The core issue of liver surgery revolves around liver bleeding and hemostasis. Therefore, resection and hemostasis are the signature moves of hepatobiliary surgery, and they are also techniques that are pondered and studied every day.
In terms of liver resection methods, there are finger pinching method, knife handle method, microwave method, laser method, water gun method...
In fact, the surgeons tried to tear out the liver using everything they could find in the operating room, such as suction, vascular forceps, knife handles, etc. It gave the impression that they took the liver and then tried to tear it with any Something broke it apart.
It is conceivable that when doing this kind of operation for the first time, the doctors felt so "fucking" in their hearts.
The little attending doctor of hepatobiliary surgery has also been a doctor for ten years. He has seen directors and deputy directors use the handle of a knife to rub a patient's liver, and he has also seen someone use his fingers to break the liver, but he himself has never Touched the patient's liver with the handle of the knife.
What a dangerous job!
The little attending doctor stared closely at Ling Ran, watching him wantonly peel off the patient's bad liver, piece by piece, piece by piece.
Looking at the young and handsome Ling Ran, the big bad liver, and the blue-green operating room, the little doctor suddenly felt unreal.
It's like making a movie.
"Line 4. Double ligation." Ling Ran's voice suddenly came, as if it woke everyone up.
"Hepatectomy... will it be enough?" Lu Wenbin was surprised as he was working as an assistant.
It is also that he has never experienced such an emergency liver resection.
Several people looked up at the same time.
"Less than 5 minutes." The little attending silently lowered his head.
This speed cannot be said to be astonishing, he has heard of faster ones. However, it is extremely surprising that the emergency liver resection that happened in front of him was performed at such a level.
"It's enough to cut the liver here, and then it's time to stop the bleeding." Ling Ran also breathed a sigh of relief.
Don't look at his wild movements, it is to give the liver the right pressure to peel off the necrotic part.
During this process, no matter how relaxed Ling Ran's expression was, the pressure and danger of reality always existed.
Not to mention, the hand holding the liver, with a little bit of force, may burst the liver, but if it is loosened, the bloody human liver is quite slippery, if it falls …
"All exposed and visible tubular structures must be ligated." Ling Ran held the needle forceps by himself, and said, "Yu Yuan is in charge of the inspection."
"Okay." Yu Yuan stood on two step stools with a clear view. She stared intently at the wound, identifying every structure.
Although Ling Ran is notoriously cautious, surgical assistants should always be fully utilized. For operations of this level, one is always not afraid to be extra cautious.
Ling Ran quickly picked up the needle and thread.
"Put on the surgical gown for me." Huo Congjun's voice came from the side, startling the little attending.
"Oh, okay." The little attending doctor quickly tore open a pack of surgical gowns and put them on Huo Congjun's body.
After Huo Congjun got dressed, he stood beside the operating table and asked, "How can I help?"
Ling Ran, who tried out the assistant of the director's version, his eyes lit up, and immediately said: "Prepare to stop bleeding, use the greater omentum."
"Okay." Huo Congjun agreed loudly, and then prepared the gauze and omentum.
The same stuffing is used to stop bleeding. What Ling Ran is doing now is much higher than what the county hospital is doing.
Of course, lowering the requirements a bit, the emergency department of the county hospital can be considered to have reached the limit of their ability, seeing that there was nothing they could do, they adopted the best method they could.
After all, the requirements for an emergency department capable of liver resection are a bit high. In fact, the general surgery department of the local county hospital does not have the guts to perform this liver resection operation. Otherwise, the in-hospital consultation in the emergency department will solve the problem.
Huo Congjun looked at Ling Ran's operations with pride.
The emergency center of his dream is like this. When patients are brought in, resuscitating them, especially traumatic problems, is the top priority of the emergency center.
"It's stuffed." Ling Ran's technique was extremely fast.
This is the case with liver surgery. The faster it is done, the better the patient's prognosis. For this kind of major surgery that removes half of the liver, the prognosis is directly related to the survival rate.
Huo Congjun helped Ling Ran with the stuffing, and then placed the drainage tube...
"OK... ok!" Huo Congjun's body relaxed, he looked at the monitor, and asked Su Jiafu: "How's the situation?"
"Stable?" Su Jiafu was a little skeptical why Huo Congjun asked himself, the old military doctor used to look at it by himself.
Su Jiafu had to look twice, in case this was an exam question.
Huo Congjun smiled: "It's good to be stable, well, it depends on what happens next."
Ling Ran also let out a sigh of relief, motioned for Lu Wenbin to close his stomach, took off his gloves, and said, "The wound is huge, we've stopped the bleeding as much as possible, and it's up to him next."
"He will survive." Huo Congjun turned his head to look at the patient's cheek, turned around, and answered in the affirmative.
Ling Ran asked strangely: "So sure?"
"Of course, he is an only child and his parents are still alive. If he doesn't work hard, I will look down on him."
Ling Ran froze for a moment.
"Let me close his abdomen, at least I can do it." Huo Congjun said, hooked a round stool from behind, kicked it to the front of the operating table, and said to the itinerant nurse: "Lower the table." Some. Well, give me the needle pliers."
Huo Congjun sat on the round stool, reached out for the needle forceps, waited for the operating table to be put down, and began to suture the abdomen.
"Speaking of which, I haven't done sutures for a while." Huo Congjun sewed two stitches and laughed to himself.
Su Jiafu stood behind Huo Congjun, looked at the back of his head with profound eyes, and repeatedly stroked his round stool with his hands. For an anesthetist who works long hours, it is extremely cruel not to be able to sit down. Fortunately, he now carries two round stools.
"Xiao Lu, come to be my assistant." Huo Congjun called again.
"Oh." Lu Wenbin hurried over, stood in front of Su Jiafu and laughed twice: "Doctor Su, please excuse me."
"Here, here you are." Su Jiafu stood up helplessly, and gave the round stool to Lu Wenbin.
Lu Wenbin happily rode a round stool to the opposite side of the operating table, and began to straighten the director's wires and pliers.
Su Jiafu stared at the monitor speechlessly, thinking with his brain with a score of 600 in the college entrance examination: If this continues, it will be my turn to die suddenly!
"Doctor Ling, the operation was done well." The young attending of the hepatobiliary surgery came over and stretched out his hand to Ling Ran.
Ling Ran looked down at his hands, before he could speak, Zuo Cidian hurried forward and said, "I'm sorry, Dr. Ling doesn't like to shake hands..."
"Oh... oh..." The little attending doctor was a little unhappy, and then he thought: what am I thinking, this kind of person is a strong man who can be the deputy director of the hepatobiliary surgery.
"Is there something wrong?" Ling Ran asked.
"No... I mainly want to give a compliment, the operation is really good."
"Thanks."
The little attending said with great admiration: "The last meeting I attended, I saw a director from the capital do blunt separation with the handle of a knife, and he was skilled in doing it. Liver technology is wasted in the emergency department."
"Hello." Huo Congjun suddenly called out, "Who is that? It's none of your business. Go back."
"Well... oh..." The little attending doctor bowed his head obediently and left the operating room.
Huo Congjun coughed and coughed twice, and said, "Ling Ran, you will go with me to see the patient's family in a while, and you will introduce them to the operation situation."
"Should I do it?" Ling Ran pointed to his nose.
"Well, it can be said that the main job of our emergency department is to save lives and heal the wounded. You should explain to the patient's family members after you have completed a rescue. Right? Wait until I close my stomach..."