This doctor is very stable

Chapter 172 The Importance of Teamwork

The promotion of a more difficult operation in a lower-level hospital is inseparable from the support of the higher-level hospital.

Advanced training is also an important way for small hospitals to learn from large hospitals, so the places for advanced training in large provincial tertiary hospitals are all overwhelmed by various hospitals.

And every time the number of training places is determined for each small hospital, most of the hospitals will select doctors with better talents and more flexible minds to go to large hospitals for further training.

It can be seen that further study and learning is an important way to promote advanced surgical methods for higher-level hospitals, and an important opportunity for the introduction of new surgical methods for lower-level hospitals.

While speaking, in the operating room, the patient had completely passed out.

The middle-aged anesthetist looked at Lin Ran, "Doctor Lin, you can do it now."

Before the patient falls asleep completely, although preoperative disinfection can be done, the fact that the patient does not fall asleep means that the patient still has perception. The surgeon will inevitably make the patient nervous if the doctor performs disinfection in advance. most reasonable.

Just like when I usually go to the village clinic for a spanking injection when I have a cold and a fever, I always feel a little cold in my heart when the doctor applies the medicine, and at the same time I feel a little flustered.

Some children even burst into tears during disinfection.

This is true for injections, let alone surgery!

Originally, the operating room was unfamiliar to the patient, and the chief surgeon started to touch the patient before the anesthesia had fully taken effect, so the individual would become more and more nervous.

"Tweezers, alcohol cotton, iodophor."

The right upper quadrant was aseptically sterilized.

"Scalpel..." Incision on the upper edge of the umbilical cord.

"Needle..." Insert the needle to create pneumoperitoneum.

"Laparoscopy..." A laparoscope explores the field of view of the abdominal cavity.

Establish pneumoperitoneum and explore the field of view.

Lin Ran began to dig wells, and the location of the wells was naturally selected according to the abdominal vision and the operating habits of the chief surgeon.

In the operating room, Lin Ran performed the operation in an orderly manner.

In the live broadcast conference room, the old director and deputy director Yang Xu of Hengshan City Hospital had been staring at Lin Ran's live broadcast of their surgery.

Don't worry too much in my heart, I wish I could go up and help myself.

However, compared to the performance of other hospitals, Lin Ran performed the operation in a relatively calm and orderly manner, and there was also a sense of tight rhythm in it.

However, the experts and professors sitting in the front row remained calm, just writing and drawing in their notebooks with pens from time to time.

But this is also understandable, after all, the operation has just begun.

Back in the operating room, Lin Ran arranged for the operation of the instruments and started the formal intra-abdominal surgery.

The patient's hepatic hemangioma grew on the patient's right liver lobe, and the three diameters exceeded 6 and 7 cm. They did not grow in the 4th, 6th, and 8th hepatic segments of the liver, which had already caused damage to the surrounding organs and tissues. a certain amount of pressure.

The space-occupying arrangement of the tumor is also crucial to the operation, and an even distribution is an ideal situation.

Without too much hesitation, Lin Ran began to operate the instruments in his hands to free the hepatobiliary triangle, and sort out the branches of the hepatic portal vein and the hepatic artery.

The blood vessels in this triangular area are like a mess. If the blood supply relationship of the hepatic blood vessels is not thoroughly clarified, it is impossible to complete the blockage of the blood supply blood vessels corresponding to the resection of the right lobe of the liver, and the natural operation cannot be advanced in an orderly manner.

It's time to really test the surgeon's skills and teamwork, both Lin Ran and Juan are fully motivated.

Operating the dissociation instrument with his hands, his eyes were fixed on the display screen of the endoscope, and he began to dissociate and clean up bit by bit.

The free work of blood vessels in the hepatobiliary triangle area undoubtedly requires high-precision operation.

And because it was very difficult to do it under a laparoscopy, even Lin Ran started to sweat and his nerves were tense.

If any one of the blood vessels is punctured during the free cleaning process, it will be a very serious mistake. Although it can be remedied and the operation can be continued, there is no extravagant hope for the game.

Even in normal free work, even if the technique of the main surgeon in traditional laparotomy is slightly inferior, the work of freeing the hepatobiliary triangle will cause some secondary damage to the patient's organs and tissues.

If the operation is not successful, it will even dissociate everywhere, causing bleeding points everywhere, and if there are bleeding points, they must be treated with electrocoagulation to stop bleeding or ligation, otherwise the operation cannot be performed.

And the more useless work is done, the longer the operation time will be, which may eventually lead to the chief surgeon's inner impatience and collapse, so it is best to be cautious during the dissociation process.

The dissecting work was not smooth, and even if the operation was barely completed, it could not be called too successful.

A successful operation should be the process plus the result, and minimize the secondary damage to the patient caused by the operation process.

The dissecting dissection is smooth and smooth, the tumor resection is clean and thorough, and achieving the expected surgical treatment effect is an important indicator of the success of the operation.

In the conference room, the bosses in the front row watched the live broadcast on the big screen and began to communicate in a low voice.

"The current operation of the No. [-] player room is still good, and there are not many deduction items."

"The performance in operating room No. [-] is not bad, with a sense of rhythm in a stable manner, especially when freeing the hepatobiliary triangle area, the rhythm is well grasped."

…………

Their evaluation criteria are that points will be deducted, starting from [-] points, and points will be deducted for every mistake or extra useless work. In the end, the highest score will be removed, and the lowest score will be removed. The team's due points.

