Great Doctor Ling Ran Chapter 664: Exclaim in Astonishment

Chapter 664: Exclaim in Astonishnt

Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation

As Ling Ran had been operating on quite a lot of elderly patients suffering from liver cancer lately, he had learned much from it.

When he practiced on the simulation today, he did not cut open the liver to see the degree to which the cancerous cells had spread. Instead, he sliced off a chunk of tissue straight away to see how good his judgnt was.

As it turned out, the cut he made was very accurate.

There was less than 0.4 inch of extra tissues.

In comparison, the normal practice during ordinary hepatectomy was to cut off an extra 1.2 inches or so of normal tissues. Patients who were in better health condition were able to take it, but elderly patients with weak liver function had a low likelihood of surviving the surgery. If they were to undergo normal hepatectomy, there was a very high chance that they would not wake up after the surgery.

The key to making a precise cut was a good judgnt and practice.

Ling Ran spent a few minutes judging the accuracy of his handiwork. He planned to try to stop using the Virtual Human for the upcoming surgeries.

This was because he only had access to simulations of patients’ body for a limited ti. Besides, it was not like he could share this feature with other doctors. At the end of the day, he would need to operate on patients like a normal person.

Clinical dicine relies heavily on experience, to begin with, and many things require plenty of practice. Theories were pointless. A person could also look at it another way: there was nothing wrong with talking about theories, but there was no need to tell the truth.

Take CPR as an example. The theory of CPR had changed greatly ever since people started using it. Correspondingly, CPR strategies had also undergone continuous changes. Even though we have entered the twenty-first century, the CPR manual was still constantly being updated.

Even though evidence-based dicine was all the rage now and had been infiltrating the field of dicine, it did not an that doctors had stopped relying on experience.

Similarly, the theory behind how the defibrillator worked had been evolving too. As for nitroglycerin, the chanism behind its efficacy was only discovered more than a hundred years after people started using it, after it had saved countless lives. A researcher concluded that nitroglycerin worked to loosen the cells in the endothelium and won the Nobel prize for it. The component inside nitroglycerin that loosened the cells in the endothelium was then used to make Viagra.

The field of surgery drew even more on experience.

For example, no one ever ca to an agreent about the period of ti where hepatic blood flow could be obstructed. In the beginning, surgeons were saying that it could only be done for fifteen minutes. Back then, one hour was fine. After that, so of them suggested that for every fifteen minutes where hepatic blood flow was obstructed, it should be resud for five minutes. No one actually ca out with any explanation, and they offered these suggestions based on experience.

Most of the ti, the reason behind the importance of seniority in the field of surgery was because doctors who had worked for longer had more experience. Junior doctors had no choice but to be obedient so that they could learn from senior doctors.

Even though the field of surgery was evolving, most of the ti, the more advanced a skill was, the more it could not be explained.

Ling Ran did not intend to talk about the theory behind the Ling Hepatectomy Technique either. There was no point in it as the technique was a good one anyway. It was truly able to save lives. Patients did not need theories from doctors either. All they wanted was to get cured and stay alive for a long as possible.

Surgeons were not very reasonable people.

Many of the thods employed by surgeons could not be explained, and even if those surgeons were to offer an explanation, it might not be the truth.

Ling Ran did not find it a problem at all.

He just needed to make sure that the Ling Hepatectomy Technique could be carried out without a simulation. It would not be a problem even if a surgeon needed to participate in a couple of dozens or a few hundred surgeries as an assistant to learn how to do it. It was very normal for surgeons to learn a new surgical thod by first observing before assisting other doctors for two or three years anyway.

Even ordinary hepatectomy was not an easy surgical thod, and for the longest ti, it carried a very high mortality rate.

As more and more surgeons learned how to perform hepatectomy, all of them contributed their experience to the study of the surgical thod. This was how the mortality rate slowly beca lower.

Liver cancer in elderly patients was not an easy illness to treat, to begin with. Ling Ran walked over to the operating table and glanced at the old lady on it. He then gestured to the anesthetist to carry on before returning to his position and saying, “Let’s prepare to start the surgery.”

The surgery group who had been baffled by the long wait finally perked up.

Compared to the Departnt of Surgery of Beijing Sixth University Hospital, the surgery group Donghuang Regional Hospital assigned to Ling Ran was obviously weaker. They moved a little more slowly, and they were not so good when it ca to teamwork. Even though they were better than the average surgeons and were quite provocative, it was evident that the standard of surgeons in the hospital were not as high as those in Yun Hua Hospital.

But they were after all, from a tertiary Grade A hospital, so there was a limit to how bad they could be. Ling Ran slowed down a little before picking up his pace again so that the surgery group could get used to it.

