Chapter 1005: Arduously
“We’re separating the lower right lobe right now, and this is a relatively simple step. But there are some details you need to pay attention to…
“This patient’s right triangular ligament is relatively thick, and he has a typical transverse, saddle-like liver. The left lobe of his liver is relatively large, so life after hepatectomy will be easier for him as his left lobe would be able to take over more functions that used to be performed by the right lobe. He’ll have quite a large chunk of liver left. In short, the margin for error in the surgery is higher…
“The inferior vena cava and the short hepatic vein have to be completely separated too. Similarly, the process will be relatively easy…”
As Ling Ran was carrying out a demonstrative surgery, he had to explain things in a demonstrative way. Of course, this was not very hard for Ling Ran. He merely had to speak in public, and even though he did not really like doing that, he was not aversive toward it either.
And on the bright side, whenever he carried out demonstrative surgeries, the operating theaters would be extremely quiet. The a.s.sistants would be fully focused too, and this made things very comfortable for him.
As they usually had to do eight to ten surgeries a day, even Ling Ran could not force his a.s.sistants to be fully focused from the beginning to the end every day.
The team worked a lot better than usual during demonstrative surgeries, which made everything easier for Ling Ran.
However, Ling Ran’s voice sounded a little shrill to Chief Physician Ji and Chief Physician Fan.
‘Why is he only giving a brief explanation for every step? Can’t you be more detailed while also keeping it concise?
‘Why is every step being done so fast? Are you sure that you’re carrying out a demonstrative surgery?’
Most importantly, Ling Ran looked like he had practiced every single step for years, and his maneuvers were so perfect that it was almost unbelievable. Chief Physician Ji was in disbelief that someone was actually able to achieve this.
After all, a skill could not be learned in a day or two. It took months and years of practice.
There were bound to be days when people were not feeling their best. They might be ill or in a bad mood. They might also get affected by external factors such as a cheating spouse or the financial crisis. How was it possible for any doctor to be at their best and give their all to a training session every day? It was very normal for doctors to slip up every now and then, gain weight or get cheated on by their spouse.
However, this phenomenon was not seen in Ling Ran at all.
Chief Physician Ji could not help but look at Old Fan.
They knew each other very well, and Old Fan immediately understood what the other party meant. He could not help but shake his head and whispered to Chief Physician Ji, “Don’t you find this young man a little strange?”
Chief Physician Ji actually agreed with what Old Fan had said, but he merely lowered his head and kept quiet.
“Chief Physician Ji, I’m actually not very familiar with hepatectomy.” Old Fan was not worried about embarra.s.sing himself. He was Chief Physician Ji’s right hand man to begin with, and it was very normal for him to show signs of weaknesses.
Chief Physician Ji hummed in acknowledgement and said slowly, “Focus on the basic maneuvers. He found fault with the way we suture patients, after all.”
“Understood,” Old Fan quickly replied.
Chief Physician Ji forced a smile. He acted like he had everything under control.
Truth be told, Old Ji was actually extremely anxious too.
He had actually performed quite a lot of cases of hepatectomy. All general surgeons were willing to perform hepatectomy when they were younger. This was after all, the surgical method that could ensure the fast development of their careers.
However, Old Ji was too diffident to say that he knew how to perform hepatectomy in front of what Ling Ran was doing right now.
From the beginning to the end, he had no intention of finding fault with Ling Ran’s maneuvers that were exclusive to the surgical method.
He just wanted to find fault in the basic maneuvers Ling Ran performed.
Such as the separation of the liver… Hm… he seemed to have sliced it off already.
Chief Physician Ji turned and saw that Ling Ran was treating the wounded area, and he could not help but go into a daze.
This was where they had their disagreement earlier.
Chief Physician Ji included a suggestion that they could use t.i.tanium clips for bleeding control in the expert opinion article, and Ling Ran criticized him so badly that he almost peed his pants.
But in reality, things would be faster with the help of t.i.tanium clips.
And when hepatectomy was done quickly, it meant that the patient would lose less blood and have a better prognosis. And the most important steps to hepatectomy was separation of the liver and the treatment of the wounded area.
