On the operating table.

Ling Ran stood at the chief surgeon's position, Zhang Anmin stood at the first assistant's position, and Ma Yanlin stood at the second assistant's position, all in a state of concentration.

The patient on the table was covered with a green drape. No face or hands could be seen. Only the operating surface of the abdomen was exposed, with the liver particularly highlighted.

Zhang Anmin gasped and watched Ling Ran peel off a small piece of liver.

He has actually performed a lot of liver surgeries. Not to mention his time as a second assistant, since he became a senior resident, he has performed 80 or not 100 liver resection surgeries as a first assistant.

Speaking of excitement, he was quite excited when he was performing liver resection surgeries at the front of the stage. After doing twenty or thirty operations, he became quite calm.

However, today, Zhang Anmin felt the excitement that he had not seen for a long time.

Perhaps it is because the hope of surgical liver resection has revived?

"Okay, electrosurgery." Ling Ran stretched out his hand, lowered his head, and instantly treated the small blood vessels that were bleeding.

"Needle holder." Ling Ran continued to ask for the instrument and continued to handle it, his hands dancing with great rhythm.

Zhang Anmin stared greedily.

It's not like Lu Wenbin and others who just came into contact with liver resection and just followed Ling Ran. Zhang Anmin has been in the hepatobiliary surgery department for so long and has worked with almost ten old and young directors. Each one of them is more skilled than him.

Not as good as Ling Ran.

Zhang Anmin no longer thinks about why, he just wants to learn more now.

Doctors are one of the few professions that are willing to take the initiative to work overtime. Although doctors complain and complain about working overtime every day, if the hospital does not allow doctors to work overtime, it is not just complaining, but it is just a lack of work. 99% of the time doctors are not allowed to work overtime.

All of them will run away. For example, in Yunhua Hospital, it is estimated that only one Dr. Zhou will be left.

Of course, working the night shift is a real complaint.

"Okay. Let's check again to see if there is any bleeding." After Ling Ran finished speaking, he began to check the condition of the patient's abdominal cavity.

Zhang Anmin also hurriedly followed the inspection. He was a first assistant, and he did these auxiliary tasks.

"Doctor Zhang, come and close the abdomen." Ling Ran finished the examination and determined that there was nothing wrong, so he transferred the work.

Zhang Anmin hurriedly responded again, said "Okay", tied his hands again, and said goodbye to Ling Ran.

Lu Wenbin had no intention of staying, and said with a smile: "I'll go to the kitchen and have a look. Doctor Zhang, after you finish here, rush to operating room 3. If you go early, you might be able to get some help."

.”

Zhang Anmin's face heated up and he said, "I have no intention of robbing you of any help."

"Oh, I didn't mean that you robbed..." Lu Wenbin paused, smiled suddenly, and said: "You can find out if you go to operating room 3. If you are willing to be an assistant, no one will particularly care. In our team

They all come in turns, there is no need to fight."

Zhang Anmin laughed twice, thanked him again, and said to himself: Your group used to take turns because you had rich resources. Now that I'm here, I can kill half of Isuke by myself. I want to take a look.

Do you want to rob it?

puff.

The airtight door was closed tightly.

"call……"

"call!"

Zhang Anmin and Su Jiafu both exhaled, then looked at each other and smiled.

"Doctor Ling's aura is a bit strong." Zhang Anmin sighed a little sheepishly, which was considered an explanation.

Su Jiafu chuckled, twisted his butt comfortably, and said, "I don't care if my aura is strong or not, I just want to have a good sleep. How long do we need?"

Surgeons are often urged by anesthesiologists and traveling doctors.

Zhang Anmin smiled and said: "It only takes a few minutes to close the abdomen. However, I want to experience it more. Please be patient and sit for a while."

"Okay." Su Jiafu and Zhang Anmin knew each other, but they had barely spoken to each other, and they were not interested in chatting now.

Zhang Anmin asked the circulating nurse to pull down the shadowless lamp a little, and then changed the angle to observe.

After looking at it with the naked eye for a while, Zhang Anmin was still a little dissatisfied, so he asked the nurse to bring over the choledochoscope to carefully observe the stones in the intrahepatic bile ducts.

The core problem in hepatectomy for intrahepatic bile duct stones is the high rate of residual stones in the intrahepatic bile ducts, which means that it is difficult to remove the intrahepatic bile duct stones.

