Chapter 1058： Find Ling Ran (1/2)

”Infuse cardioplegia.”

”Stop jumping.”

The physician doing the extracorporeal circulation whispered the situation, staring at the equipment with meticulous attention.

太多 Too many people are watching today. For the doctors of cardiac surgery, it is more or less stressful.

In comparison, Lu Wenbin and Yu Yuan brought by Ling Ran were ignorant and bold.

They can only do some side-effect hospital-like small tasks besides, but the operation involves Ling Ran, and the two of them only show excitement when facing cardiac surgery.

As for the onlookers around, Lu Wenbin and Yu Yuan have long been used to it.

If you are in the operating room 1 of the emergency center every day, there will be more doctors watching.

”Closer.” Ling Ran's voice remained the same.

Director Ji Kang skillfully pulled the screen closer.

In this way, what Ling Ran sees is no longer a panoramic view of the heart, but in this way, it is more conducive to his operation.

Director Kang Kang doesn't have much to do. When he has time, he looks at Ling Ran turning his right hand, turning his left hand, swiping his right hand, swiping his left hand ...

Left hand?

The corner of Director Ji Kang's eyes was raised, so skillful with his left hand? You really haven't practiced that much.

Wu Weiqing and several other doctors who saw the operation also noticed Ling Ran's left hand.

凌 When Ling Ran was doing laparoscopy, he mainly used the right hand, so the operation of the left hand was not so obvious.

However, the scope of operation of the thoracoscope is too narrow. Sometimes, if the right hand is the main body, the operator must rotate the body position. Therefore, if the left hand operation is equally skilled, it can save a lot of time.

Today's surgery is a complete demonstration of Ling Ran's left-hand skills.

”Little girl has good luck.” Old Xu of Gastroenterology praised.

Qi Guang was the hand operation exposed by Ling Ran, which reduced the extracorporeal circulation time by about a quarter of an hour, which is probably okay. The entire operation time may be reduced by 30 minutes.

这 This is obviously a good thing for patients lying on the operating table.

Ling Ran recalled the scene of the virtual man he had just seen, and then recalled the ECG and other inspection reports that he had seen before the operation, saying: ”It can't be considered as good. If the atrial septal defect is smaller, the risk of intervention will be smaller.”

Compared with atrial septal defect occlusion, thoracoscopy is more harmful.

普通 For ordinary patients, the memory of one extracorporeal circulation is enough to talk about 30 wineries.

”The risk of access is small, but her defect is large and she can successfully complete the operation, which is also good luck.” Lao Xu indirectly complimented and said, ”Director Kang, our domestic operation time for similar operations, How long is it usually? ”

He didn't ask just now, because he was afraid that Ling Ran's operation was unskilled, so that he got a reverse answer.

Looking at Ling Ran's operation now, Lao Xu is quite relieved.

Director Kang Kang glanced at Lao Xu and said, ”Similar surgery is a thoracoscopy repair of the atrial defect. It can be done for three or four hours. For extracorporeal circulation, it is one and a half hours, mostly two hours.”

”It's been this long.” Lao Xu didn't know the exact time. As soon as he heard the figures from Director Kang, he knew that Ling Ran's plan had a huge gap. He couldn't help groaning for a few seconds, and said, ”One and a half hours of extracorporeal circulation, and 50 minutes. The extracorporeal circulation inside will still be very different. ”

For an operation, there must be ”speak, learn, tease, sing”. The doctor of the knife is unwilling to speak. The following people are very beautiful if they support the scene, and they are easily appreciated by the knife.

Director Kang Kang hesitated for a few seconds and said, ”The average doctor may do it for an hour and a half. In 50 minutes, it must be a master.”

”It has a great impact on patients.” Lao Xu pretended to be a good student.

”Look what's going on.” Director Kang smiled and said, ”Isn't the extracorporeal circulation time of thoracoscopy 30 minutes longer than the extracorporeal circulation time of thoracotomy? It must also consider the injury comprehensively.”

所以 ”So, if you complete the thoracoscopy operation in 50 minutes, you will minimize the damage in all aspects.” Lao Xu asked the question on the surface, and said in his mouth what Ling Ran loved to hear.

Director Ji Kang had a lot of experience in this, looked at the host of the thoracoscope, and said, ”You don't have to saw the sternum, it will naturally be easier to recover after surgery.”

”The postoperative inflammatory response of thoracoscopy is earlier and may be more severe.” Ling Ran said at this time, but it was aimed at postoperative recovery.

Director Kang thought for a while and said, ”It should be because the patient ’s heart is more stimulated. The relatively long cardiopulmonary bypass time and the aortic occlusion time of the thoracoscope should increase the serum inflammatory factors in the early postoperative period. ... however, this is better than splitting the sternum, and the incision recovers faster. ”

Ling Ran nodded lightly. The operation he is doing is arguably the most minimally invasive operation that requires extracorporeal circulation.

Ling Ran gently cut open the right atrium of the patient. After investigating the size of the atrial defect, a 4-0 pulllin suture was required, and the patient's atrial defect was repaired after a continuous suture.

Director Ji Kang didn't speak again, looking at the stitching made by Ling Ran, his expression was calm.