Chapter 615： on site (2/2)

The 73-year-old patient does not need to do more tests to know that the surgical tolerance is definitely not strong. Considering that pathological examination during liver resection will take a lot of time, Ling Ran will try to reduce the preamble time.

Yu Yuan pulled the hook hard, like a little leopard with a flesh, only her head was exposed from behind the tree.

No way, Ling Ran's figure is too tall, and the operating table is determined by the height of the main knife.

Therefore, when there is a big difference between the assistant's and the main knife's body, some strange occupational diseases often appear. For example, the assistant with a low profile often has a neck pain, while the assistant with a tall profile often becomes stingy and has low back pain.

As a help, Lu Wenbin is taller, but he doesn't feel relaxed. He followed Ling Ran's operation in a hurry, breaking off the left artery of the liver and the left branch of the portal vein in case the tumor cells overflowed from the portal vein system and channeled into the right liver system during the operation.

At the same time, Ling Ran kept reminding:

”Protect the portal vein wall.”

”Don't touch the tail leaves.”

”Note the knot ...”

Lu Wenbin saw sweat on his busy head, and only when the nurse wiped him, Lu Wenbin could take a few seconds off.

The doctors in the operating room looked at Lu Wenbin, funny and envious.

Many people here have experience cooperating with Ling Ran during the operation, and have learned a lot-one of the reasons they asked Ling Ran to fly a knife is to learn or to steal the teacher.

However, no one can learn as systematically as Lu Wenbin.

In this kind of surgery, half of the people in the operating room are not qualified for the operation. The 73-year-old father's liver was touched by several doctors.

Lv Wenbin has poor technology but still has the opportunity to participate. This is an experience that is difficult for the hospitals affiliated to Beijing.

”Now handle the left vein, rest for fifteen seconds, and concentrate.” Ling Ran has his own rhythm, and is also paying attention to the state of the assistants.

The distance between the left hepatic vein and the inferior vena cava is very close, and an accident will happen if it is not good. At this time, it is not enough to just remind or sip. You must consciously adjust the state of the assistant.

Master-level hepatectomy can't do everything, and what strategy to use, or how to compromise during surgery ~~ is very important.

If you do n’t know the assistants above, you should remind them and give them a chance to breathe.

Ling Ran himself was taking the opportunity to observe the liver, and he also needed time to decide how to align the cross section of the liver.

”Continue.” Ling Ran looked up at the time, and then drew his head again.

Unlike his rough operation on the virtual person, when hepatectomy is performed on a real person, the treatment other than the removed part is the most time-consuming.

For example, liver incisions must be designed in advance, according to different patients, different decisions.

Today, Ling Ran uses the angle of the lips. In a professional way, it is a lip-shaped liver resection method. To this end, he must fully free the ligaments, then close the liver section closely, then lift the liver, and then perform the liver resection operation ...

Therefore, the scope of liver resection is actually a decision to be made at the moment the liver section is closed.

If you make a mistake, you have to repeat the previous step, so you waste more time.

So when Ling Ran began to close the section of the liver, everyone couldn't help but exclaim.

”Just cut so short?”

”Not enough.”

”It can only cut so much. No more patients can bear it. Seventy-three.”

”Do not do it if the patient is intolerant. Cut so little, it will recur in a few months and be fatal.”

Zuo Cidian cleared his throat: Keke.

In the operating room, there was no sound at all.

Then, Ling Ran began to cut the liver without hesitation.

”Send to the pathology department to determine the border of the cancer cells.” Ling Ran said, and carefully cut the liver tissue into the bottle, and then watched the bottle be loaded into the incubator.

The little nurse Wang Jia picked up the box and hurried to the pathology department.

The doctors in the operating room could not help but whisper.

(= Easy to read novel)