This doctor is very stable

Chapter 56 Nezha is difficult to cut [Ask for a ticket and a reward! 】

The patient passed out from the anesthesia. Lin Ran looked at the patient's swollen abdomen, stretched out his hand and said, "Tweezers, alcohol cotton, iodophor."

Lin Ran was steadily disinfecting before the operation.

Next to him, Xu Hong was making eye contact with Chen Qiufeng.

They both saw worry in each other's eyes.

But the two chose to trust Lin Ran.

The chief physicians of the county hospital didn't have much concern. Since Chen Qiufeng and Xu Hong dared to let Lin Ran take charge of the hepatic adenoma resection, there should be no problem. Besides, Xu Hong had already changed the operation, even if there was a problem. , can also be remedied in time.

"Hepatic adenoma is still relatively rare. I didn't expect to encounter it when I came to Hengshan emergency department. This trip is worth it."

"It's not easy to cut such a big tumor! It's not easy. I don't know if Dr. Xiaolin can do it."

"From the perspective of the belly, the diameter of this hepatic adenoma is more than ten centimeters, and I have never cut it."

…………

Outside the operating room, inside the meeting room.

Seeing that what Lin Ran was going to do was hepatic adenoma, all the inpatients in the county hospital laughed.

In their view, Lin Ran's small incision appendectomy was excellent, but it didn't mean that tertiary surgery like liver tumor resection was also done well!

Even in a tertiary hospital, it is not very common for a small resident doctor to be exposed to tertiary surgery!

If you don't have a chance to get started, it's useless to read more.

So now the resident doctors in the county hospital are all waiting to see Lin Ran get embarrassed.

What is their state of mind now!

It is also interesting to see an excellent doctor make an embarrassment, and once Lin Ran makes an embarrassment, they may even feel a sense of gratitude!
"Hey, look at Dr. Lin's small-incision appendicitis resection, which is so good and excellent. Didn't he make a mistake in the liver resection?"

When the crane stands above the chickens, the chickens must hope that the white crane will wrestle!Who made you grow so tall!

…………

Back in the operating room, Lin Ran's work didn't stop.

After finishing the preoperative disinfection work, the nurse spreads the surgical towel on the patient.

Lin Ran then stretched out his hand, "Surgery pen."

The nurse patted the surgical pen on Lin Ran's hand.

Everyone couldn't help but gather together in front of the operating table.

They want to see what kind of positioning line Lin Ran can draw.

Everyone is an old man who has practiced medicine for many years, and an expert can tell if there is one at a glance!

The positioning line determines the incision. The tumor is very large, and it will definitely not work if the drawing is too short.

Lin Ran's positioning line was not long enough, which proved that he was too conceited and didn't understand liver adenoma.

If the positioning line is drawn too long, it proves that Lin Ran also has a conservative mentality.

The position of the positioning line determines the surgical approach and also determines the difficulty of the operation.

Therefore, the position of the positioning line is also very important. If Lin Ran does not choose a good position, then he may not be able to perform this operation.

This proves that Lin Ran's attainment in liver resection is average, and there is nothing to look forward to.

…………

Lin Ran took the surgical pen and recalled the location and shape of the patient's tumor.

The tumor is longer than the right lobe of the liver, and its size is limited by the greater omentum of the abdominal cavity and develops toward the midline.

Up and down flat, left and right oval.

On the right side of the abdomen, approach along the right side of the abdomen.

The hepatic vein and artery should be blocked, and the tumor should be resected.

In fact, Xu Hong also showed Lin Ran the operation plan, which is probably in this direction.

With a decision made, Lin Ran began to write.

Starting from the lower midline of the ribcage, draw an arc along the right abdomen until it ends near the right abdomen below the navel.

Form a slightly half-moon arc with the arc mouth facing inward.

The curvature is slightly larger, and it is marginalized along the raised part of the patient's abdomen.

The arc was slightly longer, about [-] centimeters long, and it ran through the patient's entire right abdomen.

Seeing such a positioning line, Xu Hong and Chen Qiufeng nodded first.

This is a good positioning line, the surgical approach is very accurate, and there is no problem with this incision.

The chief physicians of other county hospitals could not fault this positioning line.

They all nodded and speculated secretly in their hearts: "Could it be that Lin Ran is also very accomplished in liver resection? But this is just the beginning of the operation! The more difficult part is yet to come."

…………

Lin Ran didn't know what other people thought, and didn't care too much. Being the chief surgeon on the operating table, calmness is a responsible attitude towards patients.

"Scalpel."

Outside the operating room, a meeting of the live surgery was being broadcast.

A small resident doctor asked aloud: "Who can tell me how Lin Ran drew this positioning line?"

After all, he is just a small resident doctor, and his knowledge of tertiary surgery is very limited!

But there are still smart people.

"I didn't see that the directors all nodded!"

"That's right, are you blind? The directors have affirmed the positioning line, which is naturally good."

"So Dr. Lin really knows how to remove liver adenoma? It's incredible! How old is he?"

…………

Back in the operating room, Lin Ran held the knife in a pencil position and began to cut.

As far as the knife holding style is concerned, the bow holding style is more conservative than the pen holding style.

The pen-style holding knife, the force-bearing part is the tip of the knife, which is more likely to damage other tissues in the patient's abdomen.

Then why did Lin Ran choose to hold a pen?
Of course, there are also intentions in it. There is a tumor bulge in the patient's abdomen, resulting in a certain hollow state in the right abdomen.

Therefore, it is convenient to use a pen to hold the knife, and it will not hurt the abdominal tissues so easily.

