The core problem of the Department of Hepatobiliary Surgery revolved around liver bleeding and hemostasis. Therefore, hepatectomy and hemostasis were the signature skills of the Department of Hepatobiliary and Pancreatic Surgery. They were also skills that they pondered and researched every day.
In terms of hepatectomy alone, there were pinching methods, handle methods, microwave methods, laser methods, water gun methods …
In fact, surgeons had tried to use all kinds of things that could be found in the operating theater to tear the liver, such as suction devices, vascular forceps, knife handles, and so on. It gave people the impression that they picked up the liver and tried to use anything to pry it open.
It was easy to imagine how the doctors felt when they performed this kind of operation for the first time.
The young attending physician of the Department of Hepatobiliary and Pancreatic Surgery had been a doctor for ten years. He had seen chief physicians and associate chief physicians use knife handles to touch the patient's liver, and he had also seen people use their fingers to pry the liver open. However, he had never touched the patient's liver with a knife handle.
This was a very dangerous job!
The young attending physician stared at Ling Ran and watched him brazenly peel off the patient's damaged liver piece by piece.
As he looked at the young and handsome Ling Ran, the large piece of damaged liver, and the turquoise operating theater, the young attending physician suddenly felt that everything was surreal.
It was as if he was filming a movie.
"Surgical incision 4. Double ligation. "Ling Ran's voice suddenly rang out, and everyone seemed to have snapped out of their daze.
"Hepatectomy … is done?" Lu Wenbin, who was the assistant, was very surprised.
It was also because he had never experienced such an emergency hepatectomy.
The few of them raised their heads in unison to look.
"It took less than five minutes." The young attending physician lowered his head quietly.
This speed could not be said to be very shocking. He had heard of people who were faster. However, this was an emergency hepatectomy in front of him, and it was still very surprising that such a standard could be achieved.
"That's all for the hepatectomy. Next, it's bleeding control." Ling Ran also breathed a sigh of relief.
Even though his movements were wild, it was to give the liver the right amount of pressure to peel off the necrotic parts.
During this process, no matter how relaxed Ling Ran looked, the pressure and danger in reality were always there.
Not to mention anything else, just the hand that was holding the liver could crush the liver with a little bit of force. But if he loosened his grip, the bleeding liver would be quite slippery. If he dropped it …
"All the exposed tubular structures that can be seen must be ligated." Ling Ran held a needle holder and said, "Yu Yuan will be in charge of checking."
"Alright." Yu Yuan stood on two stepping stools, and her field of vision was clear. She stared at the wound, trying to identify every structure.
Even though Ling Ran was famous for being cautious, he still had to make full use of his surgical assistants. For a surgery of this level, there was no need to be afraid of being extra cautious.
Ling Ran quickly moved the needle and thread.
"Put on a surgical gown." Huo Congjun's voice came from the side, and it shocked the young attending physician.
"Oh, okay." The young attending physician quickly tore open a bag of surgical gowns and put them on Huo Congjun.
Huo Congjun was dressed properly. He then stood beside the operating table and asked, "What can I do to help?"
Ling Ran, who had tried using a chief physician's assistant before, heard this, and his eyes lit up. He immediately said, "Prepare to perform embolization and hemostasis. Use the greater omentum."
"Okay." Huo Congjun answered in a loud voice. Then, he prepared the gauze and the greater omentum.
Ling Ran performed the same type of embolization and hemostasis, but the one he performed now was of a much higher level than the one in the county hospital.
Of course, the Emergency Department of the county hospital could be considered to have reached the limit of their abilities by lowering their requirements. When they saw that things could not be done, they used the best method they could.
After all, the requirements of an Emergency Department capable of hepatectomy were a little high. In fact, the General Surgery Department of the local county hospital did not have the courage to perform hepatectomy. Otherwise, the in-hospital consultation of the Emergency Department would solve the problem.
Huo Congjun looked at Ling Ran's operation, and he was full of pride.
This was the Emergency Medical Center of his dreams. When patients were sent in, they would be saved, and the Emergency Medical Center would pay more attention to traumatic problems.
