At 8:35 a.m., the operation began.

Three knives and three holes, insert surgical instruments.

The pneumoperitoneum is completed and the gallbladder triangle is explored.

The cystic duct is free, clamped with a titanium clip and then severed.

Clamp the stump of the cystic duct, lift the gallbladder upward, and bluntly separate the gallbladder bed......

"Director Yin, arrange to pick up the next patient. On the operating table, the chief surgeon Yang Xi gave an order in a deep voice.

Yin Wei, who was busy filling out the anesthesia record, suddenly raised his head, what?

How does Lao Tzu feel that it has just begun?

Gao Yong glanced at Yin Wei and nodded slightly, as if to say, yes, pull out the gallbladder and stitch up the three holes in the patient's belly, and the operation will be over.

In the live broadcast room, two audience members quarreled in the form of text.

"There are no highlights in this operation!"

"Why are there no bright spots?"

"The anatomy of the patient's gallbladder triangle is simple and clear, there is no inflammatory adhesions, and the gallbladder bed is smaller than that of ordinary people, so it is relatively easy to peel off. ”

"You can do it!"

"Hehe, let me tell you, I can really take this operation easily. ”

"18 minutes, big brother, not 18 centimeters, you blow an 18 minutes to show your brother?"

“......”

The man in front of him was silent.

The difficulty of the operation is indeed not great, even if it is left to Zhang Yao to do it, it can be safely taken down, but it is difficult to say how much time it will take to take it down.

At the beginning, Director Ma in his heyday forced Jiang Pujun, a genius-level surgical director of the older generation, to give up the study of laparoscopy with a laparoscopic cholecystectomy in only 25 minutes. Since then, Director Ma has also performed more than 100 laparoscopic cholecystectomys that have broken the 30-minute mark, but he has never surpassed the original record of 25 minutes for one operation.

Qin Gewei, who is behind Director Ma, has also entered within 30 minutes dozens of times, but it is always two or three minutes away from Director Ma's record.

Record, in a way, means the limit.

It's like a sports competition, it's hard to come back with a championship, but it's much easier than breaking a record.

But Yang Xi, a demon, easily broke the hospital record that Director Ma had held for 15 years when he performed laparoscopic surgery for the second time.

It's so anti-human!

What a pseudoscience!

Gao Yong and Yin Wei looked at each other again, comforting each other, wanting to be brothers, don't treat that kid as a human being.

Fifteen minutes later, the second operation began.

The number of viewers in the live broadcast room has more than doubled.

From 9 to 19.

Although the number of viewers is extremely miserable, the live broadcast room is very lively, because the two brothers who quarreled during the last operation are once again on the bar.

"This operation ......"

"If you have something to say, don't point to it, they are all peers, you don't need to dress deep. ”

"I want to say that the difficulty of this operation is much more difficult than the previous one, and at the level of the surgeon, it should be no problem to win, but in terms of time, I see that 3 18 minutes are hanging. ”

"It's more difficult than the last one, I admit it, but if you want to say that you can't get it for 3 18 minutes, I don't think so. ”

"Brother Tai, why don't we make a bet? Within 50 minutes, if the surgeon completes the operation, I will lose. ”

"3 18 minutes is 54 minutes, big brother, if you send an address, I'll send you a computer. ”

"Don't bother with those 3 minutes and 5 minutes, just ask you, do you dare to gamble?"

"What about giving you 4 minutes? Say, how to bet. ”

......

The normal anatomical structure of the gallbladder triangle is that the left and right liver ducts merge with the liver to form the common hepatic duct, and the common hepatic duct extends downward and merges with the cystic duct to form the common bile duct, and the end of the common bile duct is connected to the duodenum.

However, the anatomical structure of the gallbladder triangle in this patient is clearly deformed.

At the lower end of its cystic duct, an extra tubular structure was born horizontally.

If you don't sort out the tubes in the gallbladder triangle, whoever performs the surgery will not dare to go under the knife easily. Even if it is sorted out, such a deformity will inevitably bring a lot of difficulty to the recipient.

This is also the core focus of the two people in the live broadcast room.

As if deliberately [ ] taking advantage of the fact that the two of them only cared about raising the bar and did not pay attention to the progress of the operation, it took Yang Xi less than 5 minutes on the stage to sort out the deformed anatomy of the patient.

"Brother Yin, you can write a single case report on this operation, the common hepatic duct is missing, and the case of the direct confluence of the right hepatic duct and the cystic duct is really rare. As Yang Xi spoke, he had already used a titanium clip to clamp the cystic duct, which was a large section shorter. "Boss, I'm afraid it's not easy to peel from the bottom up, let's peel from the top down. ”

Peeling from the bottom up, just like the first surgery, is relatively simple because there is a cystic duct stump that can be clamped and the gallbladder can be easily lifted to expose the gallbladder bed. Peeling from top to bottom, it is difficult to clamp the gallbladder in a full state, so you can only extract the bile in the gallbladder first, and the deflated gallbladder will be more difficult to peel off the gallbladder bed.

However, these difficulties do not seem to exist at all for Yang Xi.

The two guys on the bar, you say a word to me, and when the bar is high, someone suddenly interjects.

"Can you two stop a bit? The operation is almost over, and I don't know if you two are here to talk or come to see the surgery. ”

Just kidding, it's only been a few minutes, is it half an hour, and how do you say it's almost over?

The two men turned their guns on the interjector.

It's just that everyone only said a sentence or two, and then it all stopped.

Nima, the operation is almost over.

Fast, just in the results, and in the process, these viewers in the live broadcast room don't feel how fast the surgeon's movements are, but every step of the surgeon's operation is in place, and there is almost no redundant or ineffective operation, and at the same time, the force applied by the surgeon is just right, so that there is no need to repair it after each step of operation.

Just like painting, even if the pen speed is not fast, you can outline an outline in one second, but if you can't do it in one stroke, you need to erase it with an eraser and start over, or use several more brushes to make up for it, then, no matter how fast the pen speed is, it will take as many as a few seconds. Reflecting on the whole painting, even if the painter's brushstrokes are slow, the total time taken is much less than that of the tinkering painting.

In addition, it will allow the viewer to fully appreciate the beauty.

Yang Xi finally completed this difficult laparoscopic cholecystectomy in 37 minutes, and it was such an unbelievably beautiful operation that caused a sensation in the live broadcast area of Xinglin Garden, and the number of viewers in the live broadcast room of 'anesthesia Yin Wei' reached full capacity in just ten minutes.

There's no way, little coffee, resources are limited, and the total number of viewers in the live broadcast room opened within the scope of authority is only 500 people.