Laparoscopy is called "minimally invasive surgery".

Compared with laparotomy, which often involves a large scar, it requires very little external "trauma".

Only three small holes need to be made in the abdomen -

If you do a frontal laparoscopy, including the navel eye, then you only need to open two small holes.

In terms of patient affordability and post-operative healing, laparoscopy is better than laparotomy.

But again, because the surgical approach becomes smaller, the field of view of laparoscopic surgery is necessarily limited.

This requires a high level of experience and skill from the surgeon.

And the corresponding job title is also required.

For example, the bald head teaches Brother Yang, and the deputy chief physician can only get laparoscopic surgery to remove one adrenal gland alone.

Cutting the kidney independently, he didn't even think about it.

Similarly, Zhang Tianyang doesn't have to think about it.

When he picked up the scalpel and was about to go under the knife, Zhang Tianyang forced himself to expel all those thoughts from his mind.

Being able to cut himself for the first time already shows the director's strong "love".

Didn't you see the jealous and crazy eyes of Senior Brother Meng holding the mirror opposite!

Be content!

The anchor points of the three openings have already been marked.

They are the left anterior axillary line, the posterior axillary line under the costal margin, and the left anterior axillary anterior iliac line.

The blade is drawn along the established position, and with the addition of Zhang Tianyang's unusual joint stability, it presents an even and straight line.

If others can have Zhang Tianyang's eyesight, they can even see that the depth of this knife edge is the same as the place where the knife is lowered and the place where the knife is finally raised.

Very steady hand.

Enviable surgical talent.

In the next second, blood leached out of the knife.

Zhang Tianyang pinched the sterile gauze with his other hand and blocked the wound in time.

"Well done. ”

Half of the director's face was covered by a mask, and half of his forehead was also covered by a hat.

But the wrinkled lines at the corners of the eyes, and the eyes that shone with obvious appreciation, were not disguised at all.

The first cut doesn't really matter.

It doesn't really matter if you draw deep or shallow.

If it's shallow, it's good to deepen it.

I'm not afraid if it's deep, it's all fat underneath anyway.

He mainly wanted to see if Zhang Tianyang, a good seedling with a reputation in the internal medicine system, was as talented in the field of surgery.

Now he got the answer.

"The breath is very stable, the knife is decisive, there is no cowering posture, the depth is very good, and more importantly, the hand is also very stable. ”

The director's voice was full of appreciation that was about to overflow, and when he looked at Zhang Tianyang, he felt that this student was becoming more and more pleasing to the eye.

"Leave it to me. ”

He took the blood-stained scalpel in Zhang Tianyang's hand, and began to expand the knife cut by Zhang Tianyang slightly roughly.

Zhang Tianyang let the chief director snatch the knife, his expression did not fluctuate, and his breathing was as usual.

just continued to pinch the gauze that was stained with a small half of the blood, and when the chief director deepened the knife, he promptly wiped away the blood that oozed out and obstructed the vision.

The tacit cooperation, as well as the incomparably natural atmosphere that lingered between the old and the young, made Senior Brother Meng speechless.

His eyes were slightly reddened.

In the palette inside, there are three points of jealousy, three points of envy, three points of amazement, and one point of grievance.

Obviously, he has known and gotten along with the director for a longer time......

Obviously, he is the graduate student of the Great Director......

Obviously, in this operation, the originally scheduled "Ichisuke" is also himself......

Obviously, he is still holding a mirror in his arms, which is enough to prove his importance......

But why......

So what about wanting to cry?

If it weren't for the sterile principle that was carved into the bone marrow, Senior Brother Meng would even want to hold his forehead with his hand now.

Harm......

......

The scalpel came in handy for a short time.

When the gauze was about to lose control of the blood oozing from the wound, the chief director took the electric knife handed by Zhang Tianyang.

As the pedal under his feet is pressed, the electric knife comes into contact with the inside of the wound, making a "sizzle" sound.

A puff of white smoke slowly rose from the mouth of the electric knife, and at the same time, a smell of burnt meat penetrated the tip of everyone's noses little by little.

Because of the "welding" effect of the electric knife, the small blood vessels where it passed were scorched and solidified, and the sterile gauze in Zhang Tianyang's hand instantly lost its value.

"Any idea why you didn't use an electric knife in the first place?"

The director's gaze was always fixed on the head of the electric knife, and the work under his hands and feet did not stop, seemingly randomly, raising a question.

"It's because ......"

Senior Brother Meng, who was holding the mirror, subconsciously wanted to answer, spit out two bytes and swallowed the words that followed, and then closed his mouth aggrievedly.

Yes, he suddenly realized.

That's not a question that's been asked to him at all!

This kind of common sense problem of surgical details is clearly used to test the school or teach newcomers.

A similar question was also asked by Senior Brother Meng when he first underwent surgery.

Therefore, the big director is opening a small stove for Zhang Tianyang!

