This doctor is very stable

Chapter 285 Unexpected situation
Zhongshan Third Hospital, Tianhe Division, extrahepatic operating room.

Boss Gu was very pleased to see Lin Ran seriously operating the operation!
Lin Ran finally did not waste his painstaking efforts.

As Lin Ran's equipment kept changing, the old doctors who were watching the live broadcast also reflected it.

The reason why Gu Tianyi performed this operation was entirely because of Lin Ran!
Although early radical surgery for pancreatic head cancer is relatively rare, it is obviously not cost-effective to perform a live broadcast surgery.

Not for anything else, just because of the risks of this operation.

Liver resection combined with radical surgery for pancreatic head cancer, the combination of the two is very dangerous even when the patient's physical tolerance is ideal.

If you are a little careless, you will even gamble your reputation if you are not flattering!

Of course, on this level, some old doctors who are watching the live broadcast can see it.

After watching the performance of Lin Ran's free pancreaticoduodenal colon, they also understood why Gu Tianyi took this risk.

If they had a student as monstrous as Lin Ran, they would do the same.

As an old doctor, who doesn't have the problem of being happy to be a teacher!

It's a pity that at the age of early 20s, there are too few people who can practice surgery to Lin Ran's level.

Even many old doctors will never come across it in their lifetime.

But young doctors think completely differently.

They marveled at Lin Ran's surgical skills and envied Lin Ran's talent.

Lin Ran's slender and slender hands were born for the surgical operating table!
They are both in their 20s, and what are they doing?

They are doing the lowest level work in the hospital.

Entering medical records, pasting test sheets, checking beds, debridement and changing dressings for patients, understanding patients' pre- and post-operative conditions, and other miscellaneous tasks...

And Lin Ran!

He even dared to dissociate the pancreaticoduodenal colon.

Maybe even if they are given ten years, they may not dare to touch the pancreas and duodenum!
In other words, there are not many opportunities for them to free the pancreaticoduodenal colon in this life.

Lin Ran has indeed mastered the field that others can't touch in their lifetime, at an incredible age, isn't this enviable!

In the operating room, Lin Ran adopted a steady pace of surgery.

His hands are dexterously dancing.

Each dance will carry piece after piece of mucous membrane or lymph node tissue.

On the other hand, Boss Gu was smiling and kept silent, but he could tell how much he liked Lin Ran just by looking at him.

Li Yulong and Wang Limin on the side kept shaking their heads in admiration.

"Tsk tsk, if it wasn't for Lin Ran being the student that Lao Chen had planned for, I would have snatched it up!"

In the hospital, only Dean Chen and Boss Chen can overwhelm him!

In other words, if Lin Ran was Gu Tianyi's student, he would dare to do evil out of his guts!

Unfortunately, there are not so many ifs in the world.

Lin Ran met Lao Chen first!

This is fate.

To be honest, the extra-thorax is definitely not worse than the extra-hepatic.

Even as far as the development of the subject is concerned, chest surgery still has certain advantages.

It's a pity that Chen Jihua, like Lin Ran, seemed to be cheating when he was young.

Under his leadership, the Liver Hospital of the Third Hospital is also ranked first in China.

Sometimes Li Yulong even has a feeling of "He Shengliang is born with Yu".

I think Li Yulong was also extremely talented when he was young!
It's a pity that Chen Jihua is too evil.

The light that caused him to belong was covered.

Comparing the two, go to the difference between fireflies and meteors.

Who still watches fireflies when there are shooting stars?

After more than an hour of dissecting and dissecting, the mucous membranes and lymph nodes around the pancreaticoduodenal colon were all cleaned up by Lin Ran, and the entire pancreas was dissected and separated except for blood vessels and major nerve tissues. The state of the mobile cutout.

Looking at the patient's pancreas now, it feels like it has just been pulled out of the ground.

Except for the root system that is still connected to the earth, all other soils have been cleaned up.

On the other hand, the liver cirrhosis resection that Xu Congwen was in charge of had also come to an end.

Xu Congwen freed the hepatobiliary triangle area, blocked the main blood supply vessels of the liver, and cut off the hepatic ligament.

Now I have just finished separating the liver and gallbladder.

The cirrhotic part of the patient is in the No. 67 area of ​​the right liver and lung, which is where the gallbladder is buried. Therefore, it is necessary to separate the liver and gallbladder if you want to remove the part of the cirrhosis.

Zhang Ningyu cooperatively raised the right lobe of the liver, and Xu Congwen held the ultrasonic scalpel.

As soon as the knife was cut, he felt something was wrong!
Just at this moment, blood spewed out with a "chi", the blocked blood vessels seemed to find a vent, and the blood sprayed into a blood mist like it was free.

"Drip drip..."

That was the sound of the vital monitor's blood pressure dropping.

"The nurse speeds up the blood transfusion."

Gu Tian glanced at the life monitor, and immediately shouted in a low voice.

He didn’t even need to ask, judging by the amount of bleeding, he knew that the hepatic artery supplying blood to the liver was ruptured, or it was cut, or the clamp was broken, or the blood pressure was too high and the blood vessel wall could not bear it. It broke.

Of course, the top priority now is not to rule out the cause of the bleeding, but to transfuse blood as soon as possible and find out the bleeding point to stop the bleeding as soon as possible.

Otherwise, the operation failed, and the patient would die on the operating table due to hemorrhagic shock.

Fortunately, 1600ml of spare blood was prepared during the operation.

Hope it's enough!
After Gu Tian gave the order, the nurse on stage immediately pinched the blood transfusion bag.

In terms of pinching the blood bag, the nurses in the emergency room are the best.

However, there are not a few cases of massive bleeding in the operating room, and who can enter the extrahepatic operating room is not an experienced nurse!
At this time, the old anesthetist also stood up, and it was the anesthetist's responsibility to stabilize the patient's vital signs.

Although the blood spurt was caused by the operation, he is also obliged to cooperate to stabilize the patient's vital signs and save the patient's life.

Almost everyone's heart hangs in every operating room.

Lin Ran's eyes also swept to the part where the liver was located in the abdominal cavity.

At this time, the outside of the liver has slowly been submerged in fresh blood, and the patient's abdominal cavity is not empty, it contains liver, gallbladder, spleen, stomach, kidney, intestines and other tracheal tissues...

Once a large amount of blood is sprayed, the accumulated blood can quickly submerge the trachea.

It's like it's easier to fill up a water glass with stones in it.

Didn't even have time to suck!
"Puff faster."

In the case that there is no abdominal vision after a large blood spurt occurs during the operation, the rescue methods that can be implemented are also very limited!
If the hemorrhage level cannot be lowered by suction, and the bleeding point cannot be quickly found to stop the bleeding, then the only option is to use a balanced solution to expand the blood volume and prolong the patient’s emergency room time as much as possible. It is difficult to say how well the surgery is tolerated.

Gu Tian watched the blood volume go up and down, but he didn't see any sign of it going down.

But at this time, in Lin Ran's eyes, a green energy arrow appeared in the blood pool in the liver, with tiny words on it.

【Clamping the hepatic artery with blocking forceps results in rupture of the hepatic supply artery. 】

The blood vessels of cirrhosis are likely to be infiltrated, and this clip is more likely to rupture, which is common sense.

Xu Congwen also thought about this problem when he clipped the hepatic artery just now.

He also chose more carefully to clip the blood vessels away from the cirrhosis end.

Too bad it doesn't seem to work much now.

Lin Ran quickly put the thing in his hand into the medical tray in front of the equipment nurse.

(End of this chapter)