The liver under a laparoscope was very beautiful, especially when the surgeon watched a cholecystectomy on the screen. The light pink liver was usually full of vitality, like an open wing, silently protecting the inflamed gallbladder that was the size of an egg.
The liver under open surgery was usually not beautiful.
The liver that was black and hard was the most common in open surgery, especially when the laparotomy was performed on a smaller scale. When the surgeon looked at the liver from top to bottom, they could only see a part of the liver, and this part of the liver usually became bloody.
In simple terms, laparoscopes could be considered elegant, but open surgeries were usually not beautiful.
If laparoscopes were a football match, open surgeries were like "What are you looking at?"
The gauze that was clotted with blood, the hooks that were stained with blood, and the gloves that were stained with blood made the entire surgery look a little bloody.
Perhaps, only the doctors' determined gazes were the only bright spot in the operating theater.
Zhang Anmin was silent for a long time.
Under great pressure, Zhang Anmin not only wanted to complete the surgery, but he also wanted to do it beautifully and excellently.
Of course, Zhang Anmin would not say what he thought. He just bore the pressure for a long time and buried himself in the surgery for a long time.
It was not often that there was a chance for dozens of doctors to collectively spend two hours to watch the surgery, to teach him hands-on, to teach him, and to have dozens of doctors watch him.
In fact, some doctors might only have this chance to prove themselves once in their lives, or they might lose this chance.
"Hemostatic forceps." Zhang Anmin suddenly spoke, and his hoarse voice shocked himself.
Ling Ran raised his head and glanced at Zhang Anmin before he lowered his head to look at the surgical field.
He did not really understand Zhang Anmin's current state, but he would not interfere with Zhang Anmin's specific operation or even his on-the-spot decisions during the surgery.
This was Zhang Anmin's surgery. Once he was sure of this, Ling Ran would not use his own style to cover Zhang Anmin's style.
Zhang Anmin also glanced at Ling Ran with a guilty conscience. When he realized that Ling Ran did not intend to stop him, he immediately felt relaxed.
Just now, he slightly deviated from the original operating steps. It was not a lot, but he did deviate a little. Zhang Anmin felt that if he performed blood flow blockade in advance, his operating steps would be smoother …
As his first chief surgeon in a hepatectomy, Zhang Anmin knew that he was taking a risk by doing this.
Most senior doctors only required one thing from junior doctors: to follow the rules.
If a doctor wanted to be outstanding, he must have the ability to be outstanding. Otherwise, he would definitely be scolded so badly that his parents would not be able to recognize him. Because in this world, most doctors did not have extraordinary talent.
In the medical world, stupidity should be scolded. Stupidity was the original sin. Those doctors who had no talent but sacrificed their patients' lives for their skills were the devils.
However, at a certain moment in his life, during the most important moment in his life, Attending Physician Zhang Anmin needed to know whether his talent was mediocre, whether he could only be a doctor who followed the rules, whether he could only …
Ling Ran did not stop Zhang Anmin.
The first assistant, Lu Wenbin, did not stop Zhang Anmin.
The doctors in the visitation room only watched quietly.
The monitor made a long beeping sound. There was no change at all, which proved that the patient did not resist Zhang Anmin's provocation.
Zhang Anmin subconsciously raised his eyebrows.
The surgery did not stop. Most people did not even notice the changes.
"Ultrasonic knife."
"Attraction."
"Abrasive cloth."
Zhang Anmin was completely immersed in the surgery. He performed the surgery according to the established steps, and the more he did, the smoother it became.
The information obtained from the preoperative consultation had long been deeply imprinted in Zhang Anmin's mind. In private, Zhang Anmin did not know how many times he had secretly simulated the steps of the surgery.
But in actual operation, the changes caused by each operation might affect the next step. Zhang Anmin needed to constantly make decisions, make corrections, continue, or ask Ling Ran for help …
Zhang Anmin tried his best, hoping that he would not fall to the last choice.
The surgical field was a little messy.
There was more bleeding than in Ling Ran's surgery. There was also more gauze stuffed in, so it affected the operation.
Zhang Anmin pressed the gauze a little harder, asked for a suture, and began to cut the thread.
He did not dare to use his hands to remove the liver, so the ultrasonic knife and aspirator were the main tools for liver resection.
Zhang Anmin was quite familiar with this.
Having been a doctor for ten years in a big hospital like Yun Hua Hospital, Zhang Anmin had used the ultrasonic knife dozens of times. At this time, according to the preoperative consultation strategy, he used the ultrasonic knife at a high frequency and looked at the liver with slight nervousness.
The red and bloody liver seemed to tremble, as if it was a little afraid of a newbie.
Zhang Anmin could not help but look at Ling Ran.
Even though Zhang Anmin was an attending physician in the Department of Hepatobiliary and Pancreatic Surgery, before Zhang Anmin met Ling Ran, he rarely had the chance to touch the liver.
As the second assistant in this surgery, Ling Ran did not need to keep an eye on the surgery at all times. At this time, he also looked at Zhang Anmin calmly.
For Ling Ran, this kind of surgery was difficult, but if one were to say that it was easy, then it was really easy.
Standard left lobe hepatectomy, simple hepatolithiasis, Grade A liver function, and a "young" patient who was just fifty years old could be said to be the easiest hepatectomy.
With Ling Ran's experience of more than five hundred hepatectomies, this kind of surgery could be done no matter what. So, he only wanted to see which plan Zhang Anmin would choose.
Zhang Anmin's mood also gradually calmed down.
In his heart, Zhang Anmin even had a thought. 'If I fail this time, will Doctor Ling be happier?'
While thinking about something inappropriate, Zhang Anmin picked up the ultrasonic knife, aimed at the spot that was 0.5cm away from the ischemic line, and said, "Start the incision."
The nurse and the anesthetist perked up.
Lu Wenbin and Ling Ran's expressions still did not change.
Even Lu Wenbin had performed more than two hundred hepatectomies as an assistant. Based on Ling Ran's average speed of one to two hours, if he were to play football, he would be considered to have played more than two hundred football games. He could not fly in the air, and his mind would still be a little numb.
"Aspirator.
"Ultrasonic knife.
"Aspirator.
"Knife.
…..
Zhang Anmin repeatedly changed the aspirator and the ultrasonic knife. When he encountered blood vessels that were more than 0.5cm, he directly sealed them.
The operating theater was as quiet as an operating theater. The sound in the visitation room gradually became like a market.
"Damn it."
"Damn it."
"What's the name of this chief surgeon? It's so cool. "
"Zhang Anmin. He should be the assistant chief physician of the Department of Hepatobiliary and Pancreatic Surgery of Yun Hua Hospital in the future. Our Emergency Medical Center is ready to develop a deep cooperation with the Department of Hepatobiliary and Pancreatic Surgery." Huo Congjun's voice was very penetrating, and it was very topical.
"How does the Department of Hepatobiliary and Pancreatic Surgery and the Emergency Department cooperate?"
"Once we get used to it and prove the superiority of this model, we will invite everyone to come over to visit and understand." Huo Congjun was basically admitting it openly. 'Once I figure it out, I will invite you to come over and brag about it.'
Everyone nodded and thought that Huo Congjun's level had reached the average level of the hospital management.
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