But...... Why did the big director come to ask in person!

Grievance!

Senior Brother Meng's gaze gradually became aggrieved and resentful.

It's like a poor little daughter-in-law who has been robbed of her husband.

Zhang Tianyang restrained his desire to shiver and avoided Senior Brother Meng's gaze.

After waiting for two seconds, he felt that Senior Brother Meng really didn't plan to answer by himself, so he spoke.

"Electric knife cauterizes the skin, and if you use it at first, it can stop the bleeding, but it will cause skin damage and affect wound healing. ”

The electric knife "solidifies" the tissue by "cauterizing", which is equivalent to sacrificing a part of the tissue to protect the rest of the tissue.

If you cut the skin with an electric knife at the beginning, it will not bleed, but it will damage the integrity of the skin.

When sewn up, it will be extremely ugly and difficult to heal.

It's not the same in the body.

Anyway, as long as the skin heals and blocks the unclean things from the outside world, the inside will always grow better.

Actually, it's a very simple truth.

If you hear it once, it will dawn on you.

But for novices who are new to surgery, it's the equivalent of a brain teaser.

80% of the little white cats will be unable to answer because of "excessive nervousness", "rigid thinking" and other reasons.

The director took the time to hand Zhang Tianyang a satisfied look.

"Not bad. ”

In an instant, Zhang Tianyang felt that the resentment around him seemed to be deeper.

But his face is not red and his heart is not beating, and his hands are steady.

It's okay, brother.

Wait until my two-week rotation is over.

The big director is still yours.

I won't rob you~

......

The initial knife edge was quickly expanded, and a large "autumn card" was violently punched into it by the director.

Another large "autumn card" was pushed in from the bottom point.

In addition to this, the chief director drew a line at another fixed point and poked a small "autumn card" into it.

Then, as the gas is fed, the patient's abdomen bulges little by little.

A complete laparoscopic environment, this is formed.

Senior Brother Meng held the mirror and let the long tube of the laparoscope pass through the bottom hole, and the vision gradually appeared on the screen.

He carefully adjusted the depth and angle of the laparoscope, and while ensuring that the lens did not touch any part of the patient's body, he tried to follow the two operating handles that the director poked into left and right.

In terms of creating a clear vision that meets the requirements of the senior director, Senior Brother Meng is still very skilled.

It was precisely because of this time that he gradually regained his confidence.

Although Senior Brother Zhang is very powerful, in fact, as the right-hand man of the director, it is still me!

I, Senior Brother Meng, cross my waist!

As for whether Senior Brother Zhang will be a latecomer in the future......

More on that later!

At least now it's still me who is holding the laparoscope!

Senior Brother Meng denied the questioning voice in his heart, and his chin was slightly raised.

But he actually knew.

If you can fork the waist, you can fork the waist......

Time is running out for yourself......

Zhang Tianyang didn't know Senior Brother Meng's inner drama.

But he is clear about his position.

In the end, he is just an intern, and the "intern position" on the operating table has always been for the little white cats to make soy sauce.

In fact, it is just to give the little white cats a chance to observe various operations up close, and it will not really let them do any important work.

The so-called "deflating" is a task that means the same thing as keeping them on the operating table not too boring.

So Zhang Tianyang consciously handed the scalpel back to the instrument nurse.

Then he skillfully picked up the rubber tube that had been prepared, pressed the protrusions on both sides of one of the large "autumn cards" with one end, and clamped it with curved pliers at the other end.

Then I didn't forget to flip a small switch on the "autumn card".

The chief director glanced at him again in his busy schedule and praised him.

"Very carefully observed. ”

Zhang Tianyang's task is to release the curved forceps when the chief surgeon uses the electric knife to produce white smoke and let the turbid air escape.

But the premise is that the pathway composed of this rubber tube should be connected to the inside.

The ignorant little white cats usually don't understand anything when they come on stage, and they don't realize that they have to turn on the switch themselves.

will wait until the white eyes are swirling and the senior doctor jumps to his feet, and then he realizes it in the scolding.

But Xiao Zhang is different.

The director silently gave Zhang Tianyang extra points in his heart-

He must have been very serious when he saw the operation the day before yesterday, and he could write down such details.

Calm personality, solid knowledge, strong hands-on ability, and attention to detail......

I want to ......

Thinking like this, the operation finally began in earnest.

"Zizizi-"

The electric knife is constantly working, and smoke rises in the field of vision.

Zhang Tianyang turned his head and stared at the screen in a slightly distorted posture, while his subordinates skillfully deflated and held their breath......

To be honest, he was a little bored.

I can only look at the screen and listen to the "Didi" appearance of the monitor......

Huh?

Wait?

Zhang Tianyang was suddenly stunned.

I forgot to deflate the rubber tube in my hand.

The "Didi" !! of the monitor

Problematic!

He instantly snatched himself from his chair.