Chapter 173: Trocar is the condom

"Director Lin, Director Han, why don't we open the stage first! The gallbladder removal surgery is ready!" Director Yang directly welcomed.

"Okay!Director Yang, it's good if you call me Doctor Lin!" Lin Yu said politely.

It feels so strange to be called director in front of the summer, and there is always a sense of tension after being let see through.

"Okay, Director Lin!" Director Yang agreed quickly, but he still shouted Director Lin in his mouth.

Lin Yu didn't want to correct it again.

"I want to see surgery too!" said Summer.

"Well, you are an internist in the summer, and you are also interested in surgery?" Director Yang was puzzled by this niece.

She's never liked surgery, so why is she interested in surgery today?

"I'm getting interested in surgery now, too!

Lin Yu didn't know what she meant, she just wanted to see how she and Han Qiang had surgery.

"Welcome to Dr. Summer's guidance!" Lin Yu welcomed, instead of being low-key with you, I might as well be high-profile.

"Okay, then let's hurry up! Uncle, this operation is still waiting for this!" Han Qiang said.

Xia glanced at Han Qiang with a complicated expression and did not say anything.

She wants to figure out one thing now, that is, whether Lin Yu can take the laparoscope off, if he can take it down, then his level is indeed very powerful.

Han Qiang was on duty that day and the appendicitis did so well, it must have been because of Lin Yu, and the balance in her heart was now tilted in favor of Lin Yu to take it down for surgery.

As long as he can successfully take down his uncle's father's surgery, his father's appendicitis is nothing at all.

Director Yang personally pushed the patient to the operating room.

Lin Yu looked through the medical records in the office, the patient was a patient with recurrent episodes of chronic cholecystitis, and this time, at least because of the cholecystitis attack, he had been hospitalized for conservative treatment five times.

This is a proper indication!

Both laparoscopy and laparotomy are indications.

Although this patient is seventy years old, he has no other diseases, no heart and lung diseases, and his basic physical conditions are good, Lin Yu is relieved.

Colleague, he is also excited, although he has done this operation many times in the system, but this is the first time in clinical practice, everyone will be excited.

"I'm horrified when I look at this!" Han Qiang looked at the results for a long time, and said in conclusion, like a basin of cold water poured over.

"Hmph! I want you to take a look at it more often, now that the operation is in front of you, you know that you are worried! After the operation, you go to Jingdong to buy some laparoscopic equipment and buy pork to practice hard! After striving for fifty units, you can complete it independently!" Lin Yu said easily.

Fifty Taiwan? Han Qiang only vomited blood, you look down on my rhythm.

"I think forty is about the same!" Han Qiang said.

Lin Yu just wanted to scold him for not pursuing it, I said that fifty units is an approximate one, which means that you have a lot of units, you are good, just shameless, minus ten!

Generally speaking, this kind of surgery, under the operating table, you have to practice well! You can take the surgery off when you have the chance.

You really have no pursuit, and the gods can't save you.

"Can you pursue it a little?" Lin Yu didn't have a good breath.

"Hehe, I'm just joking with you! Ten at most, I can take it down!" Han Qiang said.

He thought about you Lin Yu, a guy who dares to graduate can take it down and give me ten chances, can't he take it down? Impossible, didn't I take down the three appendicitis last time.

"Han Qiang! I really want to say a few more words about this operation! Surgeon, there are two kinds of surgery that are not easy to do! One is thyroidism, and the other is gallbladder removal! This kind of surgery looks easy on the surface, but in fact it is very difficult! Do you know the origin?"

Han Qiang shook his head and said he didn't know.

"If you don't know, forget it!, you can slowly understand!" Lin Yu was not very happy when he saw that he had not made any preparations, and he didn't bother to talk to him.

Han Qiang's face darkened.

The procedure is performed under endotracheal intubation under general anesthesia.

The patient had already been prepared, Lin Yu was the chief surgeon, Director Yang was the assistant, each standing on the left and right sides of the patient, and Han Qiang stood between the patient's legs as the mirror holder.

"Today is the first laparoscopic cholecystectomy, let's take it a little slower! Every step I take, I will tell it! Everyone will pay attention next time!" Lin Yu said.

Han Qiang heard that his head was a little big, do you mean that it is the first time you have done it, or the first time you have done it in the health center?

After Lin Yu finished speaking, his eyes stared at Shuye and looked hard.

A familiar voice suddenly sounded in his head [The medical perspective system is activated, experience points are consumed by 10, and the live operating room is opened].

In an instant, the patient's abdominal organs were clearly displayed in Lin Yu's field of vision...

"At this time, the patient is with his head high and his feet low, and he is appropriately on the left side, which is conducive to exposing the gallbladder!" Lin Yu said while establishing a pneumoperitoneum.

At this time, there was also a lot of noise in the live broadcast operating room.

[The great god has started surgery again, and it has been cold for many days!]

[Yes! It's really like it's every other day! What kind of operation is the great god today?]

Laparoscopic cholecystectomy!

You can't blaspheme our great god!]

[Tell me if this operation is very ordinary!Just this operation, our hospital carries out it every day, do you need to broadcast it live?]

[Your first time here?]

[Didn't I read the recommendation on the homepage of Lilac.com? I came in to see this operation, and I did one with the director in the morning!]

[Do you look down on our great gods?]

[For this operation, you say that he is a great god, you can see how bad your level is!

