This doctor is very stable

Chapter 48 The Sweaty Surgery

Of course, an incision of more than ten centimeters is not too much. If the patient is fatter and the doctor performing the operation is older, it is possible to cut more than half of the abdomen.

Doctors tend to like to make larger incisions when they get older, why because of safety!

The larger the incision, the clearer the field of vision, and the larger the operable space, but it is not conducive to postoperative recovery.

But for veteran surgeons who have practiced medicine for decades, the speed of surgical recovery is no longer within their consideration.

They considered that the patient must not be allowed to have an accident on the operating table, otherwise it would not be safe at the end of the day.

Just like those rich people, the richer and more famous they are, the more timid they are.

Lin Ran still remembered a well-known example of liver resection, which was the resection of a liver tumor by a prostitute teacher in the live broadcasting industry. The incision spanned more than half of the abdomen and was [-] to [-] centimeters long.

Of course, that was because Mr. Whoring was fat enough. As for his surgeon, Lin Ran didn't know him, and he didn't know the age, but one thing is for sure, that is, Mr. Whoring's surgeon must be very stable!
…………

The words went a little far, and I returned to the operating table.

Lin Ran cut the incision, but Zhao Jie didn't move. With the second assistant Qian Xuanzai, he didn't need an attending doctor to do rough work like electrocoagulation of the incision to stop the bleeding and pull the hook.

Qian Xuan was a little depressed!With Zhao Jie around, he can only do electrocoagulation to stop bleeding, and he has no chance to touch the patient's abdominal cavity.

This was the first time he had the closest chance to a hepatectomy. Unexpectedly, Cheng Yaojin and Zhao Jie came out halfway.

Qian Xuan's class is worth a loss.

When the operation port is expanded, the view of the patient's abdominal cavity is clear at a glance.

Zhao Jie pointed to a bulging cyst on the middle and lower end of the right lobe of the patient's liver and analyzed: "It's dangerous! This cyst is located too close to the hepatic portal vein. If there is a thunderstorm, it is estimated that there will be massive bleeding immediately, and it may be another battle with death." Battle."

Lin Ran nodded, "This position is really not good."

Li Min was standing next to him, really worried, so he couldn't help but said: "The cyst is about three centimeters (the size of a one-yuan coin), and it has a tendency to invade the hepatic portal vein. Lin Ran, when you cut it, you have to Be very careful, cutting the hepatic portal vein is a bit troublesome, and it is not good for the patient's postoperative recovery. Moreover, the patient is old, and cutting the hepatic portal vein may cause heart failure. It will be too late to talk by then. If it is impossible, let me cut it That's fine too."

Zhao Jie glanced at Li Min, suspicious in his heart: Isn't this old guy here to find fault?Why are you still guiding Lin Ran?

But after thinking about it again, Zhao Jie understood.

After all, Li Min is still a doctor, and he is also the deputy chief physician of the emergency department. He must have such a heart!Otherwise, how could it be possible that Chen Qiufeng hadn't squeezed him away!

Concentrating on it, Lin Ran used a humanoid CT eye to carefully examine the cyst at this particular location.

【Hepatic cyst is red, the side is 2mm away from the hepatic portal vein, and surgical resection is required. 】

"hiss"

Lin Ran took a deep breath.

2 mm distance, how close?
If the cyst invades the hepatic hilum, it may cause massive bleeding at any time.

2 mm distance, not easy to cut!
The body of the electric knife has a diameter of one millimeter. Cutting two millimeters is like putting four hairs together and cutting them vertically from the middle. The difficulty can be imagined.

Lin Ran was considering whether to cut it, or whether to burn the cyst directly.

Seeing that Lin Ran did not make a decision, Zhao Jie also comforted him: "Lin Ran, let Director Li do it!"

Lin Ran frowned, looked at Li Jianjian and asked, "Director Li, visually estimated that the cyst is only two millimeters away from the hepatic portal vein. How sure are you that you can cut it off?"

"Two millimeters? You can see that too."

Li Min looked at Lin Ran now as if he was looking at a monster!

Lin Ran nodded, "It should be about the same, the error will not exceed one millimeter."

Li Min shook his head, "If I come to cut it, there is a high probability that it will not be cut clean."

Lin Ran looked at Zhao Jie, who shook his head helplessly.

The consequences of not cleaning the cyst are also very dangerous. The operation may cause adhesion, infection, and inflammation. These are enough to cost a 67-year-old patient his life.

Lin Ran didn't back down: "Then I'll do it!"

After blocking the venous artery, Lin Ran reached out to take the electric knife, Li Min reminded again, saying: "I would rather not cut cleanly than cut the hepatic portal vein, there may still be chances if the cut is not clean, and the chance of cutting the portal vein is even less. "

What Li Min said about opportunity was an opportunity to survive!
Lin Ran was clear about this, but he still wouldn't shrink back, he believed that he could cut it cleanly without cutting the hepatic portal vein.

Lin Ran signaled the nurse to turn on the switch of the high-frequency electric knife to start warming up, and everyone's hearts rose to their throats.

Now there is another conservative method, which is to close the abdomen immediately, do conservative interventional embolization afterwards, and pray that the cyst will not grow so fast.

But all the doctors present knew that cysts are not kittens and puppies, how can they be obedient!

After warming up, Lin Ran took a deep breath.

"careful!"

"Stay steady."

"come on."

"You can definitely do it!"

