"Why did you come back, hurry up, the director is looking for you. As soon as Liu Banxia walked into the emergency department, Shi Lei beckoned to him.

He was taken aback, although he said that he had taken a leave of absence, and now it was indeed overtime. I am very worried that in Zhou Shuwen's heart, he will be defined as playful, after all, the current Zhou Shuwen is his mentor.

After knocking on the door, he entered Zhou Shuwen's office, and then he was stunned, Wang Chao and Qi Wentao were also here. Looking at the expressions of the two of them, it seems that they are also a little blindfolded.

"Director, on the way back, I met a patient with a heart attack and sent him back to the city hospital, which delayed some time. I didn't have time to think about it, Liu Banxia first made a report on the situation.

Zhou Shuwen nodded, "Have you done laparoscopic gallbladder removal?"

Hearing Zhou Shuwen's question, Qi Wentao, who was sitting on the side, suddenly darkened his eyes, and sure enough, the director favored Liu Banxia. The meaning of this question is too obvious, I just want to find a laparoscopic cholecystectomy for Liu Banxia.

"Director, I haven't done it before, but I've seen Dr. Shi do it twice. Liu Banxia said.

Hearing Liu Banxia's sincere answer, Qi Wentao ignited hope again.

Even if Director Zhou is eccentric, he has to think about the patient, right? Next, it's time to ask himself and Wang Chao. Wang Chao's situation is not understood, but he has trained very carefully for laparoscopic gallbladder removal.

"Do you dare to do it, can you do it?" Zhou Shuwen asked Liu Banxia directly.

Liu Banxia smiled and nodded, "Dare." It is nothing more than that the way of opening is different, and the criteria for gallbladder dissection and separation are the same. ”

I'm also very happy in my heart, this is the benefit of having a teacher, I think about myself for everything.

"Wang Chao, what about you?" Zhou Shuwen asked Wang Chao again.

Wang Chao was a little timid, "Director, I did it once." ”

Zhou Shuwen nodded, "Okay, you go to the three operating rooms 4, 5, and 6, and there will be three patients who need laparoscopic gallbladder removal at eleven o'clock." Because Liu Banxia came back late, you don't have time to familiarize yourself with the case. ”

"Yes. Qi Wentao responded and ran out directly. By the way, he also glanced at Liu Banxia, with a provocative expression on his face.

finally has a chance to show his face, and the money during this time has not been spent in vain. Liu Banxia has never had laparoscopic surgery, and he can be considered successful this time.

"Director, who will help me?" asked Liu Banxia.

"Me. Zhou Shuwen said with a smile.

Wang Chaohao, who had just stood up, sat back and glanced at Liu Banxia, his eyes full of sympathy. How stressful is it when you have surgery?

Liu Banxia is indeed a little pressured, do you see that he dares to giggle with Shi Lei, and with Zhou Shuwen, does he dare to look at it, then he can lose half his life.

"Hurry up, what else do you want?" Shi Lei said with a smile after Liu Banxia came out.

"You're bad, you're bad. Did you already know it, why didn't you tell me in advance?" asked Liu Banxia.

"This is the assessment prepared by Director Zhou, how can I tell you? There is not much time to prepare, come on. Shi Lei shrugged his shoulders.

Liu Banxia is very helpless, this is all a routine. Shi Lei must have known about this matter a few days earlier, and he will have to ask Shi Lei to invite him to dinner next time.

"Doctor Liang, Qingkova, don't look at the excitement, let's go over and have a look. Liu Banxia greeted.

"What are you looking at?" asked Liang Xiaolin curiously.

"Laparoscopic gallbladder removal, although it has little to do with your heart, can also see the laparoscopic operation. Liu Banxia said.

These two people don't know what's going on, anyway, as soon as they hear that there is an operation, let's follow along.

Before taking the stage, Liu Banxia also quickly glanced at the basic situation of the patient. Patients with chronic cholecystitis for many years used to be treated conservatively, but now it really can't be delayed.

Fortunately, there is only a history of high blood pressure, no history of diabetes, which is already rare.

Brush hands on stage, and the patient is making preoperative preparations. And Liang Xiaolin was also a little frightened when she saw Zhou Shuwen in the operating room, and thought that she was going to have surgery with Liu Banxia.

"How about it? Do you want to sneak away for a while? Both Wang Chao and Qi Wentao have experience. Zhou Shuwen asked.

"Director, I really don't need to. Even though it's my first time doing it, it doesn't matter. Liu Banxia said with a smile.

"That's good. Zhou Shuwen nodded.

"Not only you, but also the doctors who are sent to the emergency department from other departments will conduct irregular assessments. Especially since you have just finished the accompaniment, you can be regarded as the first batch. ”

"The method and content of the assessment are uncertain, and in order to improve the operational capacity and efficiency of the emergency department, we will conduct it randomly. It could be a joint participation like today, or it could be a separate assessment for a single person. ”

"Senior attending doctors may also become examiners in the future, and their job is to supervise you and find fault with your work. ”

Liu Banxia nodded, which was very in line with Zhou Shuwen's style. No wonder there was no movement in the emergency department a few days ago, and now is the beginning.

After checking the patient's information, today's anesthesiologist Zhao Feng also began to administer anesthesia to the patient.

