After answering Ling Ran's question and holding his sunglasses for five minutes, Ye Sigong gradually calmed down.
Normal laparoscopic assistants did not need to make any mistakes when they held the laparoscope for a chief surgeon they were not familiar with. As long as the angle and movement of the laparoscope made the chief surgeon dissatisfied, they would be scolded easily.
This was like two people cooperating to play a game. If the assistant couldn't follow the assistant's wishes, then how could there be a good result?
If the two of them had similar statuses, there was a high chance that they would quarrel. If the two of them had different statuses, then the assistant could only wait to work in the midst of cursing.
An operating theater that was harmonious and friendly and loved telling dirty jokes was considered a good working environment. However, an operating theater that was being criticized while working was terrible enough to make people depressed.
Even if Ling Ran did not like to scold people in the operating theater, Ye Sigong did not want to make Doctor Ling unhappy.
However, based on Ye Sigong's perception, Ling Ran's approach during the surgery was different from other doctors.
He was the kind of doctor who would take care of his assistants.
If his assistant made a mistake, Ling Ran would not reprimand him. Perhaps, he was too lazy to reprimand him. However, what Ye Sigong found even more difficult to understand was that Ling Ran was able to operate normally without being affected at all when the mirror was in error.
If the assistant held the mirror correctly, Ling Ran would be in the same operating mode. If the assistant held the mirror incorrectly, Ling Ran's operating mode would not change …
Ye Sigong even wondered if Ling Ran would be able to do it alone without holding a mirror …
Thinking of this, Ye Sigong felt terrified.
"Move to the left. Pay attention to the height. Move a little lower." Ling Ran reminded Ye Sigong again. He asked Ye Sigong to make some slight adjustments.
Ye Sigong raised his eyebrows. This was another unique move.
It was common for assistants to have the wrong angle of the mirror, but usually, chief surgeons would just shout it out and would not directly guide them to the correct position.
On the one hand, it was because they were too lazy to give specific instructions. On the other hand, it was also because their attention was focused on the operation and they did not have the energy to guide their assistants in the specific operation.
And when Ling Ran performed this kind of surgery, his attention and skills were obviously excessive.
Ye Sigong turned the camera gently to coordinate with Ling Ran's operation. This time, he did not receive any reminders, which made Ye Sigong feel a lot more at ease.
Ling Ran went all the way to the position of the stromal tumor. He only stopped when it was time to separate the tumor.
Everyone, including Ye Sigong, naturally looked at Ling Ran.
"Wait a moment." As Ling Ran spoke, he activated the Virtual Human.
Gastric stromal tumors were relatively benign tumors, and the smaller the tumor, the better. For example, there were occasionally benign tumors, but most of them were malignant. The longer they grew, the more likely they were to become malignant.
However, it was not easy to determine whether a gastric stromal tumor was benign or malignant just by looking at the radiographic films.
Only by peeling it out and placing it under a microscope for careful examination could one make a correct judgment.
Because of this, when surgeons dealt with gastric stromal tumors, they assumed that they were malignant and completely removed them. This was the essential difference between surgeons and politicians.
Ling Ran was capable enough to deal with gastric stromal tumors.
With Master Level Gastrectomy, he could easily remove the tumor. In fact, he did not need the support of the Virtual Human.
After all, the stomach was not like the liver, especially the liver of elderly patients. It was necessary to remove as little as possible.
Most people's stomachs could be casually removed, and the prognosis would be worse. They would eat less and have more stomachache, but there would not be any essential effect. However, the patient in front of him obviously had some needs beyond medical treatment.
Ling Ran had also seen many patients who had difficulty living, but this patient under the scalpel was the first one who was reluctant to even inhale oxygen.
Ling Ran felt that for such patients, it was still necessary to use the Virtual Human for thirty seconds or at most three minutes to determine the nature and extent of the gastric stromal tumor.
If it was a benign tumor, there was no need to say anything. He could just cut it along the edge and send it to the Pathology Department.
But if it was a malignant tumor, he had to determine the edge, and then cut the tumor in the safe range as little as possible.
This could minimize the risk of the disease, and at the same time, it could also maximize the prognosis.
To a certain extent, this was also the highest level of skill that Ling Ran currently had.