This is the voice of everyone. In the operating room and in front of life, where is there any departmental struggle?
…………

Lin Ran faced the difficulties and chose to cut off the cyst at the lower end of the right lobe of the liver first.

"呲呲..."

The sound of the electric knife slicing through the liver.

It's a sad time, and the seconds seem like years to those in Operating Room 3.

It is precisely because of reverence for life that we walk against the light.

Lin Ran's expression was serious, and everyone's hearts were beating like drums.

Cut 3cm vertically, no bleeding!
Everyone's hearts were half relieved, even if it wasn't clean!

After Lin Ran cut the knife, his whole body was like soaking in a bath, sweating profusely.

Gently withdrawing the electric knife, Lin Ran raised his head and said, "Wipe your sweat."

At this time, Li Min couldn't help giving Lin Ran a thumbs up, saying: "Persevere, there will be great things in the future."

Now even Li Min dare not underestimate Lin Ran, a young man who has enough courage to become a god if he is not a lunatic.

After the nurse wiped off her sweat, Lin Ran chuckled, and inserted the electric knife into the patient's abdominal cavity again.

"呲呲..."

After the vertical cut, oblique cuts are required to quickly remove the cystic liver.

Oblique cutting is not as elaborate as just vertical cutting, so Lin Ran's cutting is faster, but very smooth, uniform and smooth.

After Lin Ran finished cutting, he withdrew the electric knife.

Holding the tweezers, Zhao Jie quickly took out the liver, put it into the medical tray prepared by the nurse, and immediately shouted: "Send it for examination, run faster, grab the old horse of the pathology department by the hair and let him do it immediately."

"Okay, but Deputy Director Ma of the pathology department seems to be bald." The nurse responded fiercely at first, and then realized that there were loopholes in Zhao Zhizhi's words, and she was a little cute.

Li Min glared impatiently at the nurse holding the tray, "Hurry up, there is still time to joke around."

"I'm telling the truth!" The nurse muttered and walked out of the operating room angrily.

After the nurse left, Lin Ran didn't stop. Uncle Cheng had multiple hepatic cysts, and there were as many as five large and small cysts on the right lobe of his liver.

Lin Ran raised his knife and cut them off one by one.

After the liver block of the hepatic portal vein was taken out, everyone could even see the dark red wall of the intrahepatic portal vein with naked eyes, almost showing through.

Everyone was anxiously waiting for the test results!

The cutting was relatively quick, before the nurse came back, Lin Ran cut off the remaining liver cyst.

After Lin Ran finished cutting the cyst on the right lobe of Uncle Cheng's liver, Uncle Cheng's entire liver was like being eaten by a dog, with one piece missing on the left and one piece missing on the right. .

Zhao Jie took out the liver pieces one by one and put them in a medical tray.

At this time, the door of the operating room was opened, and the attendant nurse who had just left ran in.

Panting: "Qing... Qing..."

Li Min raised his heart to his throat, stared as big as a bull's eye, and said in a thick voice with a little trembling, "Clear...clear?"

The little nurse, who took a long time to calm down, said two words, "Clear!"

"The edge is clear...Deputy Director Ma also said that the hepatic portal vein would be cut if it was less than the thickness of a piece of white paper."

Li Min was the first to applaud, "Good."

After he finished speaking, he applauded. This operation made his scalp tingle and his adrenaline soared, as if he had returned to his youth, as hard as iron!
Zhao Jie also broke into a cold sweat for Lin Ran!If this operation fails, the patient's family is a lawyer!Whether Lin Ran can stay in the hospital is still unknown.

If the operation is successful, the patient's family will greet him with a smile.

The operation failed, and the patient's family turned their faces and refused to recognize anyone.

Zhao Jie has seen this kind of thing too many to count.

Zhao Jie has seen many doctors who left the hospital because of failed operations, and he can't count them either.

Qian Xuan gave Lin Ran a thumbs up and said, "It's amazing... Doctor Lin..."

"Doctor Lin, that's great..."

Lin Ran was unfazed by honor and disgrace, smiled slightly, looked at the side where the liver was cut out and said, "Trouble, the nurse is running."

"Well! Doctor Lin, you're welcome, I'm willing to break my leg!"

The nurse on the stage smiled happily.

After the nurse left, Li Min admired from the bottom of his heart: "The reason why I came to watch this operation was purely because I wanted to see Lin Ran's embarrassment. Now it seems that I am too narrow-minded. Here I have to Say sorry to Dr. Lin."

Zhao Jie didn't expect that Lao Li would admit it so openly, and while he was secretly happy, he also admired Lao Li's heart, he could afford it, let it go, and dare to act.

Lin Ran smiled, "I can't accept Director Li's apology, I just thanked Director Li for his guidance!"

Lin Ran said it very implicitly, and it was enough to give Li Min face. If Lin Ran really pretended to be big, if the truth spread out, Li Min would be embarrassed to death?

Hearing Lin Ran's words, Li Min said with satisfaction: "Since the edge is clear, let's deal with the section of the liver at the hepatic portal vein! It won't work if the hepatic vein is blocked for too long."

Lin Ran nodded and reached out, "Needle holder, No. 2 round-tipped curved suture needle, and No. 2 absorbable suture."

Zhao Jie looked at Lin Ran's calm and unhurried expression, and sighed, "Lin Ran, do you know? When I was your age, I was still writing medical records and doctor's orders in the department! You can do liver resection now, And to be able to do so well is amazing!"

(End of this chapter)