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Chapter 816 Laparoscopic (third)
"Laparoscopic radical gastrectomy? Not enough, the risk is too great!" Ouyang Kan's good temper, after the start of the preoperative meeting 5 minutes, announced the end.
Sitting next to the general director and two attending, a resident doctor, did not accidentally sit in the spot.
Huo Congjun only stunned and smiled. The surgeon's good temper, good and good to go, Ouyang can tolerate this degree, Huo Congjun feels that it is good enough to bully.
Of course, the general deputy chief physician of the small department, and even the chief physician may not be too bully, but Huo Jun can, as far as he seems, this hardness is very satisfactory.
Sitting in front of Huo’s army, Ling Ran seems to have not been affected by Ouyang Kan’s attitude. He continues to use the laser pointer to scan the PPT. “There are two main reasons for choosing laparoscopic radical gastrectomy. The patient is still in the early stage of gastric cancer, with sufficient margins and small patient damage. Second, my lymphatic dissection is very good."
Ouyang Kan was originally prepared to talk about the problem of lymphatic dissection. He listened to Ling Ran’s answer and smiled: “This shows that you also know the problem of laparoscopic gastric cancer resection, but lymphatic dissection is a world-class problem. To ensure survival and reduce recurrence, you must thoroughly cleanse the lymph nodes of the stomach. This is very difficult. It is also necessary to completely eliminate cancer cells that have fallen out of the abdomen. This is not to mention, it is very difficult..."
"My lymphatic dissection is also very good." Ling Ran’s answer, in the eyes of others, maybe some needles are against Maimang, but he is indeed confident. Perfect grade lymphadenectomy is not a joke, and the technique is open surgery or open surgery.
Ouyang Kan is not convinced, shaking his head and saying: "I agree to give you a hand, I am 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 different after all. If you insist on using a laparoscope, then I will ask the patient to be transferred to me. We can also talk to the patient..."
"Ouyang." The director of the Department of General Surgery originally made up his mind to not speak. At this time, he had to say: "Since Dr. Ling said that he did no problem with lymphatic dissection, it would be better to continue to see it based on this. See the follow-up..."
"There is no need to listen to the follow-up. Laparoscopic lymphatic dissection is very troublesome. There is no agreement on the problems of laparoscopic and open surgery. What is the use of follow-up..."
"Don't you see Dr. Ling doing liver cancer surgery?" The general director interrupted Ouyang Kan again.
Ouyang Ka hesitated for a few seconds and said: "I have seen his liver resection, and I have seen Achilles tendon repair..."
"The trouble to find a doctor to do liver cancer surgery, scan the lymphatic screen out. Our Ouyang doctor's temper is still relatively embarrassing, look at the video is better." General Director of the foreign ministry made a request, the doctor of the emergency department to see Huo Congjun, They are all busy.The general director shook his head with some helplessness. Doctors like Ouyang Kan are getting slower and slower. There is a problem. There are too many things to do and too few things to accumulate. On weekdays, I have accumulated experience in my own surgery, but I don’t want to see the surgery that others have done.
This may be a good reason why Ouyang Can do it, and it is also the reason why Ouyang Kan can't do it.
Yu Yuan, at the fastest speed, found out a liver resection that Ling Ran did, and introduced: "This is a liver resection in Beijing, and it is now a number of hospitals in Beijing, including the second hospital. The implementation of liver resection with intraoperative examination, initiated by Dr. Ling, is currently being promoted in the United Kingdom and other places, named Ling-type hepatectomy."
Yu Yuan’s introduction of this set is said to be a quiet moment in the room.
Yu Yuan looked at this scene, proudly raised his neck, looked at both sides, and then slowly said: "Because of the limited time, I am now moving forward to the process of lymphatic dissection."
Saying, she adjusted the time and made the video fast forward.
The consultation room was quiet.
On the screen, clear and even clean surgical vision, you can see that the large grain of the lymph is being smashed, the scope of each cleaning is not large, but the operation is so smooth, the anatomical structure is distinct...
Ouyang Kan was directly stunned.
Ouyang Kan, one of the best gastric cancer experts in the province of Changzhou, can be said to have done countless sweeps of lymph, and has seen countless lymphatics. Therefore, when I saw the action, I was completely shocked.
You must be familiar with the anatomy of the abdomen, and you must know what the patient's condition is.
Ouyang Kan couldn't help but ask: "Where did you grow out?"
Ling Ran knows nothing to answer: "Danggou clinic."
"What?" Ouyang Kan did not understand.
The younger person sitting next to him couldn’t help but mutter: "Don’t ask, ask is genius."
"Genius must be a genius." Ouyang Kan heard his words and gave a response.
"Pumping."
On the screen, the surgery continues.
Ouyang Kan felt that he didn't need to read it again, and he waved his hand: "It can be closed."
Yu Yuan looked at the sides, see no one opposed, according to the words closed the screen.
"What's next?" Ouyang Kan said this sentence, the default is a laparoscopic gastrectomy.
Solving the problem of swept lymphatics, the advantages of laparoscopic surgery are much more. Just recovering the situation, you can do chemotherapy earlier, and use drugs that need more tolerance. Ouyangkan has no reason to object.
Ling Ran had no idea what Ouyang Kan’s attitude was. He only said: “The main knife is made by me. The next step is to cooperate with the problem. I envision the puncture of the pneumoperitone from the bottom of the umbilicus. After the exploration, I must first release the omentum... ":
This is the question of the surgical approach.
For an operation, the choice of approach basically determines the choice of surgery.
Ouyang Kan had a lot of preparations in this regard, but now it is a bit too lazy to say.The choice of Ling Ran is not the choice of Ouyang Kan. If it is before, Ouyang Kan will definitely oppose it. However, looking at the handsomeness of the sweeping lymph, Ouyang Kan can only persuade himself to relax.
The main knife is Ling Ran, Ouyang Kan can only recognize Ling Ran's choice.
He is now without confidence, taking the position of himself, and he is on his own.
Ling Ran succinctly introduced the approach, and then explained the situation to nurses and anesthesiologists, the benefits of comprehensive skills, revealed.
Huo Congjun’s happy back molars are exposed.
This stomach cancer is removed, and the eyelids will be successful. By then, his wish for a big emergency will be more inflated.
Today's third, still a chapter
(End of this chapter)
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