During the operation, there were no abnormal changes in the stomach and small intestine. The liver is of normal size and has a smooth surface, without the nodules of patients with cirrhosis.

However, the gallbladder is congested and edema, and it is the size of the fist of most adult men.

The swollen gallbladder is like an inflated balloon, and looking at that posture, a careless gallbladder will have to "bang" into the sky.

[Wow, how many stones must be in this gallbladder?]

[It doesn't have to be a stone, it may be a parasite.] 】

[How can I touch it, the gallbladder will burst, and then a large amount of bile will flow into the abdominal cavity, and the operation will feel so contaminated? It's over, I can't watch it, and if I look at it again, I will probably have nightmares, and I can't finish the nightmare after one night of surgery. 】

The unknown doctor who said he didn't look at it was honest in his body. The live broadcast room didn't see who quit, and people kept coming in to watch the big cow who had become a legend in Xinglin Park undergo surgery.

0.5cm away from the liver, Zheng Ren made a small cut with the tip of the knife, and then began his signature move - blunt separation.

The people who watched the live broadcast were all professional doctors, and those who had not had more than 100 surgeries were embarrassed to post barrages in the live broadcast room.

But no one can do this kind of blunt separation of Zheng Ren.

After repeatedly watching the "performance" of 49+1 appendectomy completed by Zheng Ren, some people began to try blunt separation on a larger scale, but the outcome was depressing, and there was no medical accident that tore the intestine.

During this time, a post appeared in Xinglin Garden, which specially gathered the speeches of all those who tried surgery after watching the live broadcast for everyone to discuss.

Some people still think that their level is poor, but when they look at the post, everyone is a hanger.

It seems that it is a problem of cognition, and Da Niu doesn't know how much practical operation he has done to practice this skill.

When Zheng Ren used hemostats and fingers to intermittently perform blunt separation, the live broadcast room was quiet.

Many people's fingers trembled slightly with Zheng Ren's movements in the live broadcast.

But...... That kind of state of being able to solve cattle and be at ease, you can only see it at a glance, and you must not learn it.

The gallbladder is congested and edema to the size of a fist of most adult men, and the surface tension is extremely high, not to mention blunt separation, so everyone present must be cautious when doing a simple open cholecystectomy, and if you are distracted, you are afraid that the gallbladder will burst.

However, the surgeon in the live broadcast did not think about it at all, and the middle-curved forceps reached under the serous layer on the surface of the gallbladder cut by the blade, and quickly separated.

This speed ...... It's like death.

But no one would say that.

Why? Because all the people who said it before were slapped in the face, and there were screenshots of good deeds as proof, which were placed in the discussion post for future generations to whip their corpses.

After a few seconds or more than a dozen seconds, blunt dissociation has reached the neck of the gallbladder. The surgeon begins to free the gallbladder triangle that is encased in a mess of connective tissue by the inflammatory stimulus.

The technique is skillful, the movements are not fast, but every step seems to be thoughtless, and many doctors present are terrified.

This is a tightrope walk, a professor from a tertiary hospital...... Why is it a tertiary hospital? Why is it a professor? Because hospitals below tertiary level do not dare to perform such surgeries, the risk of medical malpractice is extremely high.

Even if it is a tertiary hospital, ordinary small attending and hospitalization will never touch it.

At least you have to lead a group professor to have enough confidence to do this difficult surgery.

Do it, do it, and definitely do it carefully. It will never be like this big bull in the live broadcast room, I don't even want to think about it, and I will directly separate the pliers bluntly.

In fact, the sorcerer's movements are not very fast, but they are very accurate. The anatomy of the gallbladder triangle is like a painting, gradually appearing in front of everyone.

This thing has forced a few general teachers to dissect, no! a few are definitely not enough, at least a dozen or twenty.

In China, the number of general teachers is so small that some medical universities only have one general teacher for dissection in a class.

A group of eight or the legendary group of four dissects a general teacher, which is only available in a very small number of medical universities.

For example, in a major northern border town, the school is still a medical school, but the corpses of countless Kwantung Army soldiers from decades ago are preserved for autopsy. The doctor who came from that medical school never knew what the general teacher was.

This kind of honorific title could not be used on the Kwantung Army, even if it had been soaked in formalin liquid for decades.

Because of the scarcity of teachers, many doctors above the clinical attending level do not hesitate to go to part-time forensic doctors.

Of course, this is only a special treatment for doctors who want to improve in cities where there are no full-time forensic doctors in the third and fourth tiers.

Live surgery must have dissected a large number of general teachers, which was gradually revealed in the gallbladder triangle, until it was completely exposed, and the doctors invariably had such an idea in their hearts.

The cystic duct and gallbladder artery are clearly exposed, and the ligation and cutting are started, and the gallbladder is retrogradely removed.

The removal of the gallbladder only announces that the curtain of this operation has been opened.

[Laparoscopy is very good, I didn't expect open cholecystectomy to be able to do this level.] 】

In the apricot grove garden, a doctor expressed his thoughts blankly.

As soon as the connoisseur stretches out his hand, he will know if there is one. There is no need to look at anything else, just a gallbladder removal, and everyone already believes that the surgeon will definitely complete the operation beautifully.

As for how much you can learn from it, it depends on the talent of each person.

[Are you stupid, you can't even do open surgery, where can you go for laparoscopic surgery?]

[Not necessarily, many attending physician-level doctors now start practicing from laparoscopic surgery.] Just now, you have inadvertently revealed your age. 】

[The gallbladder was cut out, and I felt that there would be at least three or five stones of three centimeters or more in the gallbladder. 】

Zheng Ren's dissection is too clear, after the gallbladder is cut off, the common bile duct and the common liver duct are clearly exposed in the surgical field, and you can know which one is which one at a glance.

But he still put an end to all accidents and reached out for a 5ml syringe, punctured and extracted bile, and confirmed that it was the common bile duct.

Making a traction line and stretching the common bile duct, Zheng Renyi stretched out his hand, and the suction device wearing the sleeve was gently patted on his hand.

The moment the common bile duct is cut, the suction device is inserted inside.

There was no interval, and a large amount of bile accumulated in the common bile duct was sucked out by the suction device before it could be ejected out by the huge pressure.

This detail aroused the attention of the doctors in Xinglin Garden.

In general, the surgery is more or less necessary to protect the common bile duct, because bile is inevitable to flow out.

However, the surgeon in the live broadcast room did not protect it at all, and the incision in the cystic duct was the size of a condom-wearing suction device, and there was no trace of bile flowing out at all.

Everything was just right, it looked simple and relaxed. Only those who have actually done this kind of surgery will know the difficulty.

[Suddenly a little sad, I had an incision and drainage operation for acute obstructive purulent cholangitis a few years ago, and the bile flowed out during the operation, inducing postoperative infection, first bacterial, and then moldy, and it took a month to toss. 】

[The same feeling, the operator's operation is really stable, that knife, the incision is as big as the suction device, is this kind of feel and eyesight practiced?]

[That's talent, don't dream. 】