"knife."

"gauze."

"Electric knife."

Ling Ran stretched out his hand and announced that the operation had begun.

Moreover, the surgery progressed very quickly.

It has to be said that the surgery department of Jinghua Sixth Hospital is quite capable. After getting a little familiar with Ling Ran's surgical habits, the cooperation between the nurses, assistants and anesthesiologists was quite good.

Compared to Yunhua's surgery department, it's no less impressive.

Of course, the nurses in the surgery department of Jinghua Sixth Hospital have also worked hard. It is inevitable to memorize surgical procedures at night, practice delivery and watch Ling Ran's surgical videos during the day. However, having such a learning mechanism speaks for itself.

Ability. In comparison, the training system of many local hospitals is close to non-existent. Young medical staff will not be able to learn anything if they want to, let alone collective organization.

Xu Wen and Zhang Anmin served as Ling Ran's first and second assistant respectively.

On the surface, Xu Wen still looked stable. It didn't seem to be affected at all by the difficulty of the operation or the number of people watching.

Zhang Anmin couldn't hide his nervousness.

To put it bluntly, Zhang Anmin has been practicing hepatobiliary surgery for so long, and has performed nearly a hundred liver resections with Ling Ran. Even if the number is not the largest among Ling Ran's treatment group, the technical level of liver resection is also the highest, and it is definitely comprehensive.

He can't be compared with Xu Wen, but he is competent and excellent as an assistant to Ling Ran, whether he is the first assistant or the second assistant.

However, confidence, unlike technology, can really accumulate over time.

The time when Zhang Anmin is most confident now, apart from daily surgeries and ward rounds, is when he goes to Bazhai Township to "fly the knife" on weekends. To be honest, the time when he goes to Bazhai Township can be said to be the most relaxing time for Zhang Anmin.

.

After arriving in the capital, Zhang Anmin was instinctively afraid.

He is already in his thirties and is an attending physician. He no longer acts like an ignorant resident doctor, or an ignorant young and old resident doctor like Zuo Cidian, who thinks that the distance between Yunhua and Beijing is only a few thousand miles.

Ground-like.

Even Jinghua Sixth Hospital, which is not very well-known in the capital, is a high-standard tertiary hospital. Over the past few decades, it has produced countless lower-level hospitals. Although its hepatobiliary surgery department is slightly weaker, if the bonus from the political center is taken into account

, for a doctor like Zhang Anmin, it can still be described as unfathomable.

After all, a doctor who specializes in this kind of thing can often and for no reason fuck residents, trainees, and interns based on his mood, but other than that, anyone can fuck him.

"Zhang Anmin, pay attention to your suction." Ling Ran's voice suddenly sounded, making Zhang Anmin's eyebrows tremble.

"Oh, okay." Zhang Anmin's voice was still a little trembling.

Ling Ran could tell at a glance that Zhang Anmin's movements were a bit deformed. Even though Zhang Anmin, as the second assistant, could have his movements deformed a few times, it wouldn't matter. Many doctors would not pay attention to the burden of the surgery on these surgeons.

It's already big enough, and you can't go anywhere if you don't care.

However, Ling Ran was obviously not such a surgeon.

Ling Ran pays more attention to his operating room than ordinary people pay to the mahjong table.

Ling Ran would not allow the second assistant's surgical movements to be deformed to this extent, especially if his own abilities could achieve it.

"Zhang Anmin." Ling Ran shouted again.

"Yes." Zhang Anmin's abdomen tightened.

"What are the differences and advantages and disadvantages between Glisson's pedicle transection and first porta hepatis block?" Ling Ran's question came casually.

"Ah..." Zhang Anmin was stunned for a moment. After becoming an attending physician, he was less likely to be asked questions on the spot during surgeries. The main reason was that He Yuanzheng's prestige was not high and he was not strong enough to suppress the attending physicians.

However, Ling Ran would occasionally ask questions, usually for the purpose of adjusting the atmosphere and reminding junior doctors.

