0055 Live cholecystectomy

Special Needs Ward, Single Room No. 303.

Director Liu Tianxing and Director Liu lay quietly on the bed, Cen Meng sat on the edge of the bed, there was no dialogue, and the two were a little distracted.

The TV on the opposite wall flickered with snowflakes and rustled monotonously and tediously.

After a long time, Director Liu broke the silence.

"Is the patient's diagnosis clear?" Director Liu's voice was hoarse.

"Clear. Cen Meng replied: "The preoperative preparations have been completed, and the patient is undergoing general anesthesia." ”

"This is a difficult cholecystectomy, the first ...... Are you sure that Zheng Ren is doing laparoscopic gallbladder for the first time?" Director Liu suddenly asked.

"I'm sure. Cen Meng said: "Appendectomy, he has done some, and he may be more talented, so the operation is done well." But I'm sure he's never had a cholecystectomy, either laparoscopically or openly, never!"

"I don't have a master, I think I can remember being an assistant. ”

The main job of an assistant in laparoscopic cholecystectomy is to hold the mirror, that is, the endoscopic lens. It's a job that's worse than the previous open retractor.

If you don't actually do it, that's good.

Director Liu nodded and slowly closed his eyes, "Young man, after learning one or two surgical procedures, you feel that your ability is higher than the sky, and this kind of anxious mentality is unacceptable." ”

"Yes. Cen Meng knew that Director Liu had entered the speech time, and as a compliment, he only needed to answer yes or no simply at this moment.

"Surgery, especially unfamiliar surgery, without an old doctor watching from the side, there is always going to be an accident. Director Liu closed his eyes and muttered, as if he was recalling something, "Cholecystectomy doesn't look big, it's just a first-level operation, but do you know why doctors below the general surgery department are not allowed to do it?"

"Because the cystic duct and the common hepatic duct sometimes change their morphological structure due to inflammatory exudation, once the common hepatic duct is severed, the damage is irreversible. Cen Meng personally performed more than a dozen cases of laparoscopic cholecystectomy, and these precautions are clearly understood.

"Yes, especially for novices who are new to laparoscopy, I am afraid that they can't even tell the difference between left and right. Director Pan is really old and confused, he can't do the technique and dare to let Zheng Ren do it. ”

"If you're so daring, something must have happened. ”

"We'll just have to watch. ”

As he was talking, the rustling sound on the TV suddenly disappeared, and Director Liu opened his eyes suddenly.

The anesthesiologist who was seconded to the emergency operating room today was Cen Meng's classmate, so he knew Zheng Ren's every move on the emergency room through the "inside line".

There is a camera system installed on the endoscope lens, which can record video and broadcast live. It's just that no one usually lets people watch the live broadcast of their surgery.

After Cen Meng's repeated requests and certain promises, his classmates agreed to use the Bluetooth network to transmit the operation to him secretly.

Cen Meng knew that Zheng Ren would not have laparoscopic surgery, so in order to make Director Liu happy, he connected the signal to the TV in the special needs ward, and he could watch Zheng Ren's operation in real time.

There is no sound, but the endoscope has been opened, and it is estimated that the pneumoperitoneum should be established with a pneumoperitoneum machine at this time.

Soon, the camera began to shake. The two people who peeped at Zheng Ren's surgery in the special needs ward were both experts, and they knew that this was a "hole" that had been drilled and were ready to build the endoscopic lens.

No one spoke, and the atmosphere in the ward was tense, even more tense than if they were operating on their own.

Cen Meng became nervous when he thought of Zheng Ren's sensational night of performing forty-nine appendectomys, and when he thought of the last rectoscopic appendectomy that even Director Liu had never heard of.

He will definitely not do it, and this patient is a patient who has been exuding inflammation for five days and has serious adhesions, so the operation is more difficult.

……

……

There was a sudden change in the traffic monitoring of the Xinglinyuan website.

