Chapter 842: Cut On Site

Translator: EndlessFantasy Translation  Editor: EndlessFantasy Translation

Ling Ran watched surgeries for the entire day. Then, when he saw that Dan Quan had started to perform open gastrectomy, he walked away.

He did not look down on Dan Quan’s open gastrectomy, he looked down on it very much. He was at most at the beginning of Specialist Level. If he could not handle the middle and later parts of the surgery well, then he would only be at advanced Novice Level. For Ling Ran, there was no use for him to refer to his skills.

From this point of view, it was clear that Dan Quan did not perform a lot of laparotomies. Perhaps most of his time was spent on laparoscopes.

Speaking of which, this was also a common state for Dan Quan’s generation of doctors in the field of general surgery. Some doctors who were lucky in the hospital rushed to perform open abdominal surgeries, and when they were still young, they got to perform major surgeries and develop their skills in the area of open abdominal surgeries. Meanwhile, those doctors who were unlucky would not be able to become chief surgeons for major surgeries even when they got older, and they could only depend on laparoscopes to support their lives…

Few people could predict that the laparoscope would develop to what it was today.

The surgeries done by the General Surgery Department were almost completely performed through laparoscopes. For those who were skilled in using laparoscopes, there were only surgeries they could not perform well, never surgeries that they could not do.

Unfortunately, Dan Quan was also an extremity in the field of laparoscopy. His best single-site laparoscopy was not good enough for him to deal with every situation, and since he was still a little young and worked in the prestigious Yun Hua Hospital, most of the triple-site laparoscopies were done by his seniors.

Dan Quan knew about his situation. When he saw that Ling Ran did not take an interest in his open abdominal surgery, he let out a sigh of relief and said with a smile, “With a handsome guy in front of you, all of you can’t even say something witty. Finally, he’s gone.”

“Chief Physician Dan, no one uses the term ‘witty’ anymore. Even if you’re handsome, once you say that, you’ll look really crass.” The nurse who was washing her hand pouted.

Chief Physician Dan laughed. “Oh, then it’s my fault. I should say that we should be cracking dirty jokes. Let me say the first one…”

The circulating nurses sighed as she looked at the door’s direction. “I hope Doctor Ling is just going to wash his hands, and he’s coming back to perform the surgery with us.”

Chief Physician Dan wanted to be unhappy, but when he thought about Ling Ran’s face, the feeling was gone.

Even he felt that Ling Ran brought about a different atmosphere when he entered the operating theater. They might face the same blue wall and green floor, but the people around him felt happier when he was around.

“The Emergency Medical Center can’t even finish its own surgeries. It’s impossible for them to supervise ours all day long,” Chief Physician Dan replied to the circulating nurse. He then turned around and went on with the same topic. “The Emergency Medical Center’s bonus this year should be very high. It’s already amazing that you can successfully complete a hepatectomy. Now, they should be performing fifty cases per month.”

“I think they exceeded that number last month. They should have performed sixty or seventy cases.” The assistant was a junior doctor who gave off a weak presence. He held the mirror and quickly gossiped about the doctors.

Chief Physician Dan clicked his tongue a couple of times and was a little envious, “On average, two hepatectomies can be carried in a day. If they really carried it out, they would only be able to reach sixty to seventy cases a month by operating on three to four cases a day.”

He was a chief surgeon himself. He knew the various problems that arose when making arrangements for surgeries, especially in large-scale surgery. A lot of manpower and material resources would need to be accumulated for the preoperative consultation and all matters that required post-operation. If this opportunity was to be given to normal doctors, they would also be able to perform sixty or seventy surgeries a month as well. But under normal circumstances, a normal department could not possibly release such a large number of resources to a normal doctor.

Take Ling Ran’s surgeries as an example. Right now, his treatment group was equivalent to having one associate chief physician, one chief resident, three resident doctors, multiple housemen and interns, along with an unlimited number of anesthetists and nurses waiting on him hand and foot.

Chief Physician Dan did not think it was necessary, and he did not want to bear so much pressure either, he just felt a little envious, that was all.

“Freedom is still the best.” Chief Physician Dan laughed and continued to busy himself with the surgery.

Early in the morning on the next day, Chief Physician Dan drove his Mercedes-Benz. Just like usual, he drove slowly and kept to the car lane while giving way to pedestrians. He only stepped on the accelerator when he was about to reach the hospital.

He arrived at the hospital five minutes earlier than yesterday.

When he entered the elevator, Chief Physician Dan subconsciously took out his phone and looked through it.

He was scheduled for surgery at nine o’clock today, and the time was…

‘It’s okay to be a little late…’ Chief Physician Dan laughed at himself. ‘Those who become chief physicians but failed in becoming a department get to enjoy freedom, isn’t it? Being a little late is nothing…’

Chief Physician Dan might be thinking about that, but once he left the elevator, he still sped up a little.

As usual, he changed into his scrubs and went to the bathroom after a little examination.

Chief Physician Dan looked around. When he saw that there was nothing unusual, he began to wash his hands. He mocked himself. ‘What’s wrong with me today? Why am I being so paranoid?’

After he mocked himself, Chief Physician Dan lowered his head and washed his hands. He was a little unnerved.

He washed his hands, dried them, and entered the operating theater.

Chief Physician Dan looked up and saw Ling Ran.

He stood with his back straight, and his white coat fluttered a little. His body proportion was so balanced that he looked like a statue. As far as visual effects were concerned, if he were dissected, perhaps the shape of his muscles would be incredibly beautiful as well.

Chief Physician Dan suddenly felt relieved.

“Ling Ran, you’re here to watch the surgery?” Chief Physician Dan smiled.

“Yes,” Ling Ran replied. He then turned around, gave Chief Physician Dan a smile, and asked, “May I be your assistant?”

“Oh…” Chief Physician Dan immediately felt a little conflicted. “My assistant just helps me hold the laparoscope.”

“The feeling will still not be the same,” Ling Ran said.

Chief Physician Dan sighed. “Well if you want to help, go ahead. Whatever your name is, you can rest for a while.”

The general surgeon who was supposed to be his assistant obediently stepped back.

He did not dare to compete with Ling Ran for a place.

Ling Ran and Chief Physician Dan stood by each other. When the patient was anesthetized, they immediately got to the surgery.

Chief Physician Dan stood between the patient’s legs and made an incision as he said, “The current contraindications of single-site laparoscopy are basically the same as laparotomy, but the surgical trauma is small, which is still at our advantage…”

Ling Ran listened to Chief Physician Dan, silently remembered what he said, and compared what he said to the information he personally knew.

Splenectomy, which was the current surgery, was something that Ling Ran was very familiar with, but he had never done it through single-site laparoscopy before. Since the patients who received splenectomy from the Emergency Department always required emergency splenectomy, the most common method used was still exploratory laparotomy followed by surgery.

In general, the most common indications were thalassemia and other blood diseases, as well as a splenic cyst, and mild to moderate splenomegaly caused by splenic hemangioma. The safety of this elective surgery was relatively high. With sufficient preparation time before the surgery, Chief Physician Dan could handle the surgery with ease.

Ling Ran held on the laparoscope and acted as the chief surgeon’s eyes. He was also really interested in watching the surgery.

After the surgery, Ling Ran immediately texted Zuo Cidian through WeChat. [Splenectomy.]

Zuo Cidian quickly replied. [Noted, will arrange it immediately.]

…..

At noon, Ling Ran received his first splenectomy patient.

This time, Ling Ran became the chief surgeon. While he did the incision, he said to Ren Qi, who wanted to learn single-site laparoscopy, “The current contraindications of single-site laparoscopy are basically the same as laparotomy…”

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