And on the big screen, eight surgeons are operating at the same time, which is enough to dazzle people.

Experts look at the doorway, and in the eyes of several big bosses, they can definitely see that there are only mistakes or useless efforts.

After all surgery!

It is not a [-]-meter sprint, a slow operation, even if it is performed on multiple screens, mistakes and useless operations can be caught in time.

Only numbers are marked on the operation screen, and no hospital is marked.

Even if the hospital is marked, the bosses don't bother to make unfair trials for their own preferences.

After all, it's not a big stick to report on the Olympics...

The old director of the Hengshan City Hospital in the back row and Yang Xu were quite excited. So far, Lin Ran and the others have not made any obvious mistakes, and they can even do the work of freeing the liver and gallbladder triangle very steadily and beautifully.

It looks refreshing.

The situation is different when looking at the live broadcast of operating rooms in other hospitals.

Not to mention big mistakes, there are slight bleeding spots in the free work.

In terms of progress, Lin Ran did not do as well in the election.

It's not the judges, they can naturally know the order of the operating room.

The No. [-] surgery live broadcast screen showed Lin Ran and the others, and Lin Ran and their biggest competitors should be the guys from the Second City Hospital.

Yang Xu once heard that some time ago, the No. [-] Municipal Hospital hired a chief extrahepatic doctor from Huawaihua, and it was their good luck!It will be of great use soon after poaching people.

I was looking at the proud faces of the representatives of the two hospitals of the Second City Hospital not far away!

Yang Xu sighed in his heart, fortunately their hospital has a genius like Lin Ran, otherwise the old guy Juan probably missed it!

Although I don't know what the purpose of this competition is, but just looking at the lineup of the jury, I know that this competition is not easy!

Anyway, it is definitely not to award one or two little red flowers, it was as simple as the last TV news.

Yang Xu always feels that there are great benefits here.

Half an hour later, in the operating room, Lin Ran and the others finally completed the work of freeing and cleaning the liver and gallbladder triangle area, and the blood vessels were straightened out.

After Lin Ran finished cleaning up the liver and gallbladder triangle, he immediately raised his head.

"Wipe your sweat."

At this time, Lin Ran's forehead was covered with beads of sweat the size of soybeans, which flowed down his cheeks from time to time.

Kazsuke Juan also relaxed a little, and at the same time, the crow's feet at the corners of his eyes began to overlap, and said with a smile:
"Lin Ran, well done. I never thought you would be so proficient in the instruments needed for laparoscopic surgery. If you follow the pace and rhythm, the operation will be completed for sure. Maybe you can get the best surgeon and excellent team. prize.."

After the nurse wiped Lin Ran's sweat, Lin Ran smiled, "Director Hu cooperated very well. If it wasn't for your cooperation, Director Hu, I think the operation would not have gone so smoothly."

Juan is also the director of the Department of Hepatobiliary Surgery. He must be very familiar with the anatomical structure of the patient's abdominal cavity and the anatomy of the liver. Juan reminded and corrected many of the problems Lin Ran encountered just now. of.

An operation does not depend on the chief surgeon working hard alone.

The tacit cooperation of the team is also very important.

The main function of the first aid is to cooperate. Wherever the main knife should cut, an excellent first aid should be steady, comfortable to expose, pull, and fix the target position.

Let the chief surgeon cut wherever he wants, and the electric knife go wherever he wants. It’s a bit like a pas de deux, following along like a shadow, learning skills while following. The more difficult the operation, the more teamwork is required. A good chief surgeon must have a good assistant. Set off, in order to complete a high-quality surgery.

The first assistant with a low-level professional title will also have a magical effect when facing the chief surgeon with a high-level professional title.

That is the yellow accent, shout 666 when getting in the car, or take the initiative to laugh awkwardly when the joke is not funny to enliven the atmosphere, pick up the jokes, cheer up, etc.

When a senior assistant with a high professional title leads a surgeon with a low professional title, he will mainly guide, praise, and appease the junior surgeon.

"well done!"

"Very good, keep it up."

"It's okay, we'll continue with the ligation."

Of course, most of the stupid chief surgeons will also be sprayed to pieces, and it is not uncommon to change the chief surgeon temporarily during the operation. There is no way to make the big boss angry.
The second assistant, usually played by a junior resident doctor, trainee, or intern, also assumes a similar role as the first assistant.

However, the position is a bit awkward, most of the time I'm on the boring hook, sometimes because of the long operation, I often lose my strength and relax, and I have to bear the task of being scolded by the chief surgeon or the first assistant...

Of course, we must always face impromptu assessments by some who love to teach (pretend) learn (force) superior surgeons and assistant bosses.

"Then who, what kind of blood vessel is this?"

"Ah?...Ask me?! This......this should be...a branch of the hepatic portal vein?"

"Hepatic portal, how big are you! Don't you see blood vessels that are bright red? This is the hepatic artery!"

In fact, there will be 3 aids, 4 aids, etc., depending on the size of the operation, or if there are enough surgical gowns in the surgical bag, a group of people will gather around to eat hot pot,

Most of the time, such people may not even be seen by the field of surgery, and some students with a strong desire for knowledge can't wait to hang on the shadowless lamp.

But it’s not the same, I can only see the back of the chief surgeon or the first assistant Wei’an, take over when others are too tired to pull the hook, help the nurse clean the surgical instruments after the operation, etc...

Therefore, after there are three doctors on the operating table, they are either too lazy or too lazy to go.

(End of this chapter)