"This is a fourth-level surgery! There are not many people in China, not to mention Ruan Bin, who has not undergone systematic training, study and practice at all. Director Ye said speechlessly.

"What is a fourth-level surgery, Ruan Bin has also done several fourth-level surgeries, such as coronary stent implantation, or zero imaging, let's find out about blind exercises?" Director Qian pouted.

“......”

"Ahem...... Even if Ruan Bin is very genius, I don't think it will be possible to watch it once, unless he opens it!" Director Ye retorted.

"It seems that you have seen too few geniuses, do you know Dr. Shaun Murphy?" Director Qian said disdainfully.

"Uh, I don't know. Director Ye looked confused.

"It seems that you pay less attention to famous doctors abroad! This Dr. Sean Murphy is known as a man with a brain. If you think Ruan Bin will look at it once, it will be like hanging up, and Dr. Shaun Murphy is hanging on it!" said Director Qian.

Director Ye: ......

He felt that Director Qian was fooling him!

"Old Qian, surgery can't be child's play! If something happens at that time, who will be responsible?" Director Ye said with a serious face.

"I'm in charge with Ruan Bin! Besides, even if the operation can't go on at that time, the most I can do is stop the bleeding and open my abdomen! Last time I asked you to go to training, you owe me a favor, and today you will return this favor! Today, I have the final say!" Director Qian said in a deep voice. He didn't need to ask Ruan Bin if he could do it. Because Ruan Bin has never done something that he is not sure of!

So he believed in Nguyen Bin.

And with such a good opportunity, he felt that Ruan Bin was so confident and brave, and he, as a senior doctor, should create opportunities for him.

If every doctor is afraid of this and that, how can he grow into a famous doctor?

"This ......" Director Ye was also very hesitant.

"Don't worry, he said that he would really not lie to you if he watched it once. I demonstrated an interventional embolization of uterine artery for him before, he watched it once, and then he did it again in front of me, and it was very successful!" "One of the reasons why Director Qian believed Ruan Bin's words was mainly because the talent shown by Ruan Bin last time really shocked him!

"Really?" Director Ye was shocked.

"I lied to you and I didn't have anything to eat!"

“......”

"Okay, then try it!" Director Ye gritted his teeth, and finally agreed to Director Qian. One is to return the favor, and the second is to take the initiative to take responsibility, and he has also delegated power.

When the time comes, if you can't progress during the operation, then turn your abdomen open.

"By the way, Ruan Bin, have you seen laparoscopic congenital choledochal cyst resection?" Director Qian did not forget to ask.

"Well, I've seen quite a few on video. Ruan Bin nodded.

“......”

Eventually, the surgery began.

"System!"

[System Points]: 1000

[Congenital choledochal cyst resection]: not started+! (traditional laparotomy, laparoscopic minimally invasive.) ）

"Charge 100,000 to go in!" Ruan Bin now has 150,000, which is very wealthy.

"Upgrade!!!" Ruan Bin nodded at the upgraded + sign, and nodded at it.

"Ding-dong...... Deduct 9000 points, [Congenital choledochal cyst resection] - Beginner+!"

"Ding-dong...... Deduct 12,000 points, [Congenital choledochal cyst resection] - proficiency level +!"

"Ding-dong...... Deduct 15,000 points, [Congenital choledochal cyst resection] - director level +!"

"Ding-dong...... Deduct 18,000 points, [Congenital choledochal cyst resection] - expert level +!"

"Ding-dong...... After deducting 21,000 points, [Congenital choledochal cyst resection] - world-class +!"

[System Points]: 26000

"Poof~ hand slippery, a little more! upgraded to world-class. Ruan Bin almost wanted to slap himself twice. He originally thought that it should be enough to order to the expert level, but he accidentally clicked more~~

"Forget it, it's going to be upgraded in the future anyway. Ruan Bin comforted himself.

Ruan Bin chose laparoscopy to operate and take over the place where Director Ye had originally done.

Here we go!

At this time, Ruan Bin had a lot of skills and experience in his mind about congenital choledochal cyst resection!

The most critical step in laparoscopic congenital choledochal cystectomy is the common hepatic and intestinal anastomosis, and if this part is not successful, the operation is a failure. At the same time, it is also clear that patients with congenital choledochal cysts are best operated at the age of 6 months ~ 1 year old. Because among the tens of thousands of surgeries in his mind, he found that the younger the patient, the less the cyst and the adhesion of the surrounding organs. The older you get, the more severe the adhesions are, and the more difficult the surgery becomes.

Of course, if some patients wait until their teens to find out that they have this congenital condition, the surgery is very difficult.

Since Director Ye had established the pneumoperitoneum for laparoscopic surgery before, he could just operate directly.

First, the adhesions of the hepatic artery, the Jingmen vein, and the bile duct are separated.

This step is the problem that Director Ye encountered just now.

I saw that the electric knife in Ruan Bin's hand was like a flexible loach floating around the hepatic artery, Jingmen vein and bile duct.

Brush Brush Brush!

A little bit of adhesion is quickly separated and cut.

Coherent!

"This, so strong? This part of the surgical field is not sufficient, how can he do it so quickly without damaging the blood vessels? Is it an empirical prediction?" Director Ye was dumbfounded.

In just five minutes, the separation is complete!

Just when Director Ye was hesitating to say whether to let him take over, I saw that Ruan Bin's electric knife had already left the neck of the gallbladder and separated and ligated the gallbladder artery!

"He's going to remove the gallbladder!" Director Ye originally thought that the other party didn't understand the steps of laparoscopic congenital choledochal cyst resection, but he didn't expect that the other party really knew how to operate!

The electric knife in Ruan Bin's hand retrograde frees the gallbladder to avoid damage to the liver and avoid bleeding. The next moment, the electrosurgical knife is free to the cystic duct and common duct.

Director Ye saw that Ruan Bin did not immediately remove the gallbladder, but first cut off the hepatoduodenal ligament and pushed down the duodenum and distal end.

The next step is to cut the middle of the anterior wall of the cyst and suck up the bile!

The next step is to transcribe the posterior wall of the cyst, cut the pancreatic tunic tightly against the cyst wall, push away and cut the tissues and small blood vessels that are adherent around the cyst until the distal end of the bile duct is thinner and confluent with the pancreatic duct......

"Can you do this? It looks like it's working well, and it's getting faster. Director Ye was surprised.

In the next step, Ruan Bin skillfully ligated the distal end of the bile duct with a filament, removed the distal cyst wall in the pancreas, and pulled the cyst to the proximal and distal end to the junction between the hepatic hilum and the normal common bile duct.

Cut the common bile duct at the gallbladder and trim the severed end of the common bile duct to ensure good blood flow!

All the surgical steps are smooth, and it looks like a complete master operation! Director Ye is embarrassed to put forward himself! 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 a confidant~