At this moment, Zhang Anmin's attention was also drawn.

If he was still worried about his actions and performance just now, now all his thoughts were focused on Ling Ran's problem.

If you can't answer this, it will only be more embarrassing.

"The first hepatic hilar blocking surgery should be a relatively traditional plan, mainly by blocking the blood vessels in the hepatic hilus and liver tissue..." Zhang Anmin was sorting out his thoughts as he spoke, and his tone gradually became more affirmative: "The first hepatic hilar blocking surgery is a more traditional one.

Portal blocking surgery can reduce intraoperative bleeding, but may affect normal liver tissue, thereby causing secondary damage to normal liver tissue. Glisson's pedicle transection does not require any changes to the overall blood flow of the liver tissue during the operation.

Blocking prevents damage to normal liver tissue, and can scientifically control local blood supply...it can prevent congestion in the gastrointestinal tract area..."

"Well, focus now." Ling Ran saw that Zhang Anmin's movements had returned to standard, so he didn't pay too much attention to him. There are too many aspects that need to be paid attention to during the operation, and it is impossible for anyone to really take care of everything in detail.

I can only say that the more details a doctor pays attention to, the less likely the risk of surgery will be and the smoother the surgery will go.

The assistants are actually equivalent to the extra hands, eyes and feet of the surgeon. They don't have to be very powerful, but they must maintain a certain level. Otherwise, they will be like legs and feet that will suddenly become paralyzed, which will create risks.

Zhang Anmin adjusted his mood and performed at a level that Ling Ran was familiar with, and the progress of the operation began to become smoother.

Soon, Ling Ran began to block the blood in the porta hepatis.

Zhang Anmin said "Hey" at this time: "Don't you need to cross it with a glisson?"

"Why do you need to use a glisson pedicle to cross it?" Ling Ran asked back.

"Because you just asked me..."

"I just said it casually." After Ling Ran answered, he added: "Now it is more suitable to block the first hepatic portal."

"ah?"

"Doctor Xu, please explain." Ling Ran said.

Zhang Anmin then looked at Xu Wen. He was now the second assistant and didn't have much to do.

Xu Wen was busy helping Ling Ran, and as his personality dictated, he said, "It should be easy for me."

"Ah?" Zhang Anmin was confused.

Ling Ran nodded in approval: "Yes. Although Glisson's pedicle transection has some benefits, the benefits are not many. For me, it is not as smooth as the first hepatic portal block."

"Is it that simple?" Zhang Anmin couldn't believe it.

Ling Ran said "Yes".

Zhang Anmin opened his mouth, glanced helplessly at the visiting room upstairs, and said: "Dr. Ling, I have seen you perform Glisson's pedicle transection several times."

"Normal surgeries won't show it." Ling Ran snorted twice as he spoke, clearly in a tone. He was willing to undergo surgery for liver cancer recently, and this was actually the case.

Ordinary liver resection is a bit too ordinary for the master-level liver resection technology. However, Ling Ran is not happy to use it on normal liver cancer patients. On the contrary, it is now used on elderly primary patients.

Ling Ran liked it very much.

This is the true feeling of healing.

upstairs.

The academicians in the visiting room looked at each other and couldn't help laughing.

They are all around 70 years old, and the young people they usually see are extremely serious and serious. At this time, listening to Ling Ran training the junior doctors, he couldn't help but find it interesting.

Of course, the prerequisite for finding it interesting is that Ling Ran has demonstrated the world's top technical level. Only the interestingness of high-tech personnel is humor, otherwise, it is nothing more than nonsense.

Tian Qi was even more happy and excited to see it. He pulled Mai Chun next to him and whispered: "We should make an app that collects various information about doctors and indicates the types of diseases that doctors are good at treating. Finally,

The important thing is to have patient evaluations and feedback, for example, the doctor is very humorous, has good skills, is very handsome..."

Mai Chun looked at Tian Qi timidly: "There is already such an app..."

Tian Qi: "Buy it."
Chapter completed!