Chapter 797 Average Level
The laparoscopic liver is very beautiful, especially when watching cholecystectomy from the screen, the light pink liver is often vibrant, like a spreading wings, silently protecting the inflamed gallbladder as big as an egg.
The liver under open surgery usually doesn't look beautiful.
A black and hard liver is the most common in open surgery, especially when the abdomen is relatively small. Looking down from top to bottom, you can only see part of the liver. Moreover, this part of the liver often turns bloody and check it quickly.
Simply put, laparoscopic surgery can barely be called elegant, while open surgery is often not beautiful.
If laparoscopic surgery is a football match, an open-ended surgery is "what do you look at".
The blood-clogged gauze, blood-stained hooks, and blood-stained gloves made the whole operation look even bloody.
Perhaps, only the firm eyes of the doctors are the only place where you can see the light in the operating room.
Zhang Anmin was silent for a long time.
Under tremendous pressure, Zhang Anmin not only wanted to complete the operation, but also wanted to do beautifully and excellently.
Of course, Zhang Anmin would not express his thoughts. He just carried the pressure for a long time and buried his head in the operation for a long time.
There are big guys who teach step by step, some big guys who stand opposite to protect the situation, and dozens of doctors who spend two hours together to watch, which is not often the opportunity.
In fact, some doctors may just prove themselves in one chance in their lifetime, or lose their chances.
"Hemostatic forceps." Zhang Anmin suddenly spoke, his voice hoarsely scared himself.
Ling Ran looked up at Zhang Anmin, then looked down at the range of Shuye.
He did not understand Zhang Anmin's condition very well, but he would not interfere with Zhang Anmin's specific operations, or even on-site decisions during the operation.
This is Zhang Anmin's surgery. After confirming this, Ling Ran will not use his own style of doing things to cover Zhang Anmin's style.
Zhang Anmin also looked at Ling Ran with some guilt, and found that Ling Ran had no intention of stopping him, and immediately felt relaxed.
Just now, he slightly deviated from the original operation steps. Not many, but he deviated slightly. Zhang Anmin felt that if he blocked blood flow in advance, his operation steps would be smoother...
As the first hepatectomy surgery, Zhang Anmin knew that he was taking risks when he did this.
Most superior doctors have one requirement for subordinate doctors: follow the rules.
If you want to be outstanding, you must have the ability to be outstanding, otherwise you will definitely be more scolded than your parents. Because in this world, there are the most doctors without extraordinary talent.
In the medical world, stupidity should be scolded, stupidity is original sin, and doctors who have no talent but have the skills to sacrifice their lives for patients are devils.
However, at a certain moment in life, at the most important moment in life, the attending doctor Zhang Anmin needs to know whether he is mediocre, whether he can only be a doctor who follows the rules, whether he can only...
Ling Ran did not stop Zhang Anmin.
The first assistant, Lu Wenbin, did not stop Zhang Anmin.
The doctors in the visiting room just watched silently.
The monitor made a long sound of dripping... dripping... without any change, proving that the patient did not resist Zhang Anmin's excellence.
Zhang Anmin's eyebrows were raised unconsciously.
The surgery was not suspended, and most people did not even notice the changes.
"Ultrasound knife."
"attract."
"emery cloth."
Zhang Anmin completely devoted himself to the operation and performed the operation according to the general steps of the established steps, and the more smooth the operation was.
The information obtained from the preoperative consultation has long been deeply reflected in Zhang Anmin's mind. In private, Zhang Anmin quietly simulated the surgical steps.
But in actual operation, the changes caused by each operation may affect the next step. Zhang Anmin needs to make continuous decisions, either correct, or continue, or ask Ling Ran for help...
Zhang Anmin did his best, hoping to avoid falling to the final choice as much as possible.
The technique is a little bit confusing.
There are still more bleeding than Ling Ran's surgery, and there are a lot of gauze plugs, which affects the operation.
Zhang Anmin pressed the gauze a little harder, then asked for the sewing thread, and began to make pre-tangent threads.
He dared not break his liver with his hands, so an ultrasonic knife and suction device are the main tools for the liver to break.
Zhang Anmin is quite familiar with this.
After working as a doctor for ten years, Zhang Anmin has been playing ultrasound knife dozens of times in a large hospital like Yunyi. At this time, he prescribed a high frequency according to the preoperative consultation strategy and looked at the liver with a little nervousness.
The red blood-red liver seemed to tremble, as if it was a little afraid of a novice.
Zhang Anmin couldn't help but look at Ling Ran.
Although it is the main treatment of hepatobiliary surgery, Zhang Anmin's chances of touching the liver when he encounters Ling Ranqian are rare.
As the second assistant of this operation, Ling Ran did not need to stare at the operation all the time, and he also looked at Zhang Anmin calmly at this time.
For Ling Ran, it is difficult to say that such an operation is difficult, but if it is easy, it is really easy.
Standard left hepatic resection, simple intrahepatic bile duct stones, grade A function, and "younger" patients who are just 50 years old can be said to be the simplest liver resection.
With Ling Ran's experience of more than 500 liver resections, such a surgery is simply done, so he only wants to see which pre-order plan Zhang Anmin chose.
Zhang Anmin's mood gradually calmed down.
In his heart, Zhang Anmin even had a thought: If I break down this time, Dr. Ling doesn’t know if he will be happier.
While thinking about something out of place, Zhang Anmin picked up the ultrasonic knife, aimed at the place 0.5 cm away from the ischemia line, and said: "It's started to cut."
The nurse and the anesthesiologist both raised their spirits.
Lu Wenbin and Ling Ran still looked unchanged.
Even Lu Wenbin, the assistant who did liver resection had more than 200 cases. According to Ling Ran’s average rate of one or two hours, if this was replaced by playing football, it would be considered as playing more than 200 players in the entire game. He could not do it even if he could not do it, and he was still mentally numb.
“Sucker.”
"Ultrasound knife."
"suck."
"knife."
...
Zhang Anmin repeatedly replaced the suction device and ultrasonic knife, and directly closed the blood vessels larger than 2 cm.
The operating room was as quiet as the operating room, and the sound of visiting the room gradually reached the level of the vegetable market.
"Female horse."
"Fuck."
"What's the name of this surgeon? It's so cool."
"Zhang Anmin, in the future, he/she should be the deputy senior of Yunyi's he/biliary surgery department. Our emergency center is preparing to carry out in-depth cooperation with he/biliary surgery department." Huo Congjun's voice was extremely penetrating and full of topics.
"How do you cooperate with hepatobiliary surgery and emergency department?"
"When we have finished the work and proved the superiority of this model, we will invite everyone to visit and learn about it." Huo Congjun admitted it generously, and after I figured it out, I will ask you to come and blow it.
Chapter completed!