"Why are you looking at me?" Ruan Bin saw that the eyes of both of them were staring at him, which made him panic.

"Ruan Bin, your laparoscopic cholecystectomy and laparoscopic appendicitis resection are so superb, I think your laparoscopic gastric or duodenal ulcer perforation repair should also be very strong, right?" Jiang Yurong asked. After all, perforated repair of gastric or duodenal ulcers is only a second-level operation.

If it was a tertiary operation, she was not very comfortable letting Ruan Bin go to it, she felt that Ruan Bin still needed to learn and improve in tertiary surgery, and she lacked experience.

However, this is only a second-level operation, and Ruan Bin previously completed a laparoscopic cholecystectomy for a pregnant woman in the third trimester of pregnancy in 19 minutes. So she thinks that it is also a laparoscopic secondary surgery, and Ruan Bin must be very strong!

After all, now Ruan Bin is known as the little prince of laparoscopic surgery in their emergency department! Even Director Qian thinks that he is inferior to laparoscopic cholecystectomy.

Like the 100-year-old man in front of her, the operation must be done by a master, and the sooner the operation is completed, the better, so she naturally wants to ask Ruan Bin if he can do it!

In fact, Liu Junchi also thought so at this time!

Ruan Bin was a little bitter in his heart at the moment, he could repair a gastric or duodenal ulcer perforation, but at present, he was only a director-level elder sister.

"Ding-dong...... Temporary task of the system: I used to pretend to be forced, but now I have to continue to pretend to be kneeling! Promise the senior doctor to be the main surgeon, and the reward for completing the task - 100 points!

Ruan Bin: ......

system, can you be a little more stingy?

100 points are also embarrassed to get a task for my brother?

"This system is now a cliff that sees that he is rich, and deliberately rewards so few points, the cliff is!" Ruan Bin was angry in his heart. Besides, he pretended to be forced to perform laparoscopic cholecystectomy, which has a half-dime relationship with laparoscopic gastric or duodenal ulcer perforation repair?

"Ruan Bin, you have something to say!" Liu Junchi stared at Ruan Bin and asked anxiously.

"Well, this gastric or duodenal ulcer perforation repair is about the same level of proficiency as my previous cholecystectomy. Ruan Bin could only kneel at this time and pretended to go down. Truth be told, though, the reward is only as small as mosquito meat. But he didn't want to give up on the task either. He didn't know if if he didn't complete a task, it would affect the reward mechanism of the system in the future, or what system upgrades would be affected!

Before, he always thought that the system reward was only points, but after successfully completing more than a dozen surgical tasks in a row, a newbie gift package came, and then some surgical skills and so on.

Although I don't know if the system will be upgraded in the future, in case one of my system tasks is not completed in the future, resulting in something that affects the unknown, it will be a big loss!

So his current idea is to try to complete the system task!

"That's okay, you are the main surgeon of this operation?" Jiang Yurong

"Yes!" Ruan Bin agreed.

"Okay, then let's analyze and prepare for it in depth, and then start the operation immediately. ”

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

Before entering the operating room.

"System!"

[System Points]: 200

[Gastric or duodenal ulcer perforation repair]: Director + (laparoscopy, traditional surgery)

"Charge 10,000 in!"

At this time, Ruan Bin's bank card has 65,000!

Naturally, it is rich and rich!

Don't say anything, if it weren't for the difficulty of getting a license plate in the magic capital, he could pick up a Geely in minutes!

"Level up!"

"Ding-dong...... After deducting 1600 points, [Gastric or Duodenal Ulcer Perforation Repair] is upgraded to - Expert level!"

"Ding-dong...... After deducting 3200 points, [Gastric or Duodenal Ulcer Perforation Repair] will be upgraded to - world-class!"

[System Points]: 5400

The operation began.

Jiang Yurong and Liu Junchi were both present.

The main thing is that there is no surgery to do now, and the two of them will take a look.

At the same time, this operation is a 100-year-old man, and it really needs to be done carefully. Later, if there is any problem with the operation, you have to give first aid immediately.

At this time, after Ruan Bin had world-class experience and skills in gastric or duodenal ulcer perforation repair surgery, he still had a great grasp of this operation.

But whether it can be successful or not depends on God's will, after all, at this age, no matter how well you do the operation, sometimes you can't reverse the decline of life.

After the patient's anesthesia was achieved, Ruan Bin began to disinfect the surgical area, lay towels, and install and debug laparoscopic instruments.

After everything is ready, start using the Veress needle to establish the pneumoperitoneum, and after the pneumoperitoneum is established, a 10mm trocar is inserted, inflated, and the pneumoperitoneum pressure is maintained at 8 mmHg (the pressure can be appropriately lowered in elderly patients, and it is generally 12 mmHg in adults).

Laparoscopic exploration is then placed.

The action was done in one go, without the slightest drag.

Then select two points 2 cm above the umbilicus at the midclavicular line on both sides, slightly near the midline but lateral to the rectus abdominis muscle.

Finding that there was adhesion in the upper abdomen, Ruan Bin used scissors to quickly separate and cut the adherent omentum close to the peritoneum.

Ruan Bin's operation is almost the same as a textbook, there is no particularly eye-catching operation, and there is no particularly different operation, the only thing that makes people stunned is - fast!

"So fast, there was no mistake in the slightest, there was no bleeding when separating the omentum, only a few bits of hair blood vessels!" Liu Junchi was dumbfounded.

Especially when Ruan Bin separated the adhesions of the small intestine, it was like peeling off a cocoon, and even a trace of skin from the small intestine was not scratched!

"Could it be that this is the level of proficiency that has reached the top, to the point of returning to the basics?" Liu Junchi exclaimed in his heart.

At this time, Ruan Bin can suck up a large amount of fluid. Perforation is then seen at the most common site of upper gastrointestinal perforation, near the pylorus and duodenal bulb on the small curvature of the anterior anterior antral antral wall.

A needle holder is used to insert the sutures into the abdominal cavity and suture them.

In fact, laparoscopic suturing is much more difficult than traditional laparotomy, after all, the operation space is small, but Ruan Bin is still walking as fast as flying.

It was as if the needle holder was his nimble hands.

Jiang Yurong found that all of Ruan Bin's surgical operations looked very light and gentle, as if they were itching for the patient, and the patient's vital signs did not fluctuate much at this time.

Terrible with little trauma and zero mistakes!

The sutures are repaired, cleaned, the drainage tube is placed, and the abdomen is closed!

"It's amazing, I almost feel like I've watched a fast-forward version of the operation!" Liu Junchi exclaimed, he then looked at the time, and his mouth opened widely: "It's done in 17 minutes!"

"That's amazing! It will be up to us to see if there will be complications after the surgery and how well we recover. Jiang Yurong breathed a sigh of relief when she saw this.

So far, the surgery has been successful!

However, whether the patient can survive or not depends on how well he recovers after surgery.