Chapter 817： All eyes

When Ling Ran raised his hand to enter the operating room, the visitor room was already full of people.

Yun Yunyi's first laparoscopic gastric cancer resection, at least for Yun Yi's surgeon, is still a bit of a talk. Besides, it is more extensive. Provincial general surgery that has undergone laparoscopic gastric cancer resection has not done much. In general, there is still a little freshness in this operation.

If you want to describe it, it's about the equivalent of Spanish food. People who have paid more attention to it have heard that there are not many people who have eaten it. If they have eaten many times, they will have less familiarity.

Doctors who are interested in this operation, laparoscopic surgery, or doctors who are interested in Ling Ran can easily fill a room's visitor room, even the general director On this occasion, I do n’t have much privilege. I can only sit in a chair in the front row properly. It ’s impossible to be spacious.

"Let's get started." Ling Ran has performed more demonstration operations, and is more and more accustomed to the visit room. I don't think there is anything special in the room full of people. In fact, even though Ling Ran is performing routine operations, the visitor room is often full of people.

There are more people coming in, and doctors who do surgery will be used to it. Just like some large hospitals in Europe and the United States, such as Mayo, the operating room will always be visited by intern doctors or doctors from foreign countries, and the surgeons who perform surgery can only adapt.

In the Ling treatment group, I spent a long time in the operating room 1 with a visit room. Doctors like Yu Yuan have gradually become accustomed to onlookers, let alone Lu Wenbin and others.

On the contrary, Ouyang Kan, the deputy chief physician, was not used to it, but it was an instant matter. When carbon dioxide was filled into the patient's abdominal cavity, Ou Yang looked at the familiar pneumoperitoneum and gradually quieted down.

Ouyang Kan is undergoing laparotomy for gastric cancer surgery, but in addition to gastric cancer surgery, Ouyang Kan also does a lot of laparoscopic surgery. It is impossible not to do it. In the current general surgery, most of the operations are being replaced by laparoscopy. It is just a difference between good and bad.

Do less, like Ouyang Kan, usually do appendix, intestinal obstruction, etc., and mostly self-exercise, plus a little helpless, good, like Ling Ran ...

Wu Ouyangkan looked at Ling Ran's operation, but his heart was jealous.

Genius can be seen at a glance-no screening, no need to ask how to identify, "stand out" is for genius.

Ou Ouyang looked at Ling Ran's operation, and then looked back at her own course of studying laparoscopy. Her heart was not only waves, it was already a storm.

Nowadays, laparoscopy is so popular. To say that Ouyang Kan and others have not practiced, and have not invested time and energy, it is too offensive. In fact, in order to keep up with the times, Ouyang Kan spent no less than 1,000 hours on laparoscopy.

However, without a talented doctor, the cost of learning is extremely high.

If you are still young, if you are just new to a certain technique, Ouyang Kan may still be able to spend hundreds of hours to learn, then spend hundreds of hours to improve, and then spend hundreds of hours to improve. To form a competitive advantage.

However, Ouyang Kan is no longer young. If he wants to replace laparoscopy with laparoscopy, he must achieve the technique of laparoscopy, at least close to the technique of laparoscopy. In this period, he has no learning resources .

Can not quickly learn laparoscopy in a genius way, burdening a treatment group, and without a teacher Ouyang Kan, is basically insulated from laparoscopy.

The hospital and even the department will not consider how to let a 50-year-old surgeon learn new technologies. They will only ask Ouyang to use the last time, glow and fever, and stand up for the last post of open surgery.

Only geniuses, only talented doctors with outstanding talents, can turn at will and realize personal value to the maximum.

"No metastasis was found in the abdominal aorta and mesentery." Ling Ran's voice was clear and instantly pulled Ouyang Kan back.

Ou Ouyang looked at the screen, nodded, and agreed.

"The liver is clean."

"No invasion of the pancreas transverse mesentery."

"Retroperitoneal lymph nodes, no invasion."

Ling Ran did not rush to move his stomach, and first checked around the original foci.

"Good luck." This was Ouyang Kan's subconscious reaction, and he did not hide it.

One of the reasons why doctors in general surgery do not like laparoscopic surgery for gastric cancer is also because the scope of operation under laparoscopy is limited, and the scope of resection of gastric cancer is more limited. Basically, it can only deal with early gastric cancer. In advanced gastric cancer, although There are reported cases of surgery in the literature, but they are still very controversial. In short, the safe scope of laparoscopic radical gastric cancer is early gastric cancer.

However, not to mention the early detection of early gastric cancer, even if a case of early gastric cancer was identified, a laparoscopic pneumoperitoneum was made, and when I went to check again, what should I do if I found that it had metastasized?

At that time, it was switched to laparotomy, because operations such as pneumoperitoneum and piercing operation holes caused more infections-these steps were originally the risk of cancer cell metastasis.

Ouyang Kan said that luck is good, that is to say, cancer is still in its early stages, but this is just the beginning. A surgery that normally takes five to six hours to complete is more difficult to overcome.

Ouyang Kan's eyes shifted slightly from the screen to see Ling Ran's serious expression, and he was embarrassed for him, thinking in his heart: this is also a young man ~ www.novelhall.com ~ How can I risk taking his own age? With such a large risk, in the eyes of everyone, it is necessary to perform such a dangerous operation.

In the visit room above the head of the head, this is also the time for the most heated discussion.

The director of Xiepu Foreign University couldn't help but smiled at Huo Congjun with a smile: "The young people are really impulsive, and you don't help stop them."

"What we stop doing, we are in the emergency department, we never expect anything to be sure. If the world is satisfactory, there is still a need for our emergency department." Huo Congjun held his chest with both hands and said full of philosophy. .

Director Xie Puwai saw him at a glance: "Ling Ran gives you so much confidence?"

"How confident do you say I need this technology?" Huo Congjun smiled.

Director Pu Pudai disagreed: "This is the beginning. Not to mention anything else, just for this colonic band, how long do you say that you can check that there is no metastasis? What is the probability that the check will not be checked?"

"This colon is thick and white. It looks quite healthy when you look at it." Huo Congjun smiled.

"It's not simple to prove that there is no transfer."

但 "But if it is on pigs, it should be a more delicious type."

"That's for sure. The colon is delicious. It's cleaned here, and it's in a good position."

"It's boring to wash too clean."

"Forget it, I don't want to lie on the operating table myself."

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