Chapter 636 Humor

"knife."

"gauze."

"Electric knife."

Ling Ran stretched out his hand and announced the start of the operation.

Moreover, the progress of the operation is fast.

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 surgery habits, the cooperation of nurses, assistants and anesthesiologists is quite good.

Compared with Yunhua's surgery department, it is not much better.

Of course, the nurses in the surgery department of Jinghua No. 6 Hospital have also worked hard. It is inevitable to memorize the surgery at night, practice the delivery during the day, and watch Ling Ran's surgery video. However, having such a learning mechanism speaks for itself. ability. In comparison, the training system in many local hospitals tends to be non-existent, and young medical staff will not be able to learn anything if they want to, let alone collective organization.

Xu Wen and Zhang Anmin were the first and second assistants for Ling Ran respectively.

On the surface, Xu Wen still looked stable, as if the difficulty of the operation or the number of people watching hadn't affected him at all.

Zhang Anmin couldn't hide his nervousness.

To put it bluntly, Zhang Anmin has been doing hepatobiliary surgery for so long, and has performed nearly a hundred cases of hepatectomy with Ling Ran. Even if the number is not the most in Ling's treatment group, the technical level of liver resection is also the highest, and it is definitely comprehensive. It can't be compared with Xu Wen, but as Ling Ran's assistant, whether it is the first assistant or the second assistant, he is competent and excellent.

However, self-confidence is not like technology, which can really accumulate over time.

The time when Zhang Anmin is most confident now, besides daily surgery and ward rounds, is when he goes to Bazhai Township to "throw knives" on weekends. To be honest, the time to go 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 he is no longer like an ignorant resident doctor, or an ignorant old resident doctor like Zuo Cidian, thinking that the distance between Yunhua and the capital is only a few thousand miles away. ground-like.

Even Jinghua Sixth Hospital, which is not well-known in the capital, is a high-standard third-class hospital. Over the past few decades, it has produced an unknown number of lower-level hospitals. Although its hepatobiliary surgery is a bit weak, if the bonus of the political center is taken into account, for an attending like Zhang Anmin,

It can still be described as unfathomable.

After all, although it is possible to treat residents, trainees, and interns casually, casually, and interns on a regular basis for this kind of thing, other than that, anyone can fuck him.

"Zhang Anmin, pay attention to pumping." Ling Ran's voice suddenly rang out, causing Zhang Anmin's eyebrows to 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 slightly deformed. Although Zhang Anmin, as the second assistant, does not matter how many times his movements are deformed, and many doctors will not pay attention to these - as a doctor who is the chief surgeon, the burden of surgery is already heavy enough, and he does not want to take care of everything. Where can I go.

However, Ling Ran is obviously not such a master knife.

Ling Ran paid far more attention to his operating room than ordinary people did to the mahjong table.

Ling Ran would not allow the second assistant's surgical movements to deform to such an extent, especially if his own ability could achieve it.

"Zhang Anmin." Ling Ran called out again.

"Yes." Zhang Anmin's abdomen tightened.

"What are the differences and pros and cons between transection of the glisson pedicle and blockage of the first hepatic portal?" Ling Ran asked casually.

"Ah..." Zhang Anmin was stunned for a moment. After he became the main doctor, he was less likely to be asked questions during the operation. The main reason is that He Yuanzheng's prestige is not high, and the suppression of the attending rulers is not strong.

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

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

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

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

"The first porta hepatic blocking surgery should be a relatively traditional procedure, mainly through blocking the blood vessels in the porta hepatis and liver tissue..." Zhang Anmin was talking while sorting out his thoughts, and his tone gradually became affirmative: "The first One hepatic portal blocking operation can reduce the amount of blood loss during the operation, but it may affect the normal liver tissue, thereby causing secondary damage to the normal liver tissue. The transection of the glisson pedicle does not need to affect the overall blood flow of the liver tissue during the operation. Blocking prevents damage to normal liver tissue, and can scientifically control the local blood supply...it can prevent congestion in the gastrointestinal tract..."

"Well, focus now." Seeing that Zhang Anmin's movements had returned to normal, Ling Ran didn't pay much attention to him. There are too many aspects that need to be paid attention to during the operation, and it is impossible for someone to really take care of all the details. It can only be said that the more details the doctor pays attention to, the less the risk of the operation may be, and the smoother the operation may be. .

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

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

Soon, Ling Ran began to block the blood in the portal of the liver.

At this time, Zhang Anmin said "Hey": "Don't you need to cut the glisson pedicle?"

"Why use the glisson pedicle to transect?" Ling Ran asked back.

"Because you just asked me..."

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

"ah?"

"Doctor Xu explain." Ling Ran said.

Zhang Anmin then looked at Xu Wen. He is now the second assistant, and there is not much to do.

Xu Wen, on the other hand, was busy giving Ling Ran a helping hand, out of his personality, he said, "It should be easy to do."

"Ah?" Zhang Anmin's mind was completely confused.

However, Ling Ran nodded in approval: "That's right. Although the transection of the glisson pedicle has a little benefit, the benefit is not much. For me, it is not as easy as blocking the first liver portal."

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

Ling Ran said "Yes".

Zhang Anmin opened his mouth, glanced helplessly at the observation room upstairs, and said, "Doctor Ling, I've seen you perform glisson pedicle transection several times."

"Normal surgeries don't show it." Ling Ran hummed twice as he spoke, clearly with a tone. He is willing to undergo liver cancer surgery recently, which is actually the case.

An ordinary liver resection is a bit too ordinary for a master-level liver resection technique. However, Ling Ran is not too happy about using it for normal liver cancer patients. Instead, it is the current elderly primary patients, which Ling Ran likes very much.

This is what true healing feels like.

upstairs.

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

They were all around 70 years old, and the young people they saw on weekdays were rather serious and serious. At this moment, they couldn't help but find it interesting to hear Ling Ran coaching the junior doctors.

Of course, the premise of finding it funny is that Ling Ran has shown the world's top technical level. The funnyness of high-tech personnel is the humor, otherwise, it is nothing more than poor talk.

Tian Qi was even more happy and excited to see it, pulled Mai Shu next to him, and said in a low voice: "We should make an app that collects all kinds of information about doctors, and indicates the types of diseases that doctors are good at treating, etc. The important thing is to have the patient's evaluation and feedback, for example, the doctor is very humorous, the technique is very good, and he is very handsome..."

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

Tian Qi: "Buy it."