On the operating table.
Ling Ran stood at the chief surgeon's position, Zhang Anmin stood at the first assistant's position, and Ma Yanlin stood at the second assistant's position. All of them were fully focused.
The patient on the operating table was covered with a green drape. His face and hands could not be seen. Only the operating surface of the abdomen was exposed, and the liver was especially prominent.
Zhang Anmin panted heavily as he watched Ling Ran peel off a small piece of liver.
He had actually performed many hepatectomy surgeries. Not to mention his days as a second assistant, ever since he became a senior resident doctor, he had performed at least eighty hepatectomies with the first assistant, if not one hundred.
In terms of excitement, he was quite excited when he performed the first few hepatectomies on the operating table. But after he performed twenty or thirty hepatectomies, he became quite calm.
However, today, Zhang Anmin felt the excitement that he had not felt for a long time.
Perhaps it was because he had regained his hope of being the chief surgeon for hepatectomy?
"Done. Endotherm knife." Ling Ran extended his hand and lowered his head. He instantly treated the small blood vessels that were oozing blood.
"Needle holder." Ling Ran continued to ask for instruments and continued to treat the blood vessels. His hands moved rhythmically.
Zhang Anmin stared at him greedily.
Unlike Lu Wenbin and the others who had just come into contact with hepatectomy, Zhang Anmin had been in the Department of Hepatobiliary and Pancreatic Surgery for a long time, and he had worked with almost ten old attending physicians and young chief physicians. All of them were not as skilled as Ling Ran.
Zhang Anmin no longer cared about the reason. He just wanted to learn more now.
Doctors were one of the few professions that were willing to take the initiative to work overtime. Doctors might complain about working overtime every day, but if the hospital did not allow them to work overtime, then it would not be a complaint anymore. It would mean that the hospital was deserted. Ninety-nine percent of doctors would run away. For example, Yun Hua Hospital would probably only have Doctor Zhou left.
Of course, the night shift was really a complaint.
"Done. Check if there is any bleeding. "After Ling Ran finished speaking, he started to check the patient's abdominal cavity.
Zhang Anmin quickly followed suit. He was the first assistant, and his job was to support the patient.
"Doctor Zhang, close the abdomen." After Ling Ran finished checking and made sure that there was no problem, he transferred his work to Zhang Anmin.
Zhang Anmin quickly responded and said, "Okay." Then, he clasped his hands together and sent Ling Ran off.
Lu Wenbin did not intend to stay either. He smiled and said, "I'll go to the kitchen to take a look. Doctor Zhang, after you're done here, you should rush to Operating Theater 3. If you get there early, you might be able to get the first assistant position."
Zhang Anmin blushed and said, "I have no intention of snatching the first assistant position."
"Oh, I'm not saying that you're snatching …" Lu Wenbin paused for a moment before he smiled and said, "You'll know when you go to Operating Theater 3. If you're willing to be the first assistant, no one will mind. Our team members take turns, so there's no need to fight for it. "
Zhang Anmin chuckled twice and thanked him again. He thought to himself, "Your team used to take turns because you guys have a lot of resources. Now that I'm here, I'll take on half of the first assistants by myself. I'd like to see if you guys will fight for it or not."
Pu.
The airtight door was tightly shut.
"Phew …"
"Hu!"
Zhang Anmin and Su Jiafu exhaled simultaneously, then looked at each other and smiled.
"Doctor Ling's aura is a little strong." Zhang Anmin sighed a little embarrassedly, and that was considered as an explanation.
Su Jiafu chuckled and twisted his butt comfortably. He said, "I don't care if his aura is strong or not. I just want to have a good sleep. How much longer do we need?"
Surgeons were often urged by anesthetists and circulating doctors.
Zhang Anmin smiled and said, "It'll only take a few minutes to close the abdomen, but I want to experience it more. Please bear with me and sit for a while more."
"Sure." Su Jiafu and Zhang Anmin could be considered to know each other, but they basically did not talk to each other. Both of them were not in the mood to chat now.
Zhang Anmin asked the circulating nurse to lower the shadowless lamp a little, and he changed his angle to observe.
After observing for a while with his naked eye, Zhang Anmin was still not satisfied. He asked the nurse to bring the choledochoscope over to carefully observe the situation of the hepatolithiasis.
The core problem of hepatectomy for hepatolithiasis was the high rate of residual stones in the hepatolithiasis, which meant that it was difficult to remove all the stones in the hepatolithiasis.
It was reported that the residual stone rate of hepatolithiasis was as high as 31.3%, which meant that after a part of the liver was removed, there were still about 30% of the stones left in the liver.
