"100 years old, oh my God!"

"Dr. Ruan, have you succeeded?" everyone exclaimed.

"Well, it worked, and now the patients are probably discharged. Ruan Bin said with a smile.

"Awesome!" Xie Da gave Ruan Bin a thumbs up.

Seeing Ruan Bin say this, Ding Xuezhi was already shocked in his heart. Gastric and duodenal ulcer perforation repair was performed on a 100-year-old man, although it was only a second-level operation.

But the courage and technology in it are absolutely proper!

That's the kind of person who is extremely confident in his own surgery and dares to do this.

But what he never understood was that Ruan Bin actually did it!

"Could it be that this kid used to be hidden?" he was a little suspicious.

Even if you go to the First Affiliated Hospital of the Demon Capital for further study, you can study for more than a month, and it is impossible to progress to such a speed, right?

So in his heart, he felt even more that Ruan Bin must have been hidden before!

"Then you can do this surgery. "What else can Ding Xuezhi say?

"Then I'll go and schedule surgery now?" asked Ruan Bin.

"Go, go, go. Ding Xuezhi waved his hand.

After seeing Ruan Bin leaving, Ding Xuezhi immediately pulled Xie Da and asked, "Why is Ruan Bin so powerful all of a sudden when he comes back from study?"

"Director, I don't know. When he came back yesterday, he had an appendicitis operation on an 8-month-old woman. Later, interventional surgery was performed on a patient with postpartum uterine artery hemorrhage. Later, it was revealed that he had completed the first pre-hospital reboa in China at the magic capital!" Xie Da said.

At the beginning, when Ding Xuezhi heard that Ruan Bin performed appendicitis surgery on a pregnant woman in the late stage of Renchen, he was slightly surprised, it seemed that Ruan Bin did not blow water just now.

Then when I heard that Ruan Bin also had an interventional operation, I was not calm!

Interventional surgery, or level 4 surgery!

Their hospital, that is, Vice President Sun, will do it!

Even if it is placed in the city hospital, that is, in the interventional department, only those people will do it.

But this Ruan Bin will actually do it?

Isn't that scary?

But when he finally heard that Ruan Bin had completed the first pre-hospital reboa in China in the magic capital, it was completely messy!

Pre-hospital reboa!

Say the important thing three times!

There are not many emergency teams in the world that can do it, but now Ruan Bin has done it, what kind of concept is this? This person is either a demon or a super genius!

At this moment, Ding Xuezhi was still a little like a dream: "You, you're not joking?"

"Director, where am I kidding, the news from the magic capital has been published!" Xie Da said.

"That's ......," Ding Xuezhi said a little sluggishly.

"This kid didn't graduate from a prestigious medical school! Could it be that the day after tomorrow is awakening?

In fact, many interns and resident doctors do not necessarily get many opportunities for surgery after working for several years, especially in this kind of county hospital. Even the attending doctor rushed to perform the operation.

Where is it your turn to be a resident doctor?

Unless it's in a big hospital!

Therefore, the strength of the resident doctors in large hospitals is often comparable to that of the attending doctors and even the deputy chief doctors of the county!

It can't be helped, it's just how scary.

Soon, talk before the operation, prepare for the operation.

............

In the bright operating room, in addition to Ruan Bin and his assistant Xie Da, even the two directors Lu Jingping and Ding Xuezhi came to observe. And a couple of interns!

At the same time, I also turned on the operation recording, preparing to treat this operation as a teaching video in the hospital.

It's like a well-known expert coming to your hospital for hands-on teaching.

And Ruan Bin is the teacher, and their group is the students.

It's still laparoscopic cholecystectomy!

Ruan Bin routinely disinfects the abdomen of patients and spreads sterile surgical towels.

On the other hand, he said: "To do laparoscopic cholecystitis surgery, especially for the elderly, it is best to make zero mistakes, small trauma, as small as the incision can be, try not to hurt the blood vessels, etc." ”

"In this way, it is difficult for the patient to experience large fluctuations in vital signs. Another important factor is fast, fast, so that the patient does not have to be anesthetized for so long......" Ruan Bin said as he made an arc-shaped incision along the lower edge of the umbilical fossa, about 10mm long.

"Speaking is better than singing, it's not the top level, where can the speed be fast?

"Heroes see the same thing!"

The two directors muttered inwardly.

In the next step, Ruan Bin lifted the abdominal wall with forceps at the pneumoperitoneum needle of the umbilical cord and punctured it with a 10mm trocar.

However, Ruan Bin succeeded the first time!

It's as simple as drinking water.

"A success?"

"The trocar is rotated slowly, the needle is inserted evenly and forcefully, and when it enters the abdominal cavity, there is a sudden feeling of resistance disappearing, and the closed air valve is opened, and gas escapes, which is the puncture successful. A pneumoperitoneum machine is attached to maintain constant pressure in the abdominal cavity. Ruan Bin explained.

"The laparoscope is then placed and the punctures at each point are performed under the supervision of the laparoscope. Generally, 2 cannulas are placed under the xiphoid process for discharge hooks, clamps and other instruments, and 5mm trocars are punctured 2 cm below the costal margin of the right midclavicular line or 2 cm below the outer edge of the rectus abdominis muscle and 2 cm below the anterior axillary costal margin to insert the irrigator and gallbladder fixation forceps. ”

As soon as Ruan Bin finished speaking, this step had been completed.

In less than a minute!

The crowd exclaimed again!

This Nima is really fast enough!

At this point, the artificial pneumoperitoneum and preparations are completed.

"The next step is to remove the gallbladder, it's very simple. Grasp the neck of the gallbladder or hartmann's sac with grasping forceps and pull it upwards to the right. It is best to pull the cystic duct perpendicular to the common bile duct so that the two can be clearly distinguished, but care should be taken not to draw the common bile duct into an angle. The serous membrane on the cystic duct is cut with an electrocoagulation hook, the cystic duct and the cystic artery are bluntly separated, and the common bile duct and the common hepatic duct are distinguished. Ascend and downstream from the cystic duct with an electrocoagulation hook. and see the relationship between the cystic duct and the common bile duct. ”

"Apply a titanium clip as close to the neck of the gallbladder as possible, with sufficient distance between the two titanium clips, and the titanium clip should be at least 0.5 cm away from the common bile duct. ”

"Cut with scissors between two titanium clips, and do not use electroresection or electrocoagulation to prevent heat conduction and damage to the common bile duct. The gallbladder artery was then found posteriorly and medially, and a titanium clip was placed and severed. After cutting the cystic duct, do not stretch forcefully to avoid pulling the gallbladder artery, and pay attention to the posterior branch blood vessels of the gallbladder. ”

The action is fluid!

Coherent.

"It's done, it's that simple!"

"The next step is to clean, close the belly, stitch it up, and get it done. Ruan Bin said with a smile.

"This ...... That's it?"

"It's only been 18 minutes!"

"Hiss......"

Everyone was shocked!

Is this Nima speed?

Is there an 18 minute cholecystectomy?