Hundreds of people poured into a video live broadcast room, but with the lesson of the last time, CEO Peng Jia has adjusted the upper limit of the video live broadcast room of this account to 10,000 people, and made an emergency plan.

[The great god hasn't had surgery for a few days, and I really miss the smooth appendectomy. 】

[What kind of surgery is this time? I'll see ......]

I'm so excited, I'm new to laparoscopic surgery, and I don't know what the level of endoscopic surgery is. 】

[If it were you, do you dare to broadcast the surgery live? The level must be high!]

Hundreds of people came up and chatted and shouted 666.

As for the level of laparoscopic surgery of the surgeon, that is another matter, and everyone is still immersed in the overwhelming appendectomy a few days ago.

The atmosphere in the special needs ward is not as lively as the online live broadcast room, although Director Liu and Cen Meng's master and apprentice constantly confirm that Zheng Ren has not had laparoscopic surgery at all, nor has he studied at all, they still can't help but be nervous.

Soon, the endoscopic probe entered, and a gallbladder triangle with severe adhesions appeared on the television.

Seeing this, Director Liu finally showed a satisfied smile on his face.

If he were to go for this operation, seeing this situation, he would need to brace himself a little bit to free the anatomy of the gallbladder triangle. If one is not careful, where is it torn, it will kill people.

Swap for a newbie ...... No, even if it is replaced by Cen Meng, in this case, the only solution is to call yourself to power. He didn't dare to do such a difficult operation alone.

[Wow, it turned out to be a laparoscopic gallbladder!]

[Who said that the great god can't do laparoscopy? Stand up, I promise not to kill you. 】

[It seems that the great god does not use laparoscopy for appendectomy because the surgical incision of the great god is small enough that there is no need to do laparoscopy. 】

In the apricot grove garden, everyone's interest in seeing the operation is even higher. Appendectomy, no matter how skilled you are, is just cutting an appendix, and the work of a resident doctor is just like that.

There is a saying that if you can make potatoes and cabbage delicious, that is the chef.

The same goes for the appendix, which is equivalent to potato cabbage. Through the level of appendectomy of the surgeon in the live broadcast room, the doctors who have watched the operation are sure that this must be a big bull.

That being said, everyone's talent is different, and when it reaches a certain level, the level of surgery cannot be improved at all.

Looking at the appendectomy far away in the clouds, it is not meaningful at all, and it is completely impossible to refer to, whether it is horizontal or ...... Physical.

Laparoscopic cholecystectomy is different.

At the beginning of the 21st century, laparoscopic surgery was just beginning to be performed in domestic hospitals, and many departments, including thoracic surgery, general surgery, and gynecology, gradually began to popularize minimally invasive surgery.

It was not until ten years later that the old directors of various departments retired one after another, and the new generation of main forces who mastered laparoscopic technology became the first line of clinical practice, that it began to be popularized across the country.

However, the growth of laparoscopic minimally invasive technology is very rapid.

In 2001, a certain master in the imperial capital performed esophageal cancer surgery with a thoracoscopy, which took 8 hours. Now, as long as the cancer is not too high, the completion time is less than 2 hours.

Laparoscopic techniques have replaced traditional open surgery and become mainstream.

In the live broadcast room of Xinglinyuan, when the gallbladder triangle with serious adhesion appeared on the live broadcast screen, countless barrages flew out.

[Are the surgeries chosen by the great gods so difficult?]

[The gallbladder triangle is a sticky mess, and this operation is estimated to take 3 hours to get down.] 】

[The gallbladder neck is wrapped, how can it be free?]

The more closely you look, the more frightened everyone becomes. The gallbladder is almost completely encased in inflammation and oozing, and a thin membrane wraps the gallbladder tightly, not to mention the anatomy, even the gallbladder itself is indistinguishable.

Seeing this scene, Director Liu and Cen Meng both breathed a sigh of relief and showed a "gratifying" smile.