Xiao Conglin didn't bother to worry about where Fang Le learned it. It had no real meaning.
"There is a lot of resection. I'm afraid it won't be easy to perform laparoscopically, so I just did a laparotomy."
While talking, Xiao Conglin and Fang Le came to the operating table together and gave up the surgeon's position to Fang Le.
Nowadays, there are still many disadvantages of laparoscopic surgery. Most of the time, Xiao Conglin still performs laparotomy surgery. Today, Xiao Conglin also wanted to see how far Fang Le's level has reached.
Fang Le smiled and glanced at Xiao Conlin. Xiao Conlin really thought Fang Le didn't understand and was still pretending.
Right liver resection is much more difficult than left liver resection. The right liver has richer blood supply and more complex structure than the left liver, and the cut surface is prone to bleeding. Laparoscopic right liver resection is quite difficult, let alone 1995.
Now, even in 2020, the success rate of laparoscopic right liver resection is not very high.
The development of laparoscopic liver resection has been relatively slow. Only a few large medical institutions in China are capable of carrying out it, and the scope of resection is mostly limited to lesions in the left lateral lobe and liver segments 4, 5, and 6. Right liver resection remains the same.
It is still mainly open surgery.
The laparoscopic liver resection performed by Xiao Conglin also involved the left lateral lobe of the liver.
"Going to surgery."
Xiao Conglin felt that Fang Le seemed to have seen through him. Is this kid really good at it?
Laparoscopic surgery is a cutting-edge thing.
Fang Le didn't waste any more time and started preparing to start the operation.
Next to Xiao Conglin, the deputy director of the Department of Hepatobiliary Surgery, an attending physician, and a resident doctor were all prepared, and everyone had some expectations in their hearts.
Right hemihepatectomy is not considered a minor operation. There are not many people in Xijing Hospital who can perform such an operation. Now, a young man like Fang Le has to undergo a liver resection.
If Fang Le hadn't actually done it at Dongcheng City People's Hospital, and the patient had recovered and been discharged from the hospital, Xiao Conglin wouldn't have given up the surgery to Fang Le, given all the hype at Fang Le's age.
A blue drape covered the patient's body, leaving only the abdomen exposed. Before Fang Le, Xiao Conglin and others walked to the operating table, the anesthesiologist had already confirmed the patient's identity and numbed the patient first.
"knife!"
Fang Le stood at the surgeon's position, observed, determined the location of the abdominal opening, and then stretched out his hand. The nurse patted the scalpel into Fang Le's hand. Using the bow technique, the scalpel made a long cut on the right side of the patient's abdomen.
incision.
Because it is a right liver resection, the scope of the operation is relatively large, and the incision is a combined thoracoabdominal incision.
After making an incision, Fang Le started layer by layer, incising the subcutaneous fat layer and subcutaneous tissue in sequence.
Watching Fang Le start the laparotomy, Xiao Conlin's eyes never blinked. Laparotomy is also a very important part in surgery. The quality of the laparotomy will also affect the subsequent surgery to a certain extent.
Fang Le's incision location was chosen very well, and the incision was not too big. From the incision and separation, Xiao Conglin could tell that Fang Le's level was not low and very solid.
"Retract the hook, pay attention to blocking at all times, and prepare to suction."
Fang Le's voice sounded in the operating room.
Once he starts the operation, Fang Le is no longer casual. Fang Le treats any patient very carefully. When facing the patient, the doctor cannot have any selfish intentions. Doctors do not hide their clumsiness. Any reservations are against the patient.
Patient's irresponsibility.
The liver has rich blood supply and bleeds easily, so during the laparotomy, the assistant on the side must be prepared to block and fill the liver and clear the blood in the abdominal cavity.
With Fang Le's continuous operations, the abdominal cavity was gradually opened, and the liver was gradually exposed.
The entire operating room remained quiet. Xiao Conlin, the deputy director, the attending doctor, and the resident doctors all watched Fang Le's operation, and no one said a word.
Xiao Conglin actually liked to talk during surgery, but today Xiao Conglin had no intention of talking.
Is this Nima still a person?
Before inviting Fang Le to come, Xiao Conglin actually did not underestimate Fang Le. After all, there were patients from Dongcheng City People's Hospital. It has been more than fifty days now, and the patients have been discharged from the hospital and are recovering well.
No matter how fancy the surgery is, the prognosis is actually the key to everything.
It's like a chef cooking. No matter how fancy you are when cooking, if the food you make doesn't taste good, then you are not a good chef. The food must be eaten by people in the end.
The surgery may be done quickly or slowly, and it may look good or look ugly. In the end, it must be based on a good prognosis for the patient. Only if the patient's prognosis is good, then the speed of the surgery is a bonus, otherwise it will be useless.
Even though he didn't underestimate Fang Le, when Fang Le really got started, Xiao Conlin discovered that he underestimated Fang Le.
This is just a dissection, and Fang Le's performance is no worse than him.
"Have you turned on the video recording?"
Xiao Chong asked the circulating nurse.
"No."
The circulating nurse replied hurriedly.
There was no live broadcast equipment at this time, but the operating room of Xijing Hospital had a video recording function, but the film was still used. Film was not cheap, and generally video recordings would not be opened casually.
"Open, open."
Xiao Conglin hurriedly ordered, what kind of film are you worried about right now? It must be recorded.
Although the video quality is still not too emotional, Xiao Conglin still feels that it should be recorded. Fang Le always gives people surprises and surprises.
"What a plump liver."
Fang Le smiled and sighed.
Xiao Conglin: "..."
After the nurse turned on the camera, Fang Le was already ready to separate the liver.
The surgical scissors were in Fang Le's hands, and they lightly cut the round ligament of the liver and the falciform ligament. Every step of Fang Le's operation was almost perfect in Xiao Conglin's eyes.
Xijing Hospital is the first hospital in Qinzhou Province, and Xiao Conlin, the director of hepatobiliary surgery, is definitely the top expert in the field of hepatobiliary surgery in Qinzhou Province, so Xiao Conlin can better see Fang Le's level.
Fang Le doesn't hide anything, and when he gives full play, his level is definitely higher than Xiao Conglin's.
Moreover, Xiao Conglin also noticed that Fang Le performed some operations that he had never seen before during the separation, and such operations seemed to be more mature, more convenient, and less likely to cause bleeding than his operations.
Some simple operations cannot be regarded as innovations, they may also be personal habits and styles, but these things can be learned.
Fang Le gently pulled the liver down, then easily cut off the right triangular ligament and coronary ligament, gently turned it inward and upward, and then lightly shortened the posterior layer of the coronary ligament close to the liver...
The only sound in the operating room was Fang Le's operation and the breathing sounds of Xiao Conglin and others nearby. The people responsible for assisting Fang Le were dumbfounded. The deputy director who often operated with Xiao Conglin took a cautious look at Xiao Cong.
Lin, he knew that their director had met his opponent.
No, it was completely crushed.
It seems that two months ago, Tomonobu Inoue, a hand surgery expert at the Sapporo Medical University Affiliated Hospital in r, came to their hospital and the emergency department. After seeing Fang Le's surgery, he ran away decisively without even having the courage to go on stage.
But it seems that their Director Xiao can't run away, right?