This process is very important!

Because you need to observe the patient's specific condition before proceeding to the next step of surgery.

This is because if the following conditions are found during laparoscopic cholecystectomy, continued laparoscopic cholecystectomy is prone to complications such as bile duct injury, and it should be transferred to laparotomy on a case-by-case basis.

For example, if you find that the common bile duct, cystic duct, and common liver duct in the gallbladder triangle have adhesions that are difficult to separate, and the anatomy is difficult to distinguish. and the cystic duct opening is too high close to the hilum of the liver, making it difficult to separate the cystic duct. There are also cystic duct parallel to common hepatic duct or common bile duct and gallbladder artery variations.

In addition, if it is found that there is already vascular damage during the operation, resulting in active bleeding, bile duct injury, bile duct wall electrical burn, duodenal and other organ injury, it should also be transferred to laparotomy in time to deal with these injuries!

Hou Quanhai quickly checked and found no of the above situations. This patient can be operated on laparoscopically!

"How's it going?" Jiang Yan asked.

"There is adhesion between the gallbladder and the internal organs of the abdominal cavity!" Hou Quanhai said as he used a sponge rod to blunt separation.

After the separation, it is possible to distinguish the common bile duct, common hepatic duct, and cystic duct, and then carefully cut the serous muscle layer at the ampulla of the gallbladder with an electrocoagulation hook. As a result, blunt separation is performed in the direction of the common bile duct, and the common bile duct, cystic duct, and common hepatic duct are fully exposed.

A series of operations were as fast as lightning, and Jiang Yan, who could see the side, was numb!

"Hou Quanhai, do you want to be so fast? I'm worried that you're too fast, and it won't be good if something goes wrong. Jiang Yan said worriedly. Because when it comes to surgery, the faster you go, the more likely you are to make mistakes. The probability of mistakes will definitely increase!

"Rest assured, trust me for 25 years of single hand speed!" Hou Quanhai smiled slightly.

After confirming the above anatomical relationship, he separated the tissue around the cystic duct!

To this part, care should be taken not to burn the common bile duct.

For this point, Hou Quanhai has world-class experience and standards, of course, he knows it by heart, and clamps the cystic duct with titanium clamps from the common bile duct and cuts it off. The gallbladder artery was sought by blunt separation on the medial side of the gallbladder triangle, and after the gallbladder artery was revealed, the gallbladder artery was cut by clamping.

Jiang Yan next to her looked at Hou Quanhai's dazzling operation, and she muttered in her heart: "Is this person really a genius in surgery?" After the operation, he didn't even sweat a drop, and there was no tension on his face at all, but he was extremely calm, how did he do it? ”

To be honest, she will be nervous about doing this kind of risky surgery! Once you concentrate on it, your body will definitely sweat involuntarily.

But this guy ...... Freak!

At this point, the surgery has been carried out to remove the part of the gallbladder. Jiang Yan looked at his watch, only 13 minutes had passed, and it was terrifying!

At this rate, it can really be done in 20 minutes!

Hou Quanhai lifted the neck of the gallbladder and gradually cut the gallbladder from the gallbladder bed about 5mm away from the liver. Adequate electrocoagulation to treat bleeding from the gallbladder bed. After careful exploration to confirm that there is no active bleeding in the abdominal cavity, no bile duct and other organ damage in the abdominal cavity, the gallbladder is placed in the specimen bag, and then the laparoscope is moved under the xiphoid process, and the gallbladder is taken out of the body through the umbilical incision!

At this critical moment, it is still a dog-like operation.

Nothing happened.

However, when the gallbladder was removed, the pregnant woman had a slight contraction, but Director Li next to her prompted: "The problem is not big, the contractions are not violent, and the operation should be fine." ”

Hearing Director Li's words, Hou Quanhai was even more relieved, if a pregnant woman had violent contractions, it would be really dangerous. Because at any time, pregnant women can be born prematurely, and even pregnant women and babies will die.

After observing for another half a minute, after confirming that there is no problem, CO2 is released to eliminate the pneumoperitoneum, and the anterior sheath of the rectus abdominis muscle is sutured for the incision under the umbilicus and xiphoid process, and the wound is closed with a band-aid.

The surgery is complete!

"How long will it take?" Hou Quanhai raised his head and asked with a sigh of relief.

"I'll see."

"It took 19 minutes and 38 seconds! Oh my god, you really did it. Jiang Yan was shocked again.

"Hey...... Live up to expectations! Hou Quanhai smiled. At the same time, the sound of completing the task sounded in his head.

"The contractions of the pregnant woman did not continue to increase, but calmed down, I think this operation is really very successful, Dr. Hou, you are really amazing!" Even Director Li gave Hou Quanhai a thumbs up.

They have such a master of cholecystectomy in their hospital, and they are not worried about the pregnant women who will be sent to their gynecology department in the future.

"Hou Quanhai, I think your surgery can be recorded as a textbook teaching video in our hospital, and it can even be posted on our vast surgical forum for people to watch. I'm sure this surgery will definitely surprise a lot of people's jaws. Jiang Yanjiao said with a smile.

"Did I record this surgery?" Hou Quanhai wondered.

"Recorded." Jiang Yan nodded and said.

"But I'm just a resident doctor for further study, so let my surgery video be recorded in Wuzhou First People's Hospital, isn't it?" Hou Quanhai touched his nose.

Generally speaking, the teaching and operation videos recorded by the chief surgeon of the hospital are recorded by the chief surgeon of the hospital and used to watch and communicate with the doctors who are studying at that time.

Now he is not a doctor at this hospital, but a doctor who is training.

"What's this? This surgery of yours is so representative, what's not so good? I'll do it for you! Jiang Yan directly made a decision.

"Okay!" Hou Quanhai doesn't care.

At noon.

Office.

"At noon, I'll have a small meeting, Fan Yu, you call Deputy Director Liu and several attending physicians over." Jiang Yanjiao said. Today, the director of the door is resting, so I didn't mention it.

Soon, Deputy Director Liu and several attending physicians of the hospital came in.

"Deputy Director Jiang, what's the meeting? I'm busy. Deputy Director Liu said nonchalantly.

He's getting ready to eat.

"This morning, Hou Quanhai did a laparoscopic cholecystectomy, and he did a very good job! I plan to put this operation video into our hospital's teaching video database, which will not only allow more doctors to learn and watch it in the future, but also allow our doctors in our hospital to watch and communicate. Jiang Yan said.

As soon as this sentence came out, everyone looked at Jiang Yan and Hou Quanhai in surprise.

Even if a cholecystectomy performed by a trainee doctor is a good performer, it is not eligible to be included in our hospital's teaching video database, right?