The doctors who were watching the surgery felt pretty relaxed because of this.

“He’s pretty good.” The departnt director of the General Surgery Departnt, Xu Jinyi was standing right opposite Ling Ran. Both he and the associate hospital director were standing on a bench with their arms crossed. They had a good view of the surgical field.

As the operating theaters of Donghuang Regional Hospital were not equipped with visitation rooms, it was more comfortable to watch the surgery in the operating theater.

An associate chief physician from the General Surgery Departnt who was standing beside Xu Jinyi, too, nodded with a smile and said, “He’s quite good.”

Even though both of them were praising Ling Ran, they were implying that they could achieve the sa feat too. At the sa ti, they were being pretty amicable.

As the execution of the surgery did not seem difficult, they could easily learn the surgical thod. Hence, they naturally showered Ling Ran with praises.

The other associate chief physicians from the General Surgery Departnt were also chit-chatting and laughing in a low voice. As there was no Departnt of Hepatobiliary and Pancreatic Surgery in Donghuang Regional Hospital, the departnt director and the associate chief physicians of the General Surgery Departnt were the ones who carried out liver-related surgeries.

This was also mainly because Xu Jinyi, their departnt director knew how to carry out pancreas-related surgery. Because of this, whether the associate physicians knew how to do the sa thing or not, they did not have the opportunity to do so. Hence, all of them were scrambling for liver-related surgeries.

After the departnt director retired in four or five years, the associate chief physicians would be engaging in a fiery battle. The winner would beco the departnt director of the General Surgery Departnt, and even among the losers, one of them might have the chance to start a Departnt of Hepatobiliary and Pancreatic Surgery.

As a whole, the relationship between the doctors in the General Surgery Departnt of Donghuang Regional Hospital was pretty good, and the associate chief physicians were open to learning new things too. Now that they realized that Ling Ran’s maneuvers were slow and simple, they were in a pretty good mood.

Ling Ran naturally did not have the intention to care about other people. He moved slowly up to the point where he needed to start severing the hepatic ligants. He then glanced at the clock and started picking up the pace.

The mbers of the surgery group naturally matched his pace.

They severed the round ligant, falciform ligant, right triangular ligant, left triangular ligant, coronary ligant, and the other ligants. Every ti they reached a new ligant, Ling Ran picked up his pace a little. By the ti they were working on severing the hepatoduodenal ligant, everyone around them were slowly lowering their voices.

All the surgeons had been operating on patients for more than ten years. When they saw how at ease Ling Ran was even though he was working very quickly, they understood why there was a change in pace.

“How amazing.” Xu Jinyi suddenly laughed out loud.

Feng Zhixiang was his friend, and when he heard this, he laughed too. “The legendary mont is yet to co.”

He was thinking about the way Ling Ran sutured blood vessels. It was so effortless that it was as if Ling Ran was eating a walnut cake.

The old woman on the operating table was a lot healthier than most of Ling Ran’s elderly patients. Truth be told, if it were not for the fact that the old woman could almost qualify for normal hepatectomy, Donghuang Regional Hospital would not have dared to invite Ling Ran over for a freelance surgery.

As Xu Jinyi and Feng Zhixiang spoke, Ling Ran exposed the patient’s porta hepatis and started obstructing the blood flow. He then exposed the veins…

If another surgeon were doing the sa thing, he would have gotten slower and slower. However, Ling Ran was picking up pace instead.

Ling Ran was shouldering all the burden of the surgery. From the perspective of the scrub nurse beside Ling Ran, Ling Ran was not changing instrunts at a faster pace compared to before. The anesthetist had it even easier as there was not much bleeding and Ling Ran’s movents were gentle. The patient’s vitals were relatively stable too.

Thought the doctors watching the surgery were speechless as they glanced at one another.

Ling Ran only took a few minutes to make a pre-cut and separate the liver by blunt force.

“Send it for pathological examination.” After the nurse left the room with the tissue sample, Ling Ran took off his slippery gloves. He then took a new pair of gloves and put them on.

Only then did the doctors in the operating theater start discussing the surgery.

“What the heck!”

“It took my breath away!”

“What just happened was totally beyond my wildest imaginations.”

After a while, the result was out. “The boundaries are clear.”

The doctors in the operating theater started racking their brains for words to praise Ling Ran again.

This was when Xu Jinyi quietly called Feng Zhixiang over and led him out of the operating theater. He then said in a low voice, “Professor Feng, can you do a favor?”

Feng Zhixiang chuckled as he asked, “What’s the matter?”

Xu Jinyi said, “I would like Doctor Ling to operate on .”