at the monitor and said to the anesthesiologist: "Pay close attention to the acid level."

"Yes. It's currently 6." the anesthesiologist said.

"Pay attention to supplementing sodium bicarbonate." Huo Congjun said, then lowered his head and said: "Emergency liver resection, let's hurry up."

"yes."

"Electro-surgery." Huo Congjun moved in the direction of the split liver, lowered his head and said, "I want to remove the liver tissue without blood supply now, Ling Ran, do you know what to do?"

"Ligate the severed blood vessels and bile ducts." Ling Ran started to do it while speaking.

For a player who has performed hundreds of replantations of severed fingers, suturing blood vessels is as easy as eating and sleeping. The doctors next to him also have great trust in Ling Ran.

Everyone sees the patients who come and go with severed finger replantation. Now when talking about Yunhua Hand Surgery, everyone will naturally add the Yunhua Emergency Department, and even mention it by name.

To Ling Ran.

In other words, for ordinary people, the frequency of emergencies involving severed finger replantation is too low. Otherwise, Ling Ran's reputation would not be limited to the industrial area.

But for doctors, it is their own ability to judge the skill of another doctor.

The time of operation, the effect of the operation, the difficulty of the operation, the prognosis, etc. are all taken into consideration by the doctors. In addition, quantity is also a very important benchmark. Nowadays, even if Ling Ran is young, he will not

Some people question his ability in replanting severed fingers or suturing with the Tang method.

Not to mention connecting blood vessels.

Huo Congjun also gave Ling Ran great trust, doing the incision himself and letting Ling Ran complete the more important work of ligating the blood vessels.

Ling Ran's fingers were flying up and down.

He didn't need any extra assistants, he just sutured and tied the knot with his own hands, and his movements were as fast as Huo Congjun's.

Huo Congjun only thought that he was racing against time, so he nodded secretly in his heart.

The most important thing for emergency liver resection is speed.

Because once it is incised, the wound will become even more severe. Considering the rich blood supply of the liver, thousands of milliliters of blood will be lost every minute.

At this time, the sewing speed is very critical.

On the contrary, if the suturing is not good enough, you can go back and double-ligate it later, which will have little impact.

"I'll make another cut, and then we'll go back and check." Huo Congjun moved quickly and reminded Ling Ran.

Ling Ran nodded, still twirling his fingers, quickly ligating the exposed blood vessels and bile ducts.

Both of them entered a state of nervousness, causing the room to become silent for a while.

"You can't just go for speed for the sake of speed." Zuo Liangcai muttered again. He couldn't see what was going on inside the abdominal cavity. He could only see that Ling Ran and Huo Congjun were moving very fast. From the senses, he felt that Ling Ran had

It is suspected of being rough and badly made.

Huo Congjun did not object to this, nodded and said: "The quality of large blood vessel ligation must be ensured."

"Yes." Ling Ran replied, his movements and speed unchanged.

As the saying goes, you say yours and I'll do mine. For Ling Ran, if he always listened to other people's suggestions, his life would have been messed up long ago. There were too many people who were willing and wanting to give him advice.

Huo Congjun didn't say any more. It was very energy-consuming to complete the resection itself while preserving the liver tissue as much as possible.

After everything was cut, Huo Congjun put down the scalpel and began to re-examine Ling Ran's ligated blood vessels and bile ducts from front to back.

"Are all the small blood vessels tied up?" Huo Congjun was greatly surprised.

"To avoid recurrence." Ling Ran said.

"This... let me take another look..." Huo Congjun felt like he was a painter, and Ling Ran was like a painter. The painter was painting in front of him, but the painter was following behind to touch up the painting.

It's over.

The most amazing thing is that the details of the artist's paintings are almost perfect.

"You're done with liver debridement." Huo Congjun couldn't help but sigh after seeing all the ligated blood vessels.

"It's slightly different from the blood vessels in the limbs. Just get used to it." Ling Ran summed up his experience.

This time, Huo Congjun burst into laughter.

It is said that the vascular anastomosis is very close, but if it is done so quickly, can we ignore the characteristics of the liver? Can we not understand the anatomy?

"Have you practiced it yourself?" Huo Congjun asked.

Ling Ran said: "I understand."

"Well..." Huo Congjun didn't want to ask any more questions. Seeing that the bleeding had stopped, he simply said, "I'll leave the rest to you."

"Yes." Ling Ran didn't say a word of humility. He took over and began to treat the wounds.

What Zuo Liangcai saw was jealousy. He had never had such an opportunity.

"Doctor Zuo is also here to help." Director Huo pulled Zuo Liangcai back to the position of second assistant with just one sentence.
Chapter completed!