"Infusion anesthetic."
"It's stopped."
The doctor who performed cardiopulmonary bypass reported the situation in a low voice. He stared at the equipment meticulously.
There were too many people watching today. For the doctors in the Department of Cardiovascular Surgery, it was more or less stressful.
In contrast, Lu Wenbin and Yu Yuan, who came with Ling Ran, were ignorant and bold.
They could only do some minor tasks like resident doctors. However, with Ling Ran in charge of the surgery, the two of them only showed excitement in the face of cardiopulmonary bypass.
As for the onlookers, Lu Wenbin and Yu Yuan were already used to it.
Usually, there were more onlookers in Operating Theater 1 of the Emergency Medical Center.
"Get closer." Ling Ran's voice did not change at all.
Department Director Kang skillfully pulled the screen closer.
Because of this, Ling Ran no longer saw the full view of the heart, but it was more convenient for him to operate.
Department Director Kang did not need to do much. When he was free, he watched Ling Ran move his right hand, then his left hand, then his right hand, then his left hand …
'Left hand?'
Department Director Kang looked up. 'Is he so skilled with his left hand? You've really practiced a lot. '
Wei Qing and a few other doctors who watched the surgery also noticed Ling Ran's left hand.
When Ling Ran performed laparoscopy, he mainly used his right hand. Therefore, the operation with his left hand was not so obvious.
However, the operating range of a thoracoscopy was too narrow. Sometimes, if the right hand was the main operator, the surgeon had to move his body. Therefore, if the left hand was equally skilled, it could save a lot of time.
Today's surgery completely displayed the skills of Ling Ran's left hand.
"The young lady is quite lucky," Old Xu from the Digestive Surgery Department praised.
Ling Ran's maneuver alone was enough to reduce the time needed for the cardiopulmonary bypass by about fifteen minutes. The entire surgery time might be reduced by thirty minutes because of this.
For the patient lying on the operating table, this was obviously a good thing.
Ling Ran recalled the scene of the Virtual Human just now and the electrocardiogram and other examination reports he read before the surgery. He said, "It's not too good. If the atrial septal defect is smaller, the risk of interventional surgery will be lower."
Compared to atrial septal defect closure, the damage caused by thoracoscopy was still greater.
For ordinary patients, the memory of one cardiopulmonary bypass was enough for them to talk to each other for thirty times.
"The risk of the connection is small, but her defect is large. She needs some good luck to be able to successfully complete the surgery." Old Xu flattered him indirectly and said, "Department Director Kang, how long is the surgery time for similar surgeries in our country?"
He did not ask just now because he was afraid that Ling Ran was not familiar with the operation and would get the opposite answer.
Now that he saw Ling Ran's operation, Old Xu was quite relieved.
Department Director Kang glanced at Old Xu and said, "Similar surgeries can be performed using a thoracoscope to repair an atrial defect. There are surgeries that take up to three or four hours. If it's cardiopulmonary bypass, most of them take up to one and a half to two hours."
"So long." Old Xu did not know the exact time, but when he heard the number Department Director Kang reported, he knew that Ling Ran's plan was very different from what he expected. He could not help but think for a few seconds before he said, "There's still a huge difference between one and a half hours of cardiopulmonary bypass and fifty minutes of cardiopulmonary bypass, right?"
A surgery required talking, learning, teasing, and singing. It was rare for a chief surgeon to be unwilling to talk, and if the people under him could support the scene, it would be very beautiful, and it would be very easy for the chief surgeon to praise them.
Department Director Kang hesitated for a few seconds and said, "A normal doctor can only do it for one and a half hours. If he can do it for fifty minutes, he'll definitely be an expert. "
"It'll affect the patient a lot, right?" Old Xu pretended to be a good student.
"It depends on what you say." Department Director Kang smiled and said, "Isn't the time for cardiopulmonary bypass in a thoracoscope thirty minutes longer than the time for cardiopulmonary bypass in a thoracotomy? We also have to take into account the injuries. "
"So, if a thoracoscope is completed in fifty minutes, the injuries in all aspects will be minimized." Old Xu pretended to be asking questions, but he said what he thought Ling Ran liked to hear.
Department Director Kang had a lot of experience with this. He glanced at the host of the thoracoscope and said, "There's no need to cut the sternum. It'll naturally be easier to recover from the surgery."
"The postoperative inflammatory reaction in a thoracoscope occurs earlier, and the degree of inflammation may be more severe," Ling Ran said at this time, but he was talking about the postoperative recovery.
Department Director Kang thought about it and said, "It should be because the patient's heart is more stimulated. The relatively long time for cardiopulmonary bypass in a thoracoscope and the time for aortic obstruction should increase the serum inflammatory factors in the early postoperative period … However, this is still better than cutting the sternum vertically, and the incision will recover faster."
Ling Ran nodded gently. The surgery he was performing now could be said to be the most minimally invasive surgery that required cardiopulmonary bypass.