Although our great god does ordinary surgery, every operation is not ordinary!]

[Tell me about it!What's not ordinary?]

[Upstairs carrying semen, our god has a purulent appendicitis in eight minutes, can you do it?]

[Hmph, I can't do it now, but our director can do it!]

[Is it a child?7-year-old?]

【...】

[Seven-year-old child who has been perforated, purulent appendicitis? Can your director do it? Eight minutes?]

【...】

[Why don't you speak!Speak when you can do it!]

[Hehehe! It should be disconnected, 5G mobile phones are out, you have to buy a better mobile phone to carry the essence]

[Our great god is almighty, urological surgery and general surgery can be taken down, when will we come to make a cameo appearance in gynecological surgery?]

[The exposure department upstairs should be a gynecologist]

...

The live operating room was silent for several days.

Now that it has suddenly started broadcasting, many iron fans are extremely excited, because this account has never disappointed his mother.

As a medical worker, everyone is very busy, very tired, and stressful, and it is also a pleasure to watch others do surgery.

Especially this kind of surgery that everyone can't do, he can easily complete it, which is enough, and the impact is very strong, and everyone enjoys it.

Technicians have a natural worship and yearning for technology! The worship of surgical bulls is no less than the worship of celebrities by ordinary people.

The feeling of not being able to reach it and yearning for it has existed for thousands of years.

"Han Qiang, can you tell me how to build a pneumobelly?" Lin Yu suddenly asked when he saw that Han Qiang had nothing to do.

"Hmm, pneumoguration, isn't this a few holes, and then inject carbon dioxide gas!" Han Qiang was obviously confused by the question.

A beam of complaining eyes shot over, and secretly said Lin Yu, Lin Yu, you are too bad, my ex-girlfriend is here, you don't give any face.

If it was a knife in his eyes, he would have slashed Lin Yu to pieces.

"Oh, our Dr. Han Qiang is a urology, and it's understandable that he doesn't understand this!" Lin Yu directly helped him out.

Han Qiang glanced at Lin Yu gratefully, and secretly said that you still have a bit of a conscience.

"There are generally two kinds of clinical establishment of pneumoperitoneum! One is Veress needle blind puncture and Hasson, we often use the latter one, make a small incision on the umbilicus! The main layer is inserted into the trocar! Connected to the pneumoperitoneum machine! Generally speaking, the air pressure of 15mmHg is about the same, it should be noted here that when injecting CO2, the flow rate is low first, and then the high flow rate, after the pneumoperitoneum is established, the position of the trocar is inserted into the laparoscope!

Because the laparoscope is operated in the stomach, it needs a space, so the establishment of this space is mostly to use the filling of safety gas to flush up the abdominal skin, like a balloon, so that it can be operated freely inside.

Lin Yu didn't finish speaking, and Xia couldn't help but be curious: "What is trocar?" she said she hadn't heard of it.

"Oh, then please explain to Han Qiang!" Lin Yu secretly said Han Qiang, you can't know this.

Han Qiang was happy to see this and said: "Trocar is a condom!"

"Hahaha!" the doctors and anesthesiologists around him laughed at him.

"It's really a sleeve, a sleeve for laparoscopy!" Han Qiang continued to explain solemnly, and then took this thing in his hand and raised it.

Summer glanced at Han Qiang sadly.

Han Qiang shrugged his shoulders and said, "Actually, it's the trocar in Lin Yu's hand! It's really a sleeve, which is convenient for surgical operations, and there are three! The positions are about 1cm below the xiphoid process...".

Lin Yu had to admire Han Qiang, he was still able to come up with some things at a critical moment, which showed that he should have prepared some things at ordinary times.

Everything was ready, Lin Yu began to separate the obvious Calot triangle, and the anterograde excision used by Lin Yu meant that the Calot triangle (gallbladder triangle) should be free first, but fortunately, this patient did not have pancreatic abdominal hypertrophy and did not have hepatic hilar contraction.

Otherwise, the difficulty of the operation will increase exponentially.

The free gallbladder triangle is the most basic thing of cholecystectomy, and it is also the most basic thing, because the gallbladder is under the liver, the position is relatively special, there are not only bile ducts, common bile ducts, but also biliary arteries around, and even when you are unlucky, you are free for a long time, and it is the mutated right hepatic artery.

Lin Yu did this gallbladder surgery really used in the clinic, this is the first time, although it has been done many times in the tradition, but it is the first time in real life, so he did it a little slower.

Although it was slow, for Director Yang and Han Qiang who were standing next to them, the speed was simply fast, and a few people only saw the electrocondensation hook in Lin Yu's hand shuttling back and forth inside.

Lin Yu used a high-frequency electrocoagulation hook to annularly incision the gallbladder plasma-membrane above the plane of the junction between the ampulla of the gallbladder and the cystic duct.

Lin Yu said as he did it: "See, the serous-membrane of the anterior and posterior triangles is incised, so that the cystic duct can continue to be free...".

The reason why Lin Yu wanted to explain the whole process in detail, but found that these guys were like listening to a book from heaven.

Han Qiang doesn't forget it, it's already a broken jar.

Director Yang said and sighed: "Director Lin, you have learned this anatomical knowledge so well, although I have been in the clinic for so many years, many places stay in books, and this laparoscopic vision feels like a mass of tissue!"

Lin Yu secretly said that you are quite self-aware.