When Ling Ran entered the operating theater with his hand raised, the visitation room was already full of people.
This was the first laparoscopic gastrectomy for gastric cancer in Yun Hua Hospital. At least for the surgeons in Yun Hua Hospital, it was still quite a feat. To put it more broadly, there were not many people in the provincial General Surgery Department who had performed laparoscopic gastrectomy for gastric cancer. All in all, this surgery was still a little refreshing.
If one had to describe it, it was roughly equivalent to Spanish cuisine. Those who paid a little attention would have heard of it, but not many had eaten it. Those who had eaten it many times and were familiar with it were even fewer.
Those who were interested in the surgical method, the laparoscopic surgery, or Ling Ran could easily fill up the entire visitation room. Even the department director of the General Surgery Department did not have many privileges in this kind of situation. He could only sit in the front row obediently, and it was impossible for him to get more spacious seats even if he wanted to.
"Let's start." Ling Ran had performed a lot of demonstration surgeries, and he was getting more and more used to the visitation room. He no longer found it special that the visitation room was full of people. In fact, even when Ling Ran performed daily surgeries, the visitation room was often filled with people.
When more people came, the doctors who performed the surgery would get used to it. It was just like some large hospitals in Europe and the United States, such as Mayo Clinic. There were always interns or doctors from other countries visiting the operating theaters, and the surgeons who performed the surgery could only adapt to it.
Meanwhile, in the Ling Treatment Group, after staying in Operating Theater 1, which had a visitation room for a long time, doctors like Yu Yuan had gradually gotten used to being onlookers, let alone Lu Wenbin and the others.
On the other hand, Ouyang Kan, the dignified associate chief physician, was not used to it. But it only lasted for a moment. When the carbon dioxide was injected into the patient's abdominal cavity, Ouyang Kan looked at the familiar pneumoperitoneum, and he gradually calmed down.
When it came to stomach cancer surgery, Ouyang Kan had to perform an open abdomen. But aside from stomach cancer surgery, Ouyang Kan had also performed a lot of laparoscopic surgeries. It was impossible not to do it. In the current General Surgery Department, most surgeries were replaced by laparoscopes. It was just a matter of whether the surgery was good or bad.
Those who were not good at it, like Ouyang Kan, usually only performed appendectomies, intestinal obstruction, and the like. Most of them were self-practicing, and they were also forced to do so because they had no other choice. Those who were good at it, like Ling Ran …
When Ouyang Kan saw Ling Ran's actions, he could not help but feel a little jealous.
Geniuses could be identified at a glance — there was no need for screening, no need to ask how to screen them. "Stand out" was prepared for geniuses.
As Ouyang Kan watched Ling Ran operate, he recalled his journey of learning how to use a laparoscope. His heart was not just surging with emotions, it was already raging like a storm.
Nowadays, laparoscopy was very popular. It would be a lie to say that Ouyang Kan and the others did not practice laparoscopy and put in the time and effort. In fact, in order to keep up with the times, Ouyang Kan had spent more than 1,000 hours on laparoscopy.
However, for doctors without talent, the cost of learning was extremely high.
If Ouyang Kan was still young and had only just come into contact with a certain surgical method, he might be able to spend a few hundred hours learning it, just like how he did when he was learning how to perform laparotomy. He would then spend another few hundred hours to improve his skills, and then spend another few hundred hours to improve his skills again. This way, he would be able to gain a competitive advantage.
However, Ouyang Kan was no longer young. If he wanted to replace laparotomy with laparoscopy, he would need to be as good at laparoscopy as he was, or at the very least, be as good at laparotomy as he was at laparotomy. Truth be told, he no longer had the resources to learn laparotomy.
Since Ouyang Kan could not learn how to use a laparoscope in a short period of time like a genius, he had to take care of a treatment group, and he did not have a teacher. Hence, he basically had no chance of learning how to use a laparoscope.
The hospital and even the department would not think about how to let a fifty-year-old surgeon learn new skills. They would only ask Ouyang Kan to use the last of his time to shine and stand on the last shift of laparotomy.
Only geniuses, and only geniuses with extraordinary talent, could change their direction at will and maximize their personal value.
"No metastasis was found in the abdominal aorta and mesentery." Ling Ran's voice was clear, and it instantly brought Ouyang Kan back to his senses.
Ouyang Kan looked at the screen and nodded in agreement.
"The surface of the liver is clean.
"There is no invasion of the pancreas and transverse mesocolon.
"There is no invasion of the retroperitoneal lymph node."
Ling Ran was not in a hurry to examine the stomach. He first circled the primary lesion and examined it.
"I'm lucky." This was Ouyang Kan's subconscious reaction, and he did not hide it.
One of the reasons why doctors from the General Surgery Department did not like laparoscopy for gastric cancer was because laparoscopy had a limited range of operations, and the range of resection for gastric cancer was even more limited. Basically, laparoscopy could only be used for early-stage gastric cancer. When it came to advanced gastric cancer, even though there were surgical cases reported in the literature, it was still very controversial. In short, the safe range for laparoscopy for gastric cancer was early-stage gastric cancer.
However, aside from the fact that it was rare to find early-stage gastric cancer, even if a case of early-stage gastric cancer was identified and a pneumoperitoneum was created using a laparoscopy, what if metastasis was found during the examination?
At that time, the surgery would be switched to open surgery. Because of the pneumoperitoneum, poking of the operating hole, and other operations, there was a higher possibility of infection. These steps were originally dangerous for cancer cells to metastasize.
Ouyang Kan said that he was lucky, which meant that the cancer was still in the early stage. However, this was just the beginning. A surgery that normally required five to six hours to complete would be much more difficult to overcome.
Ouyang Kan moved his gaze away from the screen and looked at Ling Ran's serious expression. Even he felt embarrassed for Ling Ran, and he thought, 'This is what a young man is like. If I were at my age, how could I take such a big risk and perform such a dangerous surgery under the watchful eyes of the public?'
The discussion in the visitation room above them was at its most heated at this moment.
The department director of the General Surgery Department could not help but chuckle and say to Huo Congjun, "Young people are really impulsive. Why didn't you stop them?"
"Why would I stop them? We're in the Emergency Department, and we never expect anything to be in the bag. If the world was perfect, there would be no need for the Emergency Department to exist. "Huo Congjun crossed his arms in front of his chest and spoke philosophically.
The department director of the General Surgery Department saw through him. "Ling Ran gives you so much confidence?"
"With this kind of skill, how much confidence do you think I have?" Huo Congjun smiled.
The department director of the General Surgery Department did not agree. "This is just the beginning. Forget about other things, how long do you think it will take before we can confirm that there is no metastasis in this colon? What's the probability that we won't be able to detect it even after the examination? "
"This colonic band is thick and white. It looks quite healthy." Huo Congjun smiled.
"Being thick and white doesn't prove that there is no metastasis."
"But if it's on a pig, it should be the more delicious type, right?"
"That's for sure. Colon has always been delicious. This is a good spot after it's washed. "
"It's boring to wash it too clean."
"Forget it. I don't want to lie on the operating table."
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