This doctor is very stable

Chapter 171 The game officially begins

After two days of free clinic, Lin Ran came to the hospital early on the third day of the activity.

Hanging on the gate of the hospital is the theme of this event.

After changing clothes in the emergency room and coming outside the liver, Lin Ran felt a different atmosphere outside the liver than usual.

The feeling of hustle and bustle before the exam, even the footsteps and actions of the nurses and doctors became much tighter. Of course, this may be Lin Ran's own illusion.

Lin Ran and Qian Xuan came to the bed area on the third floor outside the liver.

Juan asked the deputy director of the department to lead the rounds, and led Lin Ran and Qian Xuan into his office.

"Lin Ran, the theme and procedure of our surgery competition have been determined. Yesterday we announced the requirements of the patients who are suitable for the surgery, and the theme and procedure were decided by lottery in the morning."

Lin Ran nodded and asked, "What theme technique do we need?"

Juan frowned, and said slowly: "Laparoscopic liver resection."

Laparoscopic liver resection is far more difficult than traditional open surgery!

"Then other hospitals also do laparoscopic liver resection?"

If they are on the same starting line, Lin Ran is confident that he will not lose to others!
"Of course not. This competition is quite weird. They are all liver resections, but different hospitals have to perform different themed surgeries. They said that they need to test the adaptability of clinicians, and they also said that there is a corresponding response to the more difficult surgeries. difficulty score."

Juan personally didn't understand the purpose of this competition. As far as laparoscopic liver resection is concerned, most hospitals in Hengshan City can't do it.

Even Juan himself seldom dared to do it. Of course, this is a euphemistic way for Boss Hu to put it. To put it bluntly, although he has learned it, he is not sure about performing laparoscopic liver resection.

Liver resection was originally a tertiary operation, and the difficulty was not low.

Laparoscopic liver resection is even more difficult, and the requirements for the surgeon are naturally higher.

The difficulty of the operation is a bit higher, and it is a question of whether or not the surgeon will do it!
Often only some of the larger provincial tertiary hospitals have the ability to include laparoscopic liver resection as a routine procedure.

Although Hengshan City is a third-class hospital, it is far from a large hospital in the southeastern region.

Not to mention other hospitals in Hengshan City, if they also want to perform laparoscopic liver resection, they can directly abstain from the operation.

Letting hospitals below the municipal level perform laparoscopic liver resection, this is simply nonsense!

"Is there a patient?"

The biggest difference between traditional liver resection and endoscopic liver resection lies in the difference in the mastery of the instruments and the surgical field of view of the surgeon.

That is to say, the disease is still the same, and the operation steps are not much different. The excision should still be done.

Lin Ran knows how to perform laparoscopic gallbladder surgery, and Lin Ran is confident that he can perform laparoscopic liver resection.

"Lin Ran, you will do laparoscopic liver resection." Juan asked in surprise.

Lin Ran nodded, "I'm sure."

"That's fine."

Juan breathed a sigh of relief. He never expected that Lin Ran would undergo laparoscopic liver resection. He was overjoyed and quickly picked up a dozen of medical records on his desk and handed them to Lin Ran, saying, "These are all from yesterday. For patients with indications prepared in advance, you can choose the easiest one to do!"

Lin Ran picked up the medical records and examined them carefully.

exactly ten in the morning.

The expert jury for this event arrived at Hengshan City Hospital.

Accompanied by the president of the Medical Association and several leaders of the Health Commission.

The participating hospitals also sent representatives to attend.

The Hengshan City Hospital also dispatched a luxurious lineup, the president Fu Changwen, the vice president Yang Xu and others came to receive them.

This competition uses the live broadcast evaluation of surgery, that is to say, all the hospitals participating in the competition conduct it in their own hospitals.

Of course, it is also more convenient. If all the participating hospital teams come to Hengshan City Hospital for surgery, it would be too troublesome for the review experts to follow up and score the surgery one by one, and their old bodies may not be able to bear it.

The arrival of the 5G era has brought earth-shaking changes to the ranks of medicine, and the live broadcast of remote surgery is naturally no problem.

Fu Changwen and Yang Xu waited at the gate of the hospital early, with the hospital welcome team beside them.

After the experts of the jury got off the car, Fu Changwen and Yang Xu greeted them warmly.

There is no way, the jury is composed of authoritative experts in hepatobiliary surgery, and the names are getting bigger and bigger. Yang Xu was also very surprised to see such a strong jury.

Cao Mingrong, Chen Huahua, Liang Lijian, Jian Zhixiang, Fang Chihua.

Yang Xu's eyes widened when he saw these people just now. They are well-known experts in hepatobiliary and pancreatic surgery in China!It can be said that he is an expert professor at the national level, and he has worked in the medical schools of different universities.

They also have one thing in common, that is, these few are the promoters of minimally invasive hepatobiliary and pancreatic resection surgery under the laparoscope. For a small competition in Hengshan City, how can He De invite the authoritative experts at the national level!

Yang Xu wanted to understand, even a little confused.

They are all medical students, and the more successful experts and professors are, the less they like wasting time.

Moreover, it was very rare for them to come to an event in Hengshan City during their busy schedule.

After the older Chen Jihua and others got out of the car, they said: "Dean Fu, Vice President Yang, we don't need to waste any more time, take us directly to the live broadcast conference room!"

"Welcome all professors to come to our hospital to guide our work! Please come with me!"

