Thoracotomy, removal of the great saphenous vein, and search for the target blood vessel …
Department Director Kang successfully completed a series of actions with Ling Ran's cooperation. When he looked up at the time, he found that it was three minutes earlier than usual.
Department Director Kang's mood instantly recovered.
Performing surgery was actually a bit like doing carpentry. If the work went smoothly, the person would naturally be in a good mood. Even if the carpentry was very simple, as simple as installing a set of IKEA tables and chairs, if the installation process went smoothly, the person would feel relaxed. If the person repeatedly redid the work, the person would be in a bad mood.
After he calmed down a little, Department Director Kang felt a little embarrassed.
As the saying went, 'Those who eat from others are short-mouthed, and those who eat from others must have the means to take advantage of others.' After accepting the senior technical staff's humble cooperation, Department Director Kang felt that he should give something in return. Otherwise, the uneasiness in his heart would engulf him.
As he thought about this, the surgery progressed to aortic coronary artery anastomosis. Department Director Kang sighed, raised his head, and said, "Doctor Ling, do you want to do this? There is more time for proximal anastomosis. You can use needle holders, forceps, and so on under a magnifying glass. When we learn surgery, our teachers usually start from here. It can help young doctors get used to it, and they can also experience the difference between microvascular suture and normal suture. "
When doctors in the cardiovascular surgery department learned about bypass surgery, they usually started from aortic coronary artery anastomosis. Department Director Kang was doing his best and showing his goodwill by giving up his position and opportunity at this time.
Zuo Cidian, who had reviewed the relevant surgery consultation, showed a satisfied smile and nodded at Department Director Kang.
Department Director Kang returned a bitter smile and thought, 'If this goes on, in less than two years, Ling Ran and Huo Congjun will be ordering the cardiovascular surgery department around.'
Ling Ran naturally agreed. He moved a few steps and stood at the chief surgeon's position to observe the surgical position.
Attending Physician Li Liang was a little jealous. He said in a jealous tone, "Department director, you treat Doctor Ling better than me. I worked for you for more than a year before you let me touch the front wall of the aorta. "
"Doctor Ling has accompanied us for so long today. If you want to touch it, just let him." Department Director Kang sighed helplessly.
Li Liang was stunned, and real jealousy rose. He had accompanied Ling Ran for a long time, from the beginning of the year to the end of the year. No matter how long Ling Ran accompanied him today, he did not give as much as he did. However, even if he worked conscientiously and conscientiously, could a year's work be comparable to a day's work?
"Side vise forceps." Ling Ran extended his hand and asked for a tool.
Department Director Kang subconsciously wanted to stop Ling Ran, but he hesitated for a moment and did not say anything. He felt a little helpless. This was how teaching a doctor like Ling Ran was like. He could not be as strict and demanding as when he was teaching a young doctor. He had to be nicer too.
If it was the first time the doctors under him performed such an operation, they would definitely observe and observe the patient. Then, they would ask for his permission before they could perform the surgery.
Even though it was normal for Ling Ran to take action right after he finished observing, Department Director Kang was still worried.
At this moment, Ling Ran, who had obtained the lateral forceps, decisively clamped a part of the wall of the ascending artery. He then extended his hand and asked for a pair of scissors.
Department Director Kang could not help but look serious.
There was nothing special about this action, but it showed that Ling Ran was very familiar with bypass surgery. His understanding of the anatomy of the heart was also clear and accurate.
Department Director Kang felt a little relieved when he thought about how Ling Ran was able to perform anal defects before this, but he also felt a little sentimental. 'If this continues, in less than a year and a half, Ling Ran and Huo Congjun will be able to dictate the Cardiovascular Surgery Department.'
"Scissors."
"Saber."
"Gauze."
Ling Ran quickly cut off the fat at the anastomosis of the renal artery. Then, he made an incision on the aorta and made a full-thickness incision.
Cardiac bypass surgery was one of the most clearly expressed concepts in the medical field. Its surgical process was also like a bypass. Through a transplanted blood vessel, the seriously obstructed coronary artery was crossed. The bridge that was built was more like a viaduct.
When the technology of cardiac bypass surgery was developed, doctors would also remove the old coronary artery below it.
What Ling Ran was doing now was to make an intersection for the viaduct.
Compared to bypass surgery, this work was very basic. Moreover, the position of the intersection was designed by the chief surgeon in advance.
Even so, Ling Ran was still very excited about it.
This was like having a knife and a needle on the heart. It was truly a rare opportunity.
If he did not go through the Cardiovascular Surgery Department, even Huo Congjun would have a hard time giving him such an opportunity.
And all Ling Ran needed was an opportunity.
He had too much experience in suturing blood vessels, and his skills were at Perfect Level. At this time, it was very easy to bridge the coronary artery and use the lateral anastomosis plan.
Compared to the blood vessels on the fingers, the blood vessels on the heart were dangerous and could easily cause the patient's death. It would only be easier to suture them.
After all, the thickness was not on the same order of magnitude. This could be discovered when he went to the hotpot restaurant to eat yellow aorta. Yellow aorta was usually the aortic arch of pigs or cows. It was the standard large blood vessel that came out of the ventricle. Ling Ran could easily suture such a blood vessel without using a magnifying glass.
In fact, that was what Ling Ran did.
And this scene also made Department Director Kang completely speechless.
Attending Physician Li Liang's eyes were even moving around.
This was because Ling Ran's current operation was very representative.
In the Cardiovascular Surgery Department of Yun Hua Hospital, one of the requirements for the doctors under Department Director Kang to be able to perform bypass surgery was to be able to perform proximal anastomosis without using a magnifying glass.
Li Liang had just reached the standard. To reach this level, he had also put in a lot of effort. For example, it was common for him to use a toothpick to pick beans during his daily meals.
But now, looking at Ling Ran's operation, Li Liang could see a huge gap.
"People who have been in the Hand Surgery Department are really different," Li Liang muttered a little uneasily.
Department Director Kang hummed and said slowly, "The dissection is also very clear."
He had been paying attention to Ling Ran's understanding in this area. After all, Ling Ran's surgical skills had long been proven. The only thing that could hinder him was the familiarity of cardiac anatomy and surgical methods.
Ling Ran did not show any signs of fear.
When Department Director Kang saw that he finished the proximal anastomosis, he could not help but sigh again. "If this goes on, in less than a year, Ling Ran and Huo Congjun will be ordering the Cardiovascular Surgery Department around.
When he thought about this, Department Director Kang was a little nervous.
"Department Director Kang, I'll continue?" Ling Ran stood in the chief surgeon's position and did not want to leave easily. He greeted Department Director Kang, and there was already a smile on his face.
"This …" Department Director Kang wanted to chase him away, but he was a little embarrassed. "Can you do it?"
"No problem." Ling Ran agreed very readily. At the same time, he extended his hand and asked for a pair of forceps.
Department Director Kang blinked. He felt that something was not quite right.
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