The epidermis, muscle, and omentum of the abdominal cavity were incised in sequence.

A small amount of blood flowed out, and Li Chengtao hurriedly electrocoagulated to stop the bleeding.

After the electrocoagulation was completed, Lin Ran carefully instructed, "The tumor may be adhered to the omentum in the middle of the abdominal cavity, pull the hook slightly."

Li Chengtao nodded and put on the retractor.

He exerted a little force, and encountered resistance on the inner side of the operation, "Dr. Lin, there is indeed an adhesion!"

Lin Ran nodded, stretched out his hand and said, "Hold it first, and I'll peel it off with tweezers and fine scissors."

Seeing this, Chen Qiufeng showed a faint smile, seeing Lin Ran undergoing surgery is comfortable and stable!
"There is indeed something..."

The others also nodded.

…………

Lin Ran ignored them and began to slowly peel off the tumor and the greater omentum of the peritoneal cavity.

This is also a meticulous job, and the tumor should not be injured or the omentum of the abdominal cavity should be damaged during the peeling.

Once the abdominal omentum is injured, it will affect the patient's recovery from surgery.

So Lin Ran acted very cautiously, but not very slowly.

With the blessing of dexterity, it will not affect the quality of peeling if it is done faster!
Ten minutes later, Lin Ran completed the adhesion between the tumor on the inner side of the operation port and the greater omentum of the abdominal cavity.

Then the operation port was expanded, and the liver adenoma in the patient's abdominal cavity was fully exposed.

It was similar to Lin Ran's expectation, a flat oval liver adenoma covered with red bloodshot dark red.

However, the stripping work was not complete, and the tumor was still attached to the lymph nodes in the abdominal cavity.

Fortunately, the hepatic adenoma did not infiltrate the lymph nodes but only slightly adhered, otherwise this would be a cancer patient!

Adhesions between tumor and surrounding lymph nodes were peeled off.

Another problem was discovered, the tumor was longer than the right liver lobe, but stuck to the hepatic portal vein!

This fucking made the difficulty of the surgery skyrocket!
Seeing this, the old doctors in the operation gasped secretly.

They thought it would be difficult to remove the liver adenoma, but they didn't expect how difficult it would be!
The operation had been going on for almost half an hour, Lin Ran had to peel off, and now he encountered adhesions in the hepatic portal vein, which is really unlucky!

But this also reflected Lin Ran's surgical ability!
If Lin Ran could peel off the adhesion of the tumor without the hepatic portal vein by himself, that would be really awesome.

But maybe?
The directors of the county hospital all sent the same greetings in their hearts.

At this moment, Lin Ran's forehead was full of fine sweat, he didn't rush to peel it off, but raised his head and said calmly, "Wipe the sweat."

Xu Hong, who was standing aside, was a little worried, so he asked, "Can it work?"

After the nurse finished wiping off her sweat, Lin Ran smiled confidently, "No problem, the adhesive surface is not too big."

"hiss……"

The sound of air-conditioning in the operating room.

What does it mean that the adhesion surface is not large?

Lin Ran's tone was a bit loud!
Adhesion is adhesion, just one millimeter of adhesion, if you don't cut it well enough, you may bleed profusely, okay?
Even experienced chief physicians like them dare not say that they are sure!
Lin Ran lowered his head, held fine scissors, and slowly peeled off the adhesive surface of the tumor on the hepatic portal vein.

His hands were very steady, without any trembling.

It was as if the scissors were growing out of the hand.

Lin Ran lightly and sensitively stripped the adhesion between the hepatic portal vein and the tumor.

"Amazing! I originally thought that Dr. Xiaolin's improved small-incision appendicitis surgery was already very good. I didn't expect that Dr. Xiaolin's attainment in liver resection is no worse than that in small-incision appendicitis surgery!"

"Who says it's not! I'm convinced of Dr. Xiaolin's hands, they were born for surgery."

"Fingers are slender, sensitive, and stable in holding weapons. Why don't you go and insure your hands, Dr. Xiaolin! The surgeon's operation is much more expensive than the ass and breasts of that foreign female star!"

"Old Hu, you can compare the ass of a female star with Dr. Lin's hand, it's amazing!"

"Ha ha……"

There was laughter in the operating room, but Lin Ran remained unmoved.

After the stripping work was completed, the liver gland tumor in the patient's abdomen had no support point, and was gently supported by Qian Xuan.

At first glance, it looks like a little fat man playing with meatballs!

Lin Ran looked at Qian Xuan and smiled lightly: "Hold on, I'm going to block the hepatic vein, don't move around!"

"Non-injury forceps, blocking forceps."

After receiving the equipment, Lin Ran squatted down to check the location of the liver under the tumor, and said, "The operating table is tilted fifteen degrees to the left."

If the angle of the operating table is not tilted, the vision of Lin Ran standing on the right side of the patient on the operating table will be poor.

The nurse shook the handle under the operating table and yelled, "The operating table is tilted fifteen degrees to the left."

After adjusting the operating table, Qian Xuan's body leaned forward slightly, and it seemed that he was not as relaxed and freehand as before, and was more strenuous.

Lin Ran didn't stop, and started looking for blood vessels with the tweezers and blocking forceps.

…………

outside the operating room.

"It seems that this liver resection operation is not very difficult for Dr. Lin! After the blockage of the venous artery is completed, the excess lymphatic membrane is swept away, and the operation to remove the tumor is almost over!"

As soon as the resident doctor finished his words, he was stunned by his companion sitting beside him.

"You said it lightly, now I'll do it for you, are you sure you can finish this operation?"

(End of this chapter)