Emergency Medical Center.
Operating Theater 1.
After the renovation, the operating theater was spacious, and the lines of movement were reasonable. There were a total of eight people standing inside, and there were even people walking back and forth. It did not seem crowded at all.
The visitation room was equally spacious, but because there were too many people, the air was slightly polluted.
The experienced Associate Chief Physician Wei Qing wanted to chase away a few resident doctors or medical interns, but his lips trembled, and he did not say anything in the end.
Although surgeons were crude, they still cared about their dignity. Also, it was politically correct to provide a better learning environment for young doctors. They could not chase them away just because they did not understand. If they did not understand, there were learning methods that they did not understand. No one could learn a certain skill just by looking at it. Everyone had to have a transition and get used to it.
Moreover, if he wanted to chase people away, the few ladies who were leaning on the window to take pictures should be the ones who should be chased away.
Wei Qing, who had been in Yun Hua Hospital for almost thirty years, could not even remember if they worked in finance, public relations, or were pharmaceutical sales representatives of third-party companies.
Out of sight and out of mind, Wei Qing calmly looked at the screen above him, just like most doctors.
This was the advantage of laparoscopic surgery compared to open surgery. As long as the signal in the operating theater was transmitted out, the view inside and outside the operating theater would be the same. The same yellow peritoneum, the same spleen, stomach, and left lobe of the liver, as well as the omentum and transverse mesocolon that occupied the largest field of vision …
Wei Qing came to a sudden realization. "Did he cut the gastric omentum?"
"The lymph nodes in the right blood vessel and the middle colic artery should be dealt with together." The director of the General Surgery Department looked down solemnly.
Similar to Ouyang Kan, he had never performed gastrectomy using a laparoscope before. It was not that he could not learn it, but it was just that the stomach was a little low-end. As a department director, he mainly focused on the pancreas and duodenum, which were the best of the best.
Even though the department director did not know how to do it, he had seen a lot of surgeries. His experience and judgment far surpassed Ouyang Kan's. Just by looking at the surgical approach Ling Ran used, he knew that Ling Ran was very confident.
When surgeons were confident, they would take big risks or reap big benefits.
The department director of the General Surgery Department could not help but glance at Huo Congjun again and said, "The patient is a police officer?"
"Yes, she's the child of a martyr. She was unlucky and got stomach cancer," Huo Congjun answered.
"Actually, it'll be safer if you leave it to us," the department director of the General Surgery Department reminded him.
"If Ling Ran is confident, let him do it."
"I'm just afraid that you're too confident."
"Oh?"
"Our department's Ouyang Kan doesn't know how to operate on stomach cancer through a laparoscope. Ling Ran is the only one who can handle the surgery."
Huo Congjun smiled and said nothing. He understood what the other party meant. The surgery was risky, and his family could not bear the responsibility.
Of course, Huo Congjun could pat his chest and say, "I'll take care of it if anything happens," just like the unparalleled chivalrous sect leader in wuxia novels.
However, Huo Congjun was not the leader of those low-level gangsters.
The visitation room was quiet. Huo Congjun did not say a word. He was like a financial elite who was determined not to take any responsibility.
The director of the General Surgery Department curled his lips in disdain. "Old Huo, you're being irresponsible."
"What kind of responsibility is it to find trouble for your subordinates?" Huo Congjun was not provoked at all. He looked at the other party with an expression that said, "You're still young. You'll know what's more important in the future."
The director of the General Surgery Department instantly felt angry. He was not that angry …
"Ouyang, safety first." The director of the General Surgery Department pressed the intercom button and expressed his emotions through the microphone.
Ouyang Kan, who was in the operating theater, paused for a moment, but it did not affect the progress of the surgery.
Surgeries like laparoscopy had always been a lone wolf among lone wolves. The existence of an assistant was a necessary part of the scenery, and it would always be a scenery.
When Ling Ran performed the surgery, he did not care about what other people said. He followed the colonic artery and found the superior mesenteric artery. Then, he found the superior vein on the right side of the superior mesenteric artery. He then exposed the right gastroepiploic vein and the colonic vein. Then, he ligated and cut off the root of the right gastroepiploic vein.
After a series of movements, the inside and outside of the operating theater became quiet again.
It was like a few coaches on the basketball court discussing the knee joint movements of a few students on the court for a three-step layup, and one of the students suddenly turned around and dunked the ball …
Both the doctors from the Emergency Department and the General Surgery Department were speechless for a moment.
Ling Ran ligated and cut off the blood vessels very quickly. He did not tremble like the doctors from the General Surgery Department. After all, he was a doctor who was used to performing hepatectomy. It was normal for him to look down on the blood vessels in the stomach. 'Go ahead and break it if you can. If you can't block it, I lose!'
However, what really surprised everyone was Ling Ran's familiarity with the anatomical structure.
The colonic artery was relatively easy to identify, which was why it was used as a marker. However, it was not easy to find the superior mesenteric artery from the colonic artery onward. If one wanted to touch the superior vein, they would have to pay more attention to it. If it was an open surgery, it would be relatively easier to find the tissue structure by following the vine to the melon. In fact, it was not easy. The openings in the abdomen were getting smaller and smaller in modern surgeries. If one wanted to touch the abdominal cavity along the way, there would be layers of tissue in the middle, and it would be very easy for people to misunderstand.
In laparoscopy, this step was even more difficult. When young doctors performed appendectomies, they could not find the appendix even after touching the abdominal cavity for one or two hours. It was understandable. In a surgery like gastrectomy, there were more than seven or eight "appendices" that needed to be found.
A butcher could cut off the stomach in three minutes. The reason why surgeons usually needed five or six hours to complete the surgery was because of the various problems that could be encountered during the surgery. Among them, a doctor's anatomical knowledge was the core factor that determined the surgery time.
If a doctor's anatomical knowledge was good enough, such as tying knots and suturing, and he could deal with crises during a surgery, then all that was left was a simple understanding of the surgical method. And compared to other basic skills, this part was too easy. It was really to the extent that a doctor could perform the surgery according to the books.
"Lower your field of vision." After Ling Ran dissected the right gastroepiploic artery, he examined it again and asked Ouyang Kan, who was holding the laparoscope, to change his position.
Ouyang Kan was already prepared to be a backup. He originally thought about switching from laparoscopy to laparotomy at any time, but now, he was completely convinced. He gently turned the laparoscope, and the gallbladder, liver, stomach, and inverted omentum were exposed on the screen …
"Use the pancreas as the anatomical marker." Ling Ran mainly informed his assistants about the situation.
Not only the doctors in the operating theater, but some doctors in the visitation room also nodded subconsciously.
Ouyang Kan felt relaxed. At this time, he could not help but look at the direction of the patient's head and said, "At least we didn't let our martyrs down. The country that they risked their lives to protect now has enough skills and resources to save their children's lives. "
Ling Ran looked at Ouyang Kan.
"We can't let our martyrs shed blood and shed tears, right?" When Ouyang Kan saw that the surgery went smoothly, he could not help but feel happy.
Ling Ran nodded slightly. "We won't."
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