Ye Sigong and the others looked at Ling Ran in confusion.
They watched him release one of his hands and make a cutting gesture in the air.
Only a few resident doctors who were familiar with Ling Ran's operation whispered.
"Doctor Ling seems to make gestures like this a lot."
"He's probably simulating the next operation."
"Does Doctor Ling still need to simulate the next operation? Do you think it's you? "
"He has mastered too many surgical methods. It's possible that he changed his mind at the last minute."
Ling Ran did not care what other people thought. He waited for the system to swap out the Virtual Human, raised his hand, and made a vertical cut.
The patient in the state of the Virtual Human was cut in half by Ling Ran, and he accurately cut at the position of the great curvature of the stomach.
The small gastric stromal tumor was also cut in half, and the true appearance inside was revealed.
'It looks benign.' Ling Ran looked at it with the microscope provided by the system for a while and quickly made a judgment.
"Let's cut it smaller." Ling Ran turned off the Virtual Human, and while he refocused on the surgery, he also gave a target.
Ye Sigong was only stunned for a moment before he nodded and did not say anything.
He was just a small doctor for in-service training. Forget a senior doctor like Ling Ran, even if an attending physician was the chief surgeon, he could only follow orders.
If the chief surgeon was willing to tell him, he would just listen. He felt that there was no need to say anything else.
Ling Ran used an ultrasonic knife to slowly separate the gastric epiploon and adhesions around the tumor. He did not use a high frequency, so that he could reduce some damage and improve the patient's prognosis.
Ye Sigong carefully observed Ling Ran's operation. This was the most crucial step, and it was also the part that required the most skills. In the county hospital, the doctors who could perform this surgery were also the doctors with the best laparoscopy skills.
"Bag." Ling Ran's voice was steady.
"Oh … Yes." Ye Sigong quickly moved aside and followed Ling Ran to put the laparoscope's retrieval bag into the patient's abdominal cavity.
Then, Ling Ran put the gastric stromal tumor that was cut off into the retrieval bag and pulled it out of the patient's navel in a somewhat barbaric manner.
"Don't include the cost of the retrieval bag. The patient's family is not well off, "Ling Ran gave an extra reminder.
There were many types of retrieval bags for laparoscopes, but in essence, it was a small plastic bag that could be used to store specimens. Some doctors in hospitals would even make their own retrieval bags. However, Yun Hua Hospital's purchasing standards had never been low, and the Ling Treatment Group's choices were mostly high-end ones. Even such a small retrieval bag was usually more than 300 RMB for the Ling Treatment Group.
However, Ling Ran requested that it not be included, so the nurses could save it. As for whether they would sign it to a pharmaceutical sales company or use some other name, it would depend on the nurses' condition.
Outside the operating theater.
The waiting hall was always filled with patients' family members.
However, unlike other family members who stared at the double doors or looked at their watches from time to time, Wang Lu looked out of the window with listless eyes. She did not have much expectation on her face.
Her father's gastric stromal tumor was only one of the problems she faced. How would she take care of her father, how would she repay the money, and how would she deal with her family relations? These were like heavy shadows that pressed down on Wang Lu until she could not breathe.
"Actually, it's the same to have surgery in our regional specialized hospital, and the reimbursement rate is higher. Look here, the surgery has been done for so long, but there's still no news …" The husband kept complaining in Wang Lu's ear.
Wang Lu let him complain.
Both of their salaries added up to less than 5,000 yuan a month. Their father's surgery was equivalent to wiping out their savings for several years. Her husband did not complain when he took out the money, but when the surgery was almost over, his heart ached. She was already very satisfied.
She had no choice but to be satisfied. At this time, it seemed like she could only compromise.
She only hoped that her father's surgery would go smoothly and that it was not cancer … Otherwise …
When Wang Lu thought of this, the corners of her mouth could not help but tremble. She said in a low voice, "If it's malignant, he might need chemotherapy …"
The husband stopped complaining, "En" sound.
"I only have a few hundred RMB left. If I want chemotherapy, I have to raise more money no matter what." Wang Lu's voice could not be any softer.
The husband let out a long sigh and said after a long time, "I'll make a few more phone calls to ask."
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