"Bed No. 5 Li Xiangquan!"

At about one o'clock in the morning, Li Xiangquan had fallen asleep in a daze, and Li Xiangquan's wife, who was accompanying him, was also napping on the edge of the bed, and the nurse pushed the door and walked in.

"Ah......h

Li Xiangquan's wife hurriedly got up.

The nurse didn't turn on the light, walked to the side of the bed and said, "Get ready, operate on time at two o'clock, say anything uncomfortable in advance, and keep in mind the precautions explained before." ”

"Well, got it. Li Xiangquan's wife nodded hurriedly.

The nurse said hello and turned to leave, as soon as the nurse left, Li Xiangquan naturally couldn't sleep, and Xiang Yunlan and Ying Haitao in the next bed also woke up.

In fact, Ying Haitao didn't fall asleep at all, but the other patients and their families in the ward were resting, and Ying Haitao was just lying alone, staring at the ceiling with his eyes.

Li Xiangquan, who was on the side of the hospital bed, was still a little excited at this time, after all, common hepatobiliary stones are not minor surgery, and Li Xiangquan's location of this stone is relatively special, and if a part of the liver is removed, there is still a risk of surgery.

Ying Haitao subconsciously glanced at Li Xiangquan, he also had surgery for early gastric cancer resection three years ago, and his mentality was similar to Li Xiangquan at that time, but Li Xiangquan was a stone, and he could be discharged from the hospital after surgery, but his was cancer......

......

When Fang Han came to the hospital, it was already forty.

After eight or nine hours of experience in the simulated space, and then sorted out the experience summarized in the simulated space, it was almost eleven o'clock when Fang Han slept, and he slept for more than two hours.

Afraid of delaying the operation, Fang Han deliberately turned on the alarm clock before going to bed.

When they came to the operating room, Kuang Mingzhuo had already arrived and was washing his hands and disinfecting his hands, Chen Binyang and Xiao Yunheng and the nurses had already begun to lay out towels, Wen Xueyi, Li Xiaofei, Lin Guangcai and others had also changed their hand clothes and prepared to observe the scene.

"Doctor Fang, I'll help you change your clothes. ”

When Lin Yushan saw Fang Han, she immediately walked over to help Fang Han put on a surgical gown.

Kuang Mingzhuo, who was washing his hands, was envious, he was also a deputy high-level, he needed the help of the nurses to change the surgical gown, and he still needed to speak, Fang Han didn't need to open his mouth at all, the nurses would take the initiative to help.

"Doctor Fang, eat something, chocolate, pad, a few hours of surgery, replenish your energy." There was another nurse on the side who took the peeled chocolate and sent it directly to Fang Han's mouth.

Fang Han opened his mouth, swallowed the chocolate into his mouth, and his lips touched the little nurse's fingers, and the little nurse suddenly flew into her cheeks, and her heart beat faster.

The nurses on the side who didn't grab the opportunity were all envious, damn Xiao Liu, actually touched Dr. Fang's lips, I don't know what Dr. Fang's lips feel, is it soft, very warm, if it can......

.......

Fang Han changed his clothes and also went over to wash his hands and disinfect them, Kuang Mingzhuo had already put on his gloves at this time, looked at Fang Han and said, "Doctor Fang, are you the chief surgeon today?"

"Yes. Fang Han nodded, Fang Han had no opinion on whether the main knife or the assistant was the assistant.

Like Kuang Ming, Zhuo Wen Xueyi and even Lu Xinwen and others, they are all professional specialists, and specialists naturally need to improve their specialist skills and maintain their status.

Take Kuang Mingzhuo as an example, the reason why he came to Jiangzhong Hospital is precisely because he doesn't look down on some small hospitals in Jiangzhou Province, and if he goes to a big hospital, he is not the number one.

Wen Xueyi and Lu Xinwen are even more so, both of them are professional orthopedic surgeons, one is good at joint replacement, the other is good at amputated limb replantation and tendon repair, both have their own fields.

The surgeon's sense of domain is quite strong, especially in a hospital, the respected ones are often the first, they are all the chiefs, as for the second and third and so on, it doesn't matter.

When patients look for doctors and throwing knives, they naturally want to find the first powerful one, and no one wants to find the second powerful one.

In the same hospital, if you have to meet a stronger chief, the rest of the doctors in the same field can only eat leftovers.

Although Fang Han is proficient in left and right hemiliver resection and joint replacement, he has never positioned himself as a surgeon or a doctor in a certain department, so he doesn't care whether he is the chief surgeon or an assistant.

When Fang Han put on his gloves, Kuang Mingzhuo looked at the time and notified the outside to send the patient into the operating room, and he and Fang Han also walked into the operating room.

"Li Xiangquan?"

The anesthesiologist stepped forward to confirm his identity.

"Hmm. Li Xiangquan nodded.

"Gender?"

"Man!"

The anesthesiologist asked and confirmed, and then instantly turned Li Xiang under general anesthesia.

Fang Han walked to the main knife position, Kuang Mingzhuo gave Fang Han a hand, and Xiao Yunheng and Chen Binyang also quickly took their respective positions.

"Today is Dr. Fang's chief surgeon?"

Looking at Fang Han who was walking towards the main knife position, Chen Binyang asked Xiao Yunheng on the side softly, they have been coming to Jiangzhong Courtyard for a while, and they saw Fang Han personally operating on the first day they came, but it has been so long, but they have not had the opportunity to be on the same stage with Fang Han.

