422 Removed (1/2)

”Aspirate! Faster!” Ling Ran's orders were clear and concise.

The removal of the right lobe of the liver was definitely considered a major surgery in all hospitals, regardless of their grade. Everyone in the operating theater was excited yet nervous.

Huo Congjun was still washing his hands outside. He was nervous as well, but definitely not excited.

But it would be useless if he entered without his hands being clean. He could only shout loudly, ”What's the situation now?”

”I've already used the Pringle maneuver to block blood flow,” Ling Ran replied.

The Pringle maneuver was the most common and easiest hepatic bleeding control skill during surgeries. The breakpoint was located between the hepatic pedicle and hepatic portal, but it could not fully control the blood flow from the ruptured section.

If they took into consideration the warm ischemia-reperfusion injury in the liver, then the Pringle maneuver could only be used to block blood flow for at most one hour. The doctors in the Emergency Department of the county hospital dared not use this method even if they saw the patient bleeding on and on. Because if they could not perform any follow-ups to the Pringle maneuver, they would only cause greater damage to the liver.

Huo Congjun was also full of worries.

However, he was outside, and he knew he could not pass his worries to Ling Ran.

Sometimes, the worst decisions were better than not making any decisions during emergency surgeries. Huo Congjun could only shout at the top of his voice and let his worries run wild. ”How about now?”

”Blood loss is reducing.” Ling Ran stopped talking for a while before he said, ”The situation of the liver is very bad now. We won't have enough time to perform a normal right hemihepatectomy. ”

Huo Congjun's heart missed a beat. He asked, ”How bad is it?”

”Hemoglobin levels, 16, blood pressure, 45, and still reducing,” Ling Ran replied immediately. He was also thinking while looking at the display monitor.

A few seconds would not be sufficient for a student to answer questions, because that time was too short. But on the operating table of an emergency surgery, a few seconds was already enough to sow doubt.

Lu Wenbin, Yu Yuan, and Zuo Cidian looked at Ling Ran at the same time. Their gazes showed this question. 'What should we do now?'

For them, the chief surgeon was the backbone of the surgery.

Everyone knew how to perform sutures, incisions, and using devices, but the guidance of a chief surgeon was needed for them to know where to suture, which part to make an incision, and which devices they should use.

Ling Ran's thoughts flew.

He considered one plan after another.

He did not need to consider normal right hemihepatectomy. A normal regular hepatectomy required one and a half hours, but this patient might not be able to last for even fifteen minutes.

Therefore, what about a simple repair before the resection?

Ling Ran looked at the exposed operating field, and he did not think there was any plan that could be executed in a few minutes.

”How's the situation?” The person who spoke this time was an attending physician from the Department of Hepatobiliary and Pancreatic Surgery. He asked the question while he rushed in.

”Where's He Yuanzheng?” Huo Congjun was asking about the director of the Department of Hepatobiliary and Pancreatic Surgery.

The young attending physician seized the time to scrub his hands while he said, ”A patient suddenly suffered from acute hemobilia, so he was readmitted. Director He went for the surgery. The other chief physicians are also busy performing surgeries.”

The prognosis of liver surgeries had always been a difficult problem. Once a problem was encountered, they needed to handle it immediately.

Department Director Huo pursed his lips. He glanced at the young attending physician whom he was not very familiar with, and he felt that Ling Ran would be better if he performed the surgery.

”Hemoglobin levels, 14… It's 12 now,” Su Jiafu shouted loudly as a reminder.