There are reports that the residual stone rate of intrahepatic bile duct stones is as high as 31.3%. That is, after part of the liver is removed, about 30% of the stones still remain in the liver.

If further broken down, the residual stone rate in the left liver is 17.3% and that in the right liver is 54%.

The reason why the right liver is about three times larger than the left liver is because doctors usually perform left lateral hepatic resection, thereby removing a large number of residual stones in the left liver, while leaving a large number of stones in the right liver.

Of course, this is an average ratio. In the hands of an expert, reducing the residual stone rate of the left liver to less than 10% is considered a basic operation.

And how low it can be reduced is often the main point of this type of surgery.

Zhang Anmin also planned to use this method to evaluate the performance of Ling Ran's surgery.

He took out the choledochoscope and looked down the passage just now, silently.

There are no remaining stones.

There are no remaining stones...

No remaining rocks!

The more Zhang Anmin watched, the more frightened he became.

When he was an assistant, he had to bear a large part of the workload, so he couldn't watch all of Lingran's operations. Because of this, he took advantage of the opportunity to quickly review the situation.

However, even if Zhang Anmin's gallbladder was swollen, he never imagined that he would see such a bile duct.

It can be said that the level of normal people can be faked.

laugh.

The operating room door was stepped open again.

Three chief surgeons from the Department of Hepatobiliary Surgery came in together. They first looked left and right to make sure Ling Ran was not there, then they laughed: "Old Zhang, I just looked through the door and thought, what are you doing alone?

?What? What about the abdomen?"

"All the residents in Ling Ran's treatment team have gone back, but you were left incommunicado?"

"If you close your abdomen, just close your abdomen. There is no shame in closing your abdomen."

The three attending surgeons were slightly more senior than Zhang Anmin. They had either already started to undergo liver resection, or they were trying their best to get involved in liver resection. When they heard that Zhang Anmin was helping Ling Ran, they all came over to watch.

The Hepatobiliary Surgery Department of Yunhua Hospital is no better than the emergency department, let alone an elite department like hand surgery. It is just a small department separated from the general surgery department.

A small department means fewer staff, fewer resources, and fewer patients, making it easier for positions to become a carrot and a pit.

When Director He Yuanzheng was not satisfied with the liver resection surgery schedule, the deputy chief physicians in front of Zhang Anmin were all under-fed. The attending surgeons who followed the deputy directors had even lower chances of performing liver resections.

With all the other attending doctors lining up obediently, Zhang Anmin's attempt to jump out was naturally unpopular.

Zhang Anmin knew it himself. He chuckled twice and continued to look at the screen, operating the choledochoscope without making a sound.

Choledochoscope is similar to other endoscopes in that a camera on the top transmits images to a screen on the operating table.

The three attending surgeons at the Department of Hepatobiliary Surgery only glanced at it and knew it was a choledochoscope.

The highly qualified attending physician standing in the middle even joked with a smile: "Why, after a liver resection, we found out that there are no stones in the bile duct?"

The people next to me immediately followed:

"If there are no stones, it would be a medical accident."

"It's okay, it's okay. Just put in a few yourself. Don't say we didn't teach you."

Zhang Anmin moved silently for dozens of seconds, then pointed to a small dot on the screen and said: "Here, this is a bile duct stone."

The three attending doctors were stunned and all made hilarious sounds.

"If this was the reason for liver resection, I would die laughing."

"No, no, I'm already laughing so hard that my stomach hurts."

"You cut your liver just for such a small stone? The cut tissue was sent to the pathology department. Is this a medical accident?"

Zhang Anmin looked at the three of them calmly.

He could actually understand the three of them very well. If he hadn't been watching Ling Ran's surgery, he wouldn't have believed that the remaining stone could be removed so cleanly.

However, the fact is that the 2% stone remaining rate, which is regarded as the top in the industry, is not difficult for Ling Ran.

"These are the remaining stones after surgery," Zhang Anmin said.

Others still laughed: "It's just a few stones in total. Surgery or not, what's the difference?"

"Please, please show the patient's CT scan." After Zhang Anmin finished speaking, the anesthesiologist Su Jiafu quickly released the CT scan on the computer in front of him.

The smiles of the attending doctors gradually faded.

"Is it the same person?"

"Looking at the bile duct, they are the same."

"Is it so clean because I'm afraid it won't look good when relatives come to the gallstone family?"

Zhang Anmin looked at them with a half-smile.
Chapter completed!