"It seems that today's surgery should be performed by Dr. Fang. Xiao Yunheng nodded and said in a low voice: "The patient's condition is a little special, and he has been conditioning for nearly twenty days." ”

"Eighteen days. Chen Binyang nodded.

The two of them whispered, and Fang Han had already begun to open his stomach.

The skills obtained through the system, even if they are obtained by copying the card, have an advantage, that is, they will not be unfamiliar, unlike other doctors who are self-taught, they need to be constantly skilled, and they do not do surgery for a long time, even if they are powerful doctors, there is a process of hand life.

Surgery, like martial arts, pays attention to a practice makes perfect, perseverance, and some originally more powerful surgeons or internists have fewer opportunities to go to clinical practice after becoming leaders, and their abilities will also deteriorate.

Even though Fang Han has not had hepatobiliary surgery for nearly a month, his level is still online.

"It seems that the conditioning effect is good during this period of time, and there is not much inflammation near the gallbladder. ”

With the exposure of the surgical field, Kuang Mingzhuo looked at the patient's liver and gallbladder condition and couldn't help but say.

"Well, the conditioning is not bad, and the treatment of acupuncture and massage is still very effective. Fang Han nodded and said, "Pull the hook, the stomach and duodenum are pulled to the left, and the liver gallbladder is pulled to the right, fully exposing the common hepatobiliary duct and the omentum foramen below." ”

Xiao Yunheng and Chen Binyang hurriedly cooperated with the hook to expose their vision.

Kuang Mingzhuo also reached out and touched his liver, and said with a smile: "This liver is quite fat." ”

"Severe fatty liver, or it won't lead to stones. Xiao Yunheng interjected with a smile.

Usually Kuang Mingzhuo still likes to chat during surgery, Xiao Yunheng and Chen Binyang are used to it, but Fang Han doesn't like to talk much during surgery, and the operation process is a little dull.

It's also a loss to Kuang Mingzhuo, Fang Han doesn't like to speak, although Kuang Mingzhuo's words are less, but occasionally he will still say a few words, or even make two jokes, if Kuang Mingzhuo is not present, Xiao Yunheng and Chen Binyang really don't dare to interject casually.

"The causal relationship between stones and fatty liver is not large. Kuang Mingzhuo said with a smile.

"It's still a little related, it's all caused by unhealthy eating habits and lifestyle habits. Fang Han also interjected.

Generally speaking, stones are composed of inorganic salts or organic matter, and most of the causes of formation are composed of exfoliated epithelial cells, bacterial mass, parasite eggs or worms, fecal masses or foreign bodies, and inorganic salts or organic matter are deposited layer by layer on the core, and stones are formed over time.

In layman's terms, it's like limescale in a thermos flask.

Generally speaking, patients who are prone to calculi are also caused by irregular life and rest, and lack of attention to diet.

Poor metabolic function, excess debris can not be excreted smoothly, it is easy to form stones or lumps, and fatty liver is actually caused by diet and work and rest.

Fatty liver is not a disease, and it has nothing to do with being fat or thin, but patients with fatty liver are much more likely to develop the disease than normal.

Just like smoking, regular smokers have a higher probability of developing lung and respiratory diseases, and the probability of getting lung cancer is higher.

As his vision was exposed, Fang Han said while carefully probing: "The situation is better than we expected, and there is no need to remove the liver." ”

Kuang Mingzhuo also watched from the side, nodded and said, "Well, the location is better than we expected." ”

"The large and small intestines are pulled down a little further and filled with gauze to prevent bile from escaping. ”

Fang Han reminded him, and began to cut the duodenum, exposing the common bile duct, and if there was no need to remove the liver, this operation would be much simpler.

......

"One piece, two pieces ......"

Fang Han should carefully take out five stones from the patient's common bile duct, the smaller ones are the size of mung beans, and the largest one is almost the size of a small yellow bean.

"Five stones!"

Kuang Mingzhuo looked at the location of the stone and said, "Judging from the location of the stone, compared to the last inspection, the position of the stone seems to have shifted. ”

"Well, it's offset. Fang Han nodded: "It should be the effect of acupuncture treatment during this period of time." ”

In the past 18 days, Li Xiangquan in addition to cooperating with the decoction every day, but also to do an acupuncture treatment to relieve the pain, these 18 days of acupuncture treatment seems to be good, not only to help Li Xiangquan relieve the pain, should also soothe the meridians, resulting in the stone deviation, if according to the examination in the third hospital of Linhai City at that time, at least part of the liver should be removed.

"Let's take the rest of the sutures, Doctor Xiao?" Fang Han looked at Xiao Yunheng.

"Good. Xiao Yunheng nodded hurriedly, in this kind of operation, he was already very happy that he could get a suture.

Fang Han got out of the way and let Xiao Yunheng get started, and the nurse on the side hurriedly stepped forward to wipe Fang Han's sweat, wiped the sweat and handed Fang Han a glass of glucose water.

Fang Han took a sip, and then said: "The stone is displaced, and today's wound is much smaller, especially if there is no wound in the liver, the risk of the patient's recovery is also much smaller." ”

Kuang Mingzhuo nodded: "You don't even need to send it to the ICU." ”

"Well, let's just send it back to the ward and let the nurse pay more attention. Fang Han nodded.

The ICU is charged according to the time, how much is an hour, there is no need, Fang Han is naturally willing to save some money for patients.

PS: Recommended votes.,The daughter hasn't taken the initiative to ask for it recently.,This ticket is a lot less.,This month's ranking is almost thirty.,It's not scientific!