"Embolization." Ling Ran's hands were extremely fast.
Liver surgeries were like this. The faster the surgery was done, the better the patient's prognosis. For this kind of major surgery where half of the liver was removed, the good or bad prognosis directly pointed to the survival rate.
Huo Congjun helped Ling Ran with the embolization, and then he placed the drainage tube …
"Okay … Okay!" Huo Congjun's body relaxed as he watched. He looked at the monitor and asked Su Jiafu, "How's the situation?"
"Stable …?" Su Jiafu was a little suspicious as to why Huo Congjun asked him. The old military doctor was the one who looked at him previously.
Su Jiafu had to look at it a few more times in case this was a test.
Huo Congjun smiled. "It's good that it's stable. Hmm, let's see how it goes later."
Ling Ran also sighed and gestured for Lu Wenbin to close the abdomen. He then took off his gloves and said, "The wound is very big. We tried our best to stop the bleeding. The rest is up to him."
"He will make it," Huo Congjun turned to look at the patient's face, turned around, and answered with certainty.
Ling Ran asked curiously, "Are you so sure?"
"Of course. He's an only child. His parents are still alive. If he doesn't work hard, I will look down on him."
Ling Ran was stunned for a moment.
"Let me close his abdomen. This is at least what I can do." As Huo Congjun spoke, he hooked a stool from behind him and kicked it to the operating table. He then said to the circulating nurse, "Lower the table a little. Hmm, give me the needle holder. "
Huo Congjun sat on the stool and extended his hand to ask for the needle holder. When the operating table was lowered, he began to close the abdomen.
"Speaking of which, I haven't sutured for a while." Huo Congjun sutured two stitches and laughed.
Su Jiafu stood behind Huo Congjun and looked at the back of his head with a profound gaze. He repeatedly stroked his stool with his hand. For an anesthetist who worked long hours, not being able to sit down was an extremely cruel thing. Fortunately, he brought two stool with him.
"Young Lu, come and be my assistant," Huo Congjun called again.
"Oh." Lu Wenbin quickly walked over and stood in front of Su Jiafu. He smiled and said, "Doctor Su, please."
"For you, for you." Su Jiafu stood up helplessly and passed the stool to Lu Wenbin.
Lu Wenbin happily rode the stool to the opposite of the operating table and began to cut the suture forceps for the department director.
Su Jiafu was speechless as he looked at the monitor. He thought with his brain, which scored 600 marks in his college entrance examination. 'If this goes on, it'll be my turn to suffer sudden death!'
"Doctor Ling, you did a good job." The young attending physician from the Department of Hepatobiliary and Pancreatic Surgery took the initiative to walk over and extend his hand to Ling Ran.
Ling Ran lowered his head and looked at his hand. Before he could speak, Zuo Cidian quickly stepped forward and said, "I'm sorry, Doctor Ling doesn't like to shake hands …"
"Oh … Oh …" The young attending physician was a little displeased, but he changed his mind. 'What am I thinking? This kind of person can even become an associate chief physician in the Department of Hepatobiliary and Pancreatic Surgery.'
"Is there anything?" Ling Ran asked.
"No … I just want to praise you for your excellent surgery."
"Thank you."
The young attending physician praised Ling Ran. "The last time I attended a conference, I saw a chief physician from Beijing perform blunt dissection with a scalpel. He was very skilled, but I don't think he did it as well as you did. Your skill in separating the liver just now is a waste in the Emergency Department."
"Hey." Huo Congjun suddenly shouted and said, "Hey you, there's nothing else for you to do. Go back."
"Okay … Oh …" The young attending physician obediently lowered his head and walked out of the operating theater.
Huo Congjun coughed a few times and said, "Ling Ran, come with me to meet the patient's family later. You'll be in charge of explaining the surgery to them."
"Me?" Ling Ran pointed at his own nose.
"Yes, saving lives and helping the injured is the main job of the Emergency Department. Since you've saved lives and helped the injured, you should explain it to the patient's family. Right? Let me close the abdomen … "
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