This doctor is very stable

Chapter 81 Dangerous hepatic hemangioma 】

Lin Ran started to do preoperative disinfection work, and Zhao Putian opened the door and walked in.

Seeing Zhao Putian walking in, Zheng Youwei whispered, "Old Zhao, are you all right?"

Zhao Putian wiped away his old tears when he walked out of the monitoring room, "It's okay, Lin Ran, just let go and do it."

After finishing the preoperative disinfection, Lin Ran nodded to Zhao Putian.

"Surgical pen."

On the right upper abdomen, draw an arc, about seven or eight centimeters.

At this time, Zhao Putian saw that there were still two caesarean section scars on his wife's abdomen, his eyes were sour, and the old tears almost flowed out again.

This woman has suffered too much with her!
Without hesitation, Lin Ran waited for the nurse to spread the surgical towel and said, "Scalpel."

Lin Ran took the scalpel, and Chen Qiufeng glanced at Qian Xuan next to him.

Seeing this, Qian Xuan immediately helped Lin Ran fix the patient's abdomen.

Hold the bow and cut open.

The tip of the knife cuts across the epidermis, subcutaneous fat, tendons, and omentum.

Fast and steady.

Zheng Youwei had never seen Lin Ran's operation, but after seeing Lin Ran's incision technique, he felt that the young man in front of him was not simple. No wonder Old Zhao invited Lin Ran to perform this operation.

The surgical opening is completely cut along the originally drawn positioning line, and there is nothing out of the box.

This method gives people a very stable and comfortable feeling.

And the two young nurses in Yunxiang County Hospital looked at Lin Ran with some radiance in their eyes.

Such a young doctor can come to Yunxiang County Hospital to make throwing knives, which is really unbelievable!
As the incision is made, a small amount of bleeding is inevitable.

Qian Xuan let go of his hand, and hastily applied electrocoagulation to the surgical site to stop the bleeding.

Flying knife surgery is far more stressful than general teaching surgery.

If there is a slight mistake, even Qian Xuan himself will blame himself!

That's why Qian Xuan was in high spirits from the start of the operation.

Not only Qian Xuan, but also Lin Ran did not dare to be sloppy.

Zhao Putian was able to invite himself to perform his wife's operation, which showed that the old man Zhao Putian believed in him. If the operation was not done well, how could he be worthy of Zhao Putian's trust.

After the electrocoagulation is completed, pull the hook to expand the field of view.

Under the shadowless lamp in the operating room, the patient's lower abdomen was clearly exposed to everyone's eyes.

[Ding: The right lobe of the liver is red...the venous hemangioma in the right lobe of the liver...8.5cm in diameter...needs to be removed...]

[Ding: The hepatic artery blood vessel is red...the hepatic artery and the vein tumor are adhered...need to be stripped...]

…………

This is the prompt Lin Ran received from the system.

But in the eyes of other people in the operating room, the condition of the patient's abdomen is really not good!
There were five tumors of different sizes visible to the naked eye in the right lobe of the liver.

Among them, the tumor near the liver fissure, that is, the tumor that is adhered to the arteries is the largest.

This position is very dangerous to cut off!

And below the tumor is the gallbladder!
This virtually increases the difficulty of the operation.

Chen Qiufeng observed the situation in the patient's abdominal cavity, and also frowned.

And Zhao Putian's heart at this time is more complicated.

…………

After checking the condition of the patient's liver under the abdomen, Lin Ran said unhurriedly: "Tweezers, blocking forceps..."

With the system's diagnostic assistance function, and the title of the flying knife and many other bonuses, Lin Ran felt that he was completely sure to remove this dangerous-looking tumor safely.

Lin Ran took the tweezers and blocking forceps from the nurse, and prepared to block the hepatic vein first.

Zhao Putian couldn't help but said, "Doctor Xiaolin, if it's too risky, stop. I don't blame you."

Chen Qiufeng then echoed: "It is true."

During surgery, after incision.

The condition in the patient's body was beyond the scope of the doctor's ability, and the chief surgeon felt that it was impossible to complete the operation with his own surgical techniques, so he could terminate the operation completely.

This is a kind of responsibility to patients and a kind of protection to doctors.

The disease is beyond the scope of the surgeon's ability, and if the operation is forced, the patient may not be able to walk off the operating table.

And when the patient dies on the operating table, the chief surgeon cannot be completely irresponsible no matter what!
Lin Ran paused for a moment, then raised his head and said seriously: "Director Zhao, please trust me, if I'm not sure, I will naturally stop."

Zhao Putian was silent for a while, thinking of Lin Ran's miraculous small incision appendectomy just now, and Lin Ran's equally dangerous hepatic adenoma resection in Hengshan Hospital, he gritted his teeth and said in a deep voice: "Xiao Lin Doctor, I trust you."

"Ah."

Lin Ran responded and began to operate.

Lying on the operating table was Zhao Putian's wife, so the atmosphere in the operating room was a bit serious, and Zheng Youwei could only hold back his words even if he had something to say.

Seeing Lin Ran's youthful and methodical blocking of the hepatic vein and artery, Zheng Youwei hesitated to speak.

He was also worried in his heart, if Lin Ran made a mistake in the operation.

As a result, Zhao Putian's wife died directly on the operating table, so what should I do?It's really worrying!

At this time, Lin Ran had put all his energy into the surgery.

"Non-damaging tweezers, fine scissors..."

After the hepatic vein was blocked, Lin Ran stretched out his hand and said calmly.

After taking the tweezers and scissors from the nurse, Lin Ran began to sweep the lymphatic membrane.

Lin Ran just made a move.

In the operating room, I saw Lin Ran as a lymphatic sweeper, so I felt that Lin Ran seemed to have improved his mother again.

