Chapter 615: The Scene

The location of the scene was so limited that Huo Congjun also went to the demonstration classroom and asked Yunli's medical representative to pick up the signal.

Doctor Yun's own demonstration classroom used a signal sent by a pharmaceutical company, and Huo Congjun was a little helpless.

However, Huo Congjun's focus today was still on Ling Ran, and he no longer had any scruples about signal procedures.

"Director Huo is here." He Yuanzheng from the Department of Hepatobiliary Surgery came earlier and greeted Huo Congjun with a half-smile.

He was trying to show Huo Congjun face.

He Yuanzheng could bear it if Ling Ran had undergone hepatectomy for intrahepatic bile duct stones in the past, and He Yuanzheng had to endure it. After all, there are many liver operations, and the most important one is liver cancer...

Then, Ling Ran began to treat liver cancer.

If he doesn't show any shame, He Yuanzheng is afraid that he, the director of the hepatobiliary surgery, who was so hard-won, will become the director of the hepatobiliary surgery in the future.

God is sorry, he himself is not very courageous.

"Director He is here." Huo Congjun didn't change his face when he saw He Yuanzheng, let alone the slightest bit of shame on his face.

Back then, when Huo Congjun rained on the pear blossoms touched by a certain doctor at a certain medical conference, he didn't feel ashamed at all. He said it was a certain medical conference, but he couldn't remember it because there were too many times.

Huo Congjun would not give too much face to a small director of a small department like He Yuanzheng. Furthermore, from Huo Congjun's point of view, there is not much difference between the hepatobiliary surgery and the gallbladder surgery performed by Dr. Yun. Originally, only He Yuanzheng performed the liver surgery, but now, He Yuanzheng has done a lot of liver surgery. It was nothing more than doing what Ling Ran left.

He Yuanzheng carefully observed Huo Congjun's expression, and then showed a concerned smile: "A 73-year-old liver cancer patient with multiple underlying diseases, isn't Director Huo worried about performing surgery on such a patient?"

"If I'm not worried, I won't be here." Huo Congjun didn't have any people from his own department, cross-professional to do other people's surgery, and then he was embarrassed by being caught. Instead, he said with a pointing tone: "Since it has been decided After performing an operation on this patient, it would be better to be generous and observe the operation, learn from experience if you succeed, and learn from experience if you fail, right?"

Huo Congjun was really not afraid of Ling Ran's failure. Of course, it is best to succeed, but how many surgeons have never failed?

Ling Ran is currently performing liver resection with flying knives throughout the province, and as long as it fails, it will spread throughout the province within minutes.

Instead of letting other surgeons secretly guess the reason for the failure, it is better for Daming to let everyone come to visit and observe. It's best if you succeed, but if you don't...

Huo Congjun believed that Ling Ran's skills would still be impressive.

In fact, with the liver resection technique, hemostasis technique, and cardiopulmonary resuscitation technique that Ling Ran currently masters, it is not easy for a patient to die in front of him smoothly.

"Let's get started." Ling Ran's voice came from the screen.

Including the visitors in the demonstration classroom, their voices were all quiet.

"Don't you want to give a few speeches?" It is rare to see Ling Ran undergoing surgery, and half of them belong to the passing doctors of this hospital.

"When did you see Ling Ran give you a speech?" This is a doctor from our hospital who often sees Ling Ran undergoing surgery and came here specially.

"It would be great if Dr. Ling gave a speech." Female.

operating room.

Ling Ran started the operation without delay.

He just spent 28 minutes in the lounge to determine the infiltration range of Qi Yuquan's cancer cells, so that the available time for the virtual human was reduced to 2 hours and 52 minutes.

Considering the rapid expansion ability of cancer cells, Ling Ran didn't want to waste any more time, so that the edge of the tumor moved outward.

Doctors from all over the province automatically shut up and watched.

High-level doctors actually cherish learning opportunities such as demonstration operations more than junior doctors, because unlike ordinary people's subconscious thoughts, high-level doctors actually lack the time and opportunities to learn.

Before performing the surgery, the junior doctors were often fucked by the superior doctor, but if they had any questions, the superior doctor would answer most of them. If they did something wrong, they would be fucked by the superior doctor. It is engraved in the imprint of life.

However, once the junior doctor performs the operation, the superior doctor will become relatively polite. At this time, it will be relatively difficult for the junior doctor who is in charge of the operation to learn new techniques.

In general, the more doctors in a hospital who are cocky, the faster the junior doctors will grow. When a doctor grows to the point where no one is cocking him, his growth will depend entirely on himself.

