Chapter 670： respect (2/2)

”How did he choose?” Deputy Gao looked down the window and said, ”It is good to say that Dr. Ling is doing a good job, but it's more than a step worse than the director ...”

He was just talking nonsense with his eyes open, but as a deputy high in the ascendant period, licking the director with his conscience closed his eyes, it was considered basic exercise.

Li Yuanming knew that the other party was a dog licker, or he was happy to listen, and his attitude was a little bit timid, and he whispered, ”You do n’t have to say that, in the early stage, there is no difference in whoever does the same. Not only is Ling Ran's surgical operation important, but he also trusts Dr. Ling's grasp of the details of the operation. ”

He said that he didn't say it, but he was happy.

Hearing in the ear, the others couldn't help asking: ”What details did Dr. Ling hook Xu Jinyi into?”

Li Yuan did not hesitate to admire the younger generation and said, ”It's about paying attention.”

”Exquisite?”

”Well, pay attention to the surgery, understand it.” Li Yuan looked at them and said, ”The times are developing, and the requirements of patients are getting higher and higher. In the future, we must all be doctors.”

The doctors present smiled and did not respond, only when the director was making chicken soup.

At this time, Ling Ran's voice sounded again: ”Pay attention to the patient's gallbladder tube variation. From the image point of view, it should be anterior spiral adhesion on the left side of the common hepatic duct ...”

All the structures of the hepatic vessels and biliary tract are mutated. To put it more generally, the structures of the hepatic vessels and bile ducts of different people are different. However, doctors try to generalize as much as possible and classify them roughly.

As far as the variation of the gallbladder duct is concerned, there are those that enter the common bile duct at a low level, those that are high in the gallbladder, and the gallbladder ducts are small or short, anterior spiral adhesion, posterior spiral adhesion, etc ...

In addition, hepatic blood vessel variation, liver morphology variation, bile duct variation ...

So many mutated structures are also one of the reasons for the challenges in liver resection.

Compared to simple surgery, hepatectomy wants to remember the operation method, and has memory for all anatomical structures, and the difficulty factor is increased by many times.

Calculated on the smallest scale, assuming that there are 6 variations of each of the hepatic vessels, liver morphology, bile ducts, and gallbladder ducts, the doctor who cuts the patient's subcostal ~~ will see 1296 anatomical structures Kind of ...

In reality, there are more mutated human structures, and doctors want to exhaust them, which is almost impossible.

At this time, it is very important to do an image inspection in advance and analyze and respond in advance.

Li Yuan looked at Ling Ran. Although he was so young, he claimed to have performed hundreds of liver resections, but he did not know if he had done this kind of ...

For a moment, Li Yuan even regretted that he should not listen to Xu Jinyi's liver resection surgery for a young doctor like Ling Ran. It was still too risky ...

Thinking about it this way, I saw that Ling Ran was already buried in the operating table and started to peel off.

The anterior spiral adhesion of the gallbladder duct on the left side of the common hepatic duct obviously did not play its due role.

Li Yuan's eyebrows wrinkled unnoticeably, and then loosened.

To be honest, when Li Yuan first saw the video materials, he was a little scratched. Xu Jinyi's surgery is not easy to do, including this part. A good gallbladder tube grows into a spiral shape, or sticks to the common hepatic duct. Doctors know that if they accidentally break two things, again How much trouble.

If the bile flows into the abdominal cavity, it is tantamount to the body digesting itself, and the inflammation will kill the patient.

”Nearly, I started to do the resection.” However, Ling Ran didn't stop at the part of the gallbladder tube at all. After finishing it smoothly, he started the resection smoothly.

There is no ritual for the resection, it seems that the pre-cut line has just been made, and after one more explanation, the cut is continued.

”Where's the stress?” The deputy senior just murmured suddenly: ”I don't respect the malignant tumor at all!”

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