Ling Ran raised his hand, scratched the air above the operating table, and spent less than a minute's avatar time looking at Xu Jinyi's liver.

He mainly looks at whether there are new expansions of the patient's cancer cells.

This actually slightly went against his preparations for promotion. However, from Ling Ran's point of view, promotion is promotion. It would be strange to abandon useful skills in order to try new technologies.

Ling Ran was already familiar with the shape of Xu Jinyi's liver.

Looking at it now, there hasn't been much change.

"Let's get started." Ling Ran looked at the monitor next to him and reminded him.

Several assistants quickly took their positions with solemn expressions. Even the chief physician of the Second Affiliated Hospital did not dare to show any airs. He was like a police dog wearing a hood, with his back straight and professional.

Today's surgery, according to the standards of the General Surgery Department of the Second Affiliated Hospital of Beijing, is really a simple surgery. However, it is not always easy to perform any surgery well.

The junior surgeon sent out by director Li Yuan did not want to be the scapegoat for the failure of the operation, so if we were to say who was the most nervous in the operating room, excluding Comrade Xu Jinyi, the patient who was paralyzed, it was this junior surgeon.

"Knife." Ling Ran stretched out his hand and touched the handle of the knife.

The equipment nurse next to her raised her chest and raised her head, also looking professional.

Different doctors have different habits when performing surgeries. Those who work as instrument nurses not only have to remember the surgical procedures, but also often remember the doctor's habits.

Of course, under normal circumstances, this is a step-by-step process. The equipment nurse cooperates with a certain number of doctors. The more they cooperate during the operation, the surgical procedures will be memorized. The more the partners cooperate, the doctors' habits will be known.

However, there are no such conditions in the operating room of the hospital today. In order to ensure that she can keep up with the progress of the operation, this young girl with a master's degree in nursing has memorized the surgical procedures for two days in advance and watched dozens of

Hours of video of Ling Ran’s surgery.

She even adopted a position that was consistent with Ling Ran's surgical habits.

The effect was also outstanding. Although Ling Ran slowed down at the beginning of the operation, when he realized that the nurse's cooperation with the instrument M could keep up, Ling Ran's speed increased again and again.

"It was done so quickly."

“Well done.”

"Today's young people are really annoying."

The doctors from the Second Affiliated Hospital also entered the visiting room and had a lively discussion.

Director Li Yuan also put his hands behind his back and looked at Ling Ran's operation with a solemn face.

He admitted that Ling Ran's surgery was good. In fact, when he was at the top level in the country, it was meaningless to find flaws in his surgery level. Doctors of this level just had different tendencies in handling surgeries.

Some doctors are obsessed with stopping bleeding and pursuing blood-free vision, so much so that they constantly deal with intraoperative bleeding problems; some doctors like to cut large areas and carefully suture; and some doctors pursue speed and give up a certain degree of accuracy in disguise.

…

But no matter which type it is, the patient or the patient's family can only choose the type they are willing to endure, and cannot ask the doctor to do it in the way they expect.

A doctor's personal style also requires ten or twenty years of training and practice to gradually hone.

Forcing doctors to change their style will never get the results patients want.

In Xu Jinyi's resection of early- and mid-stage liver cancer, any personal style is actually enough, and the outcome is probably not determined by the patient.

"I heard that Director Xu chose the surgeon himself?" The deputy director of the hospital approached Li Yuan and asked in a low voice.

Li Yuan said "en".

"How did he choose?" The deputy director looked down through the window and said, "It's good to say that Dr. Ling did a good job, but compared to you, the director, he is still far behind..."

He was just telling lies with his eyes open, but as a rising deputy commander, it was considered gay to lick the director with his eyes closed against his conscience.

Li Yuanming knew that the other party was a licking dog, but he was still happy to hear it. His attitude became a little warmer, and he said warmly: "Don't say that, everyone does the same thing in the early stage of liver dissociation, so there is no difference. Jin Yi this time,

What I value not only is Ling Ran’s surgical operation, but I also trust Dr. Ling’s grasp of the details of the surgery.”

He said this as if he didn't say it, just to make his own people happy.

When people onlookers heard this, they couldn't help but ask: "What details did Dr. Ling do that hooked Xu Jinyi?"

Li Yuan was not stingy in praising his juniors and said: "Be particular about it."

"Elaborate?"

"Well, surgeries are done with care, you understand." Li Yuan looked at them and said, "As the times develop, patients' requirements are getting higher and higher. From now on, we all have to be particular doctors."

Several doctors present smiled and did not respond. They just thought it was the director who was handing out chicken soup again.

At this time, Ling Ran's voice sounded again: "Special attention should be paid to the patient's cystic duct mutation. From the imaging point of view, it should be an anterior spiral adhesion to the left side of the common hepatic duct..."

All liver blood vessels and bile duct structures have variations. To put it more simply, the structures of liver blood vessels and bile ducts are different in different people. However, doctors still try their best to make generalizations and

It is roughly classified.

Just as far as the variations of the cystic duct are concerned, there are those that merge into the common bile duct at a low position, those that merge into the common bile duct at a high position, those that are absent or short, those that are adhered to the anterior spiral, those that are adhered to the posterior spiral, and so on...

In addition, variations in liver blood vessels, variations in liver morphology, variations in bile ducts...

So many variable structures are one of the reasons why liver resection is so challenging.

Compared with simple surgery, liver resection requires memorizing the surgical procedure and all anatomical structures, and the difficulty level is increased by countless times.

Calculated on the smallest scale, assuming that there are 6 variations in hepatic blood vessels, liver shape, bile ducts and cystic ducts, when a doctor cuts the patient's ribs, he will see one of 1,296 anatomical structures...

In reality, there are even more variations in human body structures, and it is almost an impossible task for doctors to exhaust them all.

At this time, it is very important to conduct imaging inspections, analysis and countermeasures in advance.

Li Yuan looked at Ling Ran. Although he claimed to have performed hundreds of liver resections at such a young age, he did not know if he had ever done anything like this...

For a moment, Li Yuan even regretted that he should not have listened to Xu Jinyi. The liver resection surgery was still too risky for a young doctor like Ling Ran...

Just as he was thinking this, he saw that Ling Ran was already immersed in the operating table and began to perform peeling.

The cystic duct, which is attached to the left side of the common hepatic duct in an anterior spiral shape, obviously does not play its due obstructive role.

Li Yuan's brows wrinkled unnoticeably, then relaxed.

To be honest, even Li Yuan was scratching his head when he first saw the imaging data. Xu Jinyi's surgery was not easy to perform, including this part. The good cystic duct grew into a spiral shape and was still stuck to the common hepatic duct.

Yes, all doctors know how much trouble it will be if two things are accidentally broken.

If bile fluid flows into the abdominal cavity, it means that the body is digesting itself. If the inflammation is not managed properly, it will kill the patient.

"It's almost done. I'll start the resection." Ling Ran didn't stop at the cystic duct at all. After finishing the procedure smoothly, he started to remove it smoothly.

There is no ceremony for the resection. It seems that the pre-cut line has just been made, and after another explanation, it is cut.
Chapter completed!