This doctor is very stable

Chapter 108 Ultra-thin leaky blood vessels

Of course Lin Ran knew what the patient was referring to, heart bypass surgery!

The patient continued, "I lived for two more years, and I suffered for two more years. The doctor told my boy that if I don't wake up, I will donate my body to the hospital for medical research."

When Li Baoguo said this, everyone in the operating room was slightly moved.

Those who can think of donating their remains must have a selfless heart.

Because even the doctors in the operating room dare not say that they asked their family members to donate their remains to the hospital after their death.

Lin Ran didn't know Li Baoguo, he didn't know his personality and past, but that didn't prevent Lin Ran from admiring him.

But it is not a good thing for patients to have no desire to survive before surgery!
Lin Ran thought for a while, and then said, "Uncle Li, don't worry, I will do my best for this operation. You probably haven't hugged your grandson yet! Maybe you can hug your grandson after the operation."

Li Baoguo laughed after hearing Lin Ran's words, "I hope so! But my kid is not married yet!"

Lin Ran continued, "It's okay, after the operation is done, you will personally urge your son to marry."

As Lin Ran said, he gave Li Canghai a 2 sign, "Full anesthesia, two hours." '

Li Canghai nodded and began to administer the medicine, Lin Yexin muttered, "That brat, my mother and I have been urging him for years, and he's almost [-] this year, and there's still no movement..."

As he spoke, the patient fell asleep.

Lin Ran didn't hesitate, "Tweezers, alcohol cotton, iodophor."

At this time, Xu Hong suddenly said: "Lin Ran, the patient is an elderly hypertensive patient, have you really decided to have this operation?"

In fact, when discussing the operation plan, Xu Hong objected to Lin Ran's laparotomy.

It's too risky without him.

Patients with hypertensive coronary heart disease who have also undergone heart bypass have little time to rescue in case of intraoperative bleeding.

Seeing this, Chen Qiufeng also looked at Lin Ran, "Lin Ran, you can decide for yourself!"

According to common sense, the patient's family members have signed the surgery informed notice, even if the patient dies on the operating table, the doctor will not be much implicated.

But both Chen Qiufeng and Xu Hong were afraid that Lin Ran was too young to bear the blow of the patient dying on the operating table.

Lin Ran raised his head and said with a slight smile: "Mr. Xu, Mr. Chen, the patient has a benign tumor, and his life can continue after the operation is successful.

"On the other hand, there is no surgery! With high blood pressure and coronary heart disease, the liver cyst will eventually rupture one day, maybe a month, maybe two months, maybe three months, and the patient still needs to endure the swelling around the cyst. tissue pain."

"Surgery is risky and difficult. That's why doctors don't perform surgery? Shouldn't we doctors judge whether a surgery is performed based on the benefits of the surgery to the patient?"

Yes, surgical risk is indeed an important reference condition for surgery.

But when the benefits of surgery are high for patients, some risks are worth taking.

If every operation is measured by risk, patients with difficult and severe diseases will have nowhere to seek treatment.

The risk is high, but it does not mean that the operation will fail!

Lin Ran's words caused Chen Qiufeng and Xu Hong to think deeply.

After a while, they all found the answer in their hearts.

Maybe they are old and don't have that adventurous spirit anymore.

After being silent for a while, Chen Qiufeng spoke first, "Lin Ran, I believe in you."

Xu Hong shook his head helplessly, "Lin Ran, do you want me to be the chief surgeon?"

Lin Ran looked at Xu Hong, "Mr. Xu, the flowers in the greenhouse cannot withstand wind and rain!"

When Lin Ran said this, everyone was slightly moved.

Nowadays, under the background of increasing contradiction between doctors and patients, there are not many doctors who dare to stare at such high risks.

If you are not careful, you may end up in a lawsuit.

If you are not careful, you may ruin your future!
Finally Xu Hong also nodded, "Then let's start!"

Disinfection before operation, nurse spreads drape, draws positioning line, and incision of operation port.

Lin Ran also felt pressured by this operation, but it was just like what he said.

When the benefits far outweigh the risks, it's worth the risk.

About eight centimeters of surgical incision was incised, and Fan Jianye was busy electrocoagulating the surgical incision to stop the bleeding, pulling the hook. As the incision was expanded, the view of the patient's abdomen was also exposed to everyone's eyes.

one two three four
The cysts on the right lobe of the liver were of different sizes, but all of them were the size of a fist, and the entire abdominal cavity seemed a bit congested.

"hiss"

The sound of gasping for air.

A cyst of this size grows abruptly in the abdomen, the pain is really unimaginable!

If an exception is made, it is estimated that the patient will bleed heavily every minute.

What Lin Ran looked at was not the cyst cavity, but the hepatic vein and artery!

Performing surgery on hypertensive patients, venous and arterial occlusion is the first difficulty Lin Ran is currently facing.

The blood vessels of patients with high blood pressure and coronary heart disease are like rotten pipes, and they will burst if you don't touch them, let alone block them with forceps!
The sac completely covered the hepatic vein and artery, so Lin Ran didn't see it.

Seeing that there were no adhesions to the surrounding lymph nodes near the ruptured cyst, Lin Ran stretched out his hand and said, "Non-injury forceps, fine scissors."

There is no way to block the hepatic vein without first stripping and cleaning the non-cystic lymphatic membrane.

Can not carry out the next operation.