At this moment, the scissors in Lin Ran's hand seemed to have come to life, and he pointed and swiped without any pause.

Fast and steady.

Chen Qiufeng yelled in his heart, "Damn it!"

Seeing this, Zheng Youwei suddenly felt that his worry just now was a bit unnecessary.

…………

Sweeping the lymphatic membrane has always been a tedious job, but now Lin Ran abruptly lost the sense of rhythm.

And it's not slow at all.

The quality is still visible to the naked eye.

It's really unbelievable.

Everyone couldn't believe it until Lin Ran finished sweeping the lymphatic membrane.

If it wasn't for Zhao Putian's wife lying on the operating table, Zheng Youwei would have applauded Lin Ran. Lin Ran's technique of sweeping the lymphatic membrane is really beautiful?
Zhao Putian thought in his heart that Lin Ran must have tried his best, so he said gratefully, "Thank you, Doctor Xiaolin."

Lin Ran put down the tweezers and scissors in his hand, nodded slightly and looked at Chen Qiufeng, "Teacher, please cooperate with me."

Judging from the current situation, Chen Qiufeng naturally knew what Lin Ran was going to do next!Remove the tumor!Moreover, the most dangerous tumor next to the hepatic fissure was removed.

And the location of this tumor meant that it would be difficult for Lin Ran to complete the resection alone, which required the cooperation of Chen Qiufeng.

Chen Qiufeng nodded and smiled, "You're still being polite, kid."

Lin Ran explained in a deep voice: "Teacher, you gently pull the tumor and the hepatic artery, and I will cut and peel off the adhesions with the electric knife."

The biggest danger of this operation is the adhesion and dissection of the tumor from the artery.

The reason why Lin Ran was cut with a knife was also well thought out. Although fine scissors can also complete the stripping, using fine scissors is more likely to damage the artery wall or cause the tumor to rupture.

When Chen Qiufeng heard the words, his expression became serious, and he stretched out his hand and said, "Non-injury tweezers, long-handled pliers."

Lin Ran also said at the same time: "The high-frequency electric knife, start warming up."

Chen Qiufeng took the tweezers and the upper long-handled pliers, and began to operate them carefully.

The forceps touched the hepatic artery, and everyone began to hang.

Chen Qiufeng made a good posture, and Lin Ran inserted the preheated high-frequency electric knife into the patient's abdominal cavity.

Everyone's hearts were in their throats, and when they looked at Lin Ran and Chen Qiufeng's foreheads, they didn't know when they were covered with fine beads of sweat.

"Slow down...slow down..."

Lin Ran lowered the knife, Chen Qiufeng muttered in a low voice.

When the tip of the knife touches the adhesion between the tumor and the artery, white smoke rises.

Everyone in the operation held their breath involuntarily, for fear that the sound of breathing would disturb the people in the operation.

"Jie Jie..."

This knife is not slow, but it is very difficult for Zhao Putian.

Fortunately, half a minute later, Lin Ran cut off the adhesion.

The long-handled forceps on Chen Qiufeng's right hand gently pushed aside the tumor, and Lin Ran slowly withdrew the electric knife.

After the vision became clear, Chen Qiufeng's expression brightened, "It's okay, it's okay!"

I saw that the bright red hepatic artery was still intact after cutting the adhesion, and there was no problem with the tumor.

"Okay, great, thank you Dr. Xiaolin, thank you Director Chen."

Zhao Putian's back is soaked now!

Zheng Youwei couldn't help but sighed in admiration, "If I hadn't seen it with my own eyes, I wouldn't have believed that a young doctor like Lin Ran could successfully peel off such a dangerous adhesion."

Chen Qiufeng tilted his head and chuckled, "Old Zhao, why are you so polite, really."

Lin Ran also nodded and said, "Director Zhao, I should do it, you're welcome."

At this moment, when Qian Xuan looked at Lin Ran, there was a fiery light in his eyes!
"Lin Ran, the cowhide is getting bigger! (Broken sound)"

After finishing the operation politely, Chen Qiufeng changed the electric hook and gently lifted the left liver lobe, frowned and said in a low voice: "Lin Ran, the liver lobe, gallbladder and mucous membrane, if you want to remove the tumor, you can't do it without stripping the gallbladder. .”

Chen Qiufeng's experience is not insignificant, but Lin Ran has a systematic assistant function!
Lin Ran pinched the non-destructive tweezers to point at the tumor, drew a virtual line, and explained: "Teacher, I plan to cut obliquely from the upper end of the right lobe of the liver to the lower end of the hepatic fissure, so that the gallbladder will not be touched!"

Chen Qiufeng nodded, frowning and thinking, "Such a cut will not hurt the gallbladder, but are you sure you can cut it clean?"

In Lin Ran's eyes, the patient's liver was like a transparent anatomical organ. Lin Ran was able to propose this resection plan, so he naturally had the confidence to remove it completely.

So Lin Ran nodded.

Chen Qiufeng didn't refute, after all, Lin Ran was the chief surgeon, if it's really not clean, he can peel off the gallbladder again!

Soon following Lin Ran's train of thought, the tumor near the liver was removed.

Zhao Putian waited for Chen Qiufeng to take out the liver, and immediately ordered to the little nurse, "Send it for examination immediately."

Lin Ran and Chen Qiufeng looked at each other and smiled without paying attention.

There was a need to wait for the examination, so Lin Ran naturally couldn't waste time and carried out the electric knife to remove the remaining liver tumors one by one.

Lin Ran knew what he was doing, so he didn't panic, and performed the operation in an orderly manner with a calm expression.

But others seemed a little anxious, especially Zhao Putian.

(End of this chapter)