Chapter 818
Emergency center.
Operating Room 1.
The renovated operating room has a spacious area and reasonable movement lines. A total of 8 people stand inside, and there are still people walking back and forth, without any crowding.
The same spacious visiting room showed a little dirty air because there were too many people coming.
The veteran deputy chief physician Wei Qing was determined to drive away several hospitalists or interns, but his mouth trembled and he didn't say it in the end.
Although surgeons are rough, they still need to be shameful. Another thing is that providing young doctors with a better learning environment is politically correct. They cannot drive people away just because they can’t understand. There are ways to learn how to understand. No one can learn a certain technique by just taking a glance. Everyone must have a transition and habit.
Furthermore, if you want to say something about driving people, the ladies who are lying on the window and taking photos are the ones they should be driven away.
Wei Qing, who has been in Yunyi for almost 30 years, even a little unremembered. They are doing finance, public relations, or simply representing the pharmaceutical representatives of third-party companies.
Wei Qing looked at the screen above without seeing it, just like most doctors.
Compared with open laparoscopic surgery, this is better. As long as the signals in the operating room are derived, the same inside and outside are seen. The same yellow peritoneum, the same spleen, stomach and liver left lobe, as well as the omentum and transverse mescolon that occupy the maximum field of view...
Wei Qing suddenly realized: "Is this the gastroperitoneum cut to the stomach?"
"The right blood vessel and the lymph group of the middle colonic artery are processed together." Director Puwai looked down seriously.
Similar to Ouyang Kan, he had never had a laparoscopic gastrectomy. It was not that he couldn't learn it, but that his stomach was slightly lower. As the chief director, his main focus was on the pancreas and duodenum, the so-called top direction of the shit-cutter.
Although he can't do it, the chief director has seen many surgeries, and his experience and vision are far superior to Ouyang Kan. Just looking at the surgical approach adopted by Ling Ran, he knew that he had strong confidence.
If surgeons are confident, they will take big risks or gain big profits.
The director of the General Administration University of Foreign Affairs couldn't help but look at Huo Congjun again and said, "Is the patient a policeman?"
"Well, it's still the children of a martyr. They are not lucky and have stomach cancer." Huo Congjun replied.
"In fact, it's a bit higher in safety." The director of the General Foreign Affairs University reminded him with great sincerity.
"Ling Ran has confidence, so let him do it."
"I'm afraid I'm too confident."
"oh?"
"Ouyang Kan from our department will not have laparoscopic gastric cancer, and the surgery is too strong to hold on."
Huo Congjun smiled and said nothing. He could understand what the other party meant, which was that the operation was risky and his family could not bear the responsibility.
Of course, Huo Congjun could slap his chest and say, "I'll take care of it if I have something to do", just like a chivalrous leader in martial arts novels.
However, Huo Congjun is not the kind of low-level gangster leader.
In the visiting room, Huo Congjun did not say a word, like a financial elite, and refused to take any responsibility.
Director Puwai curled his lips disdainfully: "Old Huo, you have no responsibility for this."
"What is the responsibility of finding trouble for your subordinates?" Huo Congjun was not excited at all. He looked at the other party with the expression "You are still young" and attacked with words: "You are still young, and you will know what matters are more important in the future."
Director General Foreign Affairs instantly felt very angry. He was not that angry at first...
"Ouyang, safety is the first." Director Puwai pressed the call button and expressed his emotions through the microphone.
Ouyang Kan in the operating room below paused for a moment, but it did not affect the operation at all.
Laparoscopic surgery is originally a lone wolf among lone wolf. The existence of the assistant is a necessary scenery, and it will always be just a scenery.
When Ling Ran had the operation, he even ignored what others said. He followed the colonic artery and found the superior mesenteric artery. Then he found the superior vein on the right side of the superior mesenteric artery, and then exposed the right vein of the gastroperitoneum and the colon vein, thereby ligating and cutting it at the root of the right vein of the gastroperitoneum.
After doing a series of movements, the operating room and inside and outside the operating room became quiet again.
It's like on the basketball court, several coaches were discussing the movement habits of several students on the court for three-step layups. One of the students suddenly came to a low single and turned around and dunked...
Whether it is an emergency department or a general surgeon, doctors have a short-term aphasia.
Ling Ran had a very fast vascular ligation and cutting, and was not as trembling as a general foreign doctor. After all, he was a doctor who was used to liver resection. It is normal to discriminate against the blood vessels in the stomach. If you have the ability, you can break it. If you can't block it, I will lose it!
However, what really surprised everyone was Ling Ran's familiarity with the anatomy.
The colonic artery is easier to recognize, so it is used as a marker. However, starting from the colonic artery, it is not easy to find the superior membranous artery. If you want to touch the superior vein, there are more details. If it is an open surgery, it is relatively easy to find the tissue structure by following the clues. In fact, it is not easy to understand. In today's surgical operations, the opening of the abdomen is getting smaller and smaller. If you want to touch the place, there are layers of tissues in the middle to make obstacles, which is easy to make people misunderstand.
In laparoscopic surgery, this step is even more difficult. Think about the doctors who have had appendicitis surgery and touched the abdominal cavity for one or two hours and could not find the appendix, which means that in a surgery like gastrectomy, there are more than seven or eight "appendixes" that need to be found.
Why does it usually take five or six hours to complete a surgeon when finding a stomach that can be cut off in three minutes by a butcher? It is also because of the various problems that may be encountered during the period. Among them, the doctor's anatomical knowledge is a core point that determines the time of the operation.
In an operation, if the doctor passes the anatomy knowledge, knotting and sutures, and can handle the crisis, then the rest is actually a simple understanding of the surgery. Compared with other basic skills, this part is too simple. It is really a degree that can be done by following the book.
"Under vision." After Ling Ran interrupted the right gastroopoptic artery, he checked again and asked Ouyang Kan, who was holding the mirror, to change the position.
Ouyang Kan, who was already ready to make a spare tire, was completely convinced by the laparoscopic turn of the abdomen at any time. He gently turned the mirror and exposed the gallbladder, liver, stomach and omentum tissue on the screen...
"Use the pancreas as an anatomical mark." Ling Ran mainly informed the assistants about the situation.
Not only the doctors in the operating room, but also the doctors in the visiting room nodded unconsciously.
Ouyang Kan felt relaxed. At this time, he couldn't help but look at the direction of the patient's head, but said: "After all, our martyrs did not disappoint. The country that has tried its best to defend has enough technology and resources to save their children's lives."
Ling Ran looked at Ouyang Kan.
"You can't let the martyrs sacrifice their heads and shed their blood and then shed tears, right?" Ouyang couldn't help feeling relieved when the operation went smoothly.
Ling Ran nodded slightly: "No."
Chapter completed!