"Laparoscopic radical gastrectomy for gastric cancer? No, no, it's too risky! "Ouyang Kan's good temper ended five minutes after the preoperative meeting started.
The department director of the General Surgery Department, two attending physicians, and a resident doctor sat in their original positions as expected.
Huo Congjun was only stunned for a moment before he smiled in relief. Even if surgeons were good-tempered, Huo Congjun felt that Ouyang Kan was already a pushover for being able to tolerate him to this extent.
Of course, associate chief physicians or even chief physicians from small departments might not be able to bully him, but Huo Congjun could. In his opinion, Ouyang Kan's toughness was very satisfactory.
Ling Ran, who sat next to Huo Congjun, did not seem to be affected by Ouyang Kan's attitude at all. He continued to use the laser pointer to scan the Powerpoint and said, "There are two main reasons for choosing laparoscopic radical gastrectomy for gastric cancer. First, the patient is still in the early stage of gastric cancer. There's enough margin for the resection, and the damage to the patient is small. Second, I'm very good at lymphadenectomy. "
Ouyang Kan was about to talk about lymphadenectomy, but when he heard Ling Ran's answer, he was so angry that he laughed. "This means that you also know the problems you will face when performing laparoscopic gastrectomy for gastric cancer. But lymphadenectomy is a world-class problem. To ensure survival and reduce recurrence, you must completely remove the lymph nodes around the stomach, which is very difficult. You also need to completely eliminate the cancer cells that have fallen off the abdominal cavity. This is very difficult … "
"I'm also very good at lymphadenectomy." Ling Ran's answer might seem like he was being very aggressive to others, but he was really confident. Perfect Level Lymphadenectomy was not a joke, and this skill did not matter whether it was an open surgery or an open surgery.
Ouyang Kan did not believe it. He shook his head and said, "I agreed to be your assistant because I'm afraid of such a situation. Doctor Ling, I know that you've performed liver cancer surgery before, but liver cancer surgery and stomach cancer surgery are different, after all. If you insist on using a laparoscope to perform the surgery, I request that you transfer the patient to me, and we can talk about it … "
"Ouyang." The department director of the General Surgery Department originally decided not to say anything, but he had to say, "Since Doctor Ling said that he has no problem with lymphadenectomy, why don't we use this as a foundation and see what happens next …"
"There's no need to listen to the follow-up. Laparoscopic lymphadenectomy is very troublesome. If we can't even reach an agreement on laparoscopy and laparotomy, what's the point of listening to the follow-up …"
"You've never seen Doctor Ling perform liver cancer surgery before, right?" The director of the General Surgery Department interrupted Ouyang Kan again.
Ouyang Kan hesitated for a few seconds and said, "I've seen him perform hepatectomy and Achilles tendon repairs …"
"Please find a video of Doctor Ling performing a liver cancer surgery and lymphadenectomy. Our Doctor Ouyang is quite stubborn. It'll be better if we watch the video. "The department director of the General Surgery Department made the request. The doctors from the Emergency Department looked at Huo Congjun and got busy.
The director of the General Surgery Department shook his head in resignation. For a doctor like Ouyang Kan, his improvement was getting slower and slower. There was a problem, and that was that he did too many things but accumulated too little. Usually, he only cared about performing surgeries and accumulating experience, but he did not go and watch other people's surgeries.
This might be the reason why Ouyang Kan could perform well, but it was also the reason why Ouyang Kan could not make it.
Yu Yuan found a hepatectomy performed by Ling Ran at the fastest speed possible and introduced it, "This is a hepatectomy performed in Beijing. It's also a hepatectomy that is accompanied by intraoperative examination in many hospitals in Beijing, including the Second Affiliated Hospital of Beijing Medical University. It was pioneered by Doctor Ling, and it's currently being tried to be popularized in the United Kingdom and other places. It's called Ling-style hepatectomy."
After Yu Yuan finished her introduction, the room instantly fell silent.
Yu Yuan looked at the scene and raised her head proudly. She looked around and slowly said, "Since time is limited, I'll fast-forward to the process of lymphadenectomy now."
As she spoke, she adjusted the time and fast-forwarded the video.
The consultation room was quiet.
On the screen, the surgical field was clear and clean. The lymph nodes that were the size of grains of rice could be seen flying. The area of lymphadenectomy was not big, but the surgery was carried out very smoothly, and the anatomical structure was very clear …
Ouyang Kan was immediately stunned when he saw it.
Ouyang Kan, who claimed to be one of the best stomach cancer experts in Changxi Province, could be said to have performed countless lymphadenectomies and seen countless lymphadenectomies. So, when he saw Ling Ran's movements, he was completely shocked.
How familiar was Ling Ran with the anatomical structure of the abdomen and how much he understood the patient's condition to be able to do this?
Ouyang Kan could not help but ask, "Where did you grow this?"
Ling Ran answered without holding back, "Lower Groove Clinic."
"What?" Ouyang Kan did not understand.
The young attending physician who sat beside him could not help but mutter, "Don't ask. If you ask, then you're a genius."
"You're definitely a genius." Ouyang Kan heard what he said and also responded.
"Aspirate."
On the screen, the surgery was still going on.
Ouyang Kan felt that he did not need to watch anymore, so he waved his hand. "You can turn it off now."
Yu Yuan looked around. When she saw that no one objected, she turned off the screen as she was told.
"What's next?" When Ouyang Kan said this, he tacitly agreed to the laparoscopic gastrectomy.
Once the problem of lymphadenectomies was solved, laparoscopic surgery had a lot more advantages. The recovery rate alone could allow the patient to undergo chemotherapy earlier, and they could also use drugs that required more tolerance. Ouyang Kan had no reason to object.
Ling Ran did not notice Ouyang Kan's attitude. He only said, "I'll be the chief surgeon. The next step is the problem of cooperation. I imagine that the pneumoperitoneum will be pierced from below the navel. After the exploration, the greater omentum must be separated first … "
This was the problem of the surgical approach.
For a surgery, the choice of the surgical approach basically determined the choice of the surgical method.
Ouyang Kan had prepared a lot in this regard, but now, he was a little too lazy to say it.
Ling Ran's choice of surgical approach was not Ouyang Kan's choice of surgical approach. In the past, Ouyang Kan would definitely object fiercely. However, when he saw how cool Ling Ran was in lymphadenectomies, Ouyang Kan could only persuade himself to relax.
Since Ling Ran was the chief surgeon, Ouyang Kan could only agree with Ling Ran's choice.
Right now, he did not have the confidence to take over Ling Ran's position.
Ling Ran introduced the problem of the surgical approach in a straightforward manner. He then explained the situation to the nurse and the anesthetist. The benefits of comprehensive skills were obvious.
Huo Congjun was so happy that he almost showed his teeth.
This gastrectomy for gastric cancer was about to be a success. At that time, his dream of building a large Emergency Department would be even bigger.
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