Chapter 807： newcomer (1/2)

Zhang Anmin cut open the patient's abdominal cavity and gave way to Ling Ran.

Ling Ran took over, and while doing a simple hemostasis with an electric knife, he began to peel.

Common bile duct duodenal anastomosis is still a process of taking stones and opening channels. Because the patient has a large amount of stones in the bile duct, he has to take a choledochoscope to remove the stones. More importantly, to make the fluid in the bile duct leave the bile duct smoothly, the so-called ”unobstructed drainage” is also.

This step is simple to say and often not difficult to do, but the prognosis is often unclear.

The most common and most troublesome is postoperative regurgitation. The resulting cholangitis is often painful. Cholangitis in some people cannot be suppressed, and there is a certain probability of canceration.

In addition, the peristalsis of the intestine is reduced, which easily causes problems such as siltation and abnormal liver function, which are also very troublesome.

For an attending or deputy high student like Zhang Anmin, bile-enteric anastomosis is easy to do, but to improve the prognosis, it is very metaphysical to control complications. Often after having a lot of surgical experience, they can gradually figure out the path.

Ling Ran didn't need it.

He did it step by step in accordance with the usual procedures, and the whole step was extremely easy.

Zhang Anmin soon realized the content contained in it, and couldn't help but put away the guilty conscience during the cricket and line drawing, and cooperated and studied seriously.

Unlike regular assistants and follow-up studies, today's surgery was done by Zhang Anmin. Although he carefully considered Ling Ran's needs and Ling Ran's habits, in the final analysis, Zhang An Min was still in his own knowledge framework , Determines the position of the operation, the size of the operation and so on.

At this time, Ling Ran performed surgery in the surgical field opened by Zhang Anmin, and how to do it all fell into Zhang Anmin's eyes.

This gives Zhang Anmin a completely different feeling.

Compared to Ling Ran's laparotomy operation, the surgical field that Zhang Anmin now sees is more in line with his expectations. The anatomical structure is also relatively familiar to him.

Armed with Ling Ran's operation, Zhang Anmin gradually reassured himself, and in the order of Ling Ran, he also assisted step by step.

The blood vessels, bile ducts, and intestines are like ordinary tubes, which have been straightened, aggregated, and even sutured by Ling Ran ...

”Completed.” Ling Ran did the operation without hindrance, and did not introduce or explain anything to Zhang Anmin.

Zhang Anmin himself did not have the desire to speak for a while, and he could not help thinking about Ling Ran's operation process, as if he had watched a beautiful football match.

”Remember to close the abdomen.” Ling Ran did not manage the specific thoughts of the doctors at the lower level, but it was too difficult to influence people's thoughts, and Ling Ran was even less interested. If necessary, he is willing to dissect the heads of the lower doctors and help them intuitively solve the problem-of course, if there is a problem.

laugh.

Ling Ran stepped on the door of the operating room, looked back at Zhang Anmin, and looked up at the sky ... Huaban, the system did not prompt, indicating that no new tasks were completed.

Ling Ran shook her head. It seemed that Zhang Anmin could squeeze out only two intermediate treasure chests in a day.

”Oh.” A little nurse holding a large stack of consumables was walking with her head down and she didn't see Ling Ran. She wanted to hide when she was about to hit, but it was too late.

Ling Ran quickly stretched out his hand and pressed his head, and then made a turn, but avoided it with skillful footwork.

For Ling Ran, similar incidents are always encountered at school or elsewhere, which is not unusual or difficult to dodge.

”Ling ... Dr. Ling ...” The little nurse's face was shy, and her eyes flashed with crystal light.

Ling Ran smiled warmly, nodded, and said, ”Hello.”

Then, Ling Ran went forward on her own.