Somewhat similar to the one opened last week, the base of this appendix is clearly visible, with the tip of the appendix leading towards the posterior peritoneum.

The difference is that the tip of the appendix last week did not penetrate the posterior peritoneum, but today's one looks like it should have entered the posterior peritoneum.

"Brother Chin, congratulations, this one is the real ectopic appendix. Yang Xi no longer joked with Lian Xiangdong, and instructed seriously: "Follow the appendix and open the posterior peritoneum." ”

Lian Xiangdong took a deep breath and did as he was told.

The posterior peritoneum opened, Yang Xi took another look, and couldn't help but gasp. The ectopic appendix is encapsulated by the posterior peritoneum, which generally goes in two directions, one down into the pelvis and the other up into the liver. The former is simpler, but the latter is more complicated, and the appendix in front of you is clearly heading towards the liver.

"Enlarge the incision, change the lateral straight incision of the right rectus abdominis muscle, brother, if you can take this appendix, then I'm afraid there will be no appendix in the future. For Yang Xi, although this kind of ectopic appendix is also the first time he has seen it, it is very clear that it is described in "Huang Jiasi Surgery", doing things according to the rules and doing things step by step, Yang Xi does not think it is so difficult.

But for Lian Xiangdong, he has lost confidence in himself.

"Xi Shao, you better go wash your hands. Lian Xiangdong pleaded with a stumbling face.

Yin Wei also followed: "Yang Xi, it's better for you to go up, in case the old man doesn't hold it, it will only increase the trouble, isn't it?"

Reasonable!

Yang Xi nodded, turned around and walked out of the operating room.

Yin Wei said: "Old man, you really don't need to hang your head like anything, just this appendix, I, Yin Wei, dare to guarantee that at least half of your general surgery people can't take it down, and all the people below the main treatment must be killed." ”

Lian Xiangdong bowed his head and was silent, but Jiang Yubei fought back angrily and said, "Teacher Yang is not the main director, but he will definitely be able to take it!"

Yin Wei looked at Jiang Yubei, sighed lightly, and replied, "You, Teacher Yang...... Hmph, can he still be considered a person?" As he spoke, Yin Wei suddenly frowned and shouted: "I almost forgot, but I have to record this operation." After speaking, he didn't care about Lian Xiangdong and Jiang Yubei on the stage, and was busy debugging the surgical shooting equipment.

When Yang Xi returned from washing his hands and wearing gloves, he had to change positions even to the east. Yang Xi disagreed, and said: "It's still up to you to take the lead, with me here, you can just do it with confidence." ”

Hearing this, Lian Xiangdong's heart suddenly cooled. Is this the rhythm of the demon's unwillingness to take responsibility? If something really goes wrong, he Lian Xiangdong is the oldest person on the stage, so he naturally has to bear the main responsibility.

Yin Wei was also stunned when he heard it, although he didn't understand the true intentions of Yang Xi for a while, but Yin Wei believed that this arrangement must have its deep meaning.

Congratulations to Yin Wei for guessing correctly.

Yang Xi not only has a deep meaning, but also a very vicious meaning.

Boss Gao was determined to go to Liuquan Town Hospital, but it was difficult for an expert of this level to make him stay in Liuquan Town Hospital full-time, be able to make a name, and then be fixed there for one or two working days a week, and Yang Xi was already satisfied. These big names can definitely drive the development of the town hospital, but if the town hospital wants to achieve real take-off, then it must have its own backbone.

The old man is a good person, graduated from graduate school, has solid theoretical knowledge, and his understanding and spirituality on the operating table are also quite good, so Yang Xi has already written Lian Xiangdong's name on the list of backbones.

Now Lian Xiangdong, his surgical skills are still somewhat lacking, so Yang Xi must seize the opportunity to cultivate it.

And this ectopic appendix is a rare opportunity.

Jiang Yubei took the initiative to make room for Yang Xi to help, Yang Xi came to the stage, and shouted in an irrefutable tone: "Extend the incision." ”

It's also strange to say, during the time when he first saw Yang Xi and Yang Xi was getting dressed and wearing gloves when he returned from washing his hands, even Xiangdong only felt that he couldn't hold it anymore, his legs were weak, his hands trembled, and he didn't seem to be able to even help. But when Yang Xi stood on the opposite side, Lian Xiangdong suddenly came to confidence, his legs were not weak, his hands were not trembling, and even his waist was straight.

After lengthening the surgical incision, Yang Xi issued a second instruction: "Starting from the ileocecal region, release the ascending colon section by section." ”

The posterior peritoneum is simple to open, but the posterior peritoneum on the front is blocked by a large number of intestines, and the empty ileum can still be pulled aside, but the ascending colon cannot be pulled and can only be released first.

Under Yang Xi's guidance, Lian Xiangdong released the ascending colon step by step, and opened the posterior peritoneum step by step.

Posterior subperitoneum, a white cord with a few reddish threads lay lifelessly.

"Continue upwards until you see the tip of the appendix. Lian Xiangdong's movements were a little jerky, but Yang Xi was not in a hurry, just cooperated with Lian Xiangdong, and would never rob the main knife because Lian Xiangdong was too slow.

Yin Wei, who was watching from the audience, couldn't help but sigh and wanted to turn off the camera equipment, but hesitated for a moment and didn't move his steps after all.

Half an hour later, Lian Xiangdong finally let out a completely relaxed exhalation.

On the edge of the liver, below the posterior peritoneum, the head of the appendix was finally seen.

The latter is simple, free appendix head, root routine treatment, after the appendix is removed, the posterior peritoneum is sutured, the ascending colon is fixed, the abdominal cavity is flushed, and the abdomen is closed.

Lian Xiangdong, whose self-confidence had risen sharply, was able to do these tasks with ease, and at least three times he had the urge to oust Yang Xi from power. Fortunately, Yang Xi was still self-aware, and he didn't let Lian Xiangdong have a fourth time, so he took the initiative to step down.

As a result, the chief surgeon Lian Xiangdong took a helper Jiang Yubei to complete the excision of this ectopic appendix almost perfectly.

Five minutes later, Lian Xiangdong, who had finished explaining to the patient's family and filling out the pathology application, returned to the rest room, asked Yin Wei for a cigarette, lit it, took a deep puff, spewed out a thick smoke, and said something that was sincerely underwhelming: "Facts have proved how important it is to have a strong assistant as a chief surgeon!"

Yin Wei immediately glared, if he hadn't been too lazy to stand up, he would have to take a heavy kick on his ass to keep Xiangdong.

Yang Xi had a serious face, and after thinking about it, he nodded and responded: "What you said is very right, I have to have a good talk with Boss Gao, and in the future, with the help of Young Master Ben, Boss Gao will be fixed." ”

Yin Wei just inhaled a cigarette into his lungs, and when he heard it, he couldn't help choking, these two goods, one is more shameless than the other.

Lian Xiangdong sighed, since he met Yang Xi, he has not had a good day, he can't pass the exam, he can't beat others in basketball, he can't do surgery, and even if he pretends to brag about it, he will be killed in seconds.