This doctor is very stable

Chapter 87 Hepatocellular Carcinoma Resection Surgery
From a doctor's point of view, the biggest difference between patients with benign tumors and patients with malignant tumors is whether the tumor can be cured by resection, and whether the tumor will recur after surgery.

From the perspective of patients, it is the difference between life and death.

Hepatocellular carcinoma is not sensitive to radiotherapy and chemotherapy. To put it simply, neither radiotherapy nor chemotherapy is enough to kill the cancer cells of hepatocellular carcinoma.

Cancer cells that cannot be killed by radiotherapy and chemotherapy are enough to prove how tenacious the cancer cells of hepatocellular carcinoma are.

Seeing that Lin Ran was very confident, Chen Qiufeng was very relieved and said: "Very good, go to my office, let's study this patient with hepatocellular carcinoma carefully, the significance of this operation is about whether we can keep the emergency department..."

"Hmm, Lin Ran, let's go!"

After talking, Xu Hong gave Chen Qiufeng a reproachful look. Didn't telling Lin Ran these things increase Lin Ran's pressure?It is definitely inappropriate to put the struggle between departments on a young doctor, even if you want to talk to Lin Ran, you should wait until after the operation!
Xu Hong directly interrupted Chen Qiufeng's words, and Lin Ran also saw the abnormality of the two of them, but Lin Ran didn't get to the bottom of it.

It's about emergency, even Chen Qiufeng and Xu Hong can't solve it, so what's the use of asking yourself!
And when they should know, the two of them will definitely tell themselves. It is just asking for trouble if they insist on asking now, so it is better to do the operation well first.

After half an hour.

Lin Ran, Qian Xuan and Guan Shen, the deputy chief physician of the emergency department, walked out of the dressing room after brushing their hands and changing into surgical gowns.

Guan Shen had heard of Lin Ran, who had recently been the focus of discussion among nurses in the emergency department.

And because Lin Ran, Xu Hong and Chen Qiufeng had cut off several appendicitis patients from their own hands.

Guan Shen has a deep memory of Lin Ran!

Originally, when Chen Qiufeng and Xu Hong approached Guan Shen and told him to let Lin Ran do the surgery, he was unwilling.

After all, the patient was willing to come to the emergency department for surgery through his relationship. The patient trusted that he was not the emergency department. Now that the surgery was approaching, it was really unreasonable for a regular doctor to perform the surgery.

However, Guan Shen is just a deputy chief physician, under the coercion of the two big bosses in the department, there is no such thing as not giving in!

And not only that, Guan Shen was also arrested to help Lin Ran.

Chen Qiufeng even claimed that the operation was done by Dr. Guan, and really made Guan Shen very angry, but there was no way he could not save face if Chen Qiufeng and Xu Hong came forward at the same time, and Chen Qiufeng also gave Guan Shen a trick that made people have to succumb. It means that the dean and the vice dean will also come to see Lin Ran's operation.

The three of them walked into the operating room, and the dean Fu Changwen and the vice dean Yang Xu had already arrived.

Standing beside them were Chen Qiufeng and Xu Hong.

Yang Xu came to see Lin Ran for an operation, of course he was not out of admiration for his kindness.

Lin Ran walked into the operating room and said hello to the bosses first.

"Dean, Vice President Yang, Director, Director Xu."

Fu Changwen responded with a smile, "Well, you are Lin Ran? You are so young!"

Yang Xu snorted with a straight face, "Yes."

"Lin Ran, the dean and the vice-principal are here, you have to work hard!"

As he spoke, Chen Qiufeng glanced at Yang Xu provocatively.

Seeing this, everyone muttered in their hearts, "It seems that these two big brothers are not getting along!"

Immediately, the atmosphere in the operating room became a little better.

Lin Ran didn't pay much attention to it, turned to look at Guan Shen and said, "Doctor Guan, then I'll be rude to you!"

The bosses really came, so Guan Shen naturally didn't dare to pretend to be big, so he said, "Dr. Xiaolin, invite you!"

Lin Ran took the position of chief surgeon, and Guan Shen stood opposite him. Qian Xuan didn't dare to say a word. Even the dean and vice dean came, how dare he speak?

Lin Ran glanced at the thin patient with sallow complexion lying on the bed, and said, "General anesthesia, three hours."

A young, tall and thin male anesthetist was involved in this operation. He heard Lin Ran's order and hurried forward to prepare the medicine.

At this moment, the middle-aged patient lying on the operating table with a thin face suddenly asked, "Dr. Guan, didn't you operate on me?"

When the patient asked such a question, Guan Shen felt bitter!

He also wants to be the master!It's a pity that the big brother asked him to give Lin Ran the bottom line.

I thought so in my heart, but I definitely couldn't say it out of my mouth, "Brother Chen, don't worry, he is my student, and I asked him to do odd jobs for me."

Chen Dazhuang's wife is in the same village as Guan Shen. How can a great doctor in the city not be famous?

I got liver cancer myself!

So his mother-in-law asked her family to establish the relationship between Dr. Guan and the villagers, and came to the Hengshan emergency department.

When Chen Dazhuang looked at Lin Ran, he always felt that he was the one who did the cutting!

But at this time, the anesthetist had already begun to give anesthesia.

After a while, Chen Dazhuang became dizzy and fell asleep.

