Ling Ran watched the surgeries in the morning. When he saw that Dan Quan was performing an open gastrectomy, he turned around and left.
He did not look down on Dan Quan's open gastrectomy, but he looked down on it very much. At most, he would be at Beginner Specialist Level. If he did not handle the middle and later stages well, he would only be at Beginner Level, which was at Higher Specialist Level. To Ling Ran, there was really no point in using this as a reference.
From this point of view, Dan Quan really did not perform many open surgeries. Most of his time was probably spent on laparoscopy.
Speaking of which, this was also the common state of Dan Quan's generation of general practitioners. Those doctors who were lucky in the hospital all rushed to perform laparotomy. They could perform major surgeries at a young age, and from then on, they developed in the field of laparotomy. On the other hand, doctors who were unlucky would not get to be the chief surgeon for major surgeries when they were old, so they could only perform laparoscopes to make ends meet …
Very few people could have predicted that laparoscopy would develop to this stage.
Almost all the surgeries in the General Surgery Department had fallen into the hands of the laparoscope. For a laparoscopic expert, there were only surgeries that were difficult to perform, not surgeries that could not be performed.
Unfortunately, Dan Quan was also considered to be an anomaly when it came to laparoscopy. He was best at single-site laparoscopy, but he had not reached the point where he could take all the patients. Also, he was a little young, and he worked in Yun Hua Hospital, which had the best conditions. As a result, the positions for three-site laparoscopies were almost all occupied by his seniors.
Dan Quan knew his own situation. When he saw that Ling Ran was no longer looking at his open abdominal surgery, he breathed a sigh of relief and could not help but smile. "With a handsome guy in front of you, you don't even know how to make a witty remark. You're finally gone."
"Director Dan, there's no need to use the word witty anymore. The nurse who was washing her hands curled her lips.
Department Associate Director Dan laughed. "I was wrong. It's a dirty joke. Those who should say dirty jokes, let me say one first …"
The circulating nurse sighed faintly and looked in the direction of the door. "I really hope that Doctor Ling is just going to wash his hands and come back to perform the surgery with us."
Chief Physician Dan wanted to be unhappy, but when he thought about Ling Ran's face, he let it go.
Even he felt that the atmosphere in the operating theater was quite special. The same blue walls and green floor made people feel happy just by looking at it.
"The Emergency Medical Center has so many surgeries that they can't even finish them. It's impossible for him to watch us perform surgeries all day long. " Chief Physician Dan replied to the circulating nurse. He then turned around and continued with the topic of conversation. "The Emergency Medical Center's bonus this year should be very high. It's already very good for them to be able to perform even one hepatectomy. Right now, they should be performing fifty hepatectomies a month, right?"
"It should have exceeded last month. There should be sixty or seventy units." As usual, the assistant was a junior doctor who did not have much of a presence. He held onto the mirror and quickly gossiped about the senior doctors.
Chief Physician Dan clicked his tongue a few times. He was a little envious. "On average, he performs two hepatectomies a day. In reality, he would have to perform three or four hepatectomies a day to get this many hepatectomies."
He was a chief surgeon himself, and he knew all kinds of troubles in arranging surgeries, especially major surgeries. From the preoperative diagnosis to the postoperative series of operations, a lot of manpower and material resources were needed. If ordinary doctors were given the chance, they could also perform fifty to sixty or even sixty to seventy surgeries in a month. But under normal circumstances, it was impossible for a normal department to release so many resources to an ordinary doctor.
For example, Ling Ran's surgeries were equivalent to a treatment group consisting of one associate chief physician, one chief resident, three resident doctors, many housemen, interns, and an unlimited number of anesthetists and nurses. All of them revolved around Ling Ran.
Chief Physician Dan did not think that there was such a need, and he was not willing to bear such great pressure. Therefore, he was just a little envious.
"It's better to be free." Chief Physician Dan chuckled and continued to perform his own surgery.
The next day.
Early in the morning.
Chief Physician Dan drove his Mercedes Benz slowly, according to his usual style. He maintained the lane and gave way to pedestrians. When he was about to reach the hospital, he stepped on the accelerator …
He arrived at the hospital five minutes earlier than yesterday.
When he entered the elevator again, Chief Physician Dan could not help but take out his phone and take a look.
He still had a surgery at nine o 'clock today, and the time …
'It's fine if I'm a little late …' Chief Physician Dan laughed at himself in his heart. 'Isn't it great to be a chief physician but unable to become a department director because of freedom? 'So what if I'm a little late …'
Chief Physician Dan might be thinking about it, but after he got out of the elevator, he still sped up a little.
As usual, he changed into scrubs, did a little check-up, and went to the bathroom.
Chief Physician Dan looked around. When he saw that there was no abnormality, he began to wash his hands. He laughed at himself in his heart. 'What's wrong with me today? What am I thinking about?'
After mocking himself, Chief Physician Dan still lowered his head and washed his hands, but he was a little uneasy.
After washing his hands, he wiped them dry and entered the operating theater.
Chief Physician Dan looked up and saw Ling Ran.
His back was straight, and his white clothes fluttered in the wind. His body proportions were so coordinated that he looked like a sculpture. If he were to be cut open, the shape of his muscles would probably be exceptionally beautiful.
Chief Physician Dan suddenly felt at ease.
"Ling Ran, are you here to watch the surgery?" Chief Physician Dan smiled.
"Yes." Ling Ran answered before he turned around and gave Chief Physician Dan an ordinary smile. He asked, "Can I be your assistant?"
"Ah …" Chief Physician Dan suddenly felt a little conflicted. "My assistant here is actually just to hold the mirror."
"You'll still feel different," Ling Ran said.
Chief Physician Dan sighed. "Alright, if you want to hold the mirror, then do it. You over there, rest for a while."
The doctor from the General Surgery Department who was addressed as' that 'obediently gave up his position.
He did not dare to fight with Ling Ran for the position.
Ling Ran and Chief Physician Dan stood on one side. When the patient was anesthetized, they immediately entered the operating theater.
Chief Physician Dan stood between the patient's legs. As he made the incision, he said, "The current contraindications of single-site laparoscopy are basically the same as laparotomy, but the surgical trauma is small, and it's still very advantageous …"
Ling Ran listened to Chief Physician Dan and silently memorized what he said. He also compared it with the information he knew in his mind.
The splenectomy that Ling Ran was currently very good at was a surgical method, but he had never performed it with a single-site laparoscopy before. This was because the patients who received splenectomy in the Emergency Department were all emergency cases, and exploratory laparotomy followed by surgery was the most common method.
In the General Surgery Department, the most common indications were patients with thalassemia and other blood diseases, as well as patients with mild to moderate hypertrophy caused by splenic cysts and splenic hemangiomas. This kind of elective surgery was relatively safe. There was enough time to prepare before the surgery, so Chief Physician Dan could perform it with ease.
Ling Ran held the mirror and acted as the chief surgeon's field of vision. He also watched with great interest.
After the surgery, Ling Ran immediately sent a WeChat message to Zuo Cidian. [Splenectomy.]
Zuo Cidian's message quickly replied. [Got it. Immediately arrange it.]
…..
In the afternoon.
Ling Ran received his first splenectomy patient.
This time, Ling Ran was the chief surgeon. While he made the incision, he said to Ren Qi, who wanted to learn single-site laparoscopy, "The current contraindications of single-site laparoscopy are basically the same as laparotomy …"
…..
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