Ling Ran gently cut open the patient's right atrium. After he checked the size of the atrial defect, he asked for a 4-0 Primerin suture, and after a series of sutures, the atrial defect was repaired.
Department Director Kang did not say anything else. He looked at Ling Ran's suture with a calm expression.
Suturing was the most basic of all basic operations. But if one looked at it from another perspective, the purpose of a surgery that lasted three to four hours, and the heart would stop beating for an hour or even longer, was just to make a few sutures.
Then, it seemed reasonable to regard suturing as the core of this surgery.
The doctors in the Cardiovascular Surgery Department had thought of all kinds of ways to suture as perfectly as possible.
They sutured from the bottom to the top, tied a knot at the vent of the last needle, whether to use a slippery knot or a square knot when tying the knot, and also checked the tightness of the lung expansion …
Department Director Kang looked at Ling Ran, who looked like an experienced cardiologist, and the various thoughts he originally had gradually disappeared.
Regardless of where Ling Ran learned his skills in the field of cardiovascular surgery, this skill really made it hard for others to fight against him, and it was also really helpful. If he was suddenly so angry that his ventricle exploded, his last words would probably be "look for Ling Ran".
Department Director Kang raised his head and glanced at the host of the thoracoscope. He could not help but sigh in his heart.
More than ten years ago, he had the intention to buy a thoracoscope to perform surgeries.
If he had bought it in the past, the Cardiovascular Surgery Department of Yun Hua Hospital might still not be able to perform major surgeries, but small surgeries that could be performed with a thoracoscope could also support the department.
Unfortunately, the purchase requests in the past were not approved. Of course, it was also because he did not push hard for it. It was delayed year after year, and now, the Emergency Medical Center actually beat him to it.
If Ling Ran's surgery was performed poorly, Department Director Kang could still comfort himself, but Ling Ran's surgery was so … perfect …
Department Director Kang looked at the clock in the operating theater again. The electronic timer had only reached thirty-five minutes, and Ling Ran had already started to suture the right atrium.
Department Director Kang sighed and said, "Prepare protamine."
The surgery had only lasted forty minutes. This meant that Ling Ran had completely used his skills to make up for the shortcomings of the thoracoscope.
At this moment, Department Director Kang could not help but think about how much time Ling Ran could have shortened if he had performed an open surgery.
The characteristics of the Cardiovascular Surgery Department meant that the doctors in the Cardiovascular Surgery Department paid the most attention to their skills.
Department Director Kang looked at Ling Ran at this moment, and he no longer wanted to fight back.
Instead, he was thinking about the patient in front of him. If a thoracoscope of this level was performed, he did not know how good the patient's recovery would be.
When he thought about this, Department Director Kang took the initiative and said, "Doctor Ling, after the surgery, let me take care of the patient."
Zuo Cidian was about to object, but Ling Ran had already answered, "Okay."
Even after a surgery in the Cardiovascular Surgery Department had ended, they still could not let their guard down. Doctors often needed to take care of the patient for a long time to determine the condition of the patient's blood clotting, the condition of the incision, the quality of the thoracic fluid, and so on.
With Department Director Kang's ability, it was naturally not a problem for him to complete these tasks.
Zuo Cidian thought about more, but since Ling Ran had agreed, he did not say anything else. If worse came to worst, he could just send another resident doctor to take care of the patient.
Outside the door.
The patient's family members had been waiting anxiously and were extremely tired.
The patient's parents, grandparents, two pairs of uncles and aunts, one pair of uncles and aunts, one unmarried uncle and one unmarried aunt, and a few cousins were scattered in every corner of the waiting hall. They were like dandelion seeds floating around.
The surgery time in the hospital was calculated from the moment the patient was anesthetized.
For the patient's family members, from the moment the patient was pushed out of the ward, they started to feel uneasy and nervous.
Not to mention, it was a thoracic surgery that made them shudder just by thinking about it.
"Do you think we should give conservative treatment?" The patient's mother did not know how many times she had muttered in her husband's ear.
She was almost subconsciously not really looking for an answer.
Her husband also knew that, and he also replied in a low voice, "Once you've made a decision, you won't regret it."
"We can not regret it, but what if Jiaojiao regrets it?" This time, the mother's emotions exploded. "She can't regret it even if she wants to now. If the surgery … if the surgery …"
As she spoke, she started to choke.
"Don't say such depressing words. We're still in the middle of the surgery. Why are you pulling a long face? "His grandmother took two steps forward and snatched the right to speak.
"It's all my fault that I didn't take good care of the fetus when I was pregnant. I should have resigned at that time." The mother could no longer control her emotions, and tears flowed down her cheeks continuously.
"You were in charge of the graduating class at that time. Didn't you say that it's not easy for the students to study, and it's not good to replace them at the last minute?" The husband comforted her softly.
The mother cried even louder. She kept shaking her head and could not say anything.
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