There are two difficulties in this operation, one is the accumulation of cholestasis in the gallbladder, which causes the gallbladder to swell like an eggplant's head, and the other is that the gallbladder bed is close to the hilar area of the liver, which is bound to be daunting to operate.

But Yang Xi only used one trick to resolve these two difficulties at the same time.

After dissecting the free cystic duct, the distal end of the cystic duct is clamped, and then a small opening is made in the gallbladder wall to suck out the bile in the gallbladder with a suction device. The gallbladder was deflated with bile, and the difficulty of the next operation was reduced by an octave.

This treatment may cause the gallstones in the gallbladder to leak out of the small incision and fall into the abdominal cavity, but this is not an insurmountable problem, and it takes an extra two minutes to sew the small incision shut.

Gao Yong, who was holding the gun, fell into deep remorse, grandma has legs, this trick, Lao Tzu has learned this trick from Director Ma.

Director Ma didn't say a word from beginning to end, just glanced at Gao Yong when he felt remorse, that's right, my old horse taught you this trick, it's not that you have a bad memory, but that you lost confidence first.

However, Gao Yong quickly came out of regret, because, although the gallbladder was deflated, he also saw the deformity of its anatomy, the gallbladder bed, actually crossed two portal vein branches, when the gallbladder was stripped from the gallbladder bed, a little carelessness, I am afraid that the previous efforts would be wasted, he Gao Yong, really did not have the courage or ability.

But Yang Xi has.

The instrument in his hand is his fingers, and it is not difficult for him to think about how to move, how much force he wants to use, or what angle he wants to change.

The gallbladder was successfully peeled off, the gallbladder bed was flushed, the small bleeding point was electrocoagulated, and the gallbladder was dragged out of the hole between the umbilical cords.

Looking at the time again, it took more than 38 minutes to lose it.

Yin Wei noticed Nie Yadi's existence at this time, pointed to the patient on the operating table, and asked, "Do you know anyone?"

Nie Yadimune nodded and responded, "My cousin-in-law only found me last night." ”

Yin Wei patted Nie Yadi on the shoulder and said: "Count your luck, this operation can be called the pioneering work of that demon, with a full score of one hundred, I can give him ninety-nine points, and the one point deducted is not because he is worried about his pride, but because he is stained with the light of the old man Ma." ”

Nie Yadi is not too familiar with Yin Wei, but he also knows that this product is also a well-known thorn in the surgical film, and there are very few doctors who can be praised by him, but there are many doctors who have been despised by him on the spot. Although Nie Yadi couldn't understand what was so good about this operation, he only felt that the operator's movements were very sharp and clean, just because of this, could he get such a high evaluation from Yin Wei?

Skepticism must be expressed!

Just wanted to speak, but was interrupted by Director Ma on the operating table, only to hear a sigh from the old horse, and said: "I, Ma Zongtai, have been immersed in laparoscopy for more than 20 years, but in the end, I am at the same level as you kid, you say, should I be proud, or should I ...... What about pride?"

Yang Xi finished the last stitch, raised his head and glanced at Director Ma, and said with a shameless smile: "You are Zhang Sanfeng, I am Zhang Wuji, even if one day, Zhang Wuji is the first in the world, that is also Zhang Sanfeng's own apprentice grandson, right?"

Director Ma laughed.

After laughing, Director Ma saw Nie Yadi, so he asked, "What's wrong?" Old Nie, this patient is an acquaintance of yours?"

Nie Yadi took a step forward and said with a smile: "Director Ma came to the stage with illness, Yadi is grateful. ”

Director Ma waved his hand and said, "Don't thank me, I'm just idle, just come up and take a look, it's Yang Xi who operated on your acquaintance, you also heard what I just said, this kid's laparoscopic level is probably no less than my old horse, this is the blessing of your acquaintance, the blessing of the municipal hospital, and the blessing of the majority of patients!"

But seeing Director Ma's expression very serious when he said this, Nie Yadi realized that Yin Wei's high evaluation, Director Ma's jokes about whether he should be proud before, and the solemnity of the bystanders during the operation were not meant to be told to him or to show him. However, my old Nie can be regarded as a double cultivation inside and outside, and I know very well the difficulty of studying medicine, how can I achieve such a great achievement if I am not a good doctor?

This is not scientific!

Fortunately, this Nie Yadi has a lot of self-knowledge, knowing that no one will discuss scientific or unscientific issues with him on this occasion, so it is better to hide doubts and get down to business first.

"You are a strong general, there are no weak soldiers under him, Director Ma, congratulations on your successor......" When he said the idiom of having a successor, Nie Yadi wanted to slap himself in the mouth, he was so illiterate, as if Director Ma was going to cut off his children and grandchildren before. Fortunately, seeing that Director Ma didn't seem to care much, Nie Yadi calmed down and continued: "This patient is my cousin-in-law, Director Ma, my cousin would like to ask you to invite Director Gao, oh, of course, Dr. Yang is indispensable, everyone sits together, which can be regarded as the gratitude of the patient's family." ”

Since the pancreatic mass was found to be occupied during the physical examination, Director Ma has thought a lot and realized a lot, including this beam with Nie Yadi. There is no evidence to prove that it was Nie Yadi who stabbed his old horse behind his back, even if it was really Nie Yadi's stabbing, it may be an unintentional move, no matter what the truth is, after so many years, there is no need to remember it again.

Besides, in the past few years, the entire general surgery department has been under the leadership of his old horse, but Nie Yadi has been tossed a lot, 60,000 yuan, which is enough for the capital.

In line with this thought, Director Ma did not directly refuse, but sought the opinions of Gao Yong and Yang Xi with his eyes.

"It's better to choose a day than to hit the day, I think, then let's go tonight." Nie Yadi was very good at observing words, but seeing that Director Ma had no intention of refusing, he hurriedly added.

On the side, Yin Wei didn't have a good tone, and said, "Absolutely not tonight! Yang Xi and Boss Gao are going to my house for dinner tonight, and the old man, didn't you promise Chu Wei to eat the Dongpo meat she made?"

Director Ma nodded and said, "Otherwise, tomorrow night, Professor Su will come over to operate on me on Monday afternoon, and I will be a little free tomorrow night, Yang Xi, what do you think?"

Yang Xi took advantage of this time to clean the abdominal wall for the patient, and applied dressings to the three holes in the abdominal wall. ”

Director Ma was afraid that Yang Xi would not want to eat at the same table with Nie Yadi, so he deliberately asked, and when he heard Yang Xi's response without resistance, Director Ma's face showed a relieved smile.

This kid is not the kind of cautious eye that he sees on the surface.