If it was further broken down, the residual stone rate in the left liver was 17.3%, and the right liver was 54%.
The reason why the right liver was about three times the left liver was because doctors usually performed left lateral lobectomy, which removed a large number of residual stones in the left liver, and left a large number of stones in the right liver.
Of course, this was the average ratio. In the hands of experts, it was considered a basic operation to reduce the residual stone rate in the left liver to less than 10%.
And the amount of reduction was usually the main point of such surgeries to boast about.
Zhang Anmin was also prepared to use this method to appraise Ling Ran's surgery.
He took out the choledochoscope and looked down the passage in silence.
There were no residual stones.
No residual stones …
No residual stones!
The more Zhang Anmin looked, the more shocked he became.
When he was an assistant, he had to bear a large part of the workload, so he could not see all of Ling Ran's operations. Because of this, he took the opportunity to quickly review the operation while the abdomen was closed.
However, even if Zhang Anmin's gallbladder was swollen, he would not have thought that he would see such a bile duct.
It was said that it was the standard of a normal person, but it could be disguised.
* Shick. *
The door of the operating theater was opened again.
Three attending physicians from the Department of Hepatobiliary and Pancreatic Surgery entered together. They first looked left and right, and when they were sure that Ling Ran was not there, they laughed. "Old Zhang, when I looked through the door just now, I thought, what are you doing alone? Why? Are you closing the abdomen? "
"The resident doctors in Ling Ran's treatment group have all gone back, but you stayed behind to close the abdomen?"
"Just close the abdomen. There's nothing shameful about it."
The three attending physicians were slightly more experienced than Zhang Anmin. They either had already started performing hepatectomy, or they were trying their best to learn hepatectomy. When they heard that Zhang Anmin was Ling Ran's first assistant, they all came over to take a look.
The Department of Hepatobiliary and Pancreatic Surgery of Yun Hua Hospital was not comparable to the Emergency Department, and it was also not comparable to elite departments like the Hand Surgery Department. It was just a small department under the General Surgery Department.
A small department meant that there were fewer staff members, fewer resources, and fewer patients. It was easier for the positions to be filled up.
In a situation where Department Director He Yuanzheng's hepatectomy schedule could not be filled, the associate chief physicians who were in front of Zhang Anmin did not have enough to eat, and the attending physicians who followed associate chief physicians had even lower chances of performing hepatectomy.
In a situation where the other attending physicians were obediently waiting in line, Zhang Anmin was naturally not welcome to jump out of the queue.
Zhang Anmin himself knew this. He chuckled a few times and continued to look at the screen. He operated the choledochoscope without saying a word.
Choledochoscopes were similar to other endoscopes. The camera at the top of the choledochoscope transmitted the image to the screen on the operating table.
The three attending physicians from the Department of Hepatobiliary and Pancreatic Surgery only needed to glance at it to know that it was a choledochoscope.
The senior attending physician who stood in the middle even laughed and joked, "What's wrong? Did you just realize that there are no gallstones in the patient's bile duct after the hepatectomy?"
The people beside him immediately followed.
"If there are no gallstones, it would be a medical accident."
"It's okay, it's okay. Just put a few in. Don't say that we didn't teach you."
Zhang Anmin quietly moved for dozens of seconds before he pointed at a small dot on the screen and said, "Here, this is the gallstone."
The three attending physicians were stunned for a moment before they burst into laughter in unison.
"If this is because of hepatectomy, I'll die of laughter."
"No, no, I'm already laughing so hard that my stomach hurts."
"You guys cut the liver for such a small gallstone? The cut tissue should be sent to the Pathology Department, right? This is a medical accident, right? "
Zhang Anmin looked at the three of them indifferently.
He could actually understand the three of them. If he had not been watching the surgery, he would not have believed that the residual stones could be taken out so cleanly.
However, the fact was that the residual stone rate of 2%, which was regarded as the best in the industry, was not difficult for Ling Ran.
"These are the residual stones after the surgery," Zhang Anmin said.
The others continued laughing. "There are only so many stones in total. What's the difference between surgery and not surgery?"
"Excuse me, please play the patient's CT scan." After Zhang Anmin finished speaking, Su Jiafu, the anesthetist, quickly played the CT scan on the computer in front of him.
The smiles on the attending physicians' faces gradually faded away.
"Is it the same person?"
"From the looks of it, it's the same person."
"You made it so clean. Are you afraid that it won't look good if the relatives of the family with gallstones visit?"
Zhang Anmin looked at them with a faint smile.
Although he had the same expression a few minutes ago, at this moment, Zhang Anmin felt that his smile should be very mysterious.
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