It's only half an hour!

Although Ruan Bin had a 19-minute laparoscopic cholecystectomy before, it was simply appalling. However, laparoscopic surgery takes less time than traditional laparotomy.

Besides, Ruan Bin is just a resident doctor who came for further training, so it is impossible for any operation to be so fast, right?

Yes, it must be true! It is impossible for one to be proficient in everything.

The fastest time for him to perform an abdominal space decompression operation is close to 50 minutes! Ruan Bin will definitely not be as fast as himself. He must have encountered some kind of difficulty and came to ask for advice? Yes, it must be like that!

Thinking of this, Liu Junchi asked, "Doctor Ruan, has your surgery been completed over there?"

"Yes Director, it's done, the operation went well. Ruan Bin nodded and smiled.

“......”

This script is not right, and it is not right with my own inner journey!

Isn't this a slap in the face by yourself?

"So fast? Are you using a laparoscope to puncture and decompression?" Liu Junchi thought in the next second, maybe this was the reason. For patients with less severe abdominal space syndrome, simple, effective, and rapid laparoscopic puncture drainage can be used for decompression. Not only is it less traumatic to the patient, but it also takes a short time and is quite safe.

"No, the patient's condition is not mild, I use abdominal decompression!" Ruan Bin said.

“......”

Liu Junchi hummed heavily after hearing this, and secretly said in his heart that this kid's surgical level is good. There is such a little genius in Wucheng County Hospital, it is really rare in a century!

"Okay, come over and be my assistant. Liu Junchi still decided to wait for himself to finish this operation and then go over there to check it out.

After Ruan Bin passed, he quickly entered the state of an assistant.

At this time, Liu Junchi's total colectomy had been carried out to the stage of separation of the transverse colon and the transverse mesocolon, and I saw Liu Junchi's scalpel in his right hand to cut the spleen and colon ligaments, and the hemostat in his left hand held the blood vessels, and hurriedly said to Ruan Bin: "Ligate the blood vessels here!"

"Good. Ruan Bin quickly picked up the No. 3 line and began to ligate and suture.

Brush.

Brush Brush Brush!

Lightning-fast.

Originally, Liu Junchi also wanted to remind Ruan Bin that he needed to pay attention to what kind of thread to use for ligation, but Ruan Bin had already ligated and sutured the blood vessels here.

Neat, without flaws, and even so perfect that Liu Junchi was a little surprised, because he found that he couldn't do this kind of ligation technique that he had never seen before!

Learn about world-class debridement sutures!

Originally, Liu Junchi couldn't help but want to ask Ruan Bin why he was so fast and the ligation and suture were so good, but because of his position, he still didn't ask. Just kidding, if he asked, wouldn't it seem that he, the deputy director, was very unskilled?

At this moment, he seems to really know Ruan Bin, this kid has such a powerful cholecystectomy, and he didn't expect that the most basic surgical skills are so terrifying!

After more than ten minutes, the most important step was to remove the entire colon.

Close to the intestinal wall, the left mesocolon is cut off, and the blood vessels in it are ligated. It was still Liu Junchi who removed the mesangium, and Ruan Bin was responsible for ligating the blood vessels.

"See, there is a malignant lesion in the left colon, it must be removed, wait a minute, the inferior mesenteric artery must be cut and ligated close to the abdominal aorta, and all the mesentery of the left colon must be removed. Wait a minute, you must bandage and suture well, the best is the best, because this is the place where heavy bleeding is most likely to occur after surgery! Do you have confidence?" asked Liu Junchi to Ruan Bin.

"No problem!" Ruan Bin nodded. Because at this time, the mesenteric severance point is cut close to the abdominal aorta, and the abdominal aorta is a major artery! Once the bleeding is not a joke, it will kill you in minutes!

So he also understands Liu Junchi's worries and advice.

"Then I'll start cutting it!" At this moment, Liu Junchi was also very nervous, sweating on his nervous forehead. Although he has done no less than dozens of surgeries, he is still nervous. Because the slightest carelessness will cause a catastrophe!

That's why he was reluctant to let a trainee doctor cooperate with him as his assistant. That kind of rookie is completely affecting him.

Liu Junchi is still an old driver, and he sharply excised, and immediately used a hemostat to clamp the small artery near the proximal end of the abdominal aorta.

"Stitch!"

Nguyen Bin Mali began to perform ligation and suturing.

It's still so smooth, it's still so fast as lightning, it's still so perfect for ligation and suturing!

Liu Junchi had to be impressed, and even felt that he needed to relearn debridement and suturing from Ruan Bin, for Mao, you can be so awesome?!

An hour later...... The operation was finally completed, and it went well!

When the two walked out of the operating room, Liu Junchi breathed a sigh of relief: "Let's go, go and see how the qigong master is doing." ”

Ruan Bin's face was a little strange after hearing this, is this guy a surprise after surgery, afraid that there is a problem with his brother's surgery?

But the deputy director spoke, can he follow and take a look?

When the two went in, they happened to see Zhang Haoyu doing an inspection inside.

"Director, Dr. Nguyen. Zhang Haoyu greeted.

"How's the situation?" asked Liu Junchi with a squint.

"Director, the intra-abdominal air pressure is almost normal. Zhang Haoyu said busily.

"Is there any dysfunction in the kidneys and intestines?"

"I'm waiting for the results, and it's estimated that it will come out in a few minutes. Zhang Haoyu said.

"Oh......" Liu Junchi walked over, "Hey, Dr. Ruan, you have closed your abdomen and didn't choose to open your belly?"

"This patient is only 26mmHg, and I saw that the other person's ascites was not very serious after the laparotomy, so I didn't choose not to close the abdomen. In addition, if the abdomen is not closed, it will directly compress the abdominal wall muscles and blood vessels, causing a decrease in blood flow to the abdominal wall, ischemia, edema, and decreased elasticity of the abdominal wall, which will aggravate the development of AH. In addition, ischemia of abdominal wall muscles and fascia is ...... with complications such as wound infection, wound dehiscence, hernia, gangrenous fasciitis," Nguyen explained.

"Well, that's a good point. It's not the worst of his situation. ”

While chatting, the results of the examination were quickly delivered.

Respiratory and kidney function have improved well, and it seems that the operation was successful.

When the three of them walked out of the operating room, Liu Junchi suddenly stopped and said to Ruan Bin cheekily: "Doctor Ruan, have you considered returning to my side of the group? If you want, I can talk to Director Jiang and exchange Zhang Haoyu with you!"

His idea is very simple, Ruan Bin is doing quite well now, although he is only a resident doctor for further training, and his level feels close to that of the attending doctor of this hospital. Even in the case of cholecystectomy, it stands out from the crowd. It is certainly not a loss to exchange Zhang Haoyu, the attending doctor for further training! Because this Xiao Zhang's level really needs to be improved! He now feels that even Ruan Bin is much inferior, so what is the use of keeping it?

It's better to change back to Ruan Bin!

He felt that Ruan Bin was in charge of him when he entered the hospital at the beginning, and now he is playing the emotional card, maybe he will have a chance to dig into the wall!

As soon as Ruan Bin heard that this old man Liu was going to dig himself, he suddenly felt 10,000 unwilling in his heart! It's not good to follow a beautiful senior doctor? With you, an irritable man?

As for Zhang Haoyu next to him, he received 10,000 critical hits at the moment! Is Lao Tzu so weightless in your Liu Junchi group? If you say you lose it, you will lose it~~