There is no priority in learning, and masters are teachers. Fu Changwen has to show an amiable attitude towards these national treasure experts.

All the members of the jury walked into the conference room, and the live channel images on the ultra-clear screen in the conference room were opened one by one.

A large screen can broadcast live broadcasts of eight hospital operating rooms at the same time.

There are only patients and nurses and anesthesiologists in the eight operating room screens. After all the staff are seated, Chen Guihua said directly: "Let's get started!"

The president of the Hengshan City Medical Association, who was in charge of coordinating the overall situation, immediately asked the members of the medical association to start the list of hospitals according to each list or call to notify the start of the operation.

After a while, people began to enter the operating room on the live broadcast screen.

…………

On the other side, Lin Ran and the others were also notified that they were live broadcasting the first round of surgery.

Lin Ran, Juan, and Qian Xuan had already done pre-operative aseptic disinfection, and put on surgical gowns to be ready at all times.

As soon as the call came, they immediately walked out of the locker room.

The door of the operating room opened, and Juan walked in first, followed by Lin Ran and the other two, followed by a deputy chief physician outside the liver, a total of four people.

Juan entered the operation and very consciously stood on the side of the patient's left hand.

Lin Ran did not politely hesitate, and directly stood in the position of the chief surgeon.

Qian Xuan and the two also stood in their respective positions.

This time Lin Ran chose a more conservative patient with hepatic hemangioma, which means that this operation should be called laparoscopic hepatic hemangioma resection.

What aspect of the game is used as the judging standard? Lin Ran and the others just talked about it.

General criteria for judging a successful operation.

1. To put it bluntly, the degree to which the final operation is in place is: nothing that should be removed must be left, nothing that should not be removed must not be moved, and the structure that should be reconstructed must be just right.

2. There should be a sense of rhythm in the surgical steps. Where it should be fast, it should be fast, and where it should be slow, it should be slowed down.

3. The chief surgeon and assistants can fully understand and cooperate in every step of the operation.If the surgeon and assistants of a surgery cannot complement each other, then the surgery is likely to face collapse.

4. The surgical field of view is clear, clean, and neat. The assistant looks at your surgery as if you are looking at a surgical atlas.

5. On a good basis, the operation speed is faster, and the operation speed ranks low in all standards.

6. The operation can be flexible. On the premise that the curative effect can be fully guaranteed, if you dare to change the operation, it means that you fully understand the operation, but you firmly refuse to be reckless. Reckless often means that the operation is on the verge of failure.

7. On a certain basis, new surgical methods can be created to achieve new therapeutic effects. This is a skill that makes perfect, and it is the highest gold standard for excellent surgery.

In summary, the essence of surgery is to find unknown anatomical landmarks along known anatomical landmarks;

During the search process, the lesion is resected, the structure is reconstructed, and the patient's function is restored to the maximum extent.

Of course, the judging criteria for surgery should be determined according to the actual situation, and may vary from person to person. The person here refers to the state of the patient before and during the operation.

Of course, the most important thing for an operation is to succeed. If it fails, naturally everything will be out of the question.

No matter what the judging criteria are, Lin Ran feels comfortable doing whatever he wants!

Perform surgery according to your own ideas, rhythm, and overall thinking, and finally achieve your desired goal. As for whether it is good or bad, let others judge!

Everyone got ready, Lin Ran looked at the deputy chief anesthesiologist outside the liver and said, "Give me anesthesia! General anesthesia, two hours."

Laparoscopic liver resection requires general anesthesia.

The middle-aged anesthesiologist nodded, stepped forward and manipulated his bottles and cans neatly.

Juan looked at Lin Ran, smiled and comforted him: "Lin Ran, don't be nervous, don't be so stressed, I just hope that this operation will be successful, as long as you don't lose face!"

The difficulty of the operation was beyond imagination, and Juan did not dare to have too many extravagant hopes.

Lin Ran's open liver resection was indeed excellent, but laparoscopic liver resection was more than two or three times more difficult than traditional open liver resection.

Although Lin Ran has experience in performing laparoscopic cholecystectomy, it is still too little in general.

Hope this operation is a success!
Lin Ran nodded solemnly, ensuring the success of the operation is the first goal, as for the rest, let's talk about it while waiting for the operation!

The atmosphere in the operating room was a little tense.

In the conference room of the live broadcast, the five bigwigs waited and watched with great interest with pens and paper.

There are four tertiary hospitals in Hengshan City, and they all offer the theme of laparoscopic liver resection. Let's see who has the best ability.

This event is held within the province, not just Hengshan City, this event is also related to the number of study places for the liver to go out to the top tertiary hospitals in the province.

The purpose is to promote laparoscopic minimally invasive hepatobiliary and pancreatic surgery.

Things that benefit the people and promote the development of the industry.So these busy people were mobilized.

Otherwise, with their all-in-one focus on scientific research and clinical practice, how could they be so easy to be on the jury!
PS: Some big guys reported that the quality of Laozhu's recently updated text has declined, and there are still many unprofessional places. I think so too.

After it was put on the shelves, I always felt uninspired and out of state.

It may be too eager for quick success, and here I want to make a deep review.

So let's keep the original update speed!To keep 6000 words in two chapters a day, I will think again and again, check more information, find out the feeling, and improve the quality of the text!By the way, correct typos and omissions, otherwise you will not be able to read it if it collapses again.

In the future, quality will be the first criterion. I promise, if you can't do it, you will practice shrinking the sun.

(End of this chapter)