Like He Yuanzheng of Doctor Yun, before he met Ling Ran, his skills improved very slowly.

Correspondingly, some departments in the capital where big bulls are in charge can continue to produce talented people, also because there are more talented people looking down.

Most people do not have such an opportunity, especially the doctors in local hospitals, when they are attending the deputy high school, they have to rely entirely on themselves.

Inviting a flying knife or observing a senior doctor's demonstration operation is a rare learning time for them.

Ling Ran was able to gain such a great reputation with flying knives in just one year, not only because of his skills, but also because of his character - when a person's skills are not good enough, his sternness will be regarded as is tough love.

"Break it out, first do the porta hepatis dissection." Ling Ran's operation progressed very quickly, and he kept reminding the assistants of the progress and the next steps.

The 73-year-old patient knew without further examinations that he would not be able to tolerate the surgery very well. Considering that it would take a lot of time to do the pathological examination during the liver resection, Ling Ran tried his best to compress the pre-order time.

Yu Yuan pulled the hook vigorously, like a little leopard with meat in its mouth, only its head protruding from behind the tree.

There is no way, Ling Ran's figure is too tall, and the height of the operating table is determined according to the figure of the chief surgeon.

Therefore, when there is a big difference in body size between the assistant and the chief surgeon, some strange occupational diseases often appear. For example, the short assistant often suffers from neck pain, while the tall assistant often becomes rickety and has low back pain.

As the first assistant, Lu Wenbin is taller, but he doesn't feel relaxed. Following Ling Ran's operation in a hurry, he cut off the left hepatic artery and the left branch of the portal vein, in order to prevent the tumor cells from overflowing from the portal vein system to the right liver system during the operation.

At the same time, Ling Ran kept sending out reminders:

"Protect the portal vein wall."

"Don't touch the tail leaf."

"Watch out for knots..."

Lu Wenbin was so busy that his head was sweating, and only when the nurse wiped his sweat could Lu Wenbin rest for a few seconds.

All the doctors in the operating room looked at Lu Wenbin, amused and envious.

Many people here have the experience of cooperating with Ling Ran in the operation, and they have learned a lot - one of the reasons why they invite Ling Ran to throw the knife is to learn, or to steal the teacher.

However, no one can learn so systematically like Lu Wenbin.

For such an operation, half of the people in the operating room are not qualified to perform the operation. Few doctors dare to touch the liver of the 73-year-old man.

However, Lu Wenbin's skills are poor, but he still has the opportunity to participate. This is an experience that even the affiliated hospitals in the capital rarely have.

"Now deal with the left vein, rest for fifteen seconds, and concentrate." Ling Ran has his own rhythm, and at the same time pays attention to the status of the assistants.

The distance between the left hepatic vein and the inferior vena cava is very close, and if something goes wrong, something will happen. At this time, it is not enough to just remind or scold, you must consciously adjust the state of the assistant.

A master-level liver resection cannot cover everything, so what strategy to use, or in other words, how to compromise during the operation, is very important.

If there are no assistants who are proficient in the above, then give more reminders and give the assistants a chance to breathe at critical times.

Ling Ran himself also took the opportunity to observe the liver, and he also needed time to decide on the stitching method of the liver section.

"Continue." Ling Ran raised his head to look at the time, and then immersed himself in the operation again.

Unlike his rough operation on the virtual human, when performing liver resection on a real person, the most time-consuming process is the treatment of the removed part.

For example, liver incision must be planned in advance, and different decisions are made according to different patients.

What Ling Ran used today was the corner of the lip. In professional terms, it is the lip-shaped liver incision method. For this, he must fully free the ligament, then tightly close the liver section, and then pull the liver up, and then perform the liver incision...

Therefore, the scope of liver incision should be decided at the moment of closing the liver section.

If you make a wrong cut, you have to repeat the previous step, thus wasting more and more time.

So, when Ling Ran began to close the liver section, everyone couldn't help but gasp in amazement.

"Just cut it so short?"

"Not enough."

"It can only cut so much, no amount of patients can bear it, seventy-three."

"If the patient can't tolerate it, don't do it. With such a small cut, it will recur in a few months, and it will be fatal."

Zuo Cidian cleared his throat: cough cough.

In the operating room, there was a sudden silence.

Then, Ling Ran began to cut the liver without hesitation.

"Send it to the pathology department to determine the boundaries of the cancer cells." Ling Ran said, carefully sandwiching the excised liver tissue into a bottle, and watched the bottle being put into the incubator.

Little nurse Wang Jia picked up the box and ran to the pathology department quickly.

The doctors in the operating room couldn't bear it any longer and started whispering. (=easy to read novels)