Due to the rich blood supply to the liver, there were plenty of variables, and things were very complicated. Hence, there were many different ways to go about hepatectomy. It was simple for a surgeon to go with the method that would bring the most benefits to the patient, but things were not always this clear cut. Chief Physician Ji knew very well that because of the complexity of hepatectomy, he could easily find fault in Ling Ran’s maneuvers.
“Pay attention to this part.” Chief Physician Ji reminded Old Fan.
Old Fan nodded a little. He straightened his back to show how seriously he was taking this.
Guo Liqing saw what the two of them were doing and laughed internally in disdain. ‘Doctors from Yun Hua Provincial Hospital have never seen the world indeed. They weren’t able to find fault in the beginning parts of the surgery, so what makes them think that they would be able to do it now?’
He had watched Ling Ran operate on patients many times, and he knew Ling Ran’s style.
As expected, Ling Ran’s voice rang out of the speakers of the venue. “Bleeding control of the wounded area after the separation of the liver is also a very important step. It could be said to be the most complicated part of the surgery…”
As he spoke, he asked for a surgical thread and started st.i.tching up the small blood vessels on the wounded area.
When Old Fan heard what Ling Ran said, he actually breathed an internal sigh of relief. He chuckled softly and said to Old Ji, “Ling Ran probably got scared.”
Old Ji’s gaze was sharp. “He no longer has a choice in this matter. You know, it’s difficult to get something done, but it’s easy to find fault with something.”
“Of course it is. Look at the way he’s dealing with that bile leakage… Wow…” Old Fan had to stop himself from praising Ling Ran.
Old Ji’s mouth was wide, too. He looked like a basketball lover who was watching a professional basketball player.
“Chief Physician Ji, why don’t you give some comments?” Guo Liqing asked provocatively.
He was merely an a.s.sociate chief Physician from the Department of Urology, and the hardest surgery that he frequently did was st.i.tching up the ureters of patients that were accidentally wounded by doctors from the Gynaecology Department. Chances to speak provocative words like this during an academic conference was hard to come by for him.
Chief Physician Ji had not given any comments since the surgery began. He chuckled and raised his head to look at the large screen.
There were three screens on the wall. Two were showing a high definition live stream of the surgical field, while another was showing the situation inside the operating theater. Not only could the audience see the a.s.sistants who were busy working in the operating theater, but they could also see what exactly the chief surgeon was doing. And Ling Ran was quick, accurate and stable.
Old Ji placed his hand on the switch of his microphone and let it stay there for a few seconds. He waited for a few more seconds as he looked at the screen, but he said nothing.
There was a smile on Guo Liqing’s face, and he somehow felt pleased with himself. It was just like the way he always boasted about how there used to be an emperor named Guo Wei in China. Chai Rong, Guo Wei’s adoptive son, might have taken over the crown, and his empire was ruined by Emperor Taizu of Song, however, these did not change the fact that there was an emperor with the surname “Guo”, and it meant that Guo Liqing came from an excellent family!
Ling Ran almost did not stop at all as he operated on the patient.
Even people who were not familiar with hepatectomy could tell how skilled Ling Ran was.
Old Ji did end up pressing on the power b.u.t.ton.
His microphone’s red light flashed as Guo Liqing, Old Xu, and a few other people looked at him.
Chief Physician Ji said slowly, “We always try our best to encourage young people.”
After he finished speaking, Chief Physician Ji switched off his microphone.
The surgery continued.
The venue was as silent as ever.
Old Xu switched on his microphone and started flattering Ling Ran in an extravagant manner.
The manufacturing representative from Duco Medical Company looked at the harmonious scene with gla.s.sy eyes. He neither looked shocked nor sad. He looked like he had no desires in life. He looked like he was about to lose his job.
“Alright, we’ll be taking our leave first.” At some point, Chief Physician Hao from the People’s Liberation Army General Hospital went toward the manufacturing representative. He tapped the other party’s shoulder with a smile on his face.
“Ah, okay. I’ll get you a car.” The manufacturing representative regained his senses.
Chief Physician Hao nodded and looked at Chief Physician Ji, who had only spoken one sentence during the surgery. He said with a smile. “Not bad. Old Ji’s able to hold it in.”
The manufacturing representative arduously tried to stay calm, and he tried his best not to look at Chief Physician Ji and his entourage.