Chapter 814： Laparoscopy

"Laparoscopic radical gastric cancer surgery? No, it's too risky!" Ouyang Kan's good temper was announced 5 minutes after the pre-operative meeting.

I sat next to the general director and two attendants, a resident, and all of them sat in their places by accident.

Xie Huo's army only stunned and smiled. The surgeon's good temper, and where he can go, can Ouyang Kan tolerate this level, Huo Congjun feels that he is bullied enough.

Of course, the general deputy chief physician, or even the chief physician, may not be too bullied, but Huo Congjun can, and in his opinion, this hardness is very satisfactory.

Ling Ran, who was sitting next to Huo Congjun, did not seem to be affected by Ouyang Kan's attitude. He continued to scan the ppt with a laser pointer and said, "There are two main reasons for choosing laparoscopic radical gastric cancer. The first is The patient is still in the early stage of gastric cancer with sufficient margins and minimal damage. Second, I did a good lymphadenectomy. "

Ouyang Kan was then going to talk about lymphatic dissection. He listened to Ling Ran's answer and laughed: "This shows that you also know the problems you will face with laparoscopic gastric cancer resection, but lymphatic dissection is a world-class problem. To ensure the survival rate and reduce the recurrence, you must thoroughly clean the gastric lymphatics, which is very difficult. It is also very difficult to completely eliminate the cancer cells falling off in the abdominal cavity, let alone this, it is very difficult ... "

"My lymphadenectomy is also very good." Ling Ran replied, in the eyes of others, there might be some needlepoints to Mai Mang, but he was indeed confident. Perfect grade lymphadenectomy is not a joke. Moreover, this technique is not only open surgery, but also open surgery.

Ouyang Kan didn't believe it. He shook his head and said, "I agree to give you a shot, but I'm afraid of encountering such a situation. Dr. Ling, I know that you have had liver cancer surgery, but liver cancer surgery and gastric cancer surgery are not the same after all. If you insist on using a laparoscope, then I ask that the patient be transferred to me, and we can talk to the patient ... "

"Ouyang." The director of general surgery had originally made up his mind not to speak, but at this time he had to say: "Dr. Ling said that he had no problem with lymphatic cleanup, so he might as well use this as a basis and keep watching See what follows ... "

"There is no need to listen to the follow-up. Laparoscopic lymphatic dissection is very troublesome. No agreement can be reached on the problems of laparoscopy and open abdomen. What's the use of follow-up ..."

"Have you ever seen Dr. Ling undergo liver cancer surgery?" Director Pu Wai interrupted Ouyang Kan again.

Ouyang Kan hesitated for a few seconds, and said, "I have seen the liver resection he has done, and I have also seen the Achilles tendon repair ..."

"Troublesome to find a doctor to perform liver cancer surgery, the lymphatic video screen. We have a bad temper, Dr. Ouyang, it is better to see the video." The director of General Surgeon made a request, the doctor of the emergency department looked at Huo Congjun They are all busy.

Director Pu Pu shook his head helplessly. Doctors like Ouyang Kan are getting slower and slower. One problem is that they have done too much and accumulated too little. I usually patronize my own surgery to accumulate experience, but do not go to see other people's surgery.

This is probably why Ouyang Kan can do well, and why Ouyang Kan can't do it.

At the fastest speed, Yu Yuan found out a liver resection performed by Ling Ran and introduced: "This is a liver resection performed in Beijing, and it is also now in many hospitals in Beijing, including the Second Affiliated Hospital. "The implementation of liver resection with intraoperative follow-up inspection was pioneered by Dr. Ling and is currently being tried and promoted in the United Kingdom and other places, and is named Ling-type hepatectomy."

With this introduction by Yu Yuyuan, the room was quiet for a while.

Yu Yuyuan looked at this scene, raised her neck proudly, looked at both sides, and then slowly said, "Because of limited time, I am now fast forward to the process of lymphatic cleaning."

As she said, she adjusted the time and fast-forwarded the video.

The consultation room was quiet.

On the screen, in the clear and even clean surgical field of vision, I saw that the large lymph particles were flipped over, and the scope of each sweep was not large, but the operation was so smooth and the anatomical structure felt clear ...

Ouyang was stunned and just stayed.

Ouyang Kan, one of the best stomach cancer experts in Changxi Province, can be said to have done countless lymphatics and seen countless lymphatics, so when he looked at Ling Ran's actions, he was completely shocked.

I have to be familiar with the anatomy of the abdomen to what extent, I have to understand the patient's condition to achieve this level.

Ouyang could not help asking: "Where did you grow up?"

Ling Ran knew all the answers: "Xiagou Clinic."

"What?" Ouyang Kan didn't understand.

I was sitting next to him, the young attendant was young and couldn't help muttering: "Don't ask, ask is genius."

"Genius must be genius." Ouyang Kan, however, heard what he said and also responded.

"Suction."

On the screen, the operation continues.

Wu Ouyang felt that he didn't need to watch it anymore and waved his hand: "It can be closed."

Yu Yuan looked at the sides and saw no objection ~ www.novelhall.com ~ The screen was shut down.

"Next?" When Ouyang Kan said this, he defaulted to laparoscopic gastrectomy.

The problem of lymphadenectomy has been solved, and the advantages of laparoscopic surgery are more. Just to recover the condition, chemotherapy can be done earlier, and medicines that need more tolerance can be used. Ouyang Kan has no reason to object.

Ling Ran was unaware of Ouyang Kan's attitude, and only said: "I will do the main knife. The first step is to cooperate with the problem. I imagine piercing the pneumoperitoneum from below the umbilicus. After the exploration, we must first free the omentum ... ":

This is the issue of surgical approach.

For a surgery, the choice of approach basically determines the choice of surgical method.

Xi Ouyangkan had prepared a lot in this area, but now he is too lazy to talk about it.

Ling Ran's choice of approach is not Ouyang Kan's choice. If it had been before, Ou Yangkan would definitely oppose it fiercely. However, after looking at Ling Ran's sweeping lymphatic handsomeness, Ouyang Kan could only persuade himself to relax.

Ling Ran was the main sword, and Ouyang Kan could only recognize Ling Ran's choice.

He is now unconfident, taking the position of Ling Ran, and got himself.

Ling Ran introduced the approach in a straightforward manner, and then explained the situation to nurses and anesthesiologists. The benefits of comprehensive skills were undoubtedly revealed.

The rear molars of Xiu Huo's happy army were all exposed.

With this gastric cancer resection, his eyes are about to be successful. At that time, his wish for a major emergency diagnosis will be even greater.