"Tweezers, alcohol cotton, iodophor."

Putting himself into the operation, Lin Ran's demeanor changed in vain, and his whole body exuded a kind of self-confidence from the inside out, which made people feel a sense of stability from him.

Seeing Lin Ran like this, and feeling the aura of Lin Ran's main swordsman, Fu Changwen nodded in satisfaction.

Can a general doctor develop such a temperament as a surgeon?

Who can be so confident without a certain surgical talent?

Lin Ran is reliable!

Yang Xu looked at Lin Ran who was in the state of surgery, and was secretly startled.

I don't know why, Lin Ran's incomparably confident temperament makes him a little annoying!
To be honest, both Chen Qiufeng and Xu Hong were a little surprised. Did this little guy take medicine?

Skills are easy to practice, temperament is difficult to practice!

Have you ever seen the kind of nobleness that emanates from the inside out?

How could it be possible for a low-level migrant worker to develop the temperament of a boss!

Disinfect before operation, draw positioning line, lift knife incision.

Lin Ran did it steadily and meticulously.

The more Fu Changwen looked at it, the bigger the smile on his face.

The more Yang Xu looked at his old face, the more tense he became.

The starting points of the two are different, so they naturally have different expressions on Lin Ran's operation.

Yang Xu has never forgotten the original intention of making such a trip. What he got was the villain's script.

The better Lin Ran's surgery was done, the less chance he would be stripped of the operating room of the emergency department!

How can you make people happy just like this?
An abdominal incision of up to ten centimeters in length was made.

Qian Xuan immediately started electrocoagulation to stop the bleeding.

The operation port is expanded when the retractor is applied.

The vision under the patient's abdomen is clearly exposed under the searchlight of the shadowless lamp.

【V4 patients】

[Crimson liver under the abdomen, primary hepatic malignant tumor in the right lobe of the liver, surgical resection is required...]

Lin Ran turned his attention to the right lobe of the patient's liver. The naked eye could see a small area of ​​granular sacs on the epidermis of the left lobe of the patient's liver. It looked obviously unhealthy and felt dry, which was in sharp contrast to the healthy liver with smooth side. right.

Of course, the area hidden in the right lobe of the liver must not only be the size of a thumb on the surface!
With the help of the system's diagnosis assistance function, Lin Ran saw something different from others.

Now in Lin Ran's eyes, the patient's liver seemed to be a transparent 3D color model.

After reading it, Lin Ran raised the corner of his mouth slightly and said, "Non-injury forceps, hemostat..."

Lin Ran was also familiar with the hepatic venous artery occlusion work, without any hesitation.

Although Lin Ran can't carry the title of Flying Dao Xinmene now, he doesn't have the 20% surgical teaching bonus of Feidao Xinmeng.

But Lin Ran's liver resection skill has been upgraded to the intermediate level!This was also enough for Lin Ran to make significant progress in liver resection.

Seeing that Fu Changwen was a little fascinated.

Chen Qiufeng and Xu Hong also watched it with great interest. They always felt that watching Lin Ran undergo surgery had different feelings every time. From time to time, Lin Ran would make fucking progress.

The only one in the operating room who was unhappy with Lin Ran was Yang Xu, his old face was getting longer and longer and more smelly.

Qian Xuan pulled the hook and glanced at Lin Ran with his small eyes from time to time.

It seems that there is still a trend of aiming higher and higher.

Guan Shen was the first to have an operation with Lin Ran on the same stage. His only feeling was, no wonder Lin Ran could attract big shots to watch the operation!Even before the liver was cut, he could clearly feel the gap with Lin Ran.

Damn it.

God damn meow's small training doctor.

The operation has entered the stage of lymphatic membrane scan. There is still a little difference between the scan of liver cancer and the scan of benign liver tumors.

Liver cancer cells can metastasize through lymph, so we must try our best to clean up the lymph of liver cancer.

For benign tumors that cannot metastasize, it is required to scan as little as possible.

"Tweezers, fine scissors." Lin Ran's speech now has a rhythm, a calmness, which is pleasing to the eye.

On the operating table, the more delicate and slow the work, the more the skill of the chief surgeon will be tested.

Lin Ran held the tweezers and moved the scissors to cooperate with each other, showing a sense of swiftness and elegance between clipping and cutting.

At this time, Fu Changwen's old eyes, which were absorbed in watching, could not help but widen a little, and even if his eyes were a little sour, he was not willing to blink.

"What the hell!"

This is Yang Xu's heartfelt voice at this time, how can such delicate work as lymphatic sweeping be done well without ten or eight years of hard training!
But Lin Ran looked only 25 or [-] years old, where did he have ten or eight years of hard training?
Moreover, Lin Ran's lymphatic sweeping technique is not only average, but also of high quality visible to the naked eye!
If he hadn't seen it himself, even Yang Xu wouldn't have believed that anyone at Lin Ran's age could practice such a skillful technique of sweeping the lymphatic membrane.

Can't figure it out, Yang Xu thinks it's Lin Ran's talent.Apart from talent, there is nothing to explain Lin Ran's high-quality lymphatic sweeping technique.

"It would be great if Lin Ran was in their thoracic surgery department! Lin Ran's time in the emergency department is a complete waste."

(End of this chapter)