Another 2 days have passed.

The filming of "Star Magician" finally had no more accidents. Ruan Bin and the others enjoyed their leisure time for a small amount of time.

On this day, go to work as usual.

At nine o'clock, a patient with colonic necrosis who needed emergency surgery came, and Director Qian was in charge of the surgery, and he asked Ruan Bin to be his assistant. In fact, recently, Director Qian likes to call Ruan Bin to be his assistant, mainly because he wants to let Ruan Bin observe this kind of third-level and fourth-level surgery.

The more contact will definitely be of great help to his future development.

This emergency surgery for colon necrosis is a fourth-level operation - total colectomy!

At ten o'clock, the operation was completed.

Get out of the operating room.

Director Qian smiled and said to Ruan Bin: "Ruan Bin, how is it, how do you understand my understanding of the operation this time?"

"It's okay, I've learned a lot. Ruan Bin said vaguely. Comprehend a fart, isn't krypton gold fragrant?

Just when Director Qian wanted to ask carefully when this guy could perform the surgery, a pediatric resident doctor came up at this time.

"Hello Director Qian, are you free now? ”

"What kind of surgery does I need to save Taiwan?" Director Qian was slightly stunned.

"It was a laparoscopic congenital choledochal cyst resection. Due to the fact that the cyst was too large in the middle of the operation, and the adhesions were severe, and there was a lot of bleeding during the operation, the director now wants to switch to the traditional laparotomy. However, due to the traditional laparotomy, the situation is also more complicated. Our director would like to ask you to come over for an emergency consultation. The pediatrician explained briefly.

"Okay, I'll go now. Director Qian immediately nodded.

"Ruan Bin, you also come with me to have a look. He didn't forget to call Ruan Bin. Congenital choledochal cyst resection is a fourth-level operation, so it's good for Ruan Bin to see it.

"Good. Ruan Bin nodded.

On the way there, he couldn't help but ask: "I remember laparoscopic congenital choledochal cyst resection, isn't there only one few pediatric specialized hospitals in China that can do it?"

The First Affiliated Hospital of Modu is a large general hospital, not a pediatric hospital. Therefore, the level of the pediatric department and the famous pediatric hospitals in China is naturally not as good as others.

After all, there is a specialization in the art industry, and people specialize in pediatrics.

In addition, laparoscopic congenital choledochal cyst resection has only been developed in recent years, and until 2010, all the surgical treatment of congenital choledochal cyst in children was treated with traditional laparotomy.

Although the traditional laparotomy treatment is very mature at present, due to the large trauma of the traditional laparotomy and serious postoperative complications, laparoscopic congenital choledochal cystectomy will develop from scratch in the past few years!

In recent years, with the improvement of minimally invasive technology, several large pediatric surgery centers in China, such as Modu Children's Medical Center, Modu Fudan University Pediatric Hospital, as well as Jingcheng Children's Hospital and Jingcheng Institute of Pediatrics, have tried to carry out laparoscopic choledochal cyst resection with portojejunal roux-en-Y anastomosis technology.

In addition to the above hospitals that can do this laparoscopic congenital choledochal cyst resection, there are seven or eight other first-line pediatric specialty hospitals that can do this surgery.

It seems that there is no news that the pediatric department can perform this surgery in the large general hospital at the moment!

This surgery is still being explored and improved. It is estimated that if you want to wait until it is abnormally mature, it will take some time to settle and improve the method.

"Our pediatric department successfully performed a laparoscopic congenital choledochal cyst resection three months ago! The pediatric resident glanced at Ruan Bin with a strange gaze and explained. I feel that the other party is lonely and unheard.

Ruan Bin touched his nose in embarrassment, he really didn't pay much attention to the news. He accidentally saw this report the year before last, and he didn't expect it to develop so quickly after 2 years.

"As of last year, laparoscopic congenital choledochal cyst resection was only available in a dozen or so well-known pediatric hospitals in China. However, last year, in order to develop the application and development of laparoscopic congenital choledochal cyst resection, the Beijing Institute of Pediatrics carried out a large-scale training program. Let one of the top 30 first-class general hospitals in the country send a doctor to learn laparoscopic congenital choledochal cyst resection!"

"To be honest, I had the highest level of traditional open congenital choledochal cyst resection in the hospital, but I considered that this operation would eventually face a large number of pediatric patients in the future, so I gave this opportunity to Director Ye of the Department of Pediatrics. Director Qian was a little boastful.

"That's right, Director Ye also said just now that you have the highest level of traditional open congenital choledochal cyst resection, so please go over to the rescue. The pediatric resident was in awe.

Most of the doctors in the hospital knew about this last year, so it wasn't Director Qian who bragged about it.

At the beginning, the leaders of the hospital wanted Director Qian to go, but later Director Qian took the initiative to give the opportunity to Director Ye.

Although most of the traditional open congenital choledochal cystectomy was done in the past by general surgery and hepatobiliary and pancreatic surgery, with the upgrading and transformation of technology. It is already the most done by pediatrics at present.

Moreover, Director Qian also felt that he was the boss of the emergency department at that time, and his focus was not on treating children, so he simply gave the opportunity to Director Ye.

"I see. Ruan Bin nodded.

It's a general practitioner, it's a cow break.

Soon, the three of them came to the operating room.

Ruan Bin and the other three also wore sterile surgical gowns.

"Director Qian, you're finally here!" Director Ye couldn't help but breathe a sigh of relief when he saw Director Qian coming.

"What's the matter, didn't your previous 17 laparoscopic congenital choledochal cyst resections be very successful?

"This patient's situation is more complicated, you see, the cyst is 6cm large, which is the largest cyst I have ever had. At the beginning, I still had a lot of self-confidence. It's also a challenge to myself. However, not long after the operation began, it was found that the mucosa of the inner wall of the cyst and the vascular adhesions of the bile duct, hepatic artery, and static portal artery were serious. However, I have more than a dozen successful main surgeons, and I still try to do it, but when I separate the adhesion of the hepatic artery and the static portal vein, it still caused a large intraoperative hemorrhage! The bleeding exceeded 300ml. ”。

"The field of view of laparoscopic surgery is indeed not comparable to that of traditional laparotomy. I should have chosen the traditional laparotomy in the first place!Alas, ......!"

"And this patient is still a rare panda blood - Rh-negative type A. I prepared negative plasma type A before the surgery. However, due to the bleeding during the operation just now, it is almost used up. Thankfully, I stopped the bleeding in time. "I want to talk about "Krypton Doctor" with more like-minded people, and pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~