"Scalpel."
"Gauze."
"Endotherm knife."
Ling Ran extended his hand and announced the start of the surgery.
Moreover, the progress of the surgery was very fast.
It had to be said that the Department of Surgery in Beijing University Sixth Hospital was quite capable. After they got a little familiar with Ling Ran's surgical habits, the nurses, assistants, and anesthetists cooperated quite well.
They were not inferior to the Department of Surgery in Yun Hua Hospital.
Of course, the nurses in the Department of Surgery in Beijing University Sixth Hospital also put in a lot of effort. They memorized the surgical methods at night, and they could not avoid practicing passing and watching Ling Ran's surgery videos during the day. However, the fact that they had such a learning mechanism showed their ability. In comparison, the training system in many local hospitals was almost non-existent. Young medical staff could not learn anything even if they wanted to, let alone in a group.
Xu Wen and Zhang Anmin were Ling Ran's first and second assistants respectively.
On the surface, Xu Wen still looked steady, as if he was not affected by the difficulty of the surgery or the number of people watching.
Zhang Anmin could not hide his nervousness.
Zhang Anmin had been working in the Department of Hepatobiliary and Pancreatic Surgery for a long time, and he had performed nearly a hundred hepatectomies with Ling Ran. Even if he did not have the highest number of hepatectomies in Ling Ran's treatment group, his skill level in hepatectomy was the highest. He could not be compared to Xu Wen in terms of comprehensive skills, but as Ling Ran's first and second assistants, he was competent and excellent.
However, things like confidence were not like skills that could be accumulated over time.
Zhang Anmin was most confident now. Besides his daily surgeries and ward rounds, he went to Bazhaixiang for freelance surgery on weekends. Honestly speaking, the time when he went to Bazhaixiang was the most relaxing time for Zhang Anmin.
But after he arrived in Beijing, Zhang Anmin instinctively felt fear.
He was already an attending physician in his thirties, and he was no longer like an ignorant resident doctor or an ignorant old resident doctor with less hair like Zuo Cidian, who thought that the distance between Yun Hua and Beijing was only a few thousand miles.
Even Beijing University Sixth Hospital, which was not very famous in Beijing, was a high-standard tertiary Grade A hospital. After decades, it had produced many junior hospitals. Even though the Department of Hepatobiliary and Pancreatic Surgery was slightly weaker, if one considered the fact that the Department of Hepatobiliary and Pancreatic Surgery was a political center, for an attending physician like Zhang Anmin, the Department of Hepatobiliary and Pancreatic Surgery was still unfathomable.
After all, even though attending physicians could often scold resident doctors, housemen, and medical interns based on their moods, anyone else could scold them.
"Zhang Anmin, pay attention to the suction." Ling Ran's voice suddenly rang out, causing Zhang Anmin's eyebrows to tremble.
"Oh, okay." Zhang Anmin's voice was still trembling.
With just one glance, Ling Ran could tell that Zhang Anmin's movements were a little out of character. As the second assistant, Zhang Anmin's movements were a few times more irregular than usual, and many doctors would not pay attention to this. As a chief surgeon, the burden of the surgery was already great enough, and he could not go wherever he wanted to.
However, Ling Ran was obviously not this kind of chief surgeon.
The amount of attention Ling Ran paid to his own operating theater far exceeded the amount of attention ordinary people paid to a mahjong table.
Ling Ran would not allow the second assistant's movements to change to such an extent, especially when the second assistant was capable of doing so.
"Zhang Anmin," Ling Ran shouted again.
"Yes." Zhang Anmin's abdomen tightened.
"What's the difference and advantage between Glisson pedicle transection and the first hepatic portal occlusion?" Ling Ran's question came out of nowhere.
"Ah …" Zhang Anmin was suddenly stunned. After he became an attending physician, he was rarely asked questions during surgeries. It was mainly because He Yuanzheng's prestige was not high, and he did not have a strong suppressive effect on attending physicians.
However, Ling Ran would occasionally ask questions, and it was usually for the purpose of adjusting the atmosphere and giving advice to junior doctors.
