第1382章 争(1 / 2)

大医凌然 志鸟村 1068 字 2022-04-23

马砚麟做完手术,也从控制台的位置撤下来,跳着活动起来。

凌然出门去看病人的情况了,身为手术助手的马砚麟反而闲了下来。隔壁房间要准备好还得一会的时间,马砚麟就着咖啡吃了点不知名的糕点,凑到左慈典跟前,低声道:“我看梁主任跳脚呢,是病人不够了吧?”

“嗯。”左慈典点点头,左右看看,见没人注意,才道:“他应该是把急诊的病人也捞过来了,但咱们这边要的是愿意做达芬奇的,他们急诊也就凑了两个,那肯定是不够的。”

“任谁让凌医生这么做手术,都够不上啊。”马砚麟感慨一声,又道:“梁主任估计还没来得及寻思病床的事呢,等他想到病床的时候,估计血压得飙到180去了。”

“所以,咱是不坑人的,说是送署名,那肯定不会让人觉得这个署名不值钱。”左慈典自己说着笑了起来。

他们这次来泰武中心医院是没什么准备的,主要是因为机器人手术相对还是比较稀罕的东西,突然之间找过来,想套套交情都是套不到的,因此遭了点不足为过的冷眼,实属正常。不过,这会儿稍微找补一点不足为过的麻烦,也是实属正常。

“准备啥时候卖好去?别一会儿真的断供了。”马砚麟也很熟悉左慈典的这些套路了。他们这两年跑了全国许多的医院做飞刀,遇到的形形色色的地头蛇也是少不了的,左慈典同样是尝试了多种招数,才让凌治疗组显的顺风顺水,风平浪静。

“再过个十分钟。”左慈典耸耸肩,道:“等他确实找不到合适的了,我再准备建议他找个肝切除的病例。”

“咦,能做吗?”马砚麟有些惊讶。肝切除的难度本身就是极高的,叠加达芬奇来操作的话,单纯的练习风险是不小的,尤其是在外飞刀的情况下。

“凌医生说能做。”

“也是,最差的情况就是中转开腹。”马砚麟这么一想,不禁感慨起来:“这么论起来,梁主任这边要开展达芬奇机器人的肝切除手术,弄不好还得求到咱们头上来。”

开放式手术是腔镜手术的保险栓,不管是腹腔镜、胸腔镜还是宫腔镜,按部就班的做,不出问题的时候,那都是极好的手术方案。但是,一旦也资料之外的情况出现,开放式手术就是最后的保险措施了。

正因为如此,国内最早开展腹腔镜的,最早开展心脏支架的,都是普外科,心脏外科开展最成熟的医院,不如此,新手术的开发根本是无根之萍。在医院的环境下,没有人敢幻想手术永不出事,因为一旦出事就是大事,就是要命的事。

从制度的角度来说,不是不允许出事,但到了调查阶段,是否有充足的准备,是否采取了正确和充足的抢救措施则是死亡讨论的重点,对达芬奇机器人的手术来说,出事之前,中转开腹自然是最必须的手段了。

事实上,用达芬奇机器人做手术,总有一定的概率会出问题,转而改成了开腹手术的。这就好像自然顺产的孕妇,总有迫不得已要转剖腹产的,就现代医学的发展程度而言,这是无可奈何的事。

但是,如果中转开腹出了问题,或者更糟糕的,没有做开放式手术的准备,那就不是无可奈何,而是医疗事故了。

左慈典有些意外的看向马砚麟,用手搓着下巴,道:“你别说,小马你这个思路,还有点精奇的。”

“嗯?”马砚麟更加意外的看向左慈典:“你到什么了?”

“泰武中心医院是大普外,肝胆胰都没有独立出来的。”左慈典道。

“他们应该也有做肝脏吧。”

“有做肝脏的,但是嘛……梁学主任的专长是胰腺和十二指肠。”

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