Just now he thought that occlusion of the blood vessels was the first difficulty, but unexpectedly removing the lymph conjunctiva adhered to the cyst cavity was the first difficulty!
"Be careful Lin Ran, don't puncture the sac cavity, it will cause massive bleeding."

This reminder came from Yizhu Xu Hong.

Lin Ran nodded.

Sweeping the lymphatic membrane on the cyst cavity is like holding an embroidery needle on a balloon filled with water.

Looking at it makes one's heart jump, and the scalp is numb, as if the cyst is about to burst in the next moment.

At this moment, Lin Ran's hands seemed to come alive.

Each cut is light and flexible, smooth and orderly.

After people see it, they can't help but want to applaud it.

"It's amazing." Qian Xuan couldn't help muttering while watching Lin Ran's delicate operation.

Just as he spoke, Chen Qiufeng who was standing beside Lin Ran gave him a hard look.

Qian Xuan shrank his neck in fright.

At this time, Lin Ran's forehead slowly broke out with fine sweat, and beads of sweat began to appear on his back.

"Old Chen, how about I exchange two of our department's attendings for your Lin Ran?"

Seeing that the atmosphere was too dull, Juan from the Department of Hepatobiliary Surgery whispered.

Sometimes the atmosphere in the operating room is too dull, which will cause the surgeon to be under too much psychological pressure and make mistakes.

Chen Qiufeng and Xu Hong also know this truth, but now they are all players in the game.

Naturally, no outsider like Juan could understand it.

Chen Qiufeng saw that Lin Ran was unaffected by laying his heart on the operating table, so he laughed and said, "If you exchange ten hepatobiliary surgeons, I won't change them."

Hu An said cheerfully: "I really have ten attending doctors, or should I add two deputy chief doctors."

"Go away... who cares about the stinky doctor."

…………

Qian Xuan secretly glanced at Chen Qiufeng and Hu An, and couldn't help but think about it.

oppressive rule!
Back on the operating table, Lin Ran finished peeling off the last bit of lymphatic membrane that adhered to the liver cyst cavity. The patient's cyst seemed to be a little swollen without restraint. Lin Ran straightened up and immediately said, "Wipe the sweat."

"Okay, Lin Ran is doing well."

Xu Hong applauded softly.

Such fine workmanship is brilliant!
After enjoying the face-washing service of the nurse, Lin Ran also smiled.

Qian Xuan saw Xu Hong's expression of admiration for Lin Ran!
It would be great if one day he could also enjoy this treatment.

Seeing that the two bosses in their department attached so much importance to Lin Ran, the others secretly cheered for themselves. One day, they would be able to use someone with Lin Ran's surgical skills.

Li Min looked at the high-profile Lin Ran, as if seeing himself in high spirits back then.

"Atraumatic forceps, blocking forceps."

Lin Ran stretched out his hand without hesitation and said again.

"Non-invasive tweezers, electric hooks."

As the first assistant of this operation, Xu Hong naturally understood what his next mission was going to be.

Judging from the current condition of the patient's abdominal cavity, Lin Ran has no vision of the hepatic vein at all for the undulating cyst!

Xu Hong gently opened the cyst cavity with tweezers and electric hooks, and Lin Ran also saw the hepatic vein and artery close to the hepatic portal vein.

"Okay, keep it."

But just because he saw it, Lin Ran frowned!
【Ultra-thin and crispy hepatic arteries】

【Ultra-thin and crispy hepatic veins】

Both blood vessels are showing yellow lesions, which is a reminder from the system's diagnostic assistance function.

how?
Will it be broken.

Lin Ran lost the firmness she had at the beginning.

Do you want to shut up and call it a day?
If the hepatic artery was pinched, it would definitely be a massive hemorrhage.

But without blocking the hepatic veins and arteries, there is no way to proceed.

Without blocking the hepatic vein and artery, direct resection of the cyst will still lead to massive bleeding.

"Why is Lin Ran not sure?"

Seeing Lin Ran hesitate, Chen Qiufeng also frowned and asked.

Xu Hong looked at Lin Ran who was about to look solemn and said, "Why don't you let me stop it."

Just after he finished speaking, the hepatic veins and arteries in Lin Ran's eyes began to change.

Originally the same yellow blood vessels began to change into light yellow and dark yellow.

If it wasn't for the notification sound from the system during the change, Lin Ran would have thought he was dazzled!

[Ding: The detection host encounters intractable diseases, and the second-stage diagnosis assistance function is activated. 】

The system's second-stage diagnostic assistance function is to more finely distinguish the lesion area!

The hepatic venous artery is the blood vessel connecting the portal vein and the inferior vena cava of the liver.

It itself has a certain length, about 2.5cm in length.

Now after the fine division of the diagnosis aid function of the two-stage system, the color on it can be light or deep.

Light yellow means can be blocked?

[Ding: The answer is correct, but the blocking doctor's technique is very demanding, please proceed with caution. 】

This……

Sweat broke out on Lin Ran's forehead all of a sudden.

"Lin Ran, can you?"

Chen Qiufeng asked again.

"OK, no problem."

Lin Ran raised his head and looked at the nurse again, "Wipe your sweat."

Lin Ran hesitated on the starting stage, Qian Xuan and the others had never seen it before!

But they also couldn't understand why Lin Ran hesitated, which made them feel a little itchy!
But one thing is certain, Lin Ran must have encountered a problem.

(End of this chapter)