At this moment, Zhang Anmin's attention was also drawn.
If he was still worried about his movements and performance just now, now, all his thoughts were focused on Ling Ran's question.
If he could not answer it, it would only be more embarrassing.
"The first hepatic portal occlusion surgery should be a more traditional plan. It mainly blocks the blood vessels of the hepatic and liver tissues …" Zhang Anmin sorted out his thoughts as he spoke, and his tone gradually became more certain. "The first hepatic portal occlusion surgery can reduce the amount of blood loss during the surgery, but it may affect normal liver tissues, which will cause secondary damage to normal liver tissues. Glisson pedicle transection does not need to block the overall blood flow of the liver tissues during the surgery, and it prevents normal liver tissues from being damaged. Moreover, it can scientifically control the local blood supply … It can prevent blood clots in the gastrointestinal tract … "
"Okay, now focus." When Ling Ran saw that Zhang Anmin's movements had returned to normal, he did not pay too much attention to him. There were too many aspects that needed to be paid attention to during the surgery, and it was impossible for anyone to really take care of every detail. It could only be said that the more details a doctor paid attention to, the lower the risk of the surgery, and the smoother the surgery would be.
And the assistants were actually equivalent to the chief surgeon's extra eyes and feet. They did not need to be very good, but they had to maintain a certain level of skill, or else, they would be like legs that would suddenly become paralyzed, and they would create risks.
Zhang Anmin adjusted his mood and performed at the level that Ling Ran was familiar with, and the progress of the surgery began to become smooth.
Soon, Ling Ran began to block the blood flow of the hepatic portal.
Zhang Anmin gasped at this time, "Aren't we going to use Glisson pedicle transection?"
"Why do we need to use Glisson pedicle transection?" Ling Ran asked.
"Because you just asked me …"
"I just said it casually," Ling Ran answered and said, "Now, it is more suitable to use the first hepatic portal occlusion."
"Huh?"
"Doctor Xu, please explain," Ling Ran said.
Zhang Anmin then looked at Xu Wen. He was now the second assistant, and there was not much to do.
Xu Wen was busy helping Ling Ran, and as his personality dictated, he said, "It should be easy to do."
"Huh?" Zhang Anmin's mind was blank.
Ling Ran nodded in agreement. "Yes. Although Glisson pedicle transection has some benefits, the benefits are not much. For me, it is not as easy as doing the first hepatic portal occlusion. "
"It's that simple?" Zhang Anmin could not believe it.
"Yes," Ling Ran replied.
Zhang Anmin opened his mouth and helplessly glanced at the visitation room upstairs. He said, "Doctor Ling, I have seen you perform Glisson pedicle transection a few times."
"It won't show in normal surgeries," Ling Ran said and snorted through his nose. It was obvious that there was a tone in his voice. This was also the reason why he was willing to perform liver cancer surgery recently.
For a Master Level Hepatectomy, a normal hepatectomy was a little too normal. However, Ling Ran was not too willing to use it on normal liver cancer patients. Instead, Ling Ran liked to use it on elderly patients with primary liver cancer.
This was the true feeling of healing.
Upstairs.
The academicians in the visitation room looked at each other, and they could not help but laugh.
They were all around seventy years old, and the young people they usually met were very serious. At this time, when they heard Ling Ran teaching junior doctors, they could not help but feel that it was interesting.
Of course, the premise that they found it interesting was that Ling Ran had shown the world's top level of skills. Only when a skilled person was interesting could it be considered humorous. Otherwise, it would just be a joke.
Tian Qi was happy and excited as she watched. She pulled Mai Chun, who was next to her, and said in a low voice, "We should make an app that records all kinds of information about doctors, and indicate the types of diseases that doctors are good at treating, and so on. Most importantly, it should have the patient's comments, and we can give feedback. For example, the doctor is very humorous, has good skills, is very handsome, and so on …"
Mai Chun looked at Tian Qi timidly. "There is already such an app …"
Tian Qi said, "Buy it."
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