Although Zhou Shuwen is a first assistant, do you really expect him, the director, to help you do all the work that a first assistant should do? Isn't that a joke?

After the anesthesia took effect, Liu Banxia jumped on the spot twice, moved his wrists, fingers and shoulders.

Laparoscopic surgery is a great test of finger dexterity and brain coordination, and it is not like you holding a scalpel directly, which will be less than a message to convey.

Now you have an extra set of tools between the surgical instruments and your hands, if you hadn't trained in the dream space, he might not have dared to stand up today.

In the traditional laparoscopic opening method, a one-centimeter inclement is made along the upper edge of the umbilical fossa. Immediately after that, a pneumoperitoneum needle puncture is performed, and after the completion is completed, it is connected to a pneumoperitoneum machine for inflation. The goal is to increase the distance between the belly and the abdominal organs, increasing the field of view and operating space.

After the inflation was over, Liu Banxia removed the pneumoperitoneum needle, inserted the laparoscope, adjusted the angle and began to explore.

"The results of the exploration showed large adhesions around the gallbladder. The gallbladder is slightly flushed, about 9 cm X 4.5 cm in size, and laparoscopic cholecystectomy can be performed. Liu Banxia said.

"You might lose today, it's a bit sticky. You have to be very careful when separating, are you sure? I can find you another one. Zhou Shuwen spoke.

He didn't expect that this operation would become so complicated now, and too much adhesion would increase a lot of operations, and it would also bring a lot of uncertainty to the operation.

"Director, it's okay. Dr. Zhang Yun once said that no matter what kind of surgery is to peel off the coat, what is left is actually a basic dissection, let me try it. Liu Banxia said with a smile.

Zhou Shuwen nodded.

Liu Banxia directly began to make the second and third incisions, one of the two incisions was located below the xiphoid process, which was the main operation space. The other is on the front costal margin of the right armpit, which is the auxiliary operation hole, which is used by Zhou Shuwen.

After putting on the separating pliers and grabbing pliers, Liu Banxia started to operate.

The first operation, there was Zhou Shuwen on the side, the supervisor, which really brought a lot of pressure to Liu Banxia. He was very glad that he had inlaid another power stone yesterday, which could be regarded as a crooked hit.

Laparoscopic surgery is a pure instrument operation, and the strength attribute has the instrument mastery. Even if he was a little nervous at the beginning, the operation was a little slow, and then he slowly increased his speed.

Zhou Shuwen is really not too easy to do such an operation, as a "supervisor", in addition to observing the display screen, he can also take the time to look at Liu Banxia's expression.

This is also an assessment, and the expression on the face can reflect the state of mind of the surgeon, even if he is wearing a mask.

For Liu Banxia to be so confident, he is still quite satisfied. If you are confident, you will not hesitate when you operate, and you will be very decisive.

Then he didn't have time to look at Liu Banxia, there was a lot of adhesion, but the speed of Liu Banxia's separation slowly accelerated. With so many adhesions, Liu Banxia quickly cleaned them up, exposing the entire gallbladder.

Zhou Shuwen lifted the gallbladder with clamps, and Liu Banxia quickly peeled off the fat. Looking at the clear presentation of the cystic duct, gallbladder artery, common bile duct, and common liver duct on the display screen, Zhou Shuwen's heart was full of surprises.

The assessment is not only Liu Banxia's laparoscopic operation skills, but also his understanding of human body structure, that is, his understanding of anatomy.

Liu Banxia not only moved very quickly during the whole separation process, but also very gently.

This proves that there is no problem with the operation of the instrument, and for those who practice it for the first time, this is more than just an excellent rating. At the same time, it also proves that Liu Banxia has a very good understanding of the organizational structure of the gallbladder triangle.

At this time, Liu Banxia put absorbable clamps from the operation hole and clamped the cystic duct as close to the neck of the gallbladder as possible. Then the common bile duct and gallbladder artery were clamped, and every time they were clamped, they were so clean and neat.

After cutting, Liu Banxia carefully peeled off the gallbladder from the back of the liver.

Looking at his operation, both Liang Xiaolin and Qingkova sweated. This is the liver, and if you move a little bit, you will be damaged.

Although it is said that hemostasis treatment can also be carried out, but today is different, there is Zhou Shuwen, the big boss, watching on the spot. An inconspicuous little mistake will be infinitely magnified.

After separating the entire gallbladder and putting it into a disposable retrieval bag, and taking it out along the operation opening, Liu Banxia breathed a sigh of relief.

Originally, I wanted to get used to it, but I accidentally noticed Zhou Shuwen's eyes, and hurriedly carried out the final cleaning and spraying to stop the bleeding.

"Dr. Liang, you can stitch it up. After all the operations were completed, Liu Banxia said.

It was not a big wound in the first place, and Liang Xiaolin sutured it quickly.

Ding! Daily Mission Complete (20/20)

Gain 300 XP and 5 Glory

After the cholecystectomy is completed, you will gain 200 experience points, 500 cholecystectomy skill proficiency points, and 100 diagnostic skill proficiency points

This operation is rated as Perfect, gaining 500 experience points, 1000 gallbladder removal skill proficiency points, 100 diagnostic skill proficiency points, and 7 glory points

Liu Banxia glanced at the timer in the operating room, and it was 35 minutes from the beginning of the operation to now.