Based on the information displayed by the Virtual Human and the normal examination results, Ling Ran first drew the anatomical structure of Chen Xiaowang's abdominal cavity on a piece of paper.
For surgeons, the difficulty of cholecystectomy was mainly reflected in the anatomical structure and variation of the cystic artery and bile duct. If people were classified according to the cystic artery and bile duct, the list of types of people would need to be printed into a book, and it might not even be enough.
Naturally, Chen Xiaowang was no exception.
There was an obvious variation in his cystic artery. His cystic artery had prematurely branched into two or even two cystic arteries.
This could be said to be a very common variation. Millions of people might have similar variations. If the surgery related to the cystic and bile duct was not performed, this variation would not show its existence at all. It would not cause discomfort, would not affect health, and would not even affect the surrounding organs. Its value was even lower than the neighborhood committee outside of Beijing.
However, when performing cholecystectomy, if the doctor did not pay attention to this variation, it was very easy for problems to occur.
To avoid bleeding, when performing cholecystectomy, the doctor must first block the cystic artery. Ordinary people only had one cystic aorta, and it would be fine if they clamped it with a vascular clamp. With two mutated arteries, if the doctor was not careful, he might only clamp the anterior artery, and the posterior artery would almost certainly be accidentally injured during the follow-up treatment. At that time, massive bleeding was inevitable, and it would be impossible to have a good prognosis.
"Double cystic arteries!" Ling Ran stood up and wrote it on the whiteboard in the big office.
This was not only a reminder for himself, but also for other doctors.
Some of those unlucky accidental injuries were caused by chief surgeons, and some were caused by chief surgeons who did not remind and manage junior doctors well.
"Gallbladder edema, inflammation."
"The cystic duct and common hepatic duct are parallel for a distance before entering the common hepatic duct."
Ling Ran wrote a paragraph of text, and occasionally, he would add a simple picture.
For doctors, doing anatomical drawings and anatomical relationships were basic operations, and it was inevitable that they could understand it …
Not only did the doctors in Ling Ran's group understand it, but the doctors in other groups also looked at it curiously.
"Chronic cholecystitis and a little atrophy are not a problem. The problem is that it takes two and a half days to recover."
"I don't believe that companies nowadays are so busy."
"It's to make money. As doctors, we work ourselves to death during the day and night, and we even go out to perform freelance surgeries on the weekends. Why is that? "
"Some people do it to earn money, some do it for their dreams, and some do it for their dreams. To be honest, it has nothing to do with us. From what I know, Huawei's projects are all aiming to be two years ahead of the industry. If they are slow today or tomorrow, they will waste the time that the people in front of them had fought for. "
"But you still need to have basic rest time."
"Basic time? I don't know how you study, but as far as I know, students who have basic rest time are either people who can easily get into a 985 university or people who can't even get into a second-tier university. Which one are you? "
The doctors' offices in the Emergency Medical Center were in a mess after they started discussing their educational backgrounds.
Huo Congjun slowly walked to Ling Ran's side and asked, "Have you decided?"
Ling Ran hummed in acknowledgment.
Huo Congjun looked at Ling Ran's drawing on the whiteboard, shook his head, and said, "Why do you have to do this? There are so many patients waiting for you to operate on them. Just let a normal doctor handle this kind of minor surgery. To be honest, isn't a request of two and a half days a little too much? "
Ling Ran said, "It's also an improvement for myself."
Huo Congjun asked in surprise, "What do you mean?"
"Improving the prognosis and reducing the recovery time can be seen as a development direction for cholecystectomy." Ling Ran was actually guessing the upgrade route for cholecystectomy from Specialist Level to Master Level.
Unlike other skills, Ling Ran practiced cholecystectomy himself from the beginning to the end. .
Ling Ran actually did not have many ideas on how to proceed from Novice Level to Specialist Level.
Cholecystectomy itself was a relatively simple surgery, especially cholecystectomy using a laparoscope. Everyone's completion rate was very high. Reducing damage, improving accuracy, and so on always gave people the feeling that it was somewhat specious. The feeling of floating in the air could not accurately guide the improvement of the skill.
In the absence of guidance from a more advanced doctor, Ling Ran did not know how to improve.
However, Chen Xiaowang's request inadvertently opened up a topic for him, and even a direction.
* Ding. *
The system also jumped out at this time.
[Mission: The Way Forward]
[Mission Details: Complete 50 cases of abdominal surgeries, and the recovery time is less than 60 hours.
[Reward: Intermediate Treasure Chest]]
Ling Ran furrowed his eyebrows.
If the mission was limited to abdominal surgeries, he would only be able to perform hepatobiliary, spleen, and appendix surgeries. Other than that, cholecystectomy should not be counted in the list.
It was impossible for hepatectomy patients to recover within 60 hours. After hepatectomy, it was considered a success if the patient did not die within three days. It was not considered too late for the patient to leave the ICU after three days.
There was a very small probability that this condition could be met for emergency surgery to remove the spleen, especially when the patient was generally young. The recovery from emergency surgery was usually good, but it was still very unlikely for the patient to recover within 60 hours.
From the looks of it, cholecystectomy and appendectomy were the most suitable for Ling Ran to perform.
"We also have to pay attention to postoperative nursing," Zuo Cidian said at this time, "If we want to recover quickly, we can't do without nursing."
"We also have to pay attention to anesthesia." Lu Wenbin also gave his opinion.
"Should we also improve the surgical instruments and consumables?" Ma Yanlin licked his pale lips with his pale tongue and gave his opinion weakly.
Ling Ran nodded and said to Zuo Cidian, "Write it down and see what we need to do."
When Huo Congjun heard this, he also became interested. "If we really do this, we can promote the brand of rapid recovery. Hmm, if it's an internet company, the employees are all quite rich, right? "
Zuo Cidian immediately understood and said, "They are definitely richer than us, and their insurance is also complete. Besides, if we are in a rush and don't have time, we must have money, right?"
Huo Congjun nodded in agreement. "Fools who don't have time and money don't need to do rapid recovery. Hmm, since they are doing this for the company, there should be many similar patients."
"I heard from the patient that many of his colleagues have similar problems. There should be many people who receive conservative treatment for appendicitis, enteritis, and cholecystitis …" Zuo Cidian comforted and gave Huo Congjun a reason to support Ling Ran.
As expected, Huo Congjun nodded. "Then, let's set up a project group and do it like a research project. Doctor Zuo, fill in a few applications, and I will get some resources for you. "
The doctors in the Ling Treatment Group nodded one after another. The other